world famous doctor

Chapter 144 Gallbladder Surgery
Under such circumstances, Zhou Chen had no choice but to switch to the retrograde gallbladder separation method.

Considering that sometimes it is difficult to expose the common hepatic duct through retrograde resection, it is prudent to keep a long enough cystic duct after retrograde dissection.

The advantage of this is that it can prevent bile duct damage.

At this time, nurse Bai Ting handed over a titanium clip.

Zhou Chen turned his head and asked, "How much is this titanium clip?"

"More than 1."

Generally speaking, doctors should have a clear understanding of all the medical expenses of patients before operating on them.

However, as a novice, Zhou Chen refused to use titanium clips based on the attitude of caring for the patients.

Instead, use silk thread and tie a knot under the laparoscope.

In this way, patients can save a lot of money.

Including the gallbladder vessels of the patient's right posterior branch, it is generally prudent to clamp them with titanium clips.

Zhou Chen clings to separate the membranes.

The advantage of this is that no clamps are required.

More importantly, of course, it saves treatment costs for patients.

However, Zhou Chen does not use titanium clips, which virtually increases some surgical risks for medical workers.

Do it if there is no problem.

Once a problem occurs, Zhou Chen will inevitably bear the risk of subsequent compensation.

After the treatment of the triangle is completed, the step of the treatment of the gallbladder bed comes.

The focus of gallbladder bed treatment is to burn the gallbladder bed.

Zhou Chen held his breath.

He first stretches the gallbladder and maintains a certain tension.

The tension should not be too large, nor too small.

If too much force is applied, the liver is easily torn.

Especially for some patients with liver cirrhosis, it is undoubtedly fatal.

Burning the gallbladder bed is something that tests the doctor's patience.

Eagerness for achievement can easily burn out your gallbladder.

There are many points to pay attention to when burning the gallbladder bed.

Zhou Chen widened his eyes and moved a little closer.

He watched carefully to prevent the sac bed from burning too deeply and causing uncontrollable bleeding.

His technique is as gentle as a superficial touch.

However, the inevitable bleeding still occurred.

As a doctor in the emergency department, the first quality is calmness.

If this cannot be done at all, how can we talk about other treatments?
Looking at it, even Doctor Zhang Jian couldn't help but hold his breath.

Zhou Chen looked at it carefully.

He identified that the patient's gallbladder bleeding was venous.

He immediately used gauze pressure to stop bleeding.

After a while, his method worked.

The bleeding stopped quickly.

He opened his mouth and ordered:

"Electrocoagulation, turn on the power!"

Nurse Bai Ting on the side nodded and hurriedly followed the instructions.

Zhou Chen quickly stopped the bleeding with electrocoagulation.

This is the final step.

That is taking courage.

Zhou Chen lifted part of the patient's gallbladder out of the incision, and then decompressed it.

After passing through the decompression port, he used stone pliers to crush the stones and then took them out one by one.

The gallstones are removed first, and then the gallbladder is removed. This is the general procedure of gallbladder removal surgery.

The operation went smoothly, and Zhou Chen completed the operation very quickly.

Finally, he observed that the patient had no bleeding or bile leakage.

But just to be on the safe side, he still placed a drainage tube.

Dr. Zhang Jian watched from the side, and he nodded appreciatively.

It is indeed a wise move to place the drainage tube.

This is something only a doctor with many years of clinical experience will do.

Because, after cholecystectomy, it is difficult to predict whether the patient will have bleeding or bile leakage.

Looking back, Zhou Chen exhorted:
"Transfer to the observation room, use intramuscular injection of atropine, sublingual nitroglycerin, pethidine... By the way, Dr. Zhang, antibacterial treatment is indispensable."

These drugs relieve sphincter of Oddi spasms and pain.

The specific dosage, after returning to the office, Zhou Chen will issue a set of detailed written medical orders to the nurse's station.

Get out of the operating room.

A reminder from the famous doctor system sounded in Zhou Chen's mind.

"Healing diseases and saving lives, praised +5566"

"Amount+8878"

"Admiration from Dr. Zhang Jian and Nurse Bai Ting, praised +3300"

After waiting for a while, still no reward chest appeared.

Zhou Chen has still not figured out what the reward arrangement of the medical system is all about.

Are the rewards of this treasure chest random?
Now and then?

Although the famous doctor system has followed him for 5 years, Zhou Chen's understanding of the famous doctor system is also very superficial.

I don't know when the system will release the task.

Don't know when it will give the reward.

I don't know the specific number of rewards and the level of the reward box.

I don’t even know when the lottery mechanism will be triggered.

I thought about it for a while.

In the end Zhou Chen shook his head and murmured:
As long as there is this famous medical system, the others are irrelevant.

in the hallway.

Dr. Zhang Jian's emotions just now were like a taut string. Now that the operation was successfully completed, he was completely relieved.

"call……"

He turned his head to look at Zhou Chen, smiled and said:

"Xiao Zhou, don't think I'm long-winded, I really want to know where you learned these surgical skills from?"

This is not the first time he has asked this question.

Zhou Chen replied casually:
"When I was in the University of Medical Sciences, the teacher taught a part, and I also like to think about it in private, so I did some random research."

It stands to reason that Dr. Zhang Jian felt that the longer he had been in contact with Zhou Chen, the better he would get to know him.

However, this is not the case.

The longer he got along with Zhou Chen, the more he felt Zhou Chen's unfathomable.

This young man will definitely not be a thing in the pool in the future, and he will definitely soar in the medical field.

Zhang Jian recalled that when he was studying at the medical university, as well as the years when he came out to practice, and then worked in the hospital, he would not lose to anyone in terms of diligence and hard work.

however……

The Zhou Chen in front of him seemed to be gifted.

Thinking of this, Zhang Jian could only shake his head, feeling the importance of talent.

As for his medical attainments, he had no choice but to sigh himself in front of Zhou Chen.

Back at the office, they were able to rest for a while.

Zhang Jian is extremely satisfied with the operation Zhou Chen performed on the patient today.

He sat on the chair and watched Zhou Chen smile from time to time, with a happy expression on his face.

After studying Zhou Chen for a long time, Zhang Jian suddenly said:
"Xiao Zhou, let me tell you something from the bottom of my heart. With your current medical skills, I have no qualifications, let alone the ability to train you. I think you are very proficient in the knowledge of the basic medical system. Now, it’s the same as before, I’ll teach you something that’s not written in the hospital.”

The so-called unwritten things include unwritten regulations, unwritten interpersonal relationships, as well as many rules and regulations and other procedures in the hospital.

That is, things other than standardization with respect to medical care.

Zhou Chen hastily replied modestly:
"No no, Doctor Zhang, please don't say that. I just came to the hospital for regular training, and I still have a lot of experience to learn from you."

Then, they talked a lot in the office.

Zhou Chen also got a deeper understanding from this.

The levels of physicians in the hospital are interns, residents, attending physicians, deputy chief physicians, and chief physicians.

Between levels, it generally takes five years of practice.

(End of this chapter)