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Chapter 106: Li Baoshan's Test

Li Baoshan looked at Chen Cang, Qin Yue and Wang Yong, and his heart was slightly shocked!

This is the mental outlook that young people should have!

very nice!

It's very similar to them at the time.

But……

Some things cannot be done with passion alone. This is not a war. Charging in front of the battle requires the courage to be invincible, and it is not a task that can be completed with passion!

Li Baoshan looked at the three of them: "Good! You are all good, but the 10th emergency center sent them to not ordinary patients. They were all difficult surgeries in gallbladder system surgery, otherwise they would not have been sent!"

"So, don't participate in this matter, I'll handle it!"

I have already said it very clearly, which means that you are not capable enough, so don’t talk about passion.

Chen Cang: "Director, I can do it! I have studied gallbladder surgery very much, and I have been studying difficult cholecystectomy. I can handle this matter well!"

When everyone was silent, Shi Na suddenly stood up and said, "Director, Xiao Chen is indeed very researchy in gallbladder surgery. I have seen it with my own eyes. Maybe... I can give him a chance to try it!"

Shi Na is very low-key and rarely speaks actively. She is a conservative.

Li Baoshan glanced at Shi Na curiously.

At this time, Qin Yue, as Chen Cang's cheerleader, hurriedly said: "Yes! Director, Chen Cang didn't lie to you. He is really amazing. Even mirrizi syndrome can be done. He did not lie!"

This sentence made Li Baoshan stunned: "Can you complete a cholecystectomy under mirrizi syndrome?"

Chen Cang nodded: "Yes."

This sentence shocked Li Baoshan!

He knows more than anyone else about mirrizzi syndrome!

He also understands more than anyone else what the syndrome represents!

It is the most difficult surgical operation for cholecystectomy in hepatobiliary surgery.

How old is Chen Cang?

Has he seen mirrizzi syndrome? Can he do it?

Seeing Qin Yue nodding confidently, Li Baoshan was really shocked to tell the truth.

Li Baoshan hesitated: "Xiao Chen, this is not a time of passion. Patients' lives are more important than everything else. In comparison, honor is the least worth mentioning. Do you understand?"

Chen Cang nodded resolutely: "Director, I can do it!"

In the entire office, everyone turned their attention to Chen Cang.

The eyes were full of complexity, admiration, envy, admiration, and appreciation!

He stood up again!

When the explosion in the chemical factory was launched, Chen Cang turned the tide and saved the lives of the patients.

And this time, when the emergency department was short of people and needed talents the most, he stood up again.

You really have no reason to hate such a person.

Wang Yong is much more honest now. He is sitting there looking at Chen Cang, as if he sees his future self in his eyes!

Is he still jealous now?

It took only a long time to follow Chen Cang to learn cholecystectomy, helping the department to solve problems, and also making him feel a sense of respect he is needed.

Whenever I think of the little nurse in the operating room calling Xiao Da Damn, Wang Yong has endless energy.

Li Baoshan pondered for a moment, thought for a while, and made a decision. He decided to accompany Chen Cang for an operation. If Chen Cang really could, it would be the best!

Li Baoshan nodded and was about to speak when the nurse on duty rushed in:

"Director, a patient was transferred to the Eighth Hospital of the City. After the laparoscopy, he found a gallbladder duodenal fistula! It was about to arrive at our medicine to prepare our operating room!"

As soon as this is said!

Li Baoshan's face changed: "It's time to leave, Chen Cang is preparing for the operation, and Qin Yue is here too."

After saying that, Li Baoshan said to Chen Cang: "Let's go, will you have gallbladder duodenal fistula?"

Chen Cang nodded: "Yes!"

Gallbladder duodenal fistula is not an ordinary person!

It is also one of the typical dysfunctional cholecystectomy.

Li Baoshan can take this opportunity to observe Chen Cang's level.

...

...

In the operating room!

Guo Cheng, director of the General Surgery Department of the Eighth Hospital of the Municipal People's Republic of China, looked anxious and pushed the patient to the operating room: "Hello, Director Li!"

