Doctor's Life Simulator

Chapter 190 The operation was successful, how sacred is this doctor Qin!
Wang Heng was the first to take the test result in Lu Min's hand, and upon closer inspection, the color changed slightly:
"It's really a spontaneous rupture of the common bile duct! Due to the perforation of the common bile duct, the diameter of the duct has become smaller, and the abnormality can still be seen through B-ultrasound. Combined with the results of abdominal puncture bile amylase, it can basically be confirmed."

Wang Heng handed the results to Director Han and Director Wei, and they also showed joy, and within reason, they were a little surprised:

"That's really great. If you can confirm the specific disease, you can prescribe the right medicine, which saves a lot of time and reduces the risk of accidents."

Director Han looked at Qin Lang in disbelief: "Dr. Qin, this time it's really thanks to your brand-new thinking. In this way, we can arrange the operation plan."

Director Wei was also a little surprised. It was the first time he saw Qin Lang. It was not easy for such a young doctor to have such insights.

Wang Heng was also in admiration. Although Qin Lang had encountered such a case in the emergency department before, it is very remarkable that he dared to raise it and argue for it at this level of consultation.

Now that the direction is determined, the next step is to perform routine surgery.

Director Han performed the surgery himself, Director Wei assisted, and Wang Heng, Lu Min, and Qin Lang naturally went to the operating room together.

The patient underwent continuous epidural anesthesia and was kept in the supine position.

Director Han directly made an oblique incision on the patient's right costal margin, and then began to explore. Sure enough, he saw edema in the gastric antrum, duodenum and gallbladder wall, limited to omentum wrapping.

Director Han completed the separation of the omentum very lightly, and about 5ml of light green clear liquid appeared, which was the bile flowing from the common bile duct.

Since it was confirmed in advance that it was the perforation of the common bile duct, everything was expected by Director Han. Combined with the B-ultrasound test results, he carefully dipped the dry gauze along the direction of the bile duct and observed the color of the gauze.

Qin Lang also observed carefully, and it was exactly the same as the text displayed in the simulated world. With Talent: Eyesight +1, everyone in Qin Lang first discovered the piercing part in his field of vision.

While Director Han was still distinguishing carefully, Qin Lang spoke directly:
"Director Han, there is a perforation in the front wall of the common bile duct at 0.8cm from the descending part of the duodenum!"

Since the size of the perforation is very small, everyone noticed this faint abnormality only after Qin Lang reminded them.

Director Han was also a little surprised. For surgeons, apart from steady hands, keen observation skills are also very important. Obviously, Qin Lang's observation skills are ahead of everyone else.

Wang Heng was also slightly surprised. Following the location mentioned by Qin Lang, he looked at it intently, and there was really a little bit of anomaly.

"Amazing!"

Wang Heng couldn't believe it. Even he was a little envious of this little doctor's talent.

Director Han is also in a good mood, and it feels good to have such a support.

After judging the patient's condition, Director Han decided to adopt the famous Roux-en-Y jejunostomy!

This operation was first reported by Swiss surgeon Cesar roux, and it was initially used in gastrojejunostomy to prevent bile reflux and vomiting after gastrojejunostomy.

In principle, the proximal end of the jejunum is anastomosed 50 cm away from the bile duct and jejunum to form a "Y" shape.

Since the advent of the Roux-en-Y anastomosis, it has been widely used in hepatobiliary, pancreas, and gastrointestinal operations after continuous improvement and perfection by scholars of successive dynasties.

The suturing requirements are still very high. Of course, Director Han can complete this operation, but today he is in a good mood, and he is going to reward the young people present and give them a chance to show off.

Director Han raised his head and looked at Wang Heng, Lu Min, and Qin Lang:

"Today, since the entire surgical procedure, from the diagnosis to the proposal of the surgical plan, is led and participated by the younger generation of you, then the suture will also be handed over to you. Director Wei and I are two old fellows, Just stand aside and check for you and play support."

Director Han intended to give young doctors a chance, and Director Wei of course chose the beauty of an adult. Besides, Han Hu dared to mention it, so he was naturally full of trust in the next operation.

Hearing Director Han's words, Wang Heng's eyes lit up. Is it finally his turn to perform?

He is still very good at this Roux-en-Y anastomosis, or in other words, he is very good at most of the conventional surgical procedures in general surgery. Generations compete with each other.

After leaving the First Affiliated Hospital of Zijingang University for so many years, it is time for him to report the results.

Wang Heng also intended to show his authority in front of Lu Min and Qin Lang.

For Director Han's proposal, Lu Min is of course eager to try, but he still knows it very well, and he knows it well.

Since he was standing closest to Director Han, Wang Heng was in the middle, and the Qin corridor was the farthest.

