Chapter 95: : Teacher Shi, don't be nervous!

沧 Chen Cang thought for a while, and then called Qin Yue's little dog.
After all, it is also a pleasure to have someone personally pleasing and shouting nb to himself when performing surgery.
Of course, Qin Yue is also a real Xiangya graduate student, and his level is still a bit.
Ye Guang has Wang Yong ...
Dull and boring!
In fact, can Chen Cang do it alone?
can also!
But thinking that Neng Wangyong is an important clue to activate the mission of master and apprentice, Chen Cang still wants to give him a chance to exercise some guidance.
As for Qin Yue ...
I simply didn't think it was boring, and Chen Cang didn't feel so idle.
Mainly because of Qin Yue's work, he is now engaged in surgical scientific research. Chen Cang estimated to communicate with Qin Yue and see if he can sum up his surgical experience and can he write a paper.
The operating room is ready. The first patient is not very troublesome. It is an ordinary calculus cholecystitis. B-mode ultrasound shows that the gallbladder is enlarged!
Because she was uneasy, Shi Na, the first operation, decided to follow Chen Cang, and Qin Yue came to work for Shi Na early.
She Qin Yue came to the office with curiosity, and Shi Na had followed Chen Cang into the operating room.
Qin Yue could not help asking the nurse on duty: "What operation did Chen Cang go to?"
The nurse stunned for a moment: "It should be cholecystectomy. I think it was a 12-bed case."
Upon hearing this, Qin Yue went to the office and boarded the computer to open the 12-bed medical record.
记录 Write down the records before surgery!
Laparoscopic cholecystectomy.
前 Preoperative diagnosis:
Calculus cholecystitis.
The gallbladder is significant.
Cang Cang will still do cholecystectomy?
I go?
real or fake?
At this moment, Wang Yong also hurried in and saw Qin Yue sitting in the office with a puzzled expression on his face.
"What about Chen Cang?" Wang Yong asked panting.
Wu Qinyue: "Goed to have surgery with Teacher Shi, why are you here?"
Wang Yong sighed helplessly: "I'm Uncle Chen's little follower now, and Uncle Chen called me.
When Qin Yue heard it, she giggled and smiled.
Xie Wangyong glanced at Qin Yue: "You still laugh at me, are you different from me? Is Chen Cang good with my class?"
In a word, Qin Yueqi's chest was enlarged by a cup!
Wang Yong smiled: "Look, I'll just say, you look more angry than you smile."
Qin Yueqi wants to hit people!
Wang Yong could not help but asked, "What kind of operation did Chen Cang have? The phone didn't say clearly."
Qin Yue said angrily: "Look!"
After Wang Yong watched it, he suddenly hesitated: "I'm going to do a good cholecystectomy, and Chen Cang will still do this operation? Did he follow Mr. Shi?"
Qin Yue shook her head: "Ms. Shi is an orthopedic doctor, okay! I have never performed gallbladder surgery. I have followed her for so long and have never seen her perform gallbladder surgery."
When Wang Yong heard it, his eyes widened suddenly: "Then you said it was ... Mr. Shi fought Chen Cang? Chen Cang is the main sword?"
Ji Qinyue also reacted at once, and her big eyes became bigger again, just like the cartoon character: "Chen Cang is so good?"
Suddenly, the two gossips were instantly stirred in their hearts.
Uh ...
Uh ...
In the operating room, the anesthesiologist has given the patient general anesthesia.
Cholecystectomy is troublesome and takes a long time, and it is also a laparoscopic cholecystectomy.
To be honest, Shi Na was a little flustered, short of breath and tightness. After all, she didn't know how to do this operation.
After all, the operation is not to kill the pigs. It is enough to stab them to death. The operation is to save people.
Standing in the operating room, Shi Na looked at Chen Cang and was a little worried.
Speaking, why do today's operating rooms feel so narrow?
In short, Shi Na just feels uncomfortable!
沧 Chen Cang saw this and smiled: "Mister Shi, don't be nervous."
Su Shi Na blushed suddenly, who was nervous? nonsense!
