Chapter 109 The Doctor Sees the Doctor, but There Is Something Unclear
The chapter name is wrong, it should be: Chapter 107. Never mind the name
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As the director of general surgery, Guo Cheng has participated in many conferences, large and small, and the name Mirrizi syndrome can be said to be like thunder!
This can be one of the most difficult procedures in a cholecystectomy!
And what could this young man in front of him do?
incredible!
If ordinary people told him, he would never believe it.
But Li Baoshan rarely jokes, and the famous black face in the circle rarely smiles.
To be so praised by Li Baoshan is definitely a bit of strength.
So, he still believed a little bit.
Guo Cheng looked at Chen Cangqing's puerile profile, a little unbelievable, how old is he?
Could it be... a returnee from a famous school?
Thinking of this, Guo Cheng put away the contempt he had just made.
Surgery begins!
According to the suggestion of [Famous Teacher Guidance], Chen Cang started to explore the changes in the abdomen again.
It didn't take long for Chen Cang to discover where the lesions were!
[Duodenal fistula, lv30, elite monster, the fistula is 12mm long, and there is content flowing out...]
[Gallbladder, lv30, elite, chronic cholecystitis, recurrent, multiple gallbladder stones...]
These are two level 30 elite monsters, two operations that need to be performed separately, but the first thing to do is to separate the severe adhesions in the right upper quadrant.
Li Baoshan took the initiative to hold the mirror.
Chen Cang took the electric hook carefully and began to separate the adhesion.
The first step is to separate the duodenum from the hepatic hilum and the gallbladder. Although this step looks very simple, the blood vessels and gallbladder walls after adhesion are very thin and brittle.
It will be damaged if you are not careful!
This is also the reason why Guo Cheng suggested abdominal opening.
At this time, Guo Cheng and Li Baoshan both looked at Chen Cang nervously, for fear that Chen Cang accidentally made a big mistake.
Chen Cang first started from the left hepatic portal, followed the instructions and operations of the [Famous Teacher's Guidance], and proceeded carefully step by step.
At this time, Chen Cang had to say that the guidance of the famous teacher was amazing!
Any operation will be prompted, including how to deal with the result, what may happen, and after you are done, the video will be played back again and again, so that you can find the deficiencies in the operation.
Qin Yue's photo is entirely to leave proof material for the thesis, to prove that his thesis is not made up, otherwise Chen Cang can really restore it simply by relying on the guidance of a famous teacher.
The atmosphere in the operating room became depressed again, but Chen Cang was very relaxed, while Guo Cheng's small heart was connected with the patient's gallbladder, and he was afraid that Chen Cang would pierce it all at once!
Fortunately, Chen Cang's hand is very stable and clever!
Moreover, the electric hook is very dexterous in Chen Cang's hand, just like his own fingers, very dexterous and light, what is going on?
Chen Cang was also stunned!
How could this be?
Are your hands so noisy today?
After seeing the gloves... Chen Cang suddenly woke up, his own gloves!
Several attributes brought by gloves!
Dexterity +2, Stability +2, Strength +2.
These three attributes are too awesome, aren't they?
Chen Cang felt that his hands were like small electric motors, especially his fingers.
Hook, dial, coagulate, push...
Li Baoshan turned around inadvertently, and just saw Chen Cang's fingers moving skillfully, and he was stunned for a moment.
The fingers are so flexible!
How could the electric hook be attractive in his hand?
Guo Cheng didn't have the leisure to observe Chen Cang's hand, but stared at the TV without moving.
finally!
The duodenum was successfully separated, and the internal fistula was sutured.
These are all routine operations, but Chen Cang's first time to suture the intestines under the laparoscope is really a bit clumsy, but thanks to the guidance of a famous teacher, it does not affect the operation.
The next thing to do is to separate the gallbladder and remove it retrogradely.
The gallbladder triangle is no cleaner than the abdominal cavity, like a hornet's nest, messy.
But after all, they are only level 30 elites, and even level 45 lords have no power to fight back under the [famed teacher's guidance]. How long can you fight?
One operation took more than two hours, and Guo Cheng watched TV for more than two hours, which was thrilling!
And Li Baoshan looked at Chen Cang's hand for more than an hour and was envious!
