Chapter 62： Swollen gallbladder
During the operation, there was no abnormal change in the stomach and small intestine. The liver is normal in size and smooth in surface, and there are no cases of nodules in patients with cirrhosis.
However, the gallbladder is congested and edema is obvious, and it is as big as the fist of most adult men.
The swollen gallbladder is like a balloon filled with air. Look at the posture. If you accidentally go to the gallbladder, you have to smash it up.
[Wow, how many stones do you have in the gallbladder? 】
[It is not necessarily a stone, it may be a parasite. 】
[How do I have a touch, the gallbladder will break, and then a lot of bile flows into the abdominal cavity, is the operation so contaminated? Finished, can't read, and then look down on the nightmare that is expected to be a nightmare, do a night of surgery, how to do it. 】
The unknown doctor who said that he didn't look at his mouth was very honest. The live broadcast room did not see who quit, and people continue to know what to do, and then come in to watch the big cattle that have become legendary in Xinglinyuan for surgery.
At a position 0.5cm from the liver, Zheng Ren made a small opening with a knife tip, and then began his signature movement - blunt separation.
The people who watched the live broadcast were all professional doctors. I have been embarrassed to have a bullet in the live room without doing a hundred or so surgery.
But no one can do this kind of blunt separation of Zheng Ren.
After repeatedly watching the "performance" of the 49+1 appendectomy performed by Zheng Ren, some people began to try a wider range of blunt separation, but the ending was frustrating, and there was no medical accident that broke the intestine.
During this time, a post appeared in Xinglin Garden, which focused on all the people who tried the operation after watching the live broadcast for discussion.
Some people think that they are in a bad level, but when they look at the post, everyone is a hanging.
It seems to be a cognitive problem. The big cow did not know how much practical work he did, and he developed this skill.
When Zheng Ren used a hemostatic forceps and a finger to break the blunt separation, the live broadcast was quiet.
Many people's fingers are slightly shaking with the actions of Zheng Ren in the live broadcast.
But...the kind of state in which the singer solves the cow and has a good balance. When you look at it, you know that you can only watch it. You can't learn it.
Gallbladder congestion and edema to the size of most adult men's fists, surface tension is extremely high, let alone blunt separation, so that everyone in the scene to do simple open cholecystectomy must be careful, a distraction, fear that the gallbladder will be broken.
However, the surgeon in the live broadcast did not think about it at all. The middle-bend pliers protruded into the surface of the gallbladder surface under the blade and quickly separated.
This speed... is simply killing.
But no one can say this.
Why? Because all the people who have said before have been beaten, and there are screenshots of the good things to be proved, placed in the discussion post for later generations.
After a few seconds or ten seconds, the blunt dissection has reached the neck of the gallbladder. The surgeon begins to dissociate the gallbladder triangle that is wrapped in a mess of connective tissue.
Skills are proficient, and the movements are not fast, but every step seems to be without thinking, and many doctors who are present are frightened.
This special is in the tightrope, the professor of the top three hospitals... Why is the top three hospital? Why is it a professor? Because the hospitals below the top three do not dare to do such surgery, the risk of medical malpractice is huge.
Even in the top three hospitals, ordinary minors and hospitals will not touch.
At least with the group professor, I have enough confidence to do this kind of difficult surgery.
If you do it, you will definitely be careful. It’s not like the big cow in the live room. I don’t want to, I’m going to bluntly separate the pliers.
In fact, the movement of the surgeon is not very fast, but it is very accurate. The anatomy of the gallbladder triangle is like a painting, and it gradually appears in front of everyone.
This product is forced to dissect several general teachers, no! A few are definitely not enough, at least ten or twenty.
In China, the number of general teachers is so small that some medical colleges have a general teacher for anatomy.
A group of eight or a group of four people in the legend dissected a general teacher, which is the treatment that few medical universities have.
For example, in a northern border town, the school is still a medical school, but retains the bodies of countless Kwantung troops for anatomy decades ago. The doctor from the medical school never knew what the general teacher was.
This kind of honorary name can't be used by the Kwantung Army, even if it has been soaked in the formalin liquid for decades.
Because the number of general teachers is scarce, many doctors who attend the clinic are willing to go to part-time forensic doctors.
Of course, this is only the special treatment that doctors who want to advance in the city without a full-time forensic doctor in the third and fourth lines.
The live surgery has definitely dissected a large number of general teachers. This has gradually emerged in the gallbladder triangle. Until the full exposure, the doctors’ hearts have produced such an idea.
