knot

take-up,

The surgery is complete!

Liu Guowei opened his mouth mumu, "Xiao Li, you... Didn't you say you hadn't used a laparoscope? ”

Li Xiyang nodded, "That's right, this is my first attempt." ”

"Huh!"

Liu Guowei grinned,

Heart, trouble!

The first time you can have this level?

"Xiao Li, you are so humorous!"

Li Xiyang smiled and didn't explain much.

Liu Guowei hesitated for a moment and asked tentatively, "Xiao Li, why don't you do the remaining two surgeries together?" ”

"Yes!"

Originally, these three surgeries were negotiated in the flying knife, and Li Xiyang naturally would not refuse.

Seeing Li Xiyang's readily agreed, Liu Guowei was very excited.

Just now, because I was so shocked, I didn't look at many details carefully.

What a learning opportunity!

Soon, another patient with appendicitis was pushed onto the operating table.

Li Xiyang looked at the patient's report and found that the local inflammation of the appendix was not severe and the tissue adhesions were not tight, which was very suitable for laparoscopic surgery.

So let's get started!

Prepared by an anesthesiologist, continuous dural anesthesia is administered.

Five minutes later,

Anesthesia complete!

The patient is supine with his head down, with his body slightly tilted to the left.

There are three types of laparoscopic surgery: single-port, double-port, and three-port.

Among them, the most popular in China is the three-hole method.

First, a small arc incision is made on the umbilicus, named A-hole.

A hole to place a pneumoperitoneum needle!

Then a 10mm Trocar is pierced at the outer edge of the rectus abdominis muscle on the right side of the umbilicus, named foramen B,

Place grabber in the B hole!

Then insert a 5mm Trocar 5 cm above the pubic symphysis, named the C foramen,

C-hole placement separator pliers, ultrasonic knife!

During the procedure, a pneumoperitoneum needle is first delivered from hole A, punctured into the abdominal cavity, and filled with 15 mmHg carbon dioxide gas to establish an artificial pneumoperitoneum.

The artificial pneumoperitoneum is completed, and then the pneumoperitoneum needle is removed and inserted into the laparoscope.

Under laparoscopic internal view, the abdominal cavity can be looked around to detect the presence of collateral injuries and periappendiceal conditions.

Then, the patient is placed in a decubitus position on the left side with his head high and feet low, and the forceps are inserted through the B hole to locate the appendix and gently lift it.

Then put in the ultrasound knife from the C foramen to separate and dissect the mesoappendal and flow away from the appendiceal artery.

When the appendix is displaced to the heel and 0.5 cm from the ileocecal region, the appendix is amputated and amputated with ultrasound.

Then, use a laparoscopic pathology bag to completely wrap the appendix and remove it according to aseptic operation.

After the appendix is removed, the abdominal cavity is flushed and the abdominal cavity is checked for no bleeding...

Check that there is no bleeding, flush the abdominal cavity with a suction device, aspirate the irrigation fluid...

Alcohol rubbing, each incision with 4-0 absorbable sutures...

At the end of the operation, Liu Guowei looked up at the time.

What?

8 minutes!!

If I remember correctly, Sun Mingwang's fastest surgical record is also 8 minutes!

Oh my God, this kid's attainments in the field of laparoscopic technology can be compared to the holy hand of Chinese medicine!!

Nothing surprisingly, the third appendicitis operation was also over in 8 minutes.

Liu Guowei was completely numb.

……

Out of the operating room, Liu Guowei's attitude immediately changed 180 degrees.

Don't call Xiao Li anymore, open your mouth Li expert, close your mouth Teacher Li.

Li Xiyang was uncomfortable.

"Director Liu, you still call me Xiao Li, I'm used to listening to it."

Liu Guowei admires Li Xiyang's humble attitude, talented but not proud.

So he smiled and said, "Then I'll call you Dr. Li." ”

"That's fine!"

Li Xiyang nodded, as long as he no longer called any expert teacher.

"By the way, Dr. Li, where did you learn this laparoscopic technique?"

When Li Xiyang heard this, he finally got to the point,

However, he was not flustered, and said casually, "The emergency department has professional pre-job training. ”

"Pre-job training?"

Liu Guowei rolled his eyes, which hospital doesn't have pre-job training,

Why don't you see such a powerful guy from their third house?

Li Xiyang grinned, "I love to eat chicken bones!" ”

"Chicken skeleton?"

Liu Guowei was stunned for a moment, and then reacted, "You mean, you use chickens to practice laparoscopy?" ”

Li Xiyang nodded, "Yes!" ”

Good guys, practice laparoscopy with chickens.

Liu Guowei was thinking, could practicing with chickens have a special effect?

He has already begun to think that when he gets off work, he must go to the vegetable market to buy two chickens and come back to practice.

"Director Liu, Director Liu!"

At this moment, a little nurse ran over in a hurry.

Liu Guowei's face darkened, "What do you want to look like outside the operating room, don't you see that I am discussing things with the experts of the first hospital?" ”

"Expert?"

The little nurse looked to the left and right.

See that there are only Liu Guowei and Li Xiyang here.

The little nurse couldn't help but wonder, "Could it be that the expert Director Liu said should be him, this... That's too young, isn't it? ”

"Alright, alright, hurry up and say something." Liu Guowei said impatiently.

"Oh, yes, yes!" The little nurse's nerves were a little big, and she suddenly patted her head and said, "Director Liu, there was an appendicitis patient in the emergency department just now, the situation is urgent, and we need to operate immediately!" ”

"Transferred from the emergency department?"

Liu Guowei had a question mark on his face.

You must know that appendicitis surgery is the largest source of revenue for their third hospital.

In the entire three hospitals, only the emergency, general surgery, and gastroenterology departments can perform appendicitis surgery.

Patients with appendicitis usually have an acute attack, so most of them are admitted to the emergency department.

It has always been other departments that send appendicitis patients to the emergency department, and I have not heard of the emergency department sending them out.

"What the hell is going on, and who was responsible for this patient before?"

"I don't know about that." The little nurse shook her head and said, "But the patient was sent by Director Peng, and he asked Director Liu to do it himself, saying that your laparoscopic skills are the best in our third hospital." ”

When she said this, the little nurse's eyes were also full of disbelief.

After all, Liu Guowei is talking on paper, which is not a secret at all.

Director Peng's laparoscopic technique has been personally recognized by the dean.

"Peng Tao!"

Liu Guowei's face instantly became gloomy.

Obviously, this Peng Tao deliberately wanted to make him ugly.

first hold him very high, and then let him lose face in front of the whole hospital, so that no one will compete with him for the position of director of the general foreign department.

"Peng Tao, Peng Tao, you really have a good calculation!"

But...

When Liu Guowei's gaze fell on Li Xiyang again, his face showed smugness.

"Dr. Li, I'd like to ask you for a favor!"