Emergency test results are reported as quickly as possible, and there are no preoperative contraindications.
Chang Yue started to prepare for the pre-operative explanation. At this time, Su Yun's figure appeared at the door and waved her out.
"What's the matter?" Su Yun's charm was almost zero in front of Chang Yue. Chang Yue showed great impatience with him for disturbing her work, and her tone of voice was a bit bored.
Su Yun was startled for a moment, and then a smile from the bottom of his heart appeared at the corner of his mouth.
In an instant, spring blossoms.
"General surgery, you don't need to give pre-operative instructions." Su Yundao.
"Huh? Why?"
"What's the point of your explanation?"
"Laparoscopy." Chang Yue became increasingly impatient.
"What if it can't be done? Switch to laparotomy. There is something wrong with the pre-operative instructions. Be careful if you take the blame again." Su Yun obviously also knew that Chang Yue took the blame in the obstetrics department.
Chang Yue was stunned for a moment and immediately realized what Su Yun was going to say.
"Then..." She glanced into the room from the corner of her eyes.
"Mr. Zheng, let them handle the general surgery." When Su Yun and Zheng Ren spoke, there was always a hint of cynicism.
Zheng Ren also knew the doorway inside, but he had never thought of it before. As soon as Su Yun said it, he understood immediately.
Su Yun is not troublesome, but has this necessity. So he greeted Director Sun.
Director Sun smiled bitterly, why are these guys in the emergency room so arrogant that they don't care about their fathers or mothers
"Mr. Zheng, when I took you for surgery before, I didn't hide any secrets." Director Sun whispered.
Zheng Ren was puzzled and looked at Director Sun suspiciously.
It's okay. Why did you take yourself for surgery in the past? It's not just a department, but there are times when Director Sun is assigned a table. These are extremely special circumstances. Over the past few years, there will definitely be no more than five operations.
"If I can't do it today, you must help me." Director Sun didn't know why, but he seemed to have a bad premonition, and there was a look of helplessness in his eyes to help his brother.
Originally, with Director Sun's level, this was something that he couldn't say to Zheng Ren.
However, Zheng Ren has undergone so many difficult surgeries recently, including uncle Cen Meng's parasitic obstruction surgeries, which have constantly refreshed Director Sun's knowledge.
Young people cannot be stopped from rising strongly.
Director Sun has a gentler temperament and is not as tough as Director Liu of the First Department of General Surgery, so at critical moments he can beg a junior with a low face.
"You see what you said is too polite." Zheng Ren hurriedly bent down slightly, with a polite smile on his face, as if he were a junior, "If you can't do it, neither can I. But if necessary, you can Just say it.”
Only then did Director Sun's face reveal a smile of relief.
Dealing with Zheng Ren is much easier than old Director Pan. Maybe it's because he just rose to prominence and his mentality is still like that of a young doctor.
With the patient's family and hospital leaders present, the two couldn't talk much.
Soon, the junior doctor brought by Director Sun signed the pre-operative signature, and the group went to the operating room.
Zheng Ren had no intention of watching the excitement and stayed to read a book. Su Yun didn't follow him either. He seemed to be uninterested in anything except his cell phone, including Yingying Yanyan's little nurses.
…
…
After the anesthesia was completed, Director Sun stood in front of the stage and began to perform pneumoperitoneum.
A pneumoperitoneum needle is inserted into the abdominal cavity and 15mmhg pneumoperitoneum is inflated.
Director Sun did not choose the location of the three holes for conventional laparoscopic cholecystectomy, but made two more trocar needle punctures on the lateral sides of the left and right rectus abdominis muscles under laparoscopic clear vision.
He probably also knew that endoscopic surgery could not be performed, so he chose such a weird surgery.
Slightly separated with a dissector, it was found that the intra-abdominal adhesions were severe, especially in the upper abdomen, with no gaps at all.
His extensive clinical experience allowed him to avoid irreparable mistakes.
Director Sun immediately decided to abandon laparoscopic surgery and switch to surgical surgery.
After calming down, Director Sun personally stepped down and took a photo of the situation on the endoscopic screen. Then he walked out of the operating room to explain to Lin Yuanshan.
He took out his mobile phone, showed Lin Yuanshan the endoscopic endoscopic images, and pointed out why laparoscopic surgery could not be performed.
As an actor, with infinite regrets, regrets and professional explanation, Lin Yuanshan agreed. It took a stone for Director Sun to fall to the ground, then turned around and returned to the operating room, where he brushed his hands, changed clothes, changed instruments, and started the operation again.
When it comes to laparoscopic surgery, Dr. Sun's skill can only be said to be average.
He did not start learning laparoscopic surgery until he was forty-five years old. By that time, his surgical techniques had already taken shape and reached a very high level.
Simple laparoscopic surgery is not difficult at all. After all, the anatomy is there, so there is nothing difficult about it.
But if it was really a very difficult operation, he would still prefer surgery. After all, he was more skilled in this area.
Make an arc incision under the right costal margin, about 20cm long, enter the abdomen layer by layer, and explore the abdominal cavity.
The moment the peritoneum was opened, Director Sun was dumbfounded.
The situation is more complicated than I expected!
A large, sticky mess of internal organs appeared in front of him. He could barely make out the greater omentum and transverse colon. As for where the gallbladder was... he had no idea.
Bite the bullet and do blunt dissection.
But when faced with the viscera stuck together, there was a feeling that there was no way to start.
It's like a tangled mess of twine, and you don't even know where the thread ends are. If it is really twine, it can cut through the mess quickly. Unfortunately, these are human internal organs. Once an intestinal tube with such severe edema ruptures, it will be difficult to sew it up.
Be careful and separate little by little. Director Sun did not dare to be careless. This had something to do with the status of the patient's family, but it was not a big deal. Even if he is an ordinary elderly patient, his current state is the same.
Five minutes passed with no clue.
Ten minutes passed and still no clue. The circulating nurse has wiped Director Sun's sweat twice, and the disposable sterile cap has long been wet with sweat.
Twenty minutes passed, and a dark green patch appeared on the back of Director Sun's isolation suit. That was the result of sweating a lot and soaking the green isolation suit.
By accident, a tiny artery was torn during separation of adhesions, and blood spurted out. It took five minutes to deal with this artery, and finally the small artery was ligated with great difficulty.
Director Sun felt that his eyes were a bit dazzled, and the light from the shadowless lamp was very dazzling.
He sighed and said to the traveling nurse who came to support from the operating room, "Call Mr. Zheng and let him come on stage."
Although he had communicated with Zheng Ren before the operation, Director Sun would never let Zheng Ren come on stage unless it was absolutely necessary.
This means that he personally admits that his level is not as good as Zheng Ren.
However, faced with the adhesion tissue that still had no clue after twenty minutes of blunt separation, Director Sun chose to give up.
It is self-evident which is more important between medical safety and face.
The key is to save face for yourself, and you may end up embarrassing others even more.
As for Zheng Ren... Judging from his skillful technique of blunt dissection during appendix surgery, there might be a solution. Of course, the more important reason is that Zheng Ren performed a combined pancreaticoduodenectomy at his peak level.
…
…
In the emergency ward office, Zheng Ren read "Hepatobiliary and Pancreatic Surgery" page by page with concentration and seriousness.
Su Yun's face was expressionless, and the fingers of his hands were flying up and down with great speed. He didn't know whether he was chatting with the girl or eating chicken.
The phone in the department rang, and then several nurses swarmed over.
"Mr. Zheng, you can go to the operating room."
Although they were talking to Zheng Ren, their eyes flickered as they looked at Su Yun.