Chen Cang thought about it and called Qin Yue's little dog licking again.

After all, it is also a pleasant thing to have someone who is pleasing to the eye and sings to himself with a strong sense of strength.

Of course, Qin Yue is a real graduate student at Xiangya, and his level is still quite good.

Only Wang Yong...

Boring, boring!

In fact, can Chen Cang do it alone?

So can!

But thinking that Wang Yong was an important clue to activate the master-apprentice task, Chen Cang still wanted to give him a chance to exercise and guide him.

As for Qin Yue...

It wouldn't be like simply feeling boring, Chen Cang is not so idle.

The main reason is that Qin Yue is working, and he is now engaged in surgical research. Chen Cang probably communicates with Qin Yue more to see if he can summarize his surgical experience and whether he can write a paper.

The operating room is ready, the first patient is not very troublesome, it is an ordinary stone cholecystitis, and the B-ultrasound shows a large gallbladder!

Because he was worried, Shi Na decided to follow Chen Cang for the first operation, and Qin Yue ran to work early on for Shi Na.

Qin Yue came to the office with curiosity, and Shi Na had already followed Chen Cang into the operating room.

Qin Yue couldn't help asking the nurse on duty: "What kind of surgery did Chen Cang go for?"

The nurse was stunned for a moment: "It should be a cholecystectomy. I saw that the case was in bed 12 just now."

When Qin Yue heard this, he ran to the office and logged into the computer to open the 12-bedroom medical record.

All preoperative records are written!

Laparoscopic cholecystectomy.

Preoperative diagnosis:

Stone cholecystitis.

The gallbladder is very important.

Will Chen Cang also undergo cholecystectomy?

I'll go?

True or fake?

At this time, Wang Yong hurriedly ran in and saw Qin Yue sitting in the office with a confused face.

"Where is Chen Cang?" Wang Yong asked panting.

Qin Yue: "I went to the surgery with Teacher Shi, why are you here?"

Wang Yong sighed helplessly: "I am now Mr. Chen's little follower. With a call from Mr. Chen, I can't run over happily!"

When Qin Yue heard this, she giggled.

Wang Yong glared at Qin Yue: "You still laugh at me, are you different from me? Is it good that Chen Cang is also following?"

One sentence made Qin Yue's chest bigger!

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

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

Wang Yong couldn't help asking: "What kind of surgery is Chen Cang? He didn't say it clearly even the phone number."

Qin Yue said angrily: "Look at it yourself!"

After reading it, Wang Yong was stunned: "I'm so kind, I'll do this. Is Chen Cang still going to do this surgery? Did he do it with Teacher Shi?"

Qin Yue shook her head: "Mr. Shi is an orthopedic doctor, okay? I never have gallbladder surgery. I have been with her for so long, but I have never seen her undergo gallbladder surgery."

When Wang Yong heard this, he suddenly widened his eyes: "Then do you think it's... Teacher Shi attacked Chen Cang? Is Chen Cang the main sword?"

Qin Yue also suddenly realized that his already big eyes became bigger again, just like a cartoon character: "Chen Cang is so awesome?"

Suddenly, the two of them were suddenly aroused in their gossip.

...

...

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

Cholecystectomy is troublesome and takes a long time, and it is a laminoscopic cholecystectomy.

To be honest, Shi Na felt a little palpitations, shortness of breath and chest tightness. After all, she didn’t know much about this surgery, and she was a little scared in her heart!

After all, surgery is not about killing pigs, just stabbing them to death horizontally and vertically. surgery is about saving people, and you can't be careless at all.

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

By the way, why do you feel that today's operating room is so narrow?

In short, Shi Na just feels uncomfortable!

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

Shi Na's face suddenly turned red. Who is nervous? Nonsense!

Besides, for the first time, who can’t be nervous? I, a dignified orthopedic doctor, come to see you for gallbladder surgery. You will be good if you are not nervous!

Shi Na adjusted her condition and whispered: "Let's start!"

Conventional disinfection of wild skin, sterile hole towel, single hole quilt...

Next is to dig a well and cheer up!

Laparoscopic surgery requires a stimulant to make it easier to observe the surgery and facilitate surgery. Everyone should remember the stimulant song, so there is no need to sing it here.

Chen Cang made a 1.5m arc incision on the navel chakra, and through the incision, he stabbed the pneumoplegia needle into the abdominal cavity and began to inject carbon dioxide.

Exercise also requires strength. The so-called "one rebirth and the second rebirth" is mature. When the air pressure displayed reaches 13 mm water column, the pneumophilia will be successfully established!

Pull out the pneumophilic 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 organs in the abdominal cavity begin to be displayed on the TV!

【Liver】Green, no abnormalities were seen.

【Peritone】Green, no infection, exudate.

【Stomach】Green, normal.

...

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

【Cholecystitis, Grade: Lv28, Size: 50x21x18mm, off-white, wall thickness 4mm, congestion and edema, high tension, stones inlaid on the gallbladder neck, size of stones...】

Chen Cang was surprised to find that this time there was much 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 fulfilling!

After checking, Chen Cang said to Shi Na, "Teacher Shi, I'll help you, right in this field of vision."

Shi Na nodded, and Chen Cang began the next step.

The three-hole abdominal cavity puncture selected by Chen Cang, 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, which is the so-called gallbladder death triangle.

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

Chen Cang held the clamp in his left hand, pulled the bottom of the gallbladder toward the side of the head, and the electrocoagulation hook was close to the gallbladder pot to separate the bile duct.

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

Dissecting and separating the gallbladder triangulation is the most difficult, which is also the most difficult point of difficult cholecystectomy, because the gallbladder triangulation is very strong and it is difficult to separate.

During the operation, Chen Cang suddenly discovered something very surprising!

Red [stone]!

Chen Cang discovered that when dissecting the triangular area of ​​the gallbladder, he could actually see the red marked [stone]!

This news is undoubtedly a great thing for Chen Cang.

Why are there so many syndromes after cholecystectomy?

It is because many subtle stones remain, and even stones in the liver or extrahepatic bile ducts are left, so the surgery fails directly!

If the tense is a little more serious, what if it is left behind not only stones, but even tumors?

You know, these things are not that simple to be discovered!

And you can actually discover those hidden diseases, which is a blessing for patients.

Thinking of this, Chen Cang discovered that his eyes were a treasure afterwards, and perhaps there were many uses that he had not discovered.

But it is definitely a powerful tool to save people and cure diseases!

It is so important for a surgeon to be able to detect diseases that are easily overlooked!

After being excited, Chen Cang began to continue the operation

After closing the gallbladder duct and gallbladder artery, the electrocoagulation hook and converter are delivered to remove the gallbladder anteriorly!

At this time, Shi Na finally breathed a sigh of relief!

Just cut it open!

Just cut it...

Next is to take out the gallbladder, hand it a medium-sized blood vessel clamp, cut the small mouth with a sharp knife, and wash the bile.

At this time, the operation is about to come to an end!

At this time, you need to remove the stone and pull out the gallbladder!
Chapter completed!