Old anesthesiologists like Lao He have their own standards for judging surgeons.
Whether the operation is successful or not is only one aspect. How to do it faster and more accurately is also very important.
He believes that his evaluation is more objective than that of the surgeon.
However, when he saw Zheng Ren undergoing surgery today, Lao He really didn't know how to evaluate it.
Blunt separation? Lao He has seen doctors from hepatobiliary and gastrointestinal surgeries perform various blunt dissections. There are hemostatic forceps, large forceps, hands, and blunt scissors, to name a few, these are the instruments.
Skills are mainly reflected in the surgeon's understanding of anatomical structures and judgment of the condition.
The degree of congestion and edema and the amount of force used are the accumulation of experience and the main indicator of whether a surgeon is good or not.
However, he had never seen blunt dissection using a needle holder to hold the eye of a small needle. Similarly, he has never seen such blunt separation in a matter of millimeters, so detailed.
This is not a general surgery, it is too much like a microsurgery. Except that Boss Zheng didn't wear a microscope, it was no different from microsurgery.
Lao He felt that his hands were a little unstable, so he started taking pictures with his mobile phone in both hands.
Even so, looking at many angles, Zheng Ren's techniques cannot be completely retained.
As time passed, Lao He even fell into a trance.
He felt that Boss Zheng's technique and the melody of the music gradually merged into one. This is not an operation, but like a dance, a gorgeous dance that makes people indulge in it.
Zheng Ren didn't talk to Xie Yiren since the music started playing.
Putting down the needle holder, Zheng Ren reached out and took the pattern pliers in his hand. His field of vision did not change at all, and he did not speak, as if he knew what the equipment nurse would pat into his hands.
No matter what is needed next, Xie Yiren can always hand over the right equipment to Zheng Ren. Even if there is no Shu Ye, even if she stands there, she can't see anything.
One hour, 32 minutes and 12 seconds later, Zheng Ren finally straightened up.
There was a crunching sound in the cervical and lumbar vertebrae.
"Is it okay?" Professor Yang asked.
"That's it." Zheng Ren said, stretched out his hand, and slapped a hemostat into his hand.
"Brother Yang, I'm going to have my gallbladder removed. Are you coming?" Zheng Ren said.
Professor Yang nodded. At this time, the patient's blue gallbladder had been dissociated and decomposed to the millimeter level, just like the gross specimen in the local anatomy class in school.
It is even more detailed than the general specimen. It can be said that the entire process of blunt separation that has just been completed is more like a performance art.
Once the surgery reaches this point, there is no longer any suspense.
The porcelain cystic duct and the non-porcelain cystic duct were clearly visible. Yang Rui knew what he should do.
Reach out, extended hemostatic forceps, forceps with wire.
Zheng Ren performed the ligation himself, because there was another difficulty, that is, the edema of the cystic duct was severe, and the force of the ligation had to be controlled well. If you are not careful, all your previous efforts will be wasted.
So he took the initiative to take over the job.
Ligation, cutting, ligation again...
With local anatomy reaching this level, there is absolutely no reason for the operation to fail. After 15 minutes and 23 seconds, all connections between the blue gallbladder and the body had been severed, ligated, or sutured.
"Brother Yang, you take the basin, and I'll take out the gall bladder." Zheng Ren said.
Professor Yang was puzzled. It should be okay. Boss Zheng seemed to be a little too timid.
He smiled and did not refute, but took the pathological specimen basin and watched Zheng Ren gently wrap the gauze around the gallbladder to prevent contamination of the surgical area, as gently as caressing a lover's hand.
This is too careful, it is completely unnecessary. Both Professor Yang and Lao He thought so.
When Zheng Ren carefully placed the porcelain gallbladder in the pathology basin, he let out a sigh of relief.
A crisp, melodious tinkling sound came to my ears.
Unexpected task: exquisite ceramics completed
Task content: Perfect removal of porcelain gallbladder.
Mission reward: Platinum treasure chest x1, 10,000 experience points, and 1,000 skill points.
Mission time: 1 day, 3 hours and 34 minutes consumed, 20 hours and 26 minutes remaining.
Zheng Ren finally breathed a sigh of relief.
No matter what, the operation was successful and my already depleted surgical training time was replenished, which was good.
Moreover, in an unexpected mission, the system gave a platinum treasure chest for the first time.
Although Zheng Ren has no interest in the lottery, this time is different. He had the urge to open the platinum treasure chest now, for no other reason than because the difficulty of this task was simply too great!
Including the last step, placing the complete gallbladder in the pathology specimen basin, there are hidden dangers one after another.
Master-level general surgery requires countless failures before successfully completing the operation.
Needless to say, it was hard work, but Zheng Ren restrained his somewhat arrogant heart for this.
Even if the last technical barrier of hepatobiliary surgery is broken, so what! A porcelain gallbladder told Zheng Ren that there is still a long way to go before he can reach his peak level.
Wash, stop bleeding, close the abdomen, and the operation is over.
Lao He was holding the mobile phone in his hand, and his hands were numb.
"Lao Yang, I'm telling you, you have to treat me to dinner." Lao He nagged.
"Okay, okay, let's meet some other time." Professor Yang was in a good mood when he saw that the operation was completed, and he replied.
"Brother Yang, take the pathological specimens and show them to the patient's family." Zheng Ren said, "There should be tumors inside, but because the gallbladder wall has become porcelain, the tumors have not spread. Whether chemotherapy is needed after surgery, let the family members go to the oncology department for treatment. Decide."
"good."
The two began to close their abdomens, and Zheng Ren did not step down from the stage, and worked with Yang Rui to finish the operation.
After all, it's already this time, so there's no point in stepping down, because the little girl is still on stage. If she also came down, she would have to trouble the instrument nurse in the operating room to brush her hands on the stage.
It's okay to do this, but I'm afraid that if I come again in the future, I and Xiao Yi will only get blank stares.
Be straightforward and fastidious in your work.
After a few minutes, the abdominal cavity was closed. Zheng Ren turned around and stepped off the stage, took off his gloves and said with a smile: "I'll go back and take a nap for a while. Brother Yang, you go explain the condition to the patient's family."
"Okay."
Zheng Ren and Xiao Yiren left, changed clothes and went home, preparing for the finishing work in the operating room.
"Lao Yang, don't rush the patient yet." Lao He asked his assistant to look at the patient. He had woken up from general anesthesia, but he still had a question.
"Um?"
"I'll go with you to see the tumor in the gallbladder." Lao He said casually, "The porcelain gallbladder can be completely removed, and the level is not low."
In fact, Lao He didn't think so in his heart.
He wanted to see what the gallbladder looked like so that he could explain from the side why Boss Zheng was so cautious just now.