Doctor's Life Simulator

Chapter 215 Evaluation of Hangzhou Experts on the Qinlang Project

Director Pang looked at Qin Lang in a daze for a few seconds, but he didn't expect that Qin Lang had rejected his offer of first aid before, so he wanted to be the chief surgeon himself.

Such age, such courage!
Director Pang breathed a sigh of relief, and suddenly felt that green is better than blue, and he said with relief: "Director Zhuang, I agree with Qin Lang's request, and I trust him."

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

Li Ming also expressed his thoughts with a little excitement, and finally looked at Director Pang: "I also agree to let Qin Lang 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."

Zu Liang on the side knew the operation time under laparoscopy too well.

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

Zu Liang has always looked at problems comprehensively and meticulously, and found the key points at once. The surgery in the city's No. [-] hospital has a practice of video recording.

Zu Liang was also very curious about Qin Lang's surgical ability.

"If Qin Lang's surgery video can convince me, then I agree to let him perform the surgery."

As the saying goes, it's the mule or the horse that runs around.

"can."

Zhuang Tong looked at everyone's reactions and made a final decision.

Five minutes later, the video of Qin Lang's last laparoscopic appendectomy was copied.

Zu Liang looked at the projection curiously:

"Prepare for three-hole puncture."

Qin Lang'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.

Seeing the unconventional puncture position, Zu Liang was slightly surprised.

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

Director Pang 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 diagnosis, Zu Liang may not be so calm.

Hearing that the patient had a dislocated appendix, Zu Liang suddenly realized that he was a big boss who had seen the world after all, so he quickly recovered his composure.

Soon Yizhu completed the puncture according to Qin Lang's mark.

"Laparoscopy."

Watching Qin Lang's surgery video again, the doctors are still unsatisfied.

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, Zu Liang was 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."

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

Looking at Director Pang's gestures, combined with the field of vision under the laparoscope, Zu Liang was startled.

Looking at Director Zu's expression, Director Pang smiled slightly: "If you don't open it, will Director Zu 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, Zu Liang could see it clearly. With his surgical experience, he naturally recognized it: "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 Qin Lang was not surprised by the situation in the abdominal cavity at all, and was not disturbed by the lumen of the lower abdomen at all. With a sweep of the camera, he went directly to the lower part of the liver. The purpose was very clear, without any pause started to dissociate.

With Zu Liang's eyesight, he naturally understood that the only explanation was that before the laparotomy, the chief surgeon had already fully understood the strange cause of the patient.

He closed his eyes and recalled the patient's rare symptoms. Zu Liang thought that if he were him, it would be absolutely impossible for him to associate the post-operative adhesion lumen 20 years ago and the real appendix hidden in the upper abdomen through the abnormal pain track described by the patient.

"Director Pang, if I would definitely use the most traditional Maxwellian incision to open the abdomen, I would adapt to the situation 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!"

Zu Liang compared his thumbs to Director Pang, convinced.

In this rare case, the laparotomy is not required, and a perfect diagnosis can be achieved only by physical examination, which is really powerful.

"Is it great?"

Director Pang deliberately raised his voice.

Zu Liang had black lines on his face. Is this still the always modest Director Pang?
"Director Pang's achievements in appendicitis, I am naturally convinced."

Zu Liang's perfunctory commercial flattery.

Only Li Ming looked at Zu Liang's elegant face, smiled strangely, and couldn't hold back: "Actually, Director Pang didn't discover this case."

"It's Doctor Qin!"

Li Ming pointed to Qin Lang who was standing aside.

"Is it great?"

Director Pang said it again very appropriately.

Zu Liang: .
It's just that when he looked at Qin Lang again, his expression was much more serious.

The screen is still going on during the projection:

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

Watching the video instructing Liu Peichun in a completely masterful posture, Zu Liang was in a daze, is it really Qin Lang?
"Endo-GIA Cut Closer Ready!"

"3-0 Absorbable Suture, Needle Holder Forceps"

Qin Lang's 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 Qin Lang using the Endo-GIA cutting and closing device, he was already surprised when he saw Qin Lang's suture technique with one hand.

Zu Liang was completely speechless.

"Comparing this way, does it feel like I'm handicapped at Qin Lang's age?"

Li Ming saw Qin Lang's stitching again, he still couldn't believe it.

Li Ming was very happy to see Director Zu's shocked expression. As Director Zu's junior doctor, he was often scolded.

It is better to be happy alone than to be happy together. The ancients did not deceive me!
Soon, under Qin Lang's operation, 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 Dr. Qin's first attempt at laparoscopic appendectomy."

Director Zhuang said in a godly way.

"what?"

"First attempt."

Zu Liang looked at Zhuang Tong in disbelief.

Does such a genius really exist?

It feels good to have the surgery too.

Looking at Director Zu in shock, the time is ripe, and Zhuang Tong's loud voice proudly and unquestionably said slowly:
"So, do you have any opinions about Qin Lang's master knife?"

The departmental consultation went from a tense confrontation to a final shock and came to an end.

At the end of the consultation, Qin Lang further supplemented the feasibility of his own operation: 1. The patient has no previous history of lower abdominal surgery, 2. The patient has no immunosuppressive diseases and bleeding diseases, 3. No serious heart, lung, kidney, brain and other foundations disease
Looking at such a rigorous analysis and argumentation, everyone fully approved of Qin Lang's plan.

However, due to the special status of the patient, in this operation, in the name of Director Zhuang, Qin Lang actually performed the surgery, Director Pang personally assisted Qin Lang, and Zu Liang went into the operating room to watch.

