As a surgeon who had removed countless gallbladders, Sun Liang was like a primary school student in front of Zhao Yuan.
Every operation can give him a dazzling insight.
Although it was an acute cholecystitis operation, Zhao Yuan felt very advanced.
Sun Liang could guess the reason why Zhao Yuan used unconventional surgery.
First of all, Zhao Yuan hopes to allow patients to recover faster after surgery, which can reduce the length of hospital stay.
Secondly, Zhao Yuan tried his best to reduce the loss of equipment and drugs during the operation, so that the operation fee can also be reduced.
The hospital needs to operate, and it is impossible to waive various expenses just because the patient's family situation is difficult.
Zhao Yuan then used his technology to help patients save money.
Zhao Yuan took the approach to reduce intraoperative injuries, speed up recovery, and reduce the use of instruments.
Laparoscopic cholecystectomy generally requires three days of hospitalization, and the recovery time of three to four days is no different from that of ordinary people.
Of course, if a person's physique is particularly good, there may be patients who are jumping around within a day or two after surgery.
If you want to reduce the patient's hospitalization and recovery time through surgery, you need real skills.
Although there has never been a case of death during acute cholecystitis surgery in Tianhua, acute cholecystitis surgery is not as simple as imagined.
"Double-branched variant artery?"
Sun Liang's eyes showed surprise.
Even though he had undergone many surgeries, he couldn't help but be shocked when his vision was exposed.
The difficulty of cholecystectomy is mainly reflected in whether there are abnormalities in the anatomical structure of the cystic artery and bile duct!
Even the most experienced surgeons are often caught off guard when faced with the current situation!
Because if we classify people according to their differences in cystic artery and bile duct, the list of human types would have to be printed in a book.
The patient in front of me has a special bile duct, and I have never been exposed to it.
Ordinary people only have one gallbladder aorta, which can be clamped with a vascular clamp and it will be fine.
For a double-branched artery, if only the anterior branch artery is clamped, the posterior branch artery will almost 100% be accidentally injured during subsequent treatment, and massive bleeding is inevitable.
Although certain preparations were made before the operation, variables were encountered.
It's like fighting monsters in the world of cultivation. I thought they were ordinary monsters, but mutant monsters appeared, and the difficulty level skyrocketed!
Zhao Yuan glanced at Sun Liang and didn't say anything, but the meaning was conveyed.
——What’s all the fuss about!
A surgeon's confidence is accumulated through countless operations and countless thoughts.
Although it was unconventional cholecystitis, it was only a second-level surgery.
The biggest difficulty is how to maximize the effect of the surgery with the least loss.
Zhang Qinmo's eyes fell on the electric knife in Zhao Yuan's hand, his eyes full of admiration.
His approach is very clear and not sloppy at all.
Although it is fast, every step can be seen clearly.
It's like the problem-solving process of writing a math problem, clean and tidy.
When every operation is concise to the extreme, it reaches a very subtle state.
Zhang Qinmo is like a sponge, absorbing nutrients from the surgery.
…
There is often a rush for patients in hospitals.
However, this situation is rare in Tianhua Emergency Surgery, because there are many patients every day, especially the attending physician who can take charge of his own business. If you want to perform surgery, as long as you are willing to work overtime, surgery can make you collapse.
There are also a few cases where patients are snatched away, for example, the patient has a special identity or the condition has research value.
Obviously, the social status and economic conditions of the patient Zhao Yuan is dealing with are not good. As for his condition, judging from the early reports, there is nothing special.
When Ma Peng stood on the glass side of the operating room, reading the patient's surgical information.
He realized that there was no personal reason why Zhao Yuan competed with Xiang Tao for this patient. He simply felt that it was unreasonable for Xiang Tao to arrange the operation at the end.
Ma Peng glanced at Xiang Tao and asked, "What medications did this patient take after being hospitalized for so many days?"
Xiang Tao said: "Take antispasmodic and analgesic drugs, such as nitroglycerin and pethidine, antibacterial treatment, and ampicillin."
Ma Peng frowned, always feeling that the patient's situation was not that simple.
Seeing that the team leader was silent, Xiang Tao said softly: "I have an impression of this patient. His condition has always been under control. Because he disliked the high cost of surgery, he repeatedly asked for conservative treatment! Yesterday, he even prepared to forcefully discharge him, but he The family members stopped him. At night, some indicators were wrong, and I planned to perform surgery on him today."
Ma Peng glanced at Tao and remained calm.
Although the patient requires conservative treatment, the doctor must have certain skills to let the patient know the rationality of the treatment plan.
Xiang Tao felt a little guilty when Ma Peng saw him.
When he came into contact with this patient, he still had certain prejudices in his heart.
The patient's physical condition was at the borderline and he could have surgery or not. Since he repeatedly requested not to have surgery, Xiang Tao did not insist anymore and adopted conservative treatment measures until surgery failed.
For doctors, it actually makes a difference if they are done early.
If the condition is not controlled in time, the difficulty of the later surgery will increase, and the investment in drugs and consumables will also increase. In the end, it is better to have the surgery at the beginning.
Although there are some moral controversies, there is no problem with the process.
At that time, Xiang Tao repeatedly determined the plan with the patient and left a pen and paper. Later, when there was a dispute, he had a way to escape unscathed.
We are all doctors, and no one knows the twists and turns involved.
Ma Peng has walked more roads than Xiang Tao has eaten salt. As soon as he rolled his eyes, he immediately knew why.
Ma Peng didn't say anything for the time being, after all, his attention was on the operating room at the moment.
Zhao Yuan's surgery was performed very quickly. Ordinary acute cholecystitis surgery might have been completed a step later.
The surgery before my eyes was unusual!
Ma Peng saw Zhao Yuan starting to deal with the swollen gallbladder.
How vicious his vision is.
Although separated by glass, the color, volume and mucus of the gallbladder...
He immediately knew what the patient's condition was like!
His position quickly changed.
He glanced sternly at Tao. Although he didn't say a word, the chill was biting.
If he were Zhao Yuan, he would also "snatch" this patient from Xiang Tao's hands.
Because of Xiang Tao's cold treatment, the patient's condition has become very bad.
Acute cholecystitis is a common disease in emergency surgery, but being common does not mean it is not dangerous and has no mortality rate!
Zhao Yuan was right to grab it!
…
"Doctor Zhang, you will be responsible for the suturing part."
Zhao Yuan breathed a sigh of relief.
Although it was a low-difficulty operation, because he always maintained a high degree of concentration and was in a state of extreme mental stress, it consumed a lot of energy.
Many surgeries take a long time, but the surgeon can make adjustments as he goes, which is less stressful.
It's like sleeping!
Twenty minutes of high-quality sleep (sprinting) may be as effective as sleeping all night but waking up from time to time (breaking the rhythm).
Zhang Qinmo carefully began to sew.
Sun Liang glanced at it and secretly thought that this little girl's basic skills were very solid.
He pursed his lips toward the glass, "I heard that Xiang Tao and Director Ma are reporting on you."
Zhao Yuan said calmly, "I have a clear conscience!"
