Chapter 362: Clear Conscience!

As a surgeon who cut out an unknown number of gallbladders, Sun Liang was like a schoolboy in front of Zhao Yuan.

Every operation can give him a bright insight.

Although it was an acute cholecystitis operation, Zhao Yuan made a very advanced feeling.

Sun Liang could guess the reason why Zhao Yuan had an unconventional operation.

First of all, Zhao Yuan hopes that patients can recover faster after surgery, so that the length of hospital stay can be reduced.

Secondly, Zhao Yuan minimizes the loss of equipment and drugs during the operation, so that the operation fee can also be reduced.

Hospitals need to operate, and it is not possible to waive various fees because of the patient's family difficulties.

Zhao Yuan uses his own technology to help patients save money.

Reducing intraoperative injuries, speeding up recovery, and reducing the use of instruments are the methods taken by Zhao Yuan.

Laparoscopic cholecystectomy generally requires three days of hospitalization and three or four days of recovery, which can be no different from ordinary people.

Of course, if a person's constitution is particularly good, there may also be patients who are alive and kicking up and down a day or two after surgery.

If you want to reduce the patient's hospital stay and recovery time through surgery, you need real skills.

Although there have been no deaths from acute cholecystitis surgery in Tianhua, acute cholecystitis surgery is not as simple as imagined.

"Twin mutant arteries?"

Sun Liang had a look of surprise in his eyes.

Although he had undergone many surgeries, he couldn't help but be surprised when his vision was exposed.

The difficulty of cholecystectomy is mainly reflected in whether there are abnormalities in the anatomical structure of the gallbladder artery and bile duct!

Even experienced surgeons are often caught off guard when they encounter the current situation!

Because if you classify people according to the differences in the gallbladder arteries and bile ducts, the list of types of people has to be printed in a book.

The bile duct of the patient in front of me is relatively special, and he has never touched it.

The average person has only one gallbladder aorta, and it will be fine if it is clamped with a vascular clamp.

If only the anterior artery is clamped, the posterior artery will be injured almost 100% in the follow-up treatment, and massive bleeding is inevitable.

Despite some preoperative preparations, there were still uncertainties.

It's like fighting monsters in the Xiuzhen world, I originally thought it was an ordinary monster, but it turned out to be a mutant monster, and the difficulty level skyrocketed!

Zhao Yuan glanced at Sun Liang and didn't say anything, but the meaning was given.

- What is there to fuss about!

The surgeon's self-confidence is the result of countless operations and countless reflections.

Although it is unconventional cholecystitis, it is only a second-level difficult operation.

The biggest challenge is how to get the best results from the surgery with the least amount of loss.

Zhang Qinmo's eyes fell on the electric knife in Zhao Yuan's hand, his eyes full of admiration.

His approach is clear, and he doesn't drag on in the slightest.

Although it was fast, every step was clear.

It's like writing a math problem, clean and tidy.

When each operation is concise to the extreme, it reaches a very subtle realm.

Zhang Qinmo is like a sponge, absorbing nutrients from the operation.

……

There is often a rush for patients in hospitals.

However, there are very few cases in Tianhua Emergency Surgery, because there are many patients every day, especially the attending physician who can take charge on his own, and wants to go to surgery, as long as he is willing to work overtime, the operation can make you collapse.

There are also a few cases of snatching patients, such as the patient's special identity or the condition has research value.

Obviously, the patient Zhao Yuan is dealing with, his social status and economic conditions are not good, as for the condition, judging from the previous report, there is nothing special.

When Ma Pong stood on the side of the glass outside the operating room, after flipping through the patient's surgical information.

He realized that the reason why Zhao Yuan would compete with Xiang Tao for this patient was not for personal reasons, but purely because he felt that it was unreasonable for Xiang Tao to arrange the operation at the end.

Ma Peng glanced at Xiang Tao, "What drugs did this patient use when he was hospitalized for so many days?" ”

Xiang Tao said: "I took antispasmodic and analgesic drugs, such as nitroglycerin and meperidine, and carried out antibacterial treatment, and used ampicillin. ”

Ma Peng frowned, always feeling that the patient's situation was not so simple.

Xiang Tao saw that the team leader did not speak, and said softly: "I have the impression of this patient, his condition has always been under control, because he dislikes the high cost of surgery, so he repeatedly asks for conservative treatment!" Yesterday, he was even about to be forcibly discharged from the hospital, but was stopped by his family. In the evening, something was not right, and I was going to have surgery on him today. ”

Ma Pong glanced at Xiang Tao, silent.

Although the patient asks for conservative treatment, the doctor needs to have certain skills to let the patient know the rationality of the treatment plan.

Xiang Tao was a little weak by Ma Peng.

When he approached this patient at that time, he still had a certain prejudice in his heart.

The patient's physical condition is between the boundary value, and he can have surgery or not, since he has repeatedly asked not to have surgery, Xiang Tao did not force it anymore, and took conservative treatment measures, and waited until it was not possible to perform surgery.

For doctors, there is actually a difference between doing it early.

If the condition is not controlled in time, the difficulty of surgery will increase in the later stage, and the investment in drugs and consumables will also increase.

Although there is some ethical controversy, there is no problem with the process.

At that time, Xiang Tao repeatedly determined this plan with the patient, and left a pen and paper, and later disputes arose, and he also had a way to get out.

Everyone is a doctor, who doesn't know the twists and turns.

Ma Peng has walked more roads than Xiang Tao has eaten, and as soon as his eyes turned, he immediately knew the reason.

Ma Pong didn't say anything for the time being, after all, his attention was on the operating room at the moment.

Zhao Yuan's surgery was done quickly, and the general acute cholecystitis surgery may have been done one step late.

The surgery in front of me is unusual!

Ma Peng saw Zhao Yuan begin to deal with the swollen gallbladder.

How vicious his eyes were.

Despite the glass, the color and volume of the gallbladder as well as mucus ......

He knew immediately what the patient's condition was!

His position quickly shifted.

He glanced coldly at Xiang Tao, and although he didn't say a word, the chill was piercing.

If he were Zhao Yuan, he would also "snatch" this patient from Xiang Tao's hands.

Because of Xiang Tao's cold treatment, the patient's condition was already very bad.

Acute cholecystitis is a common disease in emergency surgery, but common does not mean that it is not dangerous, and there is no mortality!

Zhao Yuan grabbed it reasonably!

……

"Dr. Zhang, you'll be in charge of the sutures."

Zhao Yuan breathed a sigh of relief.

Although it was a low-difficulty operation, it was not a small consumption because he always maintained a high level of concentration and was in a state of extreme mental tension.

Many surgeries take a long time, but the surgeon can make adjustments as they go, and the pressure is not that great.

It's like sleeping!

Twenty minutes of high-quality sleep (sprint) may be as effective as tossing and turning all night, but waking up from time to time (out of rhythm).

Zhang Qinmo carefully began to stitch up.

Sun Liang glanced at it, secretly thinking that this little girl's basic skills were very solid.

He pouted towards the glass, "It is said that Xiang Tao and Director Ma hit your little report." ”

Zhao Yuan said lightly, "I have a clear conscience!" ”