Chapter 55 Livestream Cholecystectomy

Special needs ward, single room 303.

Liu Tianxing, Director Liu lay quietly on the bed, Cen Meng sat beside the bed, there was no dialogue, and the two were a little lost.

The TV on the opposite wall was flickering with snow, and the rustling was monotonous and dull.

After a long time, Director Liu broke the silence.

"The patient's diagnosis is clear?" Director Liu's voice was hoarse.

"Definitely." Cen Meng replied: "The preoperative preparations have been completed, and the patient is under general anesthesia."

"This is a difficult cholecystectomy. It's the first time... Are you sure it's the first time Zheng Ren has undergone endoscopic cholecystectomy?" Director Liu asked suddenly.

"I'm sure." Cen Meng said: "He has done some appendectomy, and he may have a high talent, so he did a good job. But I'm sure he has never done cholecystectomy as the main surgeon, no matter it is endoscopic or open surgery, he has never done it. !"

"There is no main knife, I seem to have been an assistant in my memory."

The main job of an assistant in laparoscopic cholecystectomy is to support the mirror, that is, the endoscope lens. This is a worse job than the previous laparotomy retractor.

No actual operation, that's fine.

Director Liu nodded and closed his eyes slowly, "Young man, after learning one or two surgical techniques, he feels that his ability is higher than the sky. This kind of anxious mentality is unacceptable."

"Yes." Cen Meng knew that Director Liu had entered the speech time. As a cheerleader, he could simply answer yes or no at this moment.

"Surgery, especially an unfamiliar one, without the old doctor watching the stage, there is always going to be an accident." Director Liu closed his eyes and muttered, as if he was recalling something, "Cholecystectomy doesn't seem to work. It's big, it's only a first-level operation, but do you know why doctors below the general hospitalization level are not allowed to do it?"

"Because the cystic duct and common hepatic duct sometimes change their shape and structure due to inflammatory exudation, once the common hepatic duct is cut off, the damage is irreversible." Cen Meng has personally performed more than ten cases of endoscopic cholecystectomy. Clearly.

"Yes, especially those who are new to laparoscopy. I'm afraid they can't even tell the difference between left and right. Director Pan is really confused. He dares to let Zheng Ren perform an operation that he doesn't even know how to do."

"You're so brave, something must have happened."

"We just need to watch quietly."

Just as he was talking, the rustling sound from the TV suddenly disappeared, and Director Liu suddenly opened his eyes.

The anesthesiologist who was seconded to the emergency operating room today was Cen Meng's classmate, so he knew Zheng Ren's every move in the emergency department through the "inside line".

There is a camera system installed on the endoscope lens, which can record video or live broadcast. It's just that generally no one lets people watch the live broadcast of their surgery.

After Cen Meng's repeated requests and some promises, his classmates agreed to use the Bluetooth network transmission to secretly transmit the operation process to him.

Cen Meng knew that Zheng Ren could not perform laparoscopic surgery. In order to make Director Liu happy, he connected the signal to the TV in the special needs ward and could watch Zheng Ren's surgery in real time.

There is no sound, but the endoscope has been opened. It is estimated that a pneumoperitoneum should be established at this time.

Soon, the camera started to shake. The two people who peeped at Zheng Ren's surgery in the special needs ward were experts. They knew that the "hole" had been drilled and they were going to have the endoscope lens built in.

No one spoke, and the atmosphere in the ward was a little tense, even more tense than when they performed the operation themselves.

Cen Meng became nervous when he thought of Zheng Ren's sensational operation of forty-nine appendectomies in one night, and the last transrectal laparoscopic appendectomy that even Director Liu had never heard of.

He must not do it, and this patient belongs to a patient whose inflammation has been exuded for five days, and the adhesion is relatively serious, and the operation is difficult.

...

...

There was a sudden change in the traffic monitoring of the Xinglinyuan website.

Hundreds of people poured into a live video room, but after learning from the last time, CEO Peng Jia has adjusted the upper limit of the account's live video room to 10,000 people, and made an emergency plan.

