Auto chess in the operating room

Chapter 117

Chapter 117

Shen Bingbing saw that Tang Lou responded freely, and even asked himself to question it, but he was a little uncertain.

Just looking at such a young face, she really couldn't believe that Tang Lou himself made such a powerful improvement plan.

Being able to make a lot of achievements in pediatric surgery, Shen Bingbing naturally has excellent patience and self-cultivation.

Shen Bingbing unhurriedly raised a second question: "According to your surgical design, it can be foreseen that the surgical space exposure of the hanging airless laparoscopic technique is poorer than that of the round arch space formed by the traditional pneumoperitoneum. The exposed area is smaller, that is to say, it will bring great difficulty to the operation. Therefore, a surgeon with a high level of laparoscopic operation must be the chief surgeon. Since it is the first time to carry out the operation, the uncertainty is actually no better than that of traditional laparoscopy. Little risk."

"That's right. Although Tang Lou's plan has improved the success rate of the operation, due to the difficulty of the operation and the first deployment, it has increased the uncertainty of the operator. Therefore, after comprehensive consideration, it is safe and sound for such an important patient." It’s better to go the traditional way.”

Hangcui Mountain took over Shen Bingbing's words, that any new operation must be fully prepared, and the chief surgeon must have a good enough psychological quality to start.

"For other doctors to perform the surgery, it is true that there may be mistakes and the doctor's own great psychological pressure for the first time, but if I do it myself, I have full confidence."

Naturally, Tang Lou dared to say this because he had something to rely on.

Talented concentration and tenacity allow him to solve tense problems. The three-star appendectomy is enough to support him to complete the operation as quickly as possible. The 30% infection rate reduction and 30% healing rate increase of the master surgeon solve the most serious problems. Difficult postoperative infection problems.

Moreover, Tang Lou's main knife aura can increase the assistant's cooperation and success rate.

Whether it is for the recovery of patients or to complete the tasks of the system, Tang Lou does his part.

So this time he chose to show his sharpness, almost arrogant!

Tang Lou looked around the crowd without the slightest fear, and finally looked at Shen Bingbing: "Director Shen, as long as I am the chief surgeon, none of the above problems will be a problem."

Shen Bingbing didn't expect Tang Lou to say such arrogant words straight to the point, her beautiful eyes widened and her mouth opened slightly.

"Nonsense, Dr. Qing doesn't dare to promise, how dare you say that you are completely sure? Do you think that laparoscopic technique is better than Dr. Qing's?"

Li Xiang was very dissatisfied on the side, treating everyone as nothing, Tang Lou's words were too full.

"I don't dare to speak about other laparoscopic techniques, but I'm good enough for hanging airless laparoscopic appendectomy! Director Cheng, Dr. Qing, I want to be the chief surgeon for this operation."

Tang Lou ignored the rest of the attending physicians, but directly looked at Qingping and Cheng Jian, who was bound to win.

Qing Ping looked at Tang Lou in a daze for a few seconds, even though he didn't expect that Tang Lou had rejected his offer of first aid before, so he wanted to be the chief surgeon himself.

Such age, such courage!

Qingping breathed a long sigh of relief, and suddenly had a feeling that the blue is better than the blue, and said with relief: "Director Cheng, all the attendants, I agree with Tang Lou's request, and I trust him."

"To be able to come up with such a solid improved operation, Tang Lou's attainments in laparoscopic appendectomy are obvious to all, and unfortunately, I participated in Tang Lou's laparoscopic appendectomy once, and he was able to perform perfectly within an hour. Completed a case of acute perforated appendix with severe gangrene. So."

Song Yang also expressed his thoughts with a little excitement, and finally looked at Qingping: "I also agree to let Tang Lou perform this operation. Whoever has the best medical skills will do it. There is no need to arrange funding." On seniority."

"How is it possible? You said he could complete it within an hour? Generally, senior attendings also take 90-150 minutes. An hour is too exaggerated."

Although Li Xiang is now doing more difficult surgeries, every surgeon starts with appendicitis surgery. As a basic skill, he knows the operation time of laparoscopic surgery too well.

"Actually, there's nothing to argue about. Since Tang Lou is confident in his laparoscopic technique, it's good to show us the video of the operation. If it's really as powerful as Dr. Song described, as a result of this improved operation The person who put forward it deserves its name as the chief swordsman."

Shen Bingbing has always looked at problems comprehensively and meticulously, and found the key points at once. The surgery in the First Hospital of the city has a practice of video recording.

Shen Bingbing was also very curious about Tang Lou's surgical ability.

"I agree. If Tang Lou's surgery video can convince us, then agree to let him perform the surgery."

Hangcui Mountain also added, as the saying goes, it's the mules or the horses that come out for a walk.

"can."

Cheng Jian looked at everyone's reactions and made a final decision.

Five minutes later, the video of Tang Lou's last laparoscopic appendectomy was copied.

Several attendings looked at the projection curiously:

"Prepare for three-hole puncture."

Tang Lou's calm voice echoed in the office, and then he saw a pair of hands with thin gloves starting to mark the patient's abdomen.

Looking at the somewhat unconventional puncture position, several attending physicians were slightly surprised.

"This patient has congenital colon variation, ectopic appendix, and acute appendicitis, so the opening position is somewhat different."

Qingping introduced with a somewhat smug tone, this case can be regarded as a classic, he has already begun to look forward to it, when they see the complicated situation in the abdominal cavity, and then tell the whole process of the diagnosis, I am afraid these attendings will not be so calm up.

