154 This one is not simple
No matter what happened to the people in the classroom, the operation was still in progress.
Normally, five holes are cut in this operation, one is an observation hole, two are operated by the surgeon, and two are operated by the first assistant.
What was opened just now is the observation hole, that is, the operation hole of the mirror hand.
Through this hole, carbon dioxide gas is injected into the abdominal cavity to create a space for operation.
A puncture cannula is inserted, an illuminated laparoscope is sent into the abdominal cavity, and an image of the abdominal cavity is displayed on a large screen.
Open all five openings and insert the puncture cannula, Ye Chen did it very standardly.
Squeezed by the fat layer, the field of view is much smaller than that of ordinary laparoscopic surgery, making it difficult to explore the abdominal cavity.
Tao Le moved at this time. She used the three-leaf retractor to push up the liver, fully exposing the field of surgery.
She has done this action countless times before, and she has done it like a cloud of peers.
But to those in the classroom, it wasn't quite the same.
"Ichisuke's reaction is too fast, it's a good job!"
"Who's that Ichisuke? It's Zhang Sheng's face, not a surgeon, right? ”
"I know this person, he is a new training doctor, and now he is rotating in pediatrics."
"You're kidding, right? The newly arrived doctor can come to the stage to help, and can still have this kind of awareness? ”
"The next step is the most important step, the removal of the left omentum!"
"My heart is hanging! Can newcomers do a good job of lifting the omentum? If you don't count it, if you're not careful, you'll be in big trouble. ”
Wang Hanzhong sat there steadily, staring at the big screen with burning eyes.
This step is not difficult, but for newcomers, there are few that do not go wrong.
In order to remove the lymph nodes at the dermatom site and completely remove the cancer lesion, it is inevitable to remove the left omentum.
As usual, the omentum is lifted by Ichisuke, and the surgeon lifts the transverse colon by himself, and then uses ultrasound knife to free and remove it.
It's very simple to say, but if there is a little miscooperation between two people, especially when the strength is uneven when lifting the omentum, it is easy to strain the spleen.
Once this kind of mistake happens in public, the operation probably can't be done, and it's your turn to go into battle.
Thinking of this, his buttocks were gently lifted, and he turned around and glanced at Dr. Chen who was waiting at the door.
Dr. Chen is also the attending physician of the Department of Gastrointestinal Surgery, and he is considered his confidant, and he is also the assistant he chose this time.
When the other party saw his eyes, he immediately understood and went to call the anesthesia and the mirror hand to prepare.
Only then did he lean over and continue to watch the big screen with a slight smile.
Well? The small gauge doctor has already lifted the omentum, and the strength is not too big or small, just right.
With her cooperation, Ye Chen had used the free omentum along the edge of the colon to cleanly cut off the left blood vessel of the gastroomental from the root, and cleared the surrounding lymph node tissue.
"Well done!" Someone said at the door.
The sound is familiar. Director Sun and Wang Hanzhong turned around at the same time and saw Director Zhang of the Department of General Surgery.
He is not alone, and he is accompanied by the deputy director of the pediatric department.
Seeing the two of them coming, Director Sun immediately greeted him, and Wang Hanzhong immediately followed.
"Lao Zhang, why did you come here as a busy person?" Director Sun asked with a smile.
"Xiao Ye also followed me on stage back then, and now that he is back in surgery, I naturally want to come over to have a show." Director Zhang said: "What's more, if you want to talk about it, who can be as busy as your Director Sun?" ”
"Hey, I know that you miss the old love the most! Don't blame me for bothering to promote this teaching class."
Director Sun confessed his kindness for a while, but both of them, whether it was Director Zhang or Deputy Director An, they listened casually.
"Let's see the surgery." Director Zhang said as he sat down in the first row.
"The progress is very fast, in such a short time, the right gastric omentum artery has been ligated!"
Deputy Director An didn't know much about this operation. But he can also see something wrong:
"The camera is a little unstable, and the picture is shaky."
The same questions he asked were what the others in the classroom wanted to ask.
"It's not good to hold the mirror, and it doesn't matter if the mirror is unstable, it's so slow to adjust the angle."
"It's Li Sen from the gastrointestinal surgeon, I took him to the stage last time and ate a fly once."
"In such an important teaching class, Li Sen is still holding the mirror with one hand? I knelt for him! Served, really! ”
The hot comments next to him lingered in Wang Hanzhong's ears. Director Zhang glanced up at him.
It's all in surgery too, how about a young man, and who doesn't have a little bit in mind.
Let Li Sen come to the stage to help Ye Chen in the mirror? This arrangement, not to mention putting oneself in the other party's shoes, can be said to be ill-intentioned - this is not the same as Wang Hanzhong's recent repeated confessions with others.
When everyone was discussing, they saw Tao Le suddenly stretch out his right hand and hold the laparoscope steadily.
Her action was unexpected by everyone inside and outside the operating room.
Li Sen stopped doing it first: "Help you do your own thing, don't be nosy." ”
Tao Le didn't let go: "You can't hold it steady, I can." Moreover, it will not affect Mr. Ye's surgery. ”
The latter sentence was said to Ye Chen.
Ye Chen glanced at her. To be honest, the operation of the mirror hand just now is really indescribable, and he has reminded several times: "Don't move, straighten up, steady." None of it worked.
It hadn't been long since the operation began, and his patience was running out.
If he wasn't in the classroom, he was afraid that direct scolding would have a bad impact on young people, and he wanted to ask the other party if you would be able to hold the mirror!
Seeing the dispute between Tao Le and Li Sen this time, he didn't think about it, so he stood on Tao Le's side:
"Okay, Li Sen, you rest for a while, let Tao Le do it first."
As a well-known prickly head in gastrointestinal surgery, Li Sen is quite temperamental.
Hearing Ye Chen say this, he immediately sneered: "Don't need me, that's okay." So many people are watching it today. If you can do it, you can do it, I won't accompany you. ”
He stepped down from the stage and added: "Today's operation, if there is a mistake in the mirror, don't push it on my head." ”
In a blink of an eye, Li Sen took off his gloves and changed his clothes, and walked away.
Tao Le didn't say anything about this, and even his expression didn't change at all.
She has fully understood Li Sen's various problems and mistakes. Now the operation time is not half over, and when it is in the later stage, the impact on the operation will be more serious.
His problem is not something that words can change and impress, just like the thing just now that he picks on a disagreement with each other, and he has done it many times in the space.
Better do it than wish it done. Tao Le has already been successfully upgraded.
Single-minded, with Ye Chen with his left hand, and with the right hand holding the mirror and adjusting the angle, there is no problem at all.
At this time, there was an uproar outside the classroom, and many people stood up.
"Oh my God! Is Ichisuke so good? ”
"This mirror is stable, and the picture is no longer shaking or delaying!"
"It's nothing that the mirror is stable, did you see the action of the other person just now?"
"It's so handsome, it's the right and left hands to start work at the same time!"
"Tell me again, the name of this help?"
"The surname is Tao, by the way, it's called Tao Le!"