No matter what the people in the classroom were like, the operation was still going on in an orderly manner.
This surgery normally requires cutting five holes, one observation hole, two operating holes for the surgeon, and two operating holes for the first assistant.
The observation hole just opened is the operating hole for the mirror arm.
Carbon dioxide gas is injected into the abdominal cavity through this hole to create an operating space in the abdominal cavity.
The puncture cannula is inserted, the illuminated laparoscope is advanced into the abdominal cavity, and the intra-abdominal image is displayed on the large screen.
Ye Chen opened all five openings and inserted the puncture cannula very standardly.
Squeezed by the fat layer, the field of view is much smaller than that of ordinary laparoscopic surgery, making it difficult to explore the abdominal cavity.
Tao Le took action at this time. She used a three-leaf retractor to push up the liver, fully exposing the surgical field.
She had done this action countless times, and she did it smoothly.
But in the eyes of the people in the demonstration classroom, it was different.
"Isuke's reaction was too quick, he did a good job!"
"Who is that first assistant? It's Mr. Zhang, not a surgeon, right?"
"I know this person. He is a newly trained doctor. He is currently rotating in pediatrics."
"Are you kidding me? A newly arrived medical doctor can come on stage to help. How can he still have such awareness?"
"The next step is the most important step, which is to remove the left omentum!"
"I'm so worried! Can a newcomer do the job of lifting the omentum? If you don't have enough hands, you'll be in big trouble if you're not careful."
Wang Hanzhong sat there steadily, staring at the big screen with burning eyes.
This step is not difficult, but for newcomers, there are few mistakes that can be made.
To remove the lymph nodes in the cutaneous portal area and completely remove the cancer lesions, removal of the left greater omentum is inevitable.
As usual, an assistant lifts the greater omentum, and the surgeon lifts the transverse colon himself, and then uses an ultrasonic scalpel to free and remove it.
It sounds simple, but if there is any mistake in the coordination between the two people, especially if the strength is uneven when lifting the omentum, it is easy to strain the spleen.
Once this kind of mistake happens in public, the operation will probably not be able to continue, and it will be his turn.
Thinking of this, he lifted his butt slightly and turned around to glance at Dr. Chen who was waiting at the door.
Dr. Chen is also the chief physician of gastrointestinal surgery. He is considered his confidant and the first assistant he chose this time.
As soon as the other party saw the look in his eyes, he immediately understood and went to call the anesthetist and mirror operator to make preparations.
He then leaned forward and continued to watch the big screen with a slight smile.
Um? The little doctor had already lifted the omentum, and the force was not too strong, not too weak, just right.
With her cooperation, Ye Chen had dissected the greater omentum along the edge of the colon, cleanly severed the left gastroepiploic blood vessel from the root, and removed the surrounding lymph node tissue.
"Well done!" someone said at the door.
This voice sounds familiar. Director Sun and Wang Hanzhong turned around at the same time and saw Director Zhang from the General Surgery Department.
He was not alone. He was accompanied by the deputy director of pediatrics, Ampei.
Seeing them coming, Director Sun immediately greeted them, and Wang Hanzhong immediately followed.
"Lao Zhang, why are you such a busy person here?" Director Sun asked with a smile.
"Xiaoye also followed me on stage back then. Now that he has returned to surgery, I naturally want to come and support him." Director Zhang said: "Besides, who can be as busy as you, Director Sun Da?"
"Hey, I know you, Lao Zhang, miss our old friendship the most! Don't blame me for bothering to promote this teaching class."
Director Sun expressed his good intentions for a while, but both Director Zhang and Deputy Director An listened indifferently.
"Let's watch the surgery." Director Zhang said as he sat down in the first row.
"The progress is very fast. In such a short period of time, the right gastroepiploic artery has been ligated!"
Deputy Director An didn't know much about this operation. But he can also see some problems:
"The camera is a little unstable and the picture is shaking quite a bit."
He asked questions that others in the classroom wanted to ask.
"The hand holding the mirror is not very good. It doesn't matter if the mirror is not stable. It is so slow to adjust the angle."
"It's Li Sen from the Department of Gastrointestinal Surgery. The last time I brought him on stage, he ate a fly."
"In such an important teaching lesson, Li Sen is still holding the mirror with one hand? I knelt down for him! I am convinced, really!"
The hot comments next to him were lingering in Wang Hanzhong's ears. Director Zhang looked up at him.
They are both in the Department of Surgery, so I don't know which young man is doing well.
Let Li Sen go on stage to hold the mirror for Ye Chen? This arrangement, let alone putting oneself in the other person's shoes, can be said to be malicious - this is different from what Wang Hanzhong has repeatedly confessed to others recently.
While everyone was talking about it, Tao Le suddenly stretched out his right hand and firmly held the laparoscope body.
Her action was beyond the expectations of everyone inside and outside the operating room.
Li Sen stopped for now: "I'll help you do your own thing and stay out of other people's business."
Tao Le didn't let go: "You can't hold me steady, but I can. Besides, it won't affect Teacher Ye's surgery."
The last sentence was meant for Ye Chen.
Ye Chen glanced at her. To be honest, the operation of the mirror-holding hand just now is really difficult to explain. He has reminded me several times: "Don't move, straighten, hold steady." But it doesn't work.
Not long after the operation started, his patience was running out.
If he wasn't in the demonstration classroom, he would have wanted to ask the other person if he could hold a mirror in front of him because he was afraid that swearing directly would have a negative impact on young people!
When he saw the dispute between Tao Le and Li Sen, he took Tao Le's side without thinking:
"Okay, Li Sen, please rest for a while and let Tao Le do it first."
Li Sen, as a famous thorn in the gastrointestinal surgery department, is quite temperamental.
Hearing what Ye Chen said, he immediately sneered: "You don't need me, that's fine. There are so many people watching today. Just do it if you can, I won't accompany you anymore."
He walked off the stage and added: "If there is a mistake in holding the mirror during today's surgery, don't blame it on me."
In the blink of an eye, Li Sen took off his gloves, changed his clothes, and left.
Tao Le didn't express anything about this, and his expression didn't change at all.
She has fully experienced Li Sen's various problems and mistakes. The operation time has not passed half yet, and in the later stages, the impact on the operation will be more serious.
His problem cannot be changed or moved by words. Just like the thing he just did when he didn't agree, he had done it many times in the space.
It is better to seek help from others than from yourself. Tao Le has already successfully upgraded.
It's no problem to do two things at once, with the left hand working with Ye Chen and the right hand holding the mirror and adjusting the angle.
At this time, there was a commotion outside the classroom, and many people stood up.
"Oh my God! Is Isuke so awesome?"
"This mirror is stable and there is no shaking or delay in the picture!"
"It doesn't matter if the mirror is held steady. Did you see what I did just now?"
"It's so cool, both hands are working at the same time!"
"Tell me again, this assistant's name?"
"My surname is Tao, by the way, my name is Tao Le!"