Qin Yue stared at Chen Cang's face for half an hour, delusional!
The little nurse can't read the big screen, but she has a new understanding and definition of Chen Cang's hand speed, and she is both happy and surprised!
Especially when the middle finger prys the pliers, the strength, angle and speed are very tricky!
Surgery is over!
【Ding! Sew up a level 30 elite duodenal fistula monster and get a skill book. 】
【Ding! Remove the level 30 gallbladder elite monster and get a white surgical gown! 】
Chen Cang was dumbfounded!
Exploded a skill book and a white equipment?
Big explosion!
Thinking of this, Chen Cang was a little excited.
Seems to be really good today.
Li Baoshan looked at Chen Cang with satisfaction. To be honest, this operation is very difficult, and the requirements for the surgeon are also very high. In particular, the suturing of the internal fistula should be performed under the laparoscope, which requires the surgeon to have good medical skills. Laparoscopic suture skills.
In the two core operation areas of separating the duodenum and freeing the gallbladder triangle, Chen Cang has done it more securely.
Overall, very good!
Li Baoshan nodded to Chen Cang with satisfaction: "Not bad! Very good, Director Guo, can you rest assured?"
Where is Guo Cheng still worried? The surgery just now is a classic. If Guo Cheng has any complaints, he quickly said with a smile: "Don't worry, I'm so relieved!"
"Director Li's subordinates are really Hidden Dragons and Crouching Tigers. How old is Dr. Chen, and he has such outstanding surgical skills. In time, it will be a famous knife in our Dongyang Province!"
Guo Cheng didn't mean to flatter, but told the truth!
Today, Chen Cang can be said to have refreshed his three views.
He has really never seen a young man who can preside over such a difficult operation at such a young age, even if he is compared to those elite students from Beijing, Shanghai and Guangzhou!
Thinking of this, Guo Cheng was once again grateful to Chen Cang.
Li Baoshan had a lot of things to do, so he left with confidence after answering the phone, but he looked back at Chen Cang's hand deeply and hesitated.
And Guo Cheng asked casually by washing his hands, "Doctor Chen, your cholecystectomy is really amazing!"
"The second provincial hospital is not a provincial hospital. Our city's eighth hospital used to be famous when it was a veteran cadre hospital, but after the name was changed, it was not as good as a day. Now that we want to introduce talents, people are reluctant to come. But there are still a lot of old cadres in the old districts, and the old people are sick and more complicated, no one dares to do surgery, and no one can do it anymore, and now surgery is getting worse day by day.”
After complaining, Guo Cheng suddenly asked, "Doctor Chen, I have an unkind request."
"It's like this. There are several elderly people in our hospital department. They are all patients with cholelithiasis, patients who have undergone cholecystectomy, or retired veteran cadres. I think if you have time, let us check it out!"
"There are only three or four people. The old man doesn't want to toss. What I mean is, you look at your time and help us keep an eye on it. We also have a bottom line. For this money, we can calculate it according to the market price, how about it?"
Chen Cang was not worried about money, but the risk of surgery for the elderly was relatively high, and Chen Cang could not guarantee it.
The elderly have a lot of various diseases and their bodies are more complicated. Various complications often occur during the operation. Most people are reluctant to perform operations on the elderly.
Even many hospital surgeons do not want to accept the elderly!
The Eighth Hospital of the City was originally a Laogan Hospital, but some departments of Laogan Hospital have developed really well, such as geriatrics, internal medicine, cardiology, and endocrinology.
But surgery...
The old cadres themselves are not at ease. The children of the old cadres are also capable. The operations are basically taken to the big hospitals in Beijing, Shanghai and Guangzhou, and the worst are in the hospitals of the provincial people and the Affiliated Hospital of Dongda University.
Few are willing to stay in Laogan Hospital for surgery.
Therefore, the surgery of Laogan Hospital is getting worse and worse, and the hospital leaders do not pay attention to it. Now, for a gallbladder operation, Guo Cheng has to go to the Second Provincial Hospital in person.
It is helpless to think about it!
【Ding! Trigger the task, Guo Cheng's plea, help Guo Cheng complete three cholecystectomy operations, and get a reward: improvement of the endoscopic cholecystectomy procedure. 】