Although the gallbladder has severe adhesions, the capsule formed by inflammatory exudation and the greater omentum tightly wrap the gallbladder area, and no clear anatomical structure can be seen.
However, Zheng Ren still did not hesitate to make two more incisions under the xiphoid process and 2cm below the costal margin of the right anterior axillary line under the observation of the endoscopic lens.
A disdainful smile appeared on Liu Tianxing's face, and Zheng Ren's coherent movements had a completely different meaning to him.
If you are a mature doctor, if you see such severe adhesions, more than half of them will give up endoscopic gallbladder removal, change the surgical method, and choose surgical surgery.
After all, the surgical field of view is more direct.
Coupled with Zheng Ren's superb blunt separation technique using fingers and hemostats, Liu Tianxing did not think he could not perform this cholecystectomy.
But... young people are young people. It is a precious character to overcome difficulties. In the medical industry, especially in today's very dangerous medical environment, a bad operation may lead to ruin.
For a moment, Liu Tianxing was in a daze, and a figure appeared in front of him.
He was a top student, his surgery was beautiful, and he was a nice person, but he was a bit arrogant.
How did it end? Haven't you gone to the farm to raise rabbits
Young people are too radical in everything they do and don't know how to be cautious in sailing a ship that lasts forever.
It takes time to hone the principle that people's opinions make gold and their accumulation destroys bones.
Not only now, but as far back as the Republic of China, Liang Qichao had a nephrectomy because he suspected hematuria to be a malignant tumor in the kidney. The surgeon was the director of Union Hospital at that time and a leader in urology surgery in the country.
The results of it? There was a small tumor in the right kidney, which was determined to be benign by pathology after surgery. There was still hematuria after the operation, and the symptoms were not relieved.
Daniel did not cut the wrong kidney, and Liang Qichao also recognized this matter. Judging from current diagnosis, diseases such as immune nephropathy are rare, but at that time the medical level was so high that it was impossible to diagnose.
Liang Qichao himself recognized it, but his students and friends did not.
They were all men of letters and had great influence, so it was passed down that the great master of Union Hospital performed surgery on Liang Qichao and cut off the wrong kidney, which poured countless dirty water on Union Hospital. (Note 1)
This was still the period of the Republic of China. Nowadays, are there still few irresponsible reports about anal sutures and the like
Director Liu smiled slightly and picked up the phone.
"Xiao Wang, I am your brother Liu."
"Yeah, there is such a thing. There is a doctor under me who, relying on the support of someone above him, does not listen to the superior doctor's words, cares about human life, and is performing an operation that he cannot perform at all."
"Yes, yes, I am also very angry, but there is nothing I can do. I was so angry that I had a heart attack and am now in the hospital."
"Yes, that's what I mean. This ugly phenomenon must not be tolerated. We, the people of Haicheng, must return a blue sky!"
"Okay, thank you very much."
After hanging up the phone, Director Liu said with a smile: "People like this should be sanctioned by public opinion!"
Cen Meng didn't answer, his face was very ugly and a little blue. Under the light, he looked a little confused.
"Huh?" Director Liu was unhappy. Xiao Cen, what's your attitude? But he didn't say anything, he just used a modal word to express his dissatisfaction.
"Director... Director, he is wandering..." Cen Meng stammered.
While he was busy making phone calls, Director Liu forgot to watch Zheng Ren's surgery.
In Director Liu’s opinion, even he would find it particularly difficult to undergo a surgery. Is it necessary to undergo it
Looking up at the TV, the endoscopic separation forceps and grasping forceps are as dexterous as two hands of one person, bluntly separating the adhesive tissue around the gallbladder.
By the time I made the phone call, my gallbladder had basically dissociated...
This...how could he be so skilled? ! Have you never had laparoscopic gallbladder surgery? !
Director Liu's blood surged into his heart, his eyes blurred, and he quickly closed his eyes to calm down.
In the live broadcast room of Xinglinyuan website, voices shouting 666 kept coming and going.
The pliers work really well, it's like doing surgery under direct vision.
Who told me that Daniel can’t do laparoscopic surgery? This surgery is by far the best I have ever seen.
It's so flexible. I wouldn't dare to dissociate the adhesions like this during a major surgery. Isn't he afraid of damaging the common hepatic duct
Young people, low technical level limits your imagination, learn hard.
During the live broadcast, the grasping forceps and separation forceps were removed step by step. In only a few minutes, the sticky gallbladder and the anatomical structure of the gallbladder triangle were basically exposed.
Clear and clear.
After achieving this step, the difficulty of the operation has been reduced from S level to D level. As long as a doctor who has done this kind of surgery can see such a clear anatomical structure, he will basically not make mistakes.
It’s really amazing, the glue is so heavy and it took just a few minutes to completely expose the anatomy.
This journey can be written into a textbook. It was so clear that I judged that the operation would be over in 5 minutes.
It seemed like I was dreaming, I must have not woken up. It seems that it has taken just over 8 minutes since the endoscope entered the video, and the operation is almost over.
Yes, the operation is over.
In just a few minutes, Zheng Ren completely solved the difficulty of the operation with ease. All that was left was to use an ultrasonic scalpel to separate the gallbladder from the gallbladder bed, then clamp the cystic duct and cystic artery to remove the gallbladder.
The operation was uneventful, the blood loss was less than 10ml, there was no hesitation about any possible doubts, the operation was done with confidence, and the whole process went smoothly.
However, only experienced doctors who have performed hundreds of such surgeries know how powerful the surgeon is in these few minutes.
Rich anatomical knowledge, skilled operating skills, stable hands, and meticulous heart... And then there is the proficiency in laparoscopic surgery.
So awesome!
It’s really awesome!
In the Xinglinyuan video live broadcast room, countless 666s flashed across the screen.
Unfortunately, this is not an entertainment live video website and cannot be rewarded. If possible, Zheng Ren wouldn't need to say a word. An operation would take less than twenty minutes and he would earn tens of thousands of dollars.
In the special needs ward, Director Liu closed his eyes to calm his already chaotic heart.
Don't be angry or anxious, he warned himself. Only your body is yours. If you get angry, what will you do in the future
After a few minutes, he felt much calmer.
The room was quiet except for the sound of Cen Meng's heavy breathing.
Director Liu did not dare to open his eyes to see how far the operation was, for fear that his blood pressure would rise again when he saw Zheng Ren skillfully dissociating the gallbladder and dissociating the connective tissue in the gallbladder triangle.
"Xiao Cen, did his operation go well?" Director Liu asked.
"..." Cen Meng didn't know how to answer for a while and remained silent.
"What happened?" Director Liu was unhappy.
"Master... Director, he's done." Cen Meng hesitated before whispering.
What? finished
does not exist!
That's impossible!
How could Director Liu control his blood pressure? He opened his eyes suddenly and saw that the image on the TV was not the dissociation process he expected, nor was it the action of separating the gallbladder from the gallbladder bed, or even the use of absorbable clips. The cystic duct is clamped and the cystic artery is cut with a titanium clip.
Zheng Ren is using a suction device to suck out the remaining bile in the gallbladder...
This is so... too fast.
Note 1: This was written on the Weibo of Abao, the burnt superman, a few days ago. The news I heard and saw before was that the director of Union Hospital cut the wrong kidney. Specifically, I didn't check the literature, so I made a mistake. Please don't slap me in the face.
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