Auto chess in the operating room

Chapter 125 What is a Genius?

In the operating room, Tang Lou's words resounded loudly.

Chen Wenhao, who was still sitting on a small bench, suddenly woke up from a doze. Every operation Tang Lou participated in was so troublesome, but every time Tang Lou used solid surgical techniques to solve the problem.

Chen Wenhao really wanted to call out: "Do you still have an RB name: Conan!"

Seeing Tanglou coming forward, Ma En hesitated.

"The patient's abdominal cavity has been opened. Under the pneumoperitoneum, the longer the time is delayed, the more likely the patient will have sequelae. If it is not done properly, there will be a medical accident."

Tanglou directly performed the surgery with full aura, and glanced at the instrument nurse: "Perform choledochojejunostomy ROux-en-y anastomosis, scalpel, needle forceps are ready."

Tang Lou's unquestionable eyes swept towards Ma En again, and Ma En shrank obediently to the side.

After all, for an industry like a doctor, as long as you have the skills, you have the confidence to solve the problem, and you can't accept it.

Ma En directly took over the laparoscope from Tang Lou and began to hold the mirror.

After Tang Lou and Ma En performed the surgery for a while, Yan Ruoyun finally finished the pre-operative disinfection preparations.

As soon as he entered the operating room, his complexion was extremely ugly, and he looked at He Xiaozhuang with sharp eyes.

"Didn't you say that they are waiting for me to come and deal with it, what's the situation!"

He Xiaozhuang was also confused, and he clearly saw Ma En holding the mirror on the side, so wasn't the person who was doing the surgery the mirror assistant?

Yan Ruoyun scolded He Xiaozhuang, and walked forward directly: "Stop, do you know what you are doing! The patient is a rare case of spontaneous perforation of the common bile duct, so don't be smart enough to try to repair the common bile duct, it won't work. "

Dr. Yan took three steps and two steps in parallel, and he arrived at the monitor port of the laparoscope in no time.

Ma En naturally recognized Dr. Yan, and felt guilty. Although Dr. Yan was not his direct superior, he was more experienced than Qingping, especially in the field of liver and gallbladder.

Ma En looked directly at Dr. Yan, stopped the movement of his hands, and explained: "Dr. Yan, we didn't try to repair it."

But before Ma En could explain, Tang Lou, who was concentrating on talent, frowned when he saw Shuye who was not keeping up, and yelled directly: "Shuye! Shuye! Ma En, be serious!"

Under the aura of the chief surgeon, Ma En reflexively moved his sight back and continued to assist Tanglou in giving him enough vision.

Tanglou looked at Ma En's readjusted vision for five seconds.

The operating room became quiet. Seeing that there was no movement in the tenement building, Ma En suddenly panicked: "What's wrong in the tenement building? Another accident happened?"

Tang Lou nodded.

Ma En's legs went limp all of a sudden, cold sweat broke out on his head, and he was afraid for a while, but knowing that Dr. Yan was behind him, he felt a little more at ease.

Yan Ruoyun shook his head slightly when he saw the two young men in a predicament, and was about to go to the position of the chief surgeon team, all of this was naturally within his expectation.

In the process of preoperative preparation, through He Xiaozhuang's description, he already had a surgical plan.Tang Lou could think that the ROux-en-y anastomosis of the common bile duct and jejunum has already made him very appreciative, but young people are not as old-fashioned as he is.

Sure enough, in the end, he had to do it himself, and Yan Ruoyun was ready to go to the position of the chief surgeon and open his mouth.

Ma En was about to remind Tang Lou to give up the operating position obediently.

Tang Lou's voice sounded calmly:

"Using end-to-side anastomosis according to the conventional choledochojejunum ROux-en-y anastomosis is really not possible."

Yan Ruoyun's feet paused slightly.

"Because the patient is relatively old, the conventional end-to-side anastomosis is not applicable, so I need to simplify the operation."

