When a doctor opened a plug-in

Chen Cang thought for a while and then got through to Qin Yue's little licking dog.

After all, during the operation, it is also a pleasure to have someone pleasing to the eyes and shouting nb to oneself.

Of course, what Qin Yue said is a real Xiangya graduate student, and the level is still somewhat.

Only Wang Yong...

Boring and boring!

In fact, can Chen Cang do it alone?

can also!

But thinking that being able to Wang Yong is an important clue to activate the task of mentoring and apprenticeship, Chen Cang still wants to give him a chance to exercise and guide him.

As for Qin Yue...

It would not be enough to simply feel boring, and Chen Cang is not so idle.

It is mainly because of Qin Yue's work. Now he is engaged in surgical scientific research. Chen Cang estimates that he will communicate with Qin Yue more to see if he can summarize his surgical experience and write a paper.

The operating room is ready, the first patient is not very troublesome, it is an ordinary calculous cholecystitis, B-ultrasound shows gallbladder enlargement!

Because she was not at ease, Shi Na decided to follow Chen Cang for the first operation, and Qin Yue ran to take care of Shi Na early.

Qin Yue came to the office full of curiosity, and Shi Na had followed Chen Cang into the operating room.

Qin Yue couldn't help asking the nurse on duty: "What kind of surgery did Chen Cang go for?"

The nurse froze for a moment: "It should be a cholecystectomy. I think it was a 12-bed case just now."

When Qin Yue heard this, he ran to the office, boarded the computer and opened the 12-bed medical record.

All preoperative records are written!

Laparoscopic cholecystectomy.

Preoperative diagnosis:

Stone cholecystitis.

The gallbladder is large.

Will Chen Cang still do cholecystectomy?

I go?

real or fake?

At this time, Wang Yong also hurried in, and saw Qin Yue sitting in the office with a face full of puzzlement.

"Where is Chen Cang?" Wang Yong asked breathlessly.

Qin Yue: "I went to have an operation with Teacher Shi, why are you here?"

Wang Yong sighed helplessly: "I am now Uncle Chen's little attendant. Uncle Chen makes a call, I can't run over here!"

Qin Yue giggled when she heard it.

Wang Yong glared at Qin Yue: "You still laugh at me, you are not the same as me? It's also Chen Cang's follow-up okay."

A word made Qin Yue's chest a cup!

Wang Yong smiled: "Look, let me just say it, your angry look is much better than your smile."

Qin Yue wanted to hit someone angrily!

Wang Yong couldn't help asking: "What kind of surgery is Chen Cang? The phone didn't make it clear.

Qin Yue said angrily: "Look for yourself!"

After Wang Yong finished reading it, he was stunned: "I'm going to drop a cholecystectomy. Chen Cang will still do this operation? Did he follow Teacher Shi?"

Qin Yue shook his head: "Ms. Shi is an orthopedic doctor, OK! I have never performed gallbladder surgery. I have been with her for so long and I have never seen her undergo gallbladder surgery."

When Wang Yong heard this, his eyes widened: "Then you say... Teacher Shi beat Chen Cang? Chen Cang was the chief sword?"

Qin Yue also reacted at once, and his already big eyes grew bigger again, just like a cartoon character: "Chen Cang is so awesome?"

Suddenly, the gossip between the two was aroused.

...

...

In the operating room, the anesthesiologist has given the patient a general anesthesia.

Cholecystectomy is more troublesome and takes a long time, and it is also an endoscopic cholecystectomy.

To be honest, Shi Na was a little flustered, short of breath and chest tightness. After all, she didn't know how to perform this operation, and she felt a little distressed after all!

After all, surgery is not about killing pigs, just stabbing to death anyway. Surgery is about saving people. You can't be sloppy.

Standing in the operating room, Shi Na looked at Chen Cang, a little worried.

In other words, why do you feel that today's operating room is so narrow?

All in all, Shi Na just feels uncomfortable!

