Chapter 95

Chen Cang thought and got through to Qin Yue's little licking dog.

After all, it's a pleasure to have a person who is pleasing to the eye and shouting NB to himself.

Of course, Qin Yue is also a real Xiangya graduate student, and his level is still a little.

Wang Yong alone

Boring, boring!

In fact, can Chen Cang do it alone?

Yes!

But thinking that Wang Yong is an important clue to activate the master apprentice task, Chen Cang still wants to give him a chance to exercise and guide.

As for Qin Yue

It's not that boring. Chen Cang is not so idle.

Mainly because of Qin Yue's work, Chen Cang is now engaged in surgical 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 worried, Shina decided to follow Chen Cang in the first operation, and Qin Yue came early to be on duty for Shina.

Qin Yue is full of curiosity and comes to the office. Shi Na has followed Chen Cang into the operating room.

Qin Yue couldn't help asking the nurse on duty, "what operation did Chen Cang do?"

The nurse was stunned: "it should be cholecystectomy. I think it was a case of 12 beds just now."

Qin Yue ran to the office, got on the computer and opened the 12 bed medical record.

Preoperative records are written!

Endoscopic cholecystectomy.

Preoperative diagnosis:

Calculous cholecystitis.

The gallbladder is heavy.

Can Chen Cang still do cholecystectomy?

what the hell?

Really?

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

"Where's Chen Cang?" Wang Yong asked breathlessly.

Qin Yue: "I went to have an operation with Mr. Shi. Why are you here?"

Wang Yong sighed helplessly: "I'm now Uncle Chen's little attendant. Uncle Chen has a phone call. I can't run here!"

Qin Yue giggled.

Wang Yong glared at Qin Yue: "you still laugh at me. Are you different from me? It's also Chen Cang's attendant."

One word made Qin Yue's chest a cup bigger!

Wang Yong smiled and said, "look, I'll tell you. Your angry look is much better than your smile."

Qin Yue wants to hit people angrily!

Wang Yong couldn't help asking, "what operation did Chen Cang have? The phone didn't make it clear."

Qin Yue said angrily, "see for yourself!"

After reading it, Wang Yong was stunned: "I'm a good boy. Cholecystectomy. Will Chen Cang still have this operation? Did he follow Mr. Shi?"

Qin Yue shook her head: "Mr. Shi is an orthopedic doctor. I never have gallbladder surgery. I haven't seen her have gallbladder surgery for so long."

As soon as Wang Yong heard this, he suddenly stared: "then you say... Teacher Shi hit Chen Cang? Chen Cang is the main knife?"

Qin Yue also reacted all of a sudden. Her already big eyes became bigger again, just like cartoon characters: "Chen Cang is so awesome?"

All of a sudden, their gossip heart was suddenly stimulated.

……

……

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

Cholecystectomy is troublesome and takes a long time, and it is still cholecystectomy under endoscope.

To tell the truth, Shina is a little flustered, short of breath and chest tightness. After all, she doesn't know much about the operation, and she is afraid at last!

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

Standing in the operating room, Shi Na looked at Chen Cang and was worried.

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

In a word, Shina just feels uncomfortable!

Seeing this, Chen Cang smiled: "teacher Shi, don't be nervous."

Shina suddenly blushed. Who was nervous? nonsense!

Besides, for the first time, who can not be nervous? I'm an orthopaedic doctor to see you for gallbladder surgery. You'll be good if you're not nervous!

Shina adjusted her state and whispered, "let's start!"

Routine disinfection of surgical field skin, covered with sterile hole towel, single hole quilt

The next step is to dig a well for gas!

For laparoscopic surgery, we must cheer up to facilitate the observation of the operation field and the operation. We should remember the cheer song. There is no need to sing here.

Chen Cang made a 1.5cm arc incision on the umbilical wheel. After the incision, he punctured the pneumoperitoneum into the abdominal cavity and began to inject carbon dioxide.

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

Pull out the pneumoperitoneum needle, send a 10mm conical sheath into the abdominal cavity at this puncture point, and operate the internal organs through the auxiliary hole. At this time, the operation field is fully exposed, and the internal organs in the abdominal cavity are displayed on TV!

[liver] green, no abnormality.

[peritoneum] green, no infection or exudate.

[stomach] green, normal.

……

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

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

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

After Chen Cang's inspection, he said to Shi Na, "teacher Shi, hold it well, it's in this field of vision."

Shina nodded and Chen Cang began the next operation.

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

Shina is really nervous, because the next step is to dissect the gallbladder triangle, the so-called death triangle of the gallbladder.

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

Chen Cang held the forceps in his left hand, pulled the bottom of the gallbladder toward the cephalic side, and the electrocoagulation hook was close to the gallbladder kettle to separate the bile duct.

This set of movements seems simple, but it takes countless times of exercise to master it skillfully, because it will damage the triangle if you are not careful.

Dissecting and separating the gallbladder triangle is the most difficult, which is also the most difficult point of Difficult Cholecystectomy, because the adhesion of the gallbladder triangle is very severe and it is difficult to separate.

When Chen Cang was undergoing surgery, he suddenly found a very surprising thing!

Red [stone]!

Chen Cang found that when dissecting the gallbladder triangle, he could see the red marked [stone]!

This news is undoubtedly a great good thing for Chen canglai.

Why are there so many post cholecystectomy syndromes?

It is because many fine stones remain, and even stones in the intrahepatic or extrahepatic bile duct are left, so that the operation fails directly!

Tense is a little more serious. What if what is left is not only stones, but even tumors?

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

It is a good news for patients that they can find those hidden diseases.

Thinking of this, Chen Cang found that his eyes were a treasure. Maybe there were many uses he hadn't discovered.

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

It is very important for a surgeon to find diseases that are easy to be ignored!

Excited, Chen Cang began to continue the operation

After clamping the cystic duct and cystic artery, deliver the electrocoagulation hook and converter to remove the gallbladder anterograde!

At this time, Shina was finally relieved!

Just cut it!

Just cut it

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

At this time, the operation is coming to an end!

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

The whole operation process was so smooth that Shina felt that everything was not so real.