Chapter 96 Teacher Shi, Don't Be Nervous!

Chen Cang thought for a while, and called Qin Yue's little licking dog again.

After all, during the operation, it is also a pleasant thing to have a person who is pleasing to the eye and shouts nb to himself.

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

Only Wang Yong...

boring, boring!

In fact, can Chen Cang do it alone?

can also!

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

As for Qin Yue...

It's not enough to just feel boring. Chen Cang is not so idle.

It is mainly because of Qin Yue's work that he is now engaged in scientific research on surgical procedures. Chen Cang guessed that he would communicate with Qin Yue more to see if he could summarize his surgical experience and see if he could produce a paper.

The operating room is ready, the first patient is not very troublesome, it is a common calculous cholecystitis, and the B-ultrasound shows that the gallbladder is enlarged!

Because she was worried, Shi Na decided to follow Chen Cang in the first operation, while Qin Yue came to work for 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 but ask the nurse on duty, "what surgery did Chen Cang go for?"

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

As soon as Qin Yue heard this, she ran to the office and boarded the computer to open the 12-bed medical records.

Preoperative records are written!

Laparoscopic cholecystectomy.

Preoperative diagnosis:

Stone cholecystitis.

The gallbladder is massive.

Will Chen Cang have a cholecystectomy?

I go?

real or fake?

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

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

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

Wang Yong sighed helplessly: "I'm Uncle Chen's little follower now, I can't run over with a phone call from Uncle Chen!"

Qin Yue giggled when he 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 follower, okay?"

In one sentence, Qin Yue's chest was enlarged by a cup!

Wang Yong smiled: "Look, I'll just say, you look better when you're angry than when you smile."

Qin Yue was so angry that she wanted to hit someone!

Wang Yong couldn't help but ask: "Chen Cang's surgery? The phone didn't make it clear."

Qin Yue said angrily, "see for yourself!"

After Wang Yong read it, he was stunned: "I'm a good boy, cholecystectomy, Chen Cang will still do this operation? Did he follow Teacher Shi?"

Qin Yue shook her head: "Mr. Shi is an orthopedic doctor, okay! She has never done gallbladder surgery. I've been with her for so long, and I've never seen her do it."

Hearing this, Wang Yong's eyes widened: "Then you say... Mr. Shi attacked Chen Cang? Chen Cang is the chief swordsman?"

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

All of a sudden, the gossip between the two people was aroused.

...

...

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

Cholecystectomy is more troublesome and time-consuming, and it is also laparoscopic cholecystectomy.

To be honest, Shi Na was a little flustered, short of breath and chest tightness. After all, she didn't know much about this operation, so she was a little scared after all!

After all, the operation is not to kill a pig, just stab it horizontally and vertically. The operation is to save people, so you can't be sloppy.

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

By the way, why do operating rooms feel so cramped today?

All in all, Shi Na just doesn't feel comfortable!

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

Shi Na blushed suddenly, who is nervous? nonsense!

Besides, for the first time, who can not be nervous, I am a dignified orthopaedic doctor to come to see you for gallbladder surgery.

Shi Na adjusted her state and whispered, "Let's start!"

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

Next is to dig a well!

Laparoscopic surgery must be pumped up to facilitate observation of the surgical field and easy operation. Everyone should remember the cheering song, so there is no need to sing it here.

Chen Cang made a 1.5cm arc-shaped 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.

Inspiration also pays attention to strength. The so-called one-time regeneration, second-time cooked, when the displayed air pressure reaches 13 mm water column, the pneumoperitoneum is successfully established!

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

【Peritoneum】Green, no infection or exudate.

【Stomach】Green, normal.

...

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

[Cholecystitis, grade: lv28, size: 50x21x18mm, gray-white, wall thickness 4mm, hyperemia and edema, high tension, stone incarcerated in the neck of the 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 checked, he turned to Shi Na and said, "Mr. Shi, help it, it's in this field of vision."

Shi Na nodded, and Chen Cang started 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, also known as the death triangle of the gallbladder.

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

Chen Cang held a forceps in his left hand and pulled the bottom of the gallbladder to the head, and the coagulation hook was close to the jug of the gallbladder to separate the bile duct.

This set of movements seems simple, but it takes countless exercises to master, because if you are not careful, the triangle area will be damaged.

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

During Chen Cang's surgery, he suddenly found something very surprising!

Red 【Stone】!

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

This news is undoubtedly a great news for Chen Cang.

Why are there so many post-cholecystectomy syndromes?

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

The tense is a little more serious. What if not only stones but even tumors are left behind?

You know, these things are not so easy to find!

And the fact that he can discover those hidden diseases by himself is a boon for patients.

Thinking of this, Chen Cang found that his eyes were a treasure in the future, and there may be many uses that he hadn't discovered yet.

But it is definitely a weapon for saving people and curing diseases!

Being able to spot diseases that are easily overlooked is so important for a surgeon!

After the excitement, Chen Cang began to continue the operation

After clipping the cystic duct and cystic artery, the coagulation hook and converter are delivered, and the gallbladder is removed antegradely!

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, hold it with a medium-sized blood vessel clamp, make a small incision with a sharp knife, and wash the bile.

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

At this time, the stone should be removed and the gallbladder should be pulled out!

The entire procedure was so smooth that Shi Na felt that everything was not so real.