When a doctor opened a plug-in

Chapter 107 The Test of Li Baoshan

Li Baoshan looked at Chen Cang, Qin Yue and Wang Yong, and his heart was shocked!

This is the spiritual appearance that young people should have!

that's nice!

They look like the original ones.

but……

There are some things that can’t be done with blood alone. This is not a battle. You must have the courage to charge into battle, and it is not a task that can be accomplished with blood!

Li Baoshan looked at the three of them: "Good! You are all good, but the 120 emergency center sent are not ordinary patients. They are all difficult operations in the gallbladder system surgery, otherwise they would not be sent. Up!"

"So, don't take part in this matter, I'll take care of it!"

The words have been said very clearly, that is to say you are not capable enough, don't talk about passion.

Chen Cang: "Director, I can do it! I have a lot of research on gallbladder surgery, and have been researching difficult cholecystectomy. I can handle this matter!"

When everyone was silent, Shi Na suddenly stood up and said, "Director, Xiao Chen is indeed very researched in gallbladder surgery. I have seen it with my own eyes. Maybe... give him a chance to try!"

Shi Na is a very low-key person and rarely speaks on her own initiative. She is a conservative.

Li Baoshan glanced at Shi Na curiously.

At this time, Qin Yue, as Chen Cang's cheerleader, said quickly: "Yes! Director, Chen Cang didn't lie to you, he is really good, even Mirrizi syndrome can do it, he didn't lie!"

This sentence directly stunned Li Baoshan: "Can you perform cholecystectomy under Mirrizi syndrome?"

Chen Cang nodded: "Yeah."

This sentence has suffocated Li Baoshan!

He knows what Mirrizzi syndrome is better than anyone!

He also understands the meaning of this syndrome better than anyone!

It is the most difficult operation of cholecystectomy in hepatobiliary surgery.

How old is Chen Cang?

Has he seen Mirrizzi syndrome?Can do it?

Seeing Qin Yue nodding vowedly, Li Baoshan was a little shocked to be honest.

Li Baoshan hesitated: "Xiao Chen, this is not a time of passion. The patient's life is more important than everything. In comparison, honor is the least worth mentioning, do you understand?"

Chen Cang nodded resolutely: "Director, I can do it!"

In the entire office, everyone turned their attention to Chen Cang.

The eyes are full of complexity, admiration, admiration, admiration, and appreciation!

He stood up again!

When the explosion at the chemical plant, Chen Cang turned the tide and saved the patient's life.

But this time, he stood up again when the emergency department was short of people and needed talents the most.

Such a person, you really have no reason to hate him.

Wang Yong is much more honest now, sitting there looking at Chen Cang, his eyes seemed to see his future self!

Is he still jealous now?

It has only been a long time with Chen Cang that he has learned cholecystectomy, helping the department to resolve problems, and making him feel a kind of respect that is needed.

Whenever he thinks of the little nurse in the operating room calling out Dr. Wang kindly, Wang Yong has the energy to do it.

Li Baoshan pondered for a moment. After thinking about it, he made a decision. He decided to accompany Chen Cang for an operation. If Chen Cang can really do it, it would be the best!

Li Baoshan nodded and was about to speak when suddenly the nurse on duty rushed in:

"Director, a patient was transferred from the Eighth City Hospital. After endoscopy, it was found that there was a gallbladder duodenal fistula! It is coming to our medicine soon, let us prepare the operating room!"

As soon as this is said!

Li Baoshan's face changed: "Once the meeting is over, Chen Cang is preparing for surgery, and Qin Yue is coming."

After speaking, Li Baoshan said to Chen Cang: "Let's go, can you have a gallbladder duodenal fistula?"

Chen Cang nodded: "Yes!"

Gallbladder duodenal fistula is not ordinary!

It is also one of the typical difficult cholecystectomy.

Li Baoshan could follow this opportunity to observe Chen Cang's level.

...

...

Operating room!

Guo Cheng, director of the General Surgery Department of the Eighth Hospital of the City, looked anxious and pushed the patient into the operating room: "Hello, Director Li!"