Upon seeing this, Chen Cang smiled: "Teacher Shi, don't be nervous."

Shi Na suddenly blushed, who is nervous?nonsense!

Besides, for the first time, who can not be nervous, I am a magnificent orthopedic doctor to come to see you for gallbladder surgery, be good if you are not nervous!

Shi Na adjusted her state and said in a low voice, "Let's start!"

Routinely disinfect the skin of the surgical field, spread a sterile hole towel, and a single-hole quilt...

The next step is to dig a well to pump gas!

In laparoscopic surgery, it is necessary to cheer up, so as to facilitate the observation of the surgical field and facilitate the operation. You should remember the cheering song, and there is no need to sing it here.

Chen Cang made a 1.5cm arc-shaped incision on the navel chakra. Through the incision, he inserted the insufficiency needle into the abdominal cavity and started to inject carbon dioxide.

Pumping is also about strength. The so-called one-time regeneration and two-time ripening. When the displayed air pressure reaches 13 mm water column, the pneumoperitoneum is established successfully!

Pull out the pneumoperitoneum needle, send a 10mm cone sheath into the abdominal cavity at this puncture point, and manipulate 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.

[Peritoneum] Green, no infection or exudate.

StomachGreen, normal.

...

When the red [gallbladder] appeared, some information appeared in Chen Cang's mind.

[Cholecystitis, grade: lv28, size: 50x21x18mm, off-white, wall thickness 4mm, hyperemia and edema, high tension, stone incarceration in the neck of the gallbladder, stone size...]

Chen Cang was surprised to find that there was a lot more information this time than before. The detailed data and information were directly fed back to Chen Cang's mind, and his grasp of the disease was more detailed and fulfilled!

After Chen Cang checked, he said to Shi Na: "Teacher Shi, you are in this field of vision if you are ready."

Shi Na nodded, and Chen Cang began the next step.

Chen Cang selected three holes for abdominal puncture, one observation hole, one main operation hole, and one auxiliary operation hole.

Shi Na was really nervous, because the next step was to dissect the gallbladder triangle, the so-called death triangle of the gallbladder.

Fortunately, the gallbladder triangle is clear and easy to separate.

With the forceps in his left hand, Chen Cang pulled the bottom of the gallbladder toward his head, and the electrocoagulation hook approached the gallbladder pot to separate the bile duct.

This set of movements may seem simple, but it requires countless exercises to master it, because carelessness will damage the triangle.

It is the most difficult to dissect and separate the triangle of the gallbladder. This is also the most difficult point of difficult cholecystectomy, because the triangle of gallbladder is very adhesive and difficult to separate.

During Chen Cang's operation, he suddenly found a very pleasant surprise!

The red [stone]!

Chen Cang discovered that when he dissected the gallbladder triangle, he could actually see the [stone] marked in red!

This news is undoubtedly a great thing for Chen Cang.

Why are there so many syndromes after cholecystectomy?

It is because many tiny stones remain, and even stones in the liver or extrahepatic bile ducts are left behind so that the operation directly fails!

The tense is a little more serious. What if it is not just stones, but even tumors?

You know, these things are not so simple to be discovered!

And he can actually discover those hidden diseases, which is a boon for the patient.

Thinking of this, Chen Cang realized that his eyes later on were a treasure, and perhaps there were still many uses that he had not discovered.

But it is definitely a weapon to save people and cure diseases!

It is very important for a surgeon to discover diseases that are easily overlooked!

After being excited, Chen Cang began to continue surgery

After clamping the cystic duct and cystic artery, pass the electrocoagulation hook and converter to remove the gallbladder antegrade!

At this time, Shi Na finally breathed a sigh of relief!

Just cut it!

Just cut it...

The next step is to take out the gallbladder, pass it a medium-sized vascular forceps, and cut a small opening with a sharp knife to clean the bile.

At this time, the operation is about to come to an end!

At this time, take out the stones and pull out the gallbladder!

The whole procedure was very smooth, and Shi Na felt that everything was not so real.