The cystic duct and the gallbladder artery were clearly exposed, and the ligation and cutting were performed, and the gallbladder was retrogradely removed.
The removal of the gallbladder just announced that the surgical curtain had been opened.
[Laparoscopy is very good, I did not expect that open cholecystectomy can still achieve this level. 】
In the Xinglin Garden, there are doctors who express their feelings.
As soon as the expert reaches out, he knows if there is any. No need to look at anything else, just a gallbladder resection, everyone has already believed that the surgeon will certainly finish the surgery beautifully.
As for how many things can be learned, it is necessary to look at each person's talent.
[You are stupid, even open surgery can not do well, where to do laparoscopic surgery? 】
[Not quite, now many doctors at the attending physician level are practicing from laparoscopic surgery just two of them, you have inadvertently exposed your age. 】
[The gallbladder is cut off. I feel that there are at least three or five stones of more than three centimeters in the gallbladder. 】
The anatomy of Zheng Ren is too clear. After the gallbladder is cut off, the common bile duct and the common hepatic duct are clearly exposed in the surgical field. At a glance, it is known which root.
But he still put an end to all accidents and asked for a 5ml syringe, puncture the bile, and confirmed to be the common bile duct.
Do the traction line, stretch the common bile duct, Zheng Renyi reaches out, and the suction device wearing the sleeve is gently photographed on the hand.
At the moment when the common bile duct is cut, the aspirator is stuffed into it.
There was no interval at all, and a large amount of bile accumulated in the common bile duct had not been able to be ejected by the huge pressure, and was sucked away by the suction device.
This detail triggered the attention of doctors in the apricot forest.
In general surgery, more or less must be protected near the common bile duct, because bile is inevitable to flow out some.
However, the operator in the live broadcast room did not protect at all. The mouth that was cut in the cystic duct and the suction device that was worn on the sleeve were generally the size, and there was no trace of bile flowing out.
Everything is just right, it looks simple and easy to get to the extreme. Only those who have actually done this kind of surgery will know the difficulties.
[Suddenly a little sad, I had an incision and drainage of acute obstructive suppurative cholangitis a few years ago, intraoperative bile outflow, induced postoperative infection, first bacterial, and then become fungal, toss for a month. . 】
[Same sense, the operator's operation is really stable, that knife, cut the knife edge and the suction device as big, is this feeling and eyesight trained? 】
[That is talent, you don't have a dream. 】
However, the gallbladder is congested and edema is obvious, and it is as big as the fist of most adult men.
The swollen gallbladder is like a balloon filled with air. Look at the posture. If you accidentally go to the gallbladder, you have to smash it up.
[Wow, how many stones do you have in the gallbladder? 】
[It is not necessarily a stone, it may be a parasite. 】
[How do I have a touch, the gallbladder will break, and then a lot of bile flows into the abdominal cavity, is the operation so contaminated? Finished, can't read, and then look down on the nightmare that is expected to be a nightmare, do a night of surgery, how to do it. 】
The unknown doctor who said that he didn't look at his mouth was very honest. The live broadcast room did not see who quit, and people continue to know what to do, and then come in to watch the big cattle that have become legendary in Xinglinyuan for surgery.
At a position 0.5cm from the liver, Zheng Ren made a small opening with a knife tip, and then began his signature movement - blunt separation.
The people who watched the live broadcast were all professional doctors. I have been embarrassed to have a bullet in the live room without doing a hundred or so surgery.
But no one can do this kind of blunt separation of Zheng Ren.
After repeatedly watching the "performance" of the 49+1 appendectomy performed by Zheng Ren, some people began to try a wider range of blunt separation, but the ending was frustrating, and there was no medical accident that broke the intestine.
During this time, a post appeared in Xinglin Garden, which focused on all the people who tried the operation after watching the live broadcast for discussion.
Some people think that they are in a bad level, but when they look at the post, everyone is a hanging.
It seems to be a cognitive problem. The big cow did not know how much practical work he did, and he developed this skill.
When Zheng Ren used a hemostatic forceps and a finger to break the blunt separation, the live broadcast was quiet.
Many people's fingers are slightly shaking with the actions of Zheng Ren in the live broadcast.
But...the kind of state in which the singer solves the cow and has a good balance. When you look at it, you know that you can only watch it. You can't learn it.
Gallbladder congestion and edema to the size of most adult men's fists, surface tension is extremely high, let alone blunt separation, so that everyone in the scene to do simple open cholecystectomy must be careful, a distraction, fear that the gallbladder will be broken.