Li Baoshan nodded: "Director Guo, how is the patient's condition?"

Guo Cheng said as he walked: "The situation is very bad. I thought it was just ordinary cholecystitis, but after the endoscopy, he was dumbfounded. The entire right upper abdomen was all adhesions, but the inflammatory index was not high."

"It belongs to a mixed type of gallbladder duodenal fistula, accompanied by upper gastrointestinal bleeding. If it is not for surgery, it will not be found!"

Li Baoshan nodded. Indeed, mixed gallbladder duodenal fistulas have no specific symptoms and signs, and are often covered up by the clinical manifestations of the original disease. The clinical misdiagnosis and missed diagnosis rate are high.

Guo Cheng handed over the case: "Director, this is the medical record."

After reading it, Li Baoshan handed it to Chen Cang: "This is Doctor Chen, the surgeon in charge of this operation, Xiao Chen, please consult the medical record first."

Chen Cang nodded and took the medical record.

However, Guo Cheng opened his eyes wide: "Director...this...this is a gallbladder duodenal fistula operation. You want a little doctor to do such a freshman operation? Is this appropriate?"

Guo Cheng also considers the patients, not to look down on Chen Cang.

Chen Cang is really too young, a hairy boy in his early twenties, you come for this operation, and I brought the patients all the way over, just because I'm not good enough!

Li Baoshan patted Guo Chen's arm: "I have you, don't worry!"

After Guo Cheng listened to this, he was relieved, but he was still a little worried and looked at Li Baoshan nervously: "Director, I am not worried. The main reason is that the patient is in a special condition. I am worried too! Just in case. What went wrong, our responsibility is not small!"

After Chen Cang watched the examination carefully, there was nothing special, so he said: "When you get to the operating table, let's take a look at the situation under the endoscopy. The medical record does not show any effect."

Qin Yue also came over, and Chen Cang walked over and said to Qin Yue, "Don't help, please make a record for me."

Qin Yue was taken aback for a moment: "What record?"

Chen Cang whispered: "I want to make a summary of the experience of difficult cholecystectomy. You will help me record the operation process, and I will do postoperative analysis in the later stage, mainly taking pictures."

Qin Yue's eyes widened, unbelievable, this Chen Cang...a bit diao!

What a summary of experience?

This is an attempt by Chen Cang!

After all, he has to do so many difficult cholecystectomy operations. These operations are hard to come by. It would be a shame not to keep a record.

If these records can be analyzed and summarized and written into an experience summary, it can help many people.

Moreover, he also discovered that if you want to convince others, you have to get results, and the best thing for young people to get results is not other, but scientific research results.

The operation started soon.

Chen Cang took the laparoscope and began to explore, and Guo Cheng suddenly reminded: "The safety factor of laparoscopy is not high, or open the abdomen?"

Li Baoshan didn't speak yet, Chen Cang said indifferently:

"Director Guo, the patient's abdominal infection is very serious, and the adhesions are obvious. It is true that the safety factor of using laparotomy is relatively high."

"But! The main cause of adhesions in patients may be due to internal duodenal fistula, and laparotomy will increase a lot of risks, and even cause the spread of infection and enlargement of the wound, which is very bad for the patient's later recovery. The establishment of the abdomen can be effective..., so I suggest that we give priority to laparoscopic surgery."

Guo Cheng blushed immediately: "However, this will undoubtedly increase the difficulty of endoscopic surgery! Moreover, whether it is duodenal suture repair or gallbladder resection, or even the separation of the gallbladder triangle, this will be very big. Can you guarantee the safety of patients?"

Chen Cang didn't say much, just nodded: "Yes, I can!"

Guo Cheng was speechless.

Li Baoshan calmly said: "Alright, let's get started, Director Guo don't have to worry, Dr. Chen can complete the cholecystectomy under Mirrizi syndrome, and the duodenal fistula should not be a big problem."

As soon as he said this, Guo Cheng was dumbfounded.

ps: The chapter name of the next chapter is wrong, don't care about the name, it will not affect reading.