[Great God hasn't had an operation for several days, and I really miss the smooth appendectomy. 】

【What kind of surgery is this time? Let me see……】

【Laparoscopic! Laparoscopic! I'm so excited. I just came into contact with endoscopic surgery. I don't know what the level of Dashen's endoscopic surgery is. 】

[Instead of you, do you dare to live broadcast the surgery? The level is definitely high! 】

Hundreds of people came up to chat and shout 666.

As for the level of the surgeon's endoscopic surgery, that is another matter. Everyone is still immersed in the overwhelming appendectomy a few days ago.

The atmosphere in the special-needs ward was not as lively as the live webcast room. Although Director Liu and Cen Meng's mentor and apprentice kept confirming that Zheng Ren had never had endoscopic surgery or advanced studies, they couldn't help being nervous.

Soon, the endoscopic probe entered, and the gallbladder triangle area with serious adhesion appeared on the TV.

Seeing this, Director Liu finally showed a satisfied smile on his face.

If he were to perform this operation, seeing this situation, he would need to cheer up a little bit to dissociate the anatomy of the gallbladder triangle. If you are not careful, if you tear it apart, it will kill people.

Change to a novice... No, even if it is Cen Meng, the only solution in this situation is to call yourself on stage. He himself would not dare to perform such a difficult operation alone.

[Wow, it turned out to be endoscopic gallbladder! 】

[Who said that the Great God can't do endoscopy? Stand up and I promise not to kill you. 】

[It seems that Dashen does not use endoscopy for appendectomy because Dashen's surgical incision is small enough that there is no need for endoscopy at all. 】

In Xinglin Garden, everyone was more interested in seeing the surgery. Appendectomy, no matter how skilled it is, is only to cut an appendix, and the work of a resident doctor, no matter how high-end it is, is the same.

There is a saying that if you can cook potatoes and cabbage well, that is the chef.

The same goes for the appendix, the equivalent of potato cabbage. Based on the level of appendectomy performed by the surgeon in the live broadcast, the doctors who had watched the operation determined that this must be a great figure.

That being said, everyone's talent is different, and at a certain level, the level of surgery cannot be improved at all.

Looking at the appendectomy in the clouds, it doesn't make much sense at all, and it can't be referenced at all, whether it is level or... physical strength.

Laparoscopic cholecystectomy is different.

At the beginning of the 21st century, domestic hospitals just started to perform laparoscopic surgery, and many departments including thoracic surgery, general surgery, and gynecology gradually began to popularize minimally invasive surgery.

It was not until ten years later that the old directors of various departments retired one after another, and the new generation of the main force who mastered the endoscopic technique became the front line of clinical practice, and then it began to be popularized in the whole country.

However, the growth of endoscopic minimally invasive technology is very rapid.

In 2001, a big man in the imperial capital used a thoracoscope for esophageal cancer surgery, which took 8 hours. Now, as long as the cancer is not too high in the esophagus, the completion time is less than 2 hours.

Laparoscopic techniques have replaced traditional open surgery and become the mainstream.

In the live broadcast room of Xinglinyuan, when the gallbladder triangle area with serious adhesion appeared on the live broadcast screen, countless barrages flew out.

[Is the surgery chosen by God so difficult? 】

[The gallbladder triangle is sticky in a mess, and it is estimated that this operation will take 3 hours to complete. 】

[The neck of the gallbladder is wrapped, how can it be free? 】

The more you look at it, the more shocked everyone is. The gallbladder is almost completely covered by inflammatory exudation, and a thin membrane wraps the gallbladder tightly, not to mention the anatomical structure, even the gallbladder itself cannot be distinguished.

Seeing this scene, Director Liu and Cen Meng both breathed a sigh of relief and showed "gratified" smiles.

Thanks to Dolma 2006 for the tip. Today's progress is strong, and I also ask my friends to continue to support, thank you all.