Therefore, Lu Min cleverly used half of his body to block it. Wang Heng, who was about to move forward, poked his head out through him:

"Doctor Qin, Director Han said so, you still haven't shown your hand, since I saw your suture last time, I have been looking forward to seeing your suture again for a long time."

Director Han also smiled heartily: "Qin Lang, come on!"

Of course, Qin Lang would not miss this kind of opportunity, and this was one of his tasks, which was to go forward directly.

"Director Han, it's better to obey than to be respectful!"

Watching Qin Lang walk away, Wang Heng in the middle was stunned.

This, this is an operation, and someone covers the pick-and-roll?

Seeing that Qin Lang had already walked up, Wang Heng's face was flushed, but it was too late.

"I"

Wang Heng is so wronged. However, he is also a person of grace. Anyway, he has a lot of strength, so he is not short of such an opportunity.

Wang Heng adjusted his mentality, and began to observe, how powerful is it that Dr. Lu and Director Han value young people?

".Scalpel 2-0 Silk Thread"

Qin Lang quickly cut the jejunum at 10-20cm distal to the Treitz ligament, and with perfect handling of the knife, he completed the incision of the common bile duct very delicately.

However, this was just the beginning. The next moment, Qin Lang began to suture at the far end, and he chose a very difficult double-layer suture to close it.

The knotting of the silk thread is uniform and beautiful, which is completely at the textbook level.

As for Qin Lang's hand stitching, Dr. Lu Min's expression should be like this, and Director Han is also admiring it intently, and he is still as good as ever.

Director Wei and Wang Heng were completely shocked.

"Amazing stitching skills! This is completely at the textbook level."

Rao is based on Wang Heng's vision, even among the surgeons of Xiehe Hospital, he can't find three people with this level.

"It's just art!"

Wang Heng has always strived for perfection in the details of the operation. He thought that he was already very perfect, but at this moment, in front of this unknown little doctor, he actually showed timidity.

If you let him come, it will definitely not be so perfect.

On the operating table, Qin Lang quickly completed the double-layer suture of the distal stump.

However, although he is proficient in suture techniques, Qin Lang is not very proficient in this Roux-en-Y anastomosis.

Of course, Director Han was very considerate and assisted Qin Lang, and soon he lifted the transverse colon and cut in the avascular area of ​​the right mesentery of the middle colonic artery.

Then the distal jejunum, which has been closed at the cut end, was lifted up through the incision, and all preparations were made. After placing the "T"-shaped drainage tube and other work, it was handed over to Qin Lang to complete the next suture.

Looking at Director Han's top-notch assistant, Director Wei on the side also expressed emotion. Back then, Director Han successfully stood out from several candidates by relying on this thoughtful assistance method. In the end, he took over the old director's class. He also married the precious daughter of the old director and became the chief director of general surgery today.

Qin Lang also had the feeling that someone picked up the food and delivered it to his mouth. As expected of Director Han, he really has a skill. Compared with Yang Yi and Yang Yue's jerkyness before, he needs to be reminded all the time, and he really has a lot of tacit understanding.

With just one look, Director Han can make the best response.

Qin Lang instinctively gave encouragement in his eyes, Director Han instinctively accepted this kind of praise, and he was also flattered in his heart, but after thinking about it, something seemed wrong!

However, it seems that getting Qin Lang's affirmation is quite a sense of accomplishment.

Soon, Qin Lang's hands, like a butterfly wearing a flower, completed the entire suture, and at the same time sutured and closed the gap between the jejunal mesentery and the transverse mesocolon.

A surgery was performed smoothly, Qin Lang, the chief surgeon, was smooth and smooth, and Director Han, the top assistant, was also at his ease.

The two cooperated perfectly, especially Director Han, who was reluctant to part with him. A chief surgeon of this level is hard to come by.

Director Han sighed in his heart: assisting Qin Lang is much more worry-free than assisting his father-in-law's stinky chess basket.

Director Wei and Wang Heng were also dumbfounded.

"For this jejunal anastomosis, I used to do one-layer suture before, just to suture the mucosa and mucosa, but I didn't expect that Dr. Qin was able to complete double-layer suture. In addition to suturing the inner mucosa and mucosa, he also sutured the outer mucosa." A layer of jejunal serosa was sutured to the tissue."

"It's breathtaking!"

Wang Heng now only has amazement and admiration in his heart:

"This Doctor Qin, who is so sacred!"

[Congratulations to the host for completing the task, helping Dr. Wang Heng and others to find the real cause of the patient, and assisting in the operation.Obtaining task rewards: special talent, super recovery: for patients with deep wounds operated by the chief surgeon, the healing recovery will be accelerated by 20%]

(End of this chapter)