I said again, for the first time, who can not be nervous, I am an orthopaedic doctor to see you for gallbladder surgery, not nervous to be good!
Bian Shina adjusted her state and whispered, "Go ahead!"
Routine disinfection of wild skin, covered with sterile hole towel, single hole quilt ...
The next step is to pump wells!
Laparoscopic surgery, you must pump up to flush, so that the field is easy to observe and easy to perform surgery, everyone should remember the pumping song, no need to sing here.
沧 Cang Cang made a 1.5cm arc incision on the umbilical wheel. After passing through the incision, he inserted a pneumoperitoneum needle into the abdominal cavity and began to inject carbon dioxide.
Pumping is also stressful. The so-called one-life and two-time ripening. When the displayed air pressure reaches 13 mm of water, the pneumoperitoneum is successfully established!
Pull out the pneumoperitoneum needle and send a 10mm cone sheath into the abdominal cavity at this puncture point. Operate the internal organs through the auxiliary hole. At this time, the surgical field is fully exposed and the internal organs in the abdominal cavity are displayed on the TV!
[Liver] Green, no abnormalities.
腹 [peritoneal] green, no infection or exudate was seen.
[Stomach] Green and normal.
Uh ...
红色 When the red [gallbladder] appeared, some information appeared in Chen Cang's mind.
胆 [Cholecystitis, grade: lv28, size: 50x21x18mm, off-white, wall thickness 4mm, congestive edema, high tension, stone incarceration in the neck of the gallbladder, stone size ...]
Cang Cang was surprised to find that this time there is a lot more information than ever before. Detailed data information is directly fed back to Chen Cang's mind, and the grasp of the disease is more detailed and enriched!
检查 Chen Cang inspected and said to Shi Na, "Mister Shi, you are well supported, and you are in this field of vision."
Tan Shina nodded, and Chen Cang started the next operation.
沧 Chen Cang selected three holes for abdominal puncture, one observation hole, one main operation hole, and one auxiliary operation hole.
Bian Shina is really nervous because the next step is to dissect the triangle of the gallbladder, the so-called death triangle of the gallbladder.
Fortunately, the triangle of the gallbladder is clear and easy to separate.
沧 Cang Cang left holding the forceps and pulled the bottom of the gallbladder toward the side of the head. The electrocoagulation hook was near the gallbladder pot to separate the bile duct.
This set of moves seems simple, but it requires countless exercises to master it, because the triangle area can be damaged if you are not careful.
Dissection and separation of the gallbladder triangle is the most difficult, which is also the most difficult point of difficult cholecystectomy ~ EbookFREE.me ~ Because the gallbladder triangle adhesion is very strong, it is difficult to separate.
When Chen Cang was in surgery, he suddenly found a very pleasant surprise!
Red [Stone]!
Cang Cang found that when the triangle of the gallbladder was dissected, the red stone can be seen!
This news is undoubtedly a great thing for Chen Cang.
为何 Why are there so many syndromes after cholecystectomy?
It is because many tiny stones remain, and even intrahepatic or extrahepatic bile duct stones are left, so that the operation failed directly!
The tense is a little more serious. What if it is not just stones, but even tumors that are left behind?
You know, these things are not so easy to discover!
And I can discover those hidden diseases, which is a gospel for the patients.
Thinking of this, Chen Cang found out that these eyes after him are a treasure, maybe there are many uses that I have not discovered.
But it is definitely a weapon to save people and cure diseases!
Being able to detect diseases that are easily overlooked is so important for a surgeon!
After being excited, Chen Cang started to continue the operation
After clamping the gallbladder tube and the gallbladder artery, transfer the hook and the converter to remove the gallbladder in antegrade!
At this time, Shi Na was finally relieved!
Just cut it!
Just cut it ...
The next step is to remove the gallbladder, hold it with a medium-sized vascular forceps, cut a small opening with a sharp knife, and wash the bile.
At this time, the operation is coming to an end!
Remove the stones at this time and pull out the gallbladder!
The whole operation was very smooth, so smooth that Shi Na felt that everything was not so real.