Auto chess in the operating room

Chapter 143 Laparoscopic Cholecystectomy

When Tang Lou communicated with the patient before the operation and did a further physical examination, Lin Dong was also arranging the personnel for this operation.

Lin Dong is already a senior resident doctor, so he naturally has a few interns under him, including a regular trainee.

Lin Dong looked at his subordinates, and asked democratically: "There will be a laparoscopic cholecystectomy soon, and I have arranged for Mr. Tang Lou, who would like to partner with him as a first aid. As for the mirror assistant Tang Lou brought one himself."

After listening to Lin Dong's words, the interns were naturally very surprised.

"You said him, every intern has a dedicated mirror assistant?"

Ye Kai, who has a middle-parted hair, has been rotating for almost a year and is already a relatively useful intern under Lin Dong.

"Well, Tian Linsheng, you should have seen it too. After all, there needs to be a deep tacit understanding between the mirror assistant and the chief surgeon."

Lin Dong explained lightly, and ignored Ye Kai's question. Can Tang Lou be an ordinary intern?

Even he, who is about to be promoted to hospital, dare not say that he is more important in the department than Tang Lou.

"I'll forget it, I'm still on duty today."

Another intern, Hong Guan, is a top student who graduated from Zijingang Medical College and has been on rotation for almost half a year. Naturally, he has heard about Tang Lou's amazing deeds, but he is a little unconvinced in his heart.

After all, appendicitis surgery is only a first-level surgery, and the difficulty is actually not that high, and it doesn't mean anything if it is done well.

He has also undergone laparoscopic cholecystectomy once or twice with Lin Dong, so he is naturally unwilling to let him be an assistant who is not as good as a mirror assistant.

He couldn't learn anything from Tang Lou. Besides, he knew Tian Linsheng, and in his opinion he was just a mediocre person.

Hearing Hong Guan's direct refusal, Ye Kai stood aside, dialed the small middle score, and smiled faintly: "Doctor Lin, then I'll go. It's just a good time to see how good the famous Tanglou is."

"I hope you won't be disappointed. After all, the series of operations for appendicitis and cholecystectomy are not at the same level."

Hong Guan was very straightforward and didn't care about Lin Dong's attitude. After all, he was able to enter the city's first hospital. Apart from his own ability, his family also had a relationship.

Lin Dong nodded, naturally he didn't care what the interns under him thought of Tang Lou, and he would not speak for Tang Lou either.

After all, in his view, everyone will be responsible for their actions and speech.

Dr. Yan asked him to arrange Tang Louzhu's knife, so he just watched from the sidelines, whether he was able to do it, and whether he could keep the rest of the colleagues from gossiping, that depended on his ability.

"Then it's settled. The operation will start in an hour. Ye Kai, you should go prepare as well. Although it's just a common cholecystectomy, as far as I know, this is the first time Tang Lou has performed surgery. If something happens during the operation Some accidents, based on your experience, can help Tang Lou. If you can't handle it, of course I will still be there."

Lin Dong had never actually seen Tang Lou's surgery, so the pre-operative arrangements were very cautious and thoughtful.

An hour later, in the operating room.

Tanglou and Tian Linsheng were already in place, followed by Ye Kai and Lin Dong.

When Tian Linsheng saw Ye Kai, he naturally knew him and greeted him slightly. He was very excited and a little proud in his heart. This was the first time he participated in cholecystectomy.

I used to look at Ye Kai and Hong Guan who were able to participate in relatively high-level surgeries, and I was very envious, but after undergoing Maxwellian incision appendicitis surgery with Tang Lou, laparoscopic appendicectomy, and then followed Tang Lou to participate in ERAT This is the latest high-level surgical procedure, as well as the first batch of suspended airless laparoscopic appendectomy in Jiangxia Province developed by Tang Lou.

Unknowingly, Tian Linsheng has seen people in the "big world", and whether it is an illusion or not, he can learn a lot every time he does surgery with Tanglou.

It is different from following Ma En or Qingping, who only knows his brain but not his hands. After finishing with Tang Lou, he can even instinctively imitate and use some of Tang Lou's operations. Compared with other doctors, those people who used to envy, those cool operations, now seem to be mediocre.

Tian Linsheng put it in serious words: the law depends on what is above, and what is in it; the law is in it, and what is below.

In layman's terms: I, Tian Linsheng, would like to be Tang Lou's licking dog for the rest of my life, until the end, I am proficient in all eighteen kinds of restraint techniques.

As the mirror assistant, Tian Linsheng has a higher status than Ye Kai in this operation.Therefore, he naturally instructed: "Ye Kai, cooperate with Dr. Tang with me in a while. Dr. Tang's operation is very fast. You must concentrate in a while."

Ye Kai frowned slightly when he heard Tian Linsheng, who was as transparent as a little transparent in his eyes before, instructing himself, he wanted to laugh in his heart: "I have cooperated with Dr. Yan's mirror, and I have also been a great helper for Lin Dong. I know how many assistants I have seen. I have seen more gallbladders than you have cut appendixes. It is not certain who will wait for a while."

However, Ye Kai is quite a man of the city, so naturally he would not say anything. From a logical point of view, it is reasonable for the mirror assistant to ask him to help him.

Ye Kai smiled slightly: "I will cooperate with Dr. Tang well."

"Well, following Dr. Tang, although the spirit is tense during each operation and exhausted after the operation, it is very rewarding every time."

Tian Linsheng said from the bottom of his heart that Tang Lou could just hear it, but he just muttered to himself, and licked another sentence.

This time, Ye Kai finally didn't bother to talk, his face under the mask was slightly sullen: he felt that Tian Linsheng was a little drifting.

"The anesthetist is ready."

Tang Lou naturally didn't care about the conversation between Tian Linsheng and Ye Kai, he just cared about his first cholecystectomy, and announced the start of the operation in a calm tone.

The anesthesiologist is a small man, Qian Zhe, who usually cooperates with Yan Ruoyun's medical team, so it is also the first time to partner with Tang Lou.

The patient was given general anesthesia with endotracheal intubation directly according to the routine, and the supine position was adopted.

"The head is high and the feet are low 20°, and the operating table is tilted 20° to the left..."

Qian Zhe nodded slightly, but took a look at Tang Lou. It seems that this young doctor has a lot of research on cholecystectomy and has his own set of surgical logic.

The patient's position, in general, the angle and inclination are basically chosen randomly by the anesthetist and the nurse in advance according to the type of operation, within the conventional range.

For some rookie doctors, they basically don't care about these details. Only some senior doctors, who have accumulated a lot of operations for a certain operation, will adjust the most comfortable patient position according to their own physical conditions, which is convenient The post-surgical field of view is expanded and operations are performed more smoothly.

Soon after Qian Zhe completed the task, it was Tang Lou's turn.

The first step, of course, is to mark the puncture location on the patient’s abdomen.

I saw Tang Lou, who picked up the marker pen very skillfully, and marked the first hole in the patient's navel, a 10cm incision, as an observation hole, and made a 2mm incision 10cm below the xiphoid process to the right as the main operation hole, and the right midclavicular line rib 2 cm below the margin and 2 5 mm below the costal margin of the right anterior axillary line were used as auxiliary operation holes.

It is the most classic four-hole method, watching Tang Lou's smooth flow of water to set the puncture hole.

Ye Kai, who was on the side, frowned slightly: "So fast, so precise."

(End of this chapter)