When they arrived at the first hospital, the wounded were pulled directly into the operating room.

With Mo Kai as the main surgeon, the patient will basically have no problems.

After that, Li Xiyang called the little nurse and arranged for Xu Bao to do a CT.

Xu Bao looked reluctant, but he still reluctantly compromised under Li Xiyang's gaze.

"Su Xue, thank you today! But it made your car dirty..."

"Little things!"

Su Xue smiled heartily and didn't care.

"That..."

When Su Xue was about to say something, the little nurse Chen Ruo trotted over all the way.

"Dr. Li, aren't you resting today?"

"Well, just sent a patient over!"

"Then you... Do you have time now? ”

Chen Ruo looked at Su Xue and was amazed by the beautiful girl in front of her.

can't help but guess the relationship between the other party and Li Xiyang.

Li Xiyang introduced, "This is my old classmate, Su Xue, this is Chen Ruo." ”

"Hello!"

"Hello!"

Two girls greeted each other with a smile.

"What's wrong, what's the matter?"

Li Xiyang noticed that Chen Ruo was holding a case and examination report in his hand.

Chen Ruo remembered what was going on and hurriedly said, "A patient was sent in half an hour ago, and this is her B-ultrasound examination." ”

Li Xiyang took it and looked at it, and said quickly, "The size of the gallbladder is 89x51, the cyst wall is rough, the thickness is about 3, the sound transmission in the wall is not good, and there is a fine punctate echo." ”

"This is acute cholecystitis, the oozing is a bit serious!"

"How old is the patient?"

“67！”

Li Xiyang frowned, "I must do gallbladder removal quickly." ”

Chen Ruo nodded, "But now the operating room is full, and your room is still empty." ”

"Have you contacted the family?"

"Well, coming here!"

"Okay, you push the patient to the operating room immediately, and I'll go over as soon as I'm ready!"

"By the way, Xiao Su is not here today, if you are not busy, you can help me!"

"Yay!"

Chen Ruo jumped up directly on the spot excitedly.

Then I saw Li Xiyang looking at him with a puzzled expression.

"Oops, I... I'll go get ready first! ”

Chen Ruo lowered his head and ran away with a puff of smoke.

Turning his head, he saw Su Xue pursing her lips and snickering.

Li Xiyang said strangely, "What are you laughing at?" ”

"Hee-hee, you seem to be very popular!"

Li Xiyang was stunned, "Is there one?" ”

Su Xuedi muttered, "Still so sluggish!" ”

"What did you say?"

"Ah, no, I mean... You still have surgery, so you should be busy, I should go back too! ”

"Okay, I'll send you!"

"Don't, you still have a patient, hurry up and get busy!"

"That's... All right! ”

Li Xiyang smiled slightly, then turned around and went to the operating room.

Behind

Su Xue quietly looked at Li Xiyang's back,

At this moment,

It was as if she had gone back in time.

Suddenly, there was a rush of footsteps behind him, and the panicked voice of a girl.

"Doctors, nurses, where's my mom, how is my mom?"

Su Xue turned around, "Huang Xiaoyun? ”

……

Change into a surgical gown and enter the operating room.

Chen Ruo had already finished preparing and stood in front of the instrument table.

Anesthesiologist Lao Xu is also in place.

"Doctor Li, don't you need to call an assistant?"

Li Xiyang shook his head.

Li Hua and Chen Xu are in the same class as him, and other resident doctors Li Xiyang may not use the habit.

Standing on the operating table, the system exchange shop opened without any accidents.

100 points of medical ethics can be directly exchanged for national medical-grade gallbladder removal surgery.

Okay, let's get started!

……

Doctor Global Network.

As soon as a live broadcast room started, 800 people poured in in an instant.

There were still people entering, and after five minutes, the number had broken through to 3,000.

"Haha, the anchor is finally on the air again, I really miss it for a day!"

"But no, I didn't watch the anchor's surgery this day, so I ate a tasteless Smecta!"

"Hello, Pu Dao friendly heavy taste!"

"What kind of surgery do you think the anchor has this time?"

"Don't guess, the case is coming!"

"Roaring, it turned out to be cholecystitis."

"Cholecystitis surgery doesn't seem difficult, but it's very tricky!"

"Yes, bleeding during surgery, or cutting off the common hepatic canal, that happens very often."

Old friends are discussing it enthusiastically.

At this time, a group of new friends couldn't help but complain, "It's really good to blow, I see that you are all invited by the anchor." ”

"Maybe it's the anchor trumpet!"

"Haha~"

"Hey, what are a bunch of little cubs talking nonsense, what anchor trumpet, Lao Tzu is a big V, okay!"

"Heh, who doesn't know that cholecystitis is a second-degree operation, you are not the anchor trumpet, what are you blowing there?"

For a while, the live broadcast room set off a barrage scolding war.

