Special needs ward, single room No. 303.
Director Liu Tianxing and Liu were lying quietly on the bed, and Cen Meng was sitting beside the bed. There was no conversation, and the two of them were a little distracted.
The TV on the opposite wall flickered with snowflakes and rustled monotonously.
After a long time, Director Liu broke the silence.
"The patient's diagnosis is clear?" Director Liu's voice was hoarse.
"Clear." Cen Meng replied: "Preoperative preparations have been completed and the patient is under general anesthesia."
"This is a difficult cholecystectomy. It's the first time... Are you sure this is Zheng Ren's first time to undergo laparoscopic gallbladder surgery?" Director Liu suddenly asked.
"I'm sure." Cen Meng said: "He has done some appendectomies, and he may be more talented, so he did a good job. But I am sure that he has never done a cholecystectomy, whether it was laparoscopic or surgical. !”
"There is no chief surgeon, I seem to have been an assistant in my memory."
The main job of the assistant during laparoscopic cholecystectomy is to hold the mirror, which is the endoscope lens. This is a job that is worse than the retractor used in previous laparotomy surgeries.
No actual operation, that's fine.
Director Liu nodded and slowly closed his eyes, "Young people, after learning one or two surgical techniques, they feel that their abilities are as good as the sky. This kind of anxious mentality is unacceptable."
"Yes." Cen Meng knew that Director Liu was about to give a speech. As a flatterer, he could simply answer yes or no at this moment.
"When performing an operation, especially an unfamiliar one, without an experienced doctor watching, something will always happen." Director Liu closed his eyes and murmured, as if he was reminiscing about something, "Cholecystectomy is not easy to see. It’s just a first-level surgery, but do you know why doctors below the rank of general surgery resident are not allowed to do it?”
"Because the cystic duct and common hepatic duct sometimes change their shape and structure due to inflammatory exudation, once the common hepatic duct is cut off, the damage is irreversible." Cen Meng has personally performed more than a dozen cases of laparoscopic cholecystectomy, and he understands these precautions. Clearly.
"Yes, especially those who are new to laparoscopy. They may not even be able to tell the difference between left and right. Director Pan is really stupid. He dares to let Zheng Ren do a surgery that he doesn't even know how to do."
"You're so brave, something will definitely happen."
"We just have to watch quietly."
Just as he was talking, the rustling sound in the TV suddenly disappeared, and Director Liu suddenly opened his eyes.
The anesthesiologist seconded to the emergency operating room today is Cen Meng's classmate, so he knows every move of Zheng Ren in the emergency room through "inside information."
There is a camera system installed on the endoscope lens, which can record and live broadcast. It’s just that generally no one lets anyone watch the live broadcast of their surgery.
After Cen Meng's repeated requests and certain promises, his classmate agreed to use Bluetooth network transmission to secretly transmit the surgical process to him.
Cen Meng knew that Zheng Ren did not know how to perform laparoscopic surgery. In order to make Director Liu happy, he connected the signal to the TV in the special needs ward so that he could watch Zheng Ren's surgery in real time.
There is no sound, but the endoscope has been opened. It is estimated that the pneumoperitoneum should be established by using the pneumoperitoneum machine at this time.
Soon, the camera began to shake. The two people who peeped at Zheng Ren's surgery in the special needs ward were both experts. They knew that the "hole" had been drilled and they were about to put the endoscope lens inside.
No one spoke, and the atmosphere in the ward was a bit tense, even more tense than if they were undergoing surgery themselves.
Cen Meng became nervous when he thought of Zheng Ren's sensational forty-nine appendectomies in one night, and the last transrectal endoscopic appendectomy that even Director Liu had never heard of.
He will definitely not do it, and this patient has been experiencing inflammation and infiltration for five days and has severe adhesions, so the operation will be difficult.
…
…
There was a sudden change in the traffic monitoring of the Xinglinyuan website.
Hundreds of people poured into a live video room, but based on the lessons learned last time, CEO Peng Jia has adjusted the upper limit of the live video room for this account to 10,000 people and made an emergency plan.
I haven't had an operation for several days, and I really miss the smooth appendectomy.
What kind of surgery is this time? Let me see…
Endoscopy! Endoscopy! I’m so excited. I’m new to laparoscopic surgery. I don’t know what the master’s level of laparoscopic surgery is.
If it were you, would you dare to broadcast the surgery live? The level is definitely high!
Hundreds of people came up to chat and shout 666.
As for the surgeon's level of laparoscopic surgery, that is another matter. Everyone is still immersed in the overwhelming number of appendectomies a few days ago and cannot extricate themselves.
The atmosphere in the special needs ward was not as lively as that in the live broadcast room. Although Director Liu and Master Cen Meng kept confirming that Zheng Ren had never undergone laparoscopic surgery or received further training, they could not help but feel nervous.
Soon, the endoscope probe entered, and the gallbladder triangle with severe adhesions appeared on the TV.
Seeing this, Director Liu finally showed a satisfied smile on his face.
If it were him who underwent this operation, he would need to be alert and free the anatomical structure of the gallbladder triangle area a little bit when he saw this situation. If you accidentally tear it somewhere, it will kill someone.
If it were a newbie... no, even if it were Cen Meng, the only solution to this situation would be to call himself on stage. He would not dare to perform such a difficult operation alone.
Wow, it turned out to be laparoscopic gallbladder surgery!
Who said the master can't do endoscopic surgery? Stand up and I promise not to beat you to death.
It seems that Master does not use laparoscopy to perform appendectomy because his surgical incision is small enough and there is no need for laparoscopy.
In Xinglin Garden, everyone was more interested in watching the surgery. Appendectomy, no matter how skilled it is, is just cutting out an appendix. The job of a resident doctor, no matter how high-end it is, is just that.
There is a saying that if you can cook potatoes and cabbage well, you are a great chef.
The same goes for the appendix, which is equivalent to potatoes and cabbage. Based on the skill of the surgeon performing an appendectomy in the live broadcast room, doctors who had watched the operation determined that he must be a great figure.
That being said, everyone's talents are different, and after reaching a certain level, the level of surgery cannot be improved at all.
Looking at an appendectomy far away in the clouds, it doesn't mean much at all, and it is completely impossible to refer to, whether it is level or... physical strength.
Laparoscopic cholecystectomy is different.
At the beginning of the 21st century, domestic hospitals just started to perform laparoscopic surgery, and many departments including thoracic surgery, general surgery, and gynecology gradually began to popularize minimally invasive surgery.
It was not until ten years later, when the old directors of various departments retired one after another, and the new generation of masters of endoscopic technology became the clinical frontline, that it began to be popularized across the country.
However, the development of endoscopic minimally invasive technology is very rapid.
In 2001, a doctor in the imperial capital performed esophageal cancer surgery using thoracoscopy, which took 8 hours. Now, as long as the cancer location is not too high for esophageal cancer, the completion time is within 2 hours.
Laparoscopic technology has replaced traditional surgical surgery and become mainstream.
In the Xinglinyuan live broadcast room, when the gallbladder triangle area with severe adhesions appeared on the live broadcast screen, countless bullets flew out.
Are all the surgeries selected by the masters so difficult
The trigone area of the gallbladder is sticky and the surgery is estimated to take three hours.
The gallbladder neck is wrapped, how can it be freed
The closer they looked, the more frightened everyone became. The gallbladder is almost completely wrapped by inflammatory exudation, and a thin membrane-like material wraps the gallbladder so tightly that even the gallbladder itself cannot be distinguished, let alone the anatomical structure.
Seeing this scene, Director Liu and Cen Meng both breathed a sigh of relief and showed "gratified" smiles.