However, the surgeon in the live broadcast did not think about it at all. The middle-bend pliers protruded into the surface of the gallbladder surface under the blade and quickly separated.
This speed... is simply killing.
But no one can say this.
Why? Because all the people who have said before have been beaten, and there are screenshots of the good things to be proved, placed in the discussion post for later generations.
After a few seconds or ten seconds, the blunt dissection has reached the neck of the gallbladder. The surgeon begins to dissociate the gallbladder triangle that is wrapped in a mess of connective tissue.
Skills are proficient, and the movements are not fast, but every step seems to be without thinking, and many doctors who are present are frightened.
This special is in the tightrope, the professor of the top three hospitals... Why is the top three hospital? Why is it a professor? Because the hospitals below the top three do not dare to do such surgery, the risk of medical malpractice is huge.
Even in the top three hospitals, ordinary minors and hospitals will not touch.
At least with the group professor, I have enough confidence to do this kind of difficult surgery.
If you do it, you will definitely be careful. It’s not like the big cow in the live room. I don’t want to, I’m going to bluntly separate the pliers.
In fact, the movement of the surgeon is not very fast, but it is very accurate. The anatomy of the gallbladder triangle is like a painting, and it gradually appears in front of everyone.
This product is forced to dissect several general teachers, no! A few are definitely not enough, at least ten or twenty.
In China, the number of general teachers is so small that some medical colleges have a general teacher for anatomy.
A group of eight or a group of four people in the legend dissected a general teacher, which is the treatment that few medical universities have.
For example, in a northern border town, the school is still a medical school, but retains the bodies of countless Kwantung troops for anatomy decades ago. The doctor from the medical school never knew what the general teacher was.
This kind of honorary name can't be used by the Kwantung Army, even if it has been soaked in the formalin liquid for decades.
Because the number of general teachers is scarce, many doctors who attend the clinic are willing to go to part-time forensic doctors.
Of course, this is only the special treatment that doctors who want to advance in the city without a full-time forensic doctor in the third and fourth lines.
The live surgery has definitely dissected a large number of general teachers. This has gradually emerged in the gallbladder triangle. Until the full exposure, the doctors’ hearts have produced such an idea.
The cystic duct and the gallbladder artery were clearly exposed, and the ligation and cutting were performed, and the gallbladder was retrogradely removed.
The removal of the gallbladder just announced that the surgical curtain had been opened.
[Laparoscopy is very good, I did not expect that open cholecystectomy can still achieve this level. 】
In the Xinglin Garden, there are doctors who express their feelings.
As soon as the expert reaches out, he knows if there is any. No need to look at anything else, just a gallbladder resection, everyone has already believed that the surgeon will certainly finish the surgery beautifully.
As for how many things can be learned, it is necessary to look at each person's talent.
[You are stupid, even open surgery can not do well, where to do laparoscopic surgery? 】
[Not quite, now many doctors at the attending physician level are practicing from laparoscopic surgery just two of them, you have inadvertently exposed your age. 】
[The gallbladder is cut off. I feel that there are at least three or five stones of more than three centimeters in the gallbladder. 】
The anatomy of Zheng Ren is too clear. After the gallbladder is cut off, the common bile duct and the common hepatic duct are clearly exposed in the surgical field. At a glance, it is known which root.
But he still put an end to all accidents and asked for a 5ml syringe, puncture the bile, and confirmed to be the common bile duct.
Do the traction line, stretch the common bile duct, Zheng Renyi reaches out, and the suction device wearing the sleeve is gently photographed on the hand.
At the moment when the common bile duct is cut, the aspirator is stuffed into it.
There was no interval at all, and a large amount of bile accumulated in the common bile duct had not been able to be ejected by the huge pressure, and was sucked away by the suction device.
This detail triggered the attention of doctors in the apricot forest.
In general surgery, more or less must be protected near the common bile duct, because bile is inevitable to flow out some.
However, the operator in the live broadcast room did not protect at all. The mouth that was cut in the cystic duct and the suction device that was worn on the sleeve were generally the size, and there was no trace of bile flowing out.
Everything is just right, it looks simple and easy to get to the extreme. Only those who have actually done this kind of surgery will know the difficulties.
[Suddenly a little sad, I had an incision and drainage of acute obstructive suppurative cholangitis a few years ago, intraoperative bile outflow, induced postoperative infection, first bacterial, and then become fungal, toss for a month. . 】
[Same sense, the operator's operation is really stable, that knife, cut the knife edge and the suction device as big, is this feeling and eyesight trained? 】
[That is talent, you don't have a dream. 】
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