Chapter 55: Live cholecystectomy

Special needs ward, single room 303.
Director Liu Tianxing Liu quietly lying on the bed, slamming on the edge of the bed, no dialogue, the two people are not at all guarded.
The TV on the opposite wall shimmers with snowflakes, and the rustling sound is monotonous and boring.
After a long time, Director Liu broke the silence.

Is the patient diagnosed clearly?
Director Liu hoarse.

Clear.
岑 岑 replied:
Preoperative preparation is complete, the patient is undergoing general anesthesia.

"This is a difficult cholecystectomy, the first time... Are you sure that Zheng Ren is the first time to do laparoscopic gallbladder?" Director Liu suddenly asked.
"I'm sure." 岑 道 :: "The appendectomy, he did some, may have higher talent, so the surgery is done well. But I am sure he has never done a cholecystectomy, whether it is a mirror or a knife, never !"
"Without the main knife, I seem to have worked as an assistant in my memory."
The main job of the laparoscopic cholecystectomy is to help the mirror, which is the endoscope lens. This is a job that is not as good as the previous open surgery hook.
No practical operation, that's good.
Director Liu nodded and slowly closed his eyes. "Young people, learn one or two surgical procedures and feel that they are higher than the sky. This kind of anxiety is unacceptable."
"Yes." Yan Meng knows that Director Liu has entered the speech time. As a slogan, it is only a simple answer to yes or no.
"Doing surgery, especially strange surgery, there is no old doctor watching the side, always have an accident." Director Liu closed his eyes and muttered, as if recalling something, "cholecystectomy is not looking Big, just a level of surgery, but do you know why doctors who are hospitalized in general surgery are not allowed to do it?"
"Because the cystic duct and the common hepatic duct sometimes change the morphological structure due to inflammatory exudation, once the hepatic duct is severed, the damage is irreversible." 岑猛亲亲刀 has done more than a dozen cases of laparoscopic cholecystectomy, one of these precautions Clear two Chu.
"Yes, especially the newcomers who have just contacted the laparoscope, I am afraid that even the left and the right can't tell. Pan is really confused, and he will not do the surgery to dare to put Zheng Ren."
"The courage is really big, it must be an accident."
"We just have to look at it quietly."
As he said, the rustling of the TV suddenly disappeared, and Director Liu slammed his eyes open.
The anesthesiologist who was seconded to the emergency operating room today was a classmate of the same class, so he passed the "inside line" and knew about Zheng Ren's every move in the emergency department.
There is a camera system installed on the endoscope lens, which can be recorded or broadcast live. It’s just that no one usually lets people watch their live broadcasts.
In the repeated requests and some promises, his classmates agreed to use the Bluetooth network to transmit and secretly pass the surgery to him.
Yan Meng knows that Zheng Ren will not undergo laparoscopic surgery. In order to make Director Liu happy, he connected the signal to the TV of the special needs ward and can watch Zheng Ren surgery in real time.
There is no sound, but the endoscope has been opened. It is estimated that a pneumoperitoneum should be established with a pneumoperitoneum at this time
Soon, the camera began to shake. In the special needs ward, the two sneak peeks of Zheng Ren's surgery are experts, knowing that this is already finished "hole", ready to be built into the endoscope lens.
No one spoke, the atmosphere in the ward was a bit nervous, and even more intense than their own surgery.
I remembered that Zheng Ren had made a forty-nine appendectomy on a sensational night. When I remembered the last rectal endoscopic appendectomy that even Director Liu had never heard of, it was tense.
He will not do it, and this patient is a patient with inflammatory exudation for five days, and the adhesion is more serious.
......
......
The traffic monitoring on the Xinglinyuan website suddenly changed.
Hundreds of people poured into a live video room, but with the last lesson, CEO Peng Jia has adjusted the video live limit of this account to 10,000, and made an emergency plan.
[The Great God did not have surgery for a few days, and I really miss the appendectomy that is like a cloud.) 】
[What is the surgery this time? Let me see……】
[Endoscope! Mirror! So excited, just contact with endoscopic surgery, do not know how the level of surgery. 】
[Change to you, do you dare to live surgery? The level is definitely high! 】
Hundreds of people came up to chat while shouting 666.
As for the level of laparoscopic surgery of the surgeon, it is another matter. Everyone is still immersed in the appendectomy that was overwhelming a few days ago.
The atmosphere of the special needs ward is not as lively as the live webcast room. Although Director Liu and Yan Meng both are constantly determined that Zheng Ren has not done laparoscopic surgery, he has not studied it, but he still can't help but feel nervous.
Soon, the endoscopic probe enters and the gallbladder triangle is severely attached to the TV.
Seeing this, Director Liu finally showed a smile of satisfaction.
If you switch to him to do this surgery, see this situation, you need to play a little bit of the anatomy of the gallbladder triangle. One is careless, where to tear, but it will kill people.
Change to a newbie... No, even if it is replaced by fierce, in the case of this situation, the only solution is to call yourself to the stage. He can't dare to do this kind of difficult surgery alone.
[Wow, it turned out to be a laparoscopic gallbladder! 】
[Who said that the gods will not do the mirror? Stand up, I promise not to kill you. 】
[It seems that the Great God does not use a laparoscopic appendectomy because the Great God's surgical incision is small enough that there is no need for a laparoscopic mirror. 】
In the Xinglin Garden, everyone is more interested in seeing surgery. Appendectomy, no matter how skilled, just cut a tail, the resident's work, then high-end is also the case.
There is a saying that you can eat potato cabbage, that is the chef.
The same is true for the appendix ~EbookFREE.me~ equivalent to potato cabbage. Through the level of appendectomy at the live broadcast, the doctors who have watched the surgery determined that this must be a big bull.
That is to say, each person's talent is not the same, to a certain level, the level of surgery can not be improved.
Looking at the appendectomy in the cloud, the meaning is not big, completely impossible to refer to, whether it is level or ... physical strength.
Endoscopic cholecystectomy is not the same.
At the beginning of the 21st century, domestic hospitals just started laparoscopic surgery, and many departments including thoracic surgery, general surgery, and gynecology gradually began to popularize minimally invasive surgery.
Until ten years later, the old directors of various departments continued to retire, and the new generation of masters of laparoscopic technology became the first line of clinical practice, and the country began to popularize.
However, the growth of minimally invasive techniques is very rapid.
In 2001, a certain throne was used for thoracoscopy for esophageal cancer surgery, which lasted 8 hours. Now, as long as the cancer location is not too high, the completion time is within 2 hours.
Endoscopic techniques have replaced traditional open surgery and become mainstream.
In the live broadcast room of Xinglinyuan, when the live broadcast appeared in the triangle of the gallbladder, the numerous bullets flew out.
[Is the surgery chosen by Great God so difficult? 】
[The gallbladder triangle is sticky, and this surgery is estimated to take 3 hours to get down. 】
[The gallbladder neck is wrapped, how to free? 】
The more you look at it, the more people are scared. The gallbladder is almost completely covered by inflammation, and a thin film coats the gallbladder tightly, not to mention the anatomy, even if the gallbladder itself is unclear.
Seeing this scene, Director Liu and Yan Meng were relieved and showed a "happy" smile.