Seeing that the patient has been anesthetized, the operation is about to begin.

This barrage presses the screen, and I still see a surgery.

"Alright, listen to me!"

Everyone saw that this was not Brother Dao.

The old friends gave Brother Dao face, and immediately stopped.

The newcomers are still shouting.

Brother Dao couldn't help it, a big silence technique, shut everyone up.

After system certification, the most prestigious sailor in the live broadcast room was promoted to the administrator.

Brother Dao's mother was skeptical.

Brother Dao didn't expect that as soon as he came up today, he would find out that he had become an administrator.

Since the anchor is trustworthy, Brother Dao must stand up at this time to maintain order in the live broadcast room.

So he said, "There is no absolute level of cholecystitis surgery, it should be judged according to the specific situation, and generally there is no special abnormality that belongs to the second level.

Laparoscopy, on the other hand, is relatively difficult because of the minimally invasive surgical method, and it will be upgraded by one level in terms of grade, which is a third-level operation.

In addition, for patients with complex conditions, cholecystitis surgery can even be upgraded to grade 4.

For example, the inflammation is very obvious, including obvious suppuration, perforation, gangrene, or excessive bleeding during gallbladder removal,

These conditions can be upgraded to level 4 surgery, as it is more difficult.

The specific classification also considers the patient's age, course of disease, gallbladder ultrasound imaging, acute attack, liver cirrhosis, diabetes mellitus and other comprehensive factors.

For example, if the patient is under 60 years old, then the difficulty of the operation is relatively simple, because such patients have good important organ reserve function, short disease course, and good surgical tolerance.

Therefore, the surgical classification of cholecystitis usually divides the age factor of patients into less than 60 years old and older than 60 years old.

In addition, the longer the course of the patient's disease, the more episodes will occur, and the repeated attacks will lead to unclear gallbladder levels, and the gallbladder will have serious adhesions with the omentum and gastrointestinal tract, which also increases the difficulty of surgery.

There are also patients with gallbladder wall thickening, and this type of surgery is mostly cyst wall edema after repeated attacks, which can lead to difficult operation in the triangular area, brittle gallbladder wall, and easy rupture, thus increasing the difficulty of surgery. ”

"If you look carefully at the patient's case and color ultrasound, the patient is 67 years old, with acute cholecystitis attack coma, gallbladder dilation, and diabetes!"

"In acute cholecystitis surgery, complications such as bleeding and bile duct damage often occur during the operation, and you have to switch to open surgery halfway.

Moreover, the gallbladder is dilated, the tension is high, and it is often difficult to reveal the incarceration of neck stones.

Patients with cholecystitis with diabetes mellitus often have frequent attacks, dense adhesions between the gallbladder and surrounding tissues, edema of the cyst wall, and increased fragility of tissues.

At the same time, due to the influence of diabetes on the contractile function of small blood vessel walls, there is a lot of bleeding from the wound, which often leads to unclear surgical fields and increases the difficulty of surgery. ”

"So the anchor's operation, in terms of strict classification, is the most difficult fourth-level operation!"

After speaking, Brother Dao lifted the ban.

"Haha, it's still Brother Dao!"

"This professionalism, I serve!"

"Little scumbags, don't you speak?"

"The operation of the great god dares to question it, hum!"

“……”

The little newcomers are silent.

It is important to know that according to the Physician Skill Grading Criteria:

First-class beginners with less than 50 cases of surgical experience;

Level 2 is suitable for intermediate physicians with 50~300 cases of surgical experience;

Level 3 is suitable for mature physicians with 300~1000 surgical experience;

Level 4 is suitable for veteran physicians with more than 1,000 surgeries.

This anchor dares to do fourth-level surgery, and he must be an experienced old doctor.

But there are always thorns in the newcomers, who want to make the last insistence,

Can be a second,

When the camera is given to the patient's abdominal cavity during the operation, no one dares to speak anymore.

Because of the adhesion in the gallbladder triangle area of the patient in the surgical field, it is almost at the angle of a collapsed lake.

A thin layer of membranous material wraps the gallbladder tightly, not to mention the anatomy, even the gallbladder itself is indistinguishable.

"Isn't it, playing so big?"

Even those old friends opened their mouths wide in front of the screen one by one.

"It's worthy of a great god, it's so difficult to pick an operation!"

"The bile duct has seen it, how can this be free?"

"Brother Dao is right, the patient has diabetes and the wound is seriously bleeding, and this surgical field can't see it clearly!"

"I think this surgery anchor has to change the abdomen, laparoscopy is impossible!"

"Shh~"

"Don't talk, the operation has begun!"

To provide you with the fastest update of the Great God Xinglin Holy Hand's Great Power Chief Surgical Holy Hand, in order for you to see the fastest update of this book next time, be sure to save the bookmark!

Chapter 122 Cholecystitis Graded Surgery Free Read.