Both Dean Hong and Vice Dean Hang appeared before the operation, and the patient's family members were his youngest son, Chai Ming, head of the Propaganda Department of the Municipal Party Committee, and his daughter, Chai Shanshan.

Chai Ming has an elegant temperament, just in the prime of life for a leading cadre. He has neat greasy hair, a few strands of silver on the sideburns, and a neat suit, which is very elegant.

Chai Shanshan is a top student at Zijingang University, but became a cartoonist after graduation. She is a typical rich second generation who has no worries about food and clothing. She also has many friends in the entertainment circle, and she stands aside with a slightly worried face.

Zhuang Tong brought Qin Lang, Director Pang and others to have a final exchange with the patient's family.

Chai Ming spoke indifferently, giving people a feeling of being repulsed and condescending.

But Dean Hong and the others didn't think there was anything wrong with it, so it was in line with the leadership style.

Vice President Hang was also very surprised by Director Zhuang's suspension-type anesthesia plan, but after understanding it, he still agreed with it and bragged to Chai Ming.

Naturally, Chai Ming didn't know much about surgical procedures, but he was at ease with the City First Hospital. Zhuang Tong and Zu Liang were also well-known in the medical circle of Hecheng. With the guarantee of Dean Hong and others, they readily signed and agreed.

On the other hand, Chai Shanshan sent the operation plan to a best friend of hers, who was attending the general surgery department of the First Affiliated Hospital of Zijingang University in Hangzhou.

The First Affiliated Hospital of Zijingang University can be said to be the most powerful hospital in Hangzhou, and her best friend is a master who graduated from Zijingang Medical College.

However, it may be at work, but he didn't reply immediately.

After exchanging pleasantries with Dean Hong and others, Chai Ming was the leader of the municipal party committee after all, so he hurried to the next meeting.

After Chai Ming left, Dean Hong and the others gave orders to Zhuangtong's medical team in charge of the surgery before leaving together.

Three and 10 minutes later, the operation officially began.

Outside the operating room, Chai Shanshan finally got her best friend Ma Shuya's reply: "I've never heard of the suspended airless laparoscopy technique. Appendicitis surgery for super-senile grandpa like your grandfather is actually not difficult to operate, but the later stage Healing recovery and preventing infection are the most critical."

"Why don't you arrange for patients to go to Hangzhou for surgery? If you come to me for surgery, at least the success rate of the surgery can be guaranteed to increase by [-]%. And I haven't heard of this suspension method, but from your brief introduction, I think The requirements for the practitioner are extremely high, and it is very likely that it was specially formulated for your grandfather. If it is the first time to unfold it. Is it at the level of Hecheng?"

Seeing the slight disdain in Ma Shuya's tone for Hecheng's surgical level, and her doubts about the newly launched suspension technique, Chai Shanshan suddenly became anxious.

And a few minutes later, Chai Shanshan's WeChat rang again, and it was still Ma Shuya:
"Shanshan, just now I told our boss, Director Han Hu, about this plan. Director Han expressed his interest in this plan and spoke highly of it! And according to his experience, as long as the operator's skills are good enough, the plan's The success rate is very high. If he does it, the probability of recovery is as high as 90%.”

"Really?"

Chai Shanshan was very excited.

However, as the third type of female doctor besides men and women, Ma Shuya is a purely technical person, and she is very straightforward: "However, Director Han Hu is a Taishan Beidou-level figure in the field of acute abdomen in Zhejiang Province. The level of appendicitis surgery is among the top five in the province. Is Hecheng No. [-] Hospital?"

Chai Shanshan's mood fell again. In fact, she had always insisted on letting her grandfather go to Hangzhou for surgery, but she couldn't hold back the old man.

Chai Long said: Isn't it just a minor operation for appendicitis, how is my Dahe City not as good as Hangzhou City?Hangcheng, Hangcheng, you can go to Hangcheng if you know anything.Today I am Chai Long, and I have the conditions to go to Hangzhou. What if I am an ordinary citizen?Just do it in Hecheng, I believe in the medical level of Hecheng.

Chai Long has been in the leadership position of Hecheng all her life, and she is dissatisfied with the current younger generation from the bottom of her heart. She either learns from the nearby magic city or takes the same way as Hangzhou.

Hecheng itself has such a deep accumulation that it can develop its own characteristics, but it always imitates others.

This time he chose to have the operation in Hecheng, which was actually a kind of silent protest to his nephews!
Naturally, Chai Shanshan understands Grandpa's thoughts, but she understands it, and she still has some worries in her heart. Naturally, she doesn't expect Hecheng's chief surgeon to catch up with Director Han Hu's level.

Chai Shanshan posted: "I hope this chief surgeon is a little more reliable! An aggrieved expression."

After a while, Ma Shuya replied with a patted head expression.

"This new technique is very cautious. I estimate that it will take at least two hours. Please wait slowly."

"Of course it is also possible. After the laparotomy, if it is found to be different from what was expected, it is not impossible to switch to conventional laparoscopic resection. Appendicitis surgery is relatively minor surgery. If conventional surgery is used, although the surgical healing will be slower There is a possibility of infection and complications, at most the recovery will be slower and patients will suffer more, and generally speaking, there will be no life-threatening."

Ma Shuya sent another hug emoji.

After reading it, Chai Shanshan replied with a crying expression.

The female doctor's words really hurt people invisible.

Chai Shanshan regretted choosing the city's No. [-] hospital for surgery.

(End of this chapter)