Yan Ruoyun froze and got stuck halfway.

Tang Lou didn't notice Yan Ruoyun at all, and was focused on the operation. He calculated the new suture method in a flash, and directly began to adjust the operation plan: "Ma En, I need to do side-to-side surgery on the patient's common bile duct and jejunum. Anastomosis. Next, I will make a longitudinal incision of 3.0cm in the common bile duct, and make an incision of the corresponding length on the mesenteric side of the elevated jejunum, and control the camera well, and no mistakes are allowed.”

Listening to Tang Lou's serious and clear instructions, Ma En suddenly settled down, and at the same time, he felt a kind of unconvinced and proud young man.

Maybe they can do it on their own?Thinking of this, he glanced at Tang Lou, and Ma En also gave up.

I can't control Dr. Yan anymore. After all, the world is big, and the lives of patients are the most important in the operating room.

Tang Lou is the chief surgeon, so the whole operation must be centered on him, and his command is the greatest.

Ma En looked serious, and began to control the direction of the camera and the lighting according to Tang Lou's order.

Undoubtedly, Tang Lou used a pen-style control scalpel that is the most convenient for short-distance fine manipulation, and soon cut a hole in the common bile duct, the length was naturally extremely precise.

"Yizhu, if you don't come here, lift up the jejunum!"

Tang Lou was very dissatisfied and looked at He Xiaozhuang who had clearly returned to the operating room and was still wandering outside.

Sensing Tang Lou's suffocating and stern gaze, He Xiaozhuang's head went cold, and under the aura of Tang Lou's main knife, he rushed over immediately, but he still had a last look at the remaining sane. His boss, Yan Ruoyun.

The latter was silent at the moment, with a complicated expression, and nodded slightly.

Seeing that his boss acquiesced, He Xiaozhuang felt relieved and assisted Tang Lou to lift the jejunum.

"3-0 wire, needle holder."

Naturally, Tang Lou never spared anyone in the operating room, and the airtightness of the steps has become his trademark.

Gasp, there is no such thing as letting go.

The equipment nurse immediately began to prepare according to Tang Lou's instructions.

In the operating room, Chen Wenhao and Yan Ruoyun were the only ones who could think for themselves.

"Doctor Yan, hehe."

Chen Wenhao took over the small bench he had prepared extra as if he was planning ahead.

Yan Ruoyun glanced at Chen Wenhao, and sat down expressionlessly, but his heart was already turbulent.

The last time Tang Lou proposed the suspended airless laparoscopic appendectomy, and the perfect surgeon after that naturally impressed him deeply.

But he didn't expect that Tanglou would have such attainments in the field of liver and gallbladder.

After watching it for less than a minute, he had completely understood Tang Lou's thoughts, and was shocked by Tang Lou's judgments.

Not only did he see that the patient's common bile duct could not be treated by repair measures, but he also accurately chose the ROux-en-y anastomosis of the common bile duct and jejunum.

Of course, this point is not difficult for a doctor if he has studied the ROux-en-y anastomosis of common bile duct and jejunum and watched the corresponding video, but he can make a decision to simplify the operation according to the age and physical condition of the patient on site. That would be scary.

In Yan Ruoyun's opinion, he would not dare to try it without hundreds of surgeries!

The ROux-en-y choledochojejunostomy performed by Tanglou Erxing is close to the level of ordinary directors, so it is easy to make this judgment.

The result was that Yan Ruoyun could not speak a word for a long time, and sat on the small bench sullenly.

Time passed by every minute and every second, and every step was at the textbook level.

On the monitor, Tang Lou's suture technique is even smoother. Yan Ruoyun watched as Tang Lou sutured the posterior jejunum wall and the lower 1/2 incision of the common bile duct with 3-0 intermittent sutures, and the knots were hidden inside in an orderly manner.

It can only be described in four words: pleasing to the eye!
(End of this chapter)