Li Baoshan nodded: "Director Guo, how is the patient's condition?"

Guo Cheng said as he walked: "The situation was very bad. He originally thought it was just ordinary cholecystitis, but after entering the laparoscopy, he was stunned. His entire right upper abdomen was covered with adhesions, but the inflammation indicator was not high."

"It is a mixed gallbladder duodenal fistula, accompanied by upper gastrointestinal bleeding. If it is not for the preparation of surgery, it will not be discovered at all!"

Li Baoshan nodded. This is true. The mixed gallbladder duodenal fistula has no specific symptoms or signs, and is often covered up by the clinical manifestations of the primary disease, clinical misdiagnosis, and a high rate of missed diagnosis.

Guo Cheng handed over the case: "Director, this is a medical record."

After looking through it, Li Baoshan handed it to Chen Cang: "This is Dr. Chen, the surgeon of this operation, Xiao Chen, you should check the medical record first."

Chen Cang nodded and took the medical record.

Guo Cheng widened his eyes: "Director... This is a gallbladder duodenal fistula surgery. Such a big surgery, do you ask a young doctor to do it? Is this appropriate?"

Guo Cheng is also considering the patients, not because he looks down on Chen Cang.

Chen Cang is so young. He is a young man in his early twenties. If you come for this operation, I will bring the patient over from all over the world because I am worried that my level is not enough!

Li Baoshan patted Guo Chen's arm: "Don't worry if I have me!"

After hearing this, Guo Cheng breathed a sigh of relief, but he was still a little worried and looked at Li Baoshan nervously: "Director, I'm not worried, mainly because the patient's condition is quite special, so I'm worried too! If something goes wrong, we will be very responsible!"

After Chen Cang carefully looked at the examination, there was nothing special, so he said, "When I arrived at the operating table, I would like to see the situation under the laparoscopy. The medical record could not show any effect."

Qin Yue also came over, Chen Cang walked over and said to Qin Yue: "Don't help, help me make a record."

Qin Yue was a little stunned: "What record?"

Chen Cang whispered: "I want to do a summary of my experience in difficult cholecystectomy. You can help me record the surgical process. I will do postoperative analysis later, mainly taking photos."

Qin Yue's eyes widened, full of incredibleness. Chen Cang...is a bit!

Is there a summary of experience?

This is Chen Cang’s attempt!

After all, he has to undergo many difficult cholecystectomy here, which is difficult to encounter. It would be a pity if he didn't take the record.

If these records can be analyzed and summarized and written into an experience summary, it can help many people.

Moreover, he also discovered that if you want others to convince you, you must achieve results, and the best thing for young people to achieve results is not other things, but scientific research results.

The operation began soon.

Chen Cang took the laparoscopy and started to investigate. Guo Cheng suddenly reminded: "The safety factor of laparoscopy surgery is not high, why don't you still open your abdomen?"

Before Li Baoshan could speak, Chen Cang said lightly:

"Director Guo, the patient's abdominal cavity infection is very serious and has obvious adhesions. It is indeed a relatively high safety factor for using open abdominal cavity."

"However! The main reason for adhesions in patients may be due to duodenal fistula, and opening the abdomen will increase a lot of risks, and may even cause infection to spread and wounds to increase, which is very bad for patients' later recovery. The establishment of pneumophthalmia under laparoscopic can be effective..., so I suggest that we give priority to laparoscopic surgery."

Guo Cheng suddenly blushed: "But this will undoubtedly increase the difficulty of laparoscopic surgery! Moreover, whether it is duodenal suture repair, gallbladder resection, or even the separation of the gallbladder triangular, it will be very difficult. Can you ensure the safety of the patient?"

Chen Cang didn't say much, just nodded: "That's right, I can!"

Guo Cheng was speechless.

Li Baoshan said in a eased manner: "Okay, let's start, Director Guo doesn't have to worry. Dr. Chen can complete cholecystectomy under mirrizi syndrome, and the duodenal fistula should not be a big problem."
Chapter completed!
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