Hearing that the patient's appendix was dislocated, several attending physicians suddenly realized that they were all veterans after all, and quickly recovered their composure.

Soon Yizhu completed the puncture according to Tang Lou's mark.

"Laparoscopy."

Listening to Tang Lou's instructions, Qingping straightened up excitedly, observing everyone's reactions.

Even after going through it once, seeing the video of this patient again, Qingping still couldn't get enough of it.

With the lens of the laparoscope, a clear vision appeared in front of everyone.

"Huh? What is the shadow of this Mai's point? No, the patient's ectopic appendix is ​​not in the lower part of the liver area. How could there be two masses?"

Sure enough, several attendings were also at a loss all of a sudden.

"Isn't it weird? At that time, I was almost ditched by a lump in my lower right abdomen."

Qingping began to review the case, stood up, and drew an abnormal path in his abdomen: "Do you know that the patient described to me that her pain transfer path was like this?"

Looking at Qingping's gestures, combined with the field of vision under the laparoscope, several attending physicians were startled.

Looking at the expressions of several attending physicians, Qingping smiled slightly: "If you didn't open it, would you also think that the right lower quadrant is the real appendix like me? When I had a physical examination, rebound pain, tenderness, all symptoms It's all the same as typical appendicitis."

"The lower right abdomen is."

As the laparoscope approached, everyone could see it clearly, and naturally recognized it based on their surgical experience: "Is it the lumen of the postoperative adhesion?"

"Yes, the lumen left by the ovariectomy 20 years ago."

In the projection, what was shown was that Tang Lou was not surprised by the situation in the abdominal cavity at all, and he was not disturbed by the lower abdominal cavity at all. With a sweep of the camera, he went directly to the lower part of the liver, with a very clear purpose, without any pause started to dissociate.

With the eyesight of these attending surgeons, he naturally understood that the only explanation was that the chief surgeon had fully understood the patient's bizarre cause before the laparotomy.

Closing her eyes, she recalled the patient's rare symptoms. Shen Bingbing thought that if she were her, it would be absolutely impossible for her to associate the abnormal pain track described by the patient with the postoperative adhesion lumen 20 years ago and the real appendix hidden in the upper abdomen.

"Doctor Qing, if I would definitely use the most traditional Maxwellian incision for laparotomy, and adapt to the circumstances during the operation, although the operation can be completed, it will definitely cause an incision, and it will even take a lot of time to find the real appendix. The diagnosis of this patient , you did a great job!"

Shen Bingbing compared her thumbs to Qingping, convinced.

"admire!"

Li Xiang and the others also agree with Shen Bingbing's opinion. It is really amazing that such a rare case can be perfectly diagnosed by physical examination alone without laparotomy.

"Is it great?"

Qingping deliberately raised his voice.

Shen Bingbing had black lines on his face, is this still the always modest Qingping?

"Doctor Qing's achievements in appendicitis, I am naturally convinced."

Shen Bingbing's perfunctory commercial flattery.

Only Song Yang looked at Shen Bingbing's elegant face, and smiled strangely, but couldn't hold back: "Actually, Doctor Qing didn't discover this case."

"It's him!"

Song Yang pointed his finger at Tang Lou standing beside him.

"Is it great?"

Qingping said it again very appropriately.

Shen Bingbing:

It's just that when he looked at Tang Lou again, his expression was much more serious.

The screen is still going on during the projection:

"Marne, when separating the adhesions and dealing with the mesentery and the root of the appendix, sometimes intestinal damage may be caused, and a small piece of saline gauze can be placed for proper compression. In the future, you must know how to observe yourself, and prepare the saline gauze before performing the surgery."

Watching the video instructing Ma En with the attitude of the chief surgeon, these attending physicians were all in a daze. Is it really Tang Lou?

"Endo-GIA Cut Closer Ready!"

"3-0 Absorbable Suture, Needle Holder Forceps"

Tang Lou's pair of powerful and slender hands completed the continuous stitching of the stump. The needles and threads were evenly spaced, and the stitches and margins were like copying and pasting.

"This!"

Seeing Tang Lou using the Endo-GIA cutting and closing device, they were already surprised when they saw Tang Lou's single-handed suture technique.

Both Li Xiang and Hang Cuishan were speechless.

"Comparing this way, does it feel like I am handicapped at my age in Tanglou?"

Song Yang was gloating on the sidelines. Seeing the stitching of the Tang Tower again, he was still a little unbelievable.

Seeing the shocked expressions of Li Xiang and others, Song Yang was very happy.

It is better to be happy alone than to be happy together. The ancients did not deceive me!

Soon under the operation of Tang Lou, all the steps were completed, especially the stitching of the final puncture, which was neat and simple.

When the video played to the last second, the progress bar stopped at 59:55.

It's not even an hour!

"Oh, I forgot to mention, this laparoscopic appendectomy is Tang Lou's first attempt at laparoscopic appendectomy."

The old god Cheng Jian said.

"what?"

"First attempt."

Several attendants looked at Cheng Jian in disbelief.

Does such a genius really exist?

It feels good to have the surgery too.

Seeing everyone was shocked, the time was ripe, and Cheng Jian's sonorous voice proudly and unquestionably said slowly:

"So, do you have any opinions on Tang Louzhu Dao?"

(End of this chapter)