Back to 1999: From operating surgeon to becoming a top doctor

"Teacher Xu?"

Seeing that Xu Guoqiang was a little dazed, Xiao Chenguang reminded him.

Xu Guoqiang originally didn't want to take risks. After all, he had just mastered the three-hole technique.

Now it is safest to choose the four-port laparoscopy technique that you are most proficient in.

After all, he was invited here this time to shoot flying knives, not to do academic research.

Stability is the most important thing.

But now, he's a little wavering.

Because Xiao Chenguang's auxiliary work was really good.

Regardless of the placement of the equipment or the patient's position, Xu Guoqiang has an instinctive feeling.

The three-hole method works.

After he reassessed the patient, he became more and more convinced of his own ideas.

"Then make three holes first. You get ready. I'll change my clothes and we'll start."

Xu Guoqiang said.

"Okay, Teacher Xu."

Xiao Chenguang nodded, and after receiving Xu Guoqiang's authorization, he began to prepare to establish a poke port.

"At that time, if the visual field is not fully exposed and the operation is inconvenient, we will drill an additional operating hole from the left abdomen."

Xu Guoqiang was thinking in his mind.

Although the process is a bit cumbersome, it is always an insurance policy.

After all, he originally planned to open four holes. If the surgery can be completed with three holes now, not only will the patient's pain be reduced, but the recovery will be faster.

It is also an improvement to one's own reputation.

"Mr. Xu, the umbilical card stamping is completed, and the patient is now establishing pneumoperitoneum."

A sudden sentence brought Xu Guoqiang back to reality.

"Yeah, okay."

Xu Guoqiang changed his clothes and stood on the stage. He suddenly stopped and showed an incredible expression.

"Wait... has the poke card been created?"

Xu Guoqiang felt that his brain was not enough again.

He looked at the patient's abdomen that was swelling at a constant speed on the table, and the sound of carbon dioxide cylinders buzzing in his ears reminded Xu Guoqiang at all times.

While he was changing the surgical gown, Xiao Chenguang had actually completed the establishment of the observation hole, and even the patient's pneumoperitoneum was now completed immediately.

How could Xiao Chenguang's operation be so fast?

According to Xu Guoqiang's previous laparoscopic surgery experience, it would take at least ten minutes to establish the first poke card.

This is under the premise that the patient's abdominal cavity is in good condition.

If you encounter a patient with central obesity and a thick pile of fat in the subcutaneous tissue, it may take more time to successfully insert the puncture needle into the abdominal cavity.

But Xiao Chenguang, in just a blink of an eye, completed a series of operations including skin incision, dissociation of subcutaneous tissue, puncture of the peritoneum, and establishment of observation holes.

Even the most tedious fixation of stamped card sutures has been completed.

Seeing Xiao Chenguang's lightning-fast operation, Xu Guoqiang suddenly felt something.

If Xiao Chenguang hadn't waited for him to change into surgical clothes, he would have even inserted the microscope lens into the patient's body by now.

"Teacher Xu, are you ready to enter the camera?"

Sure enough, when Xiao Chenguang saw Xu Guoqiang changing into surgical clothes, he took the opportunity to take the abdominal lens that had been prepared for him.

have to.

It's really seamless.

Xu Guoqiang, who had just come on stage at this moment, felt that he was being pushed forward by a big invisible hand...

With the operation holes in the upper abdomen and right abdomen completed, Xu Guoqiang took a "gun" on each side and inserted it into the patient's abdominal cavity.

"Xiao Xiao, help me hold the mirror."

"good."

As soon as Xu Guoqiang finished speaking, Xiao Chenguang, who was standing in the same position as him, had already fixed the camera firmly in his abdominal cavity.

On the connected screen, the structure of the patient's entire abdominal cavity is instantly presented to everyone in the operating room.

"Um?"

Xu Guoqiang, who was about to investigate, looked at the picture on the screen and looked stunned.

On the screen, a dark green cyst the size of a pebble was lying lazily on the liver.

The two thin tubes below, one large and one small, form a triangular area with the adjacent liver.

Isn't this location exactly where he needs to dissect the gallbladder triangle?

Xu Guoqiang was shocked. He couldn't help but turn his head and look at Xiao Chenguang.

At this time, the latter was holding the laparoscope steadily with one hand, and his whole arm was like a precise machine, hanging motionless in the air.

"Teacher Xu, what's wrong?"

Although Xiao Chenguang looked at the screen, he also noticed from the corner of his eye that Xu Guoqiang was looking at him.

"Oh, nothing."

Seeing Xiao Chenguang's relaxed and carefree expression, Xu Guoqiang focused his eyes on the screen again.

I was surprised.

Xiao Chenguang's ability of precise positioning is probably behind his rich clinical anatomy experience.

Otherwise, you wouldn’t be able to find the gallbladder triangle just by looking around.

Even Xu Guoqiang, who has undergone hundreds of cholecystectomies.

If he were to personally control the abdominal lens, it would be impossible to find the position that needed to be freed in such a short period of time.

"Old Wang, no wonder you would recommend Xiao Chenguang without any reservation. Even if you don't go on stage yourself, you still want Xiao Xiao to help."

"I can't help but push out talents like this. It's really embarrassing for myself."

Xu Guoqiang was also 100% energetic at this moment.

After all, the mirror holder is so good. As an expert in the provincial capital, if I don't show some strength, I will be laughed at by others.

So Xu Guoqiang concentrated his attention, took two long "guns" in his hands, a grasping forceps, and a separation forceps, and began to dissociate and dissect the gallbladder triangle area in the patient's abdominal cavity.

Seeing this, Xiao Chenguang couldn't help but nodded.

It must be said that Xu Guoqiang's laparoscopic technique is really good.

After a while, the inflammatory secretions attached to the gallbladder triangle were freed.

The gallbladder duct, common hepatic duct, gallbladder artery and vein were presented in front of everyone in turn.

Xu Guoqiang used a grasping forceps to gently lift the gallbladder from the gallbladder bed and fully expose it.

"It's not too serious. It is estimated that the gallbladder removal can be completed in half an hour."

As the freeing was carried out, everyone found that the patient's cholecystitis was not too serious.

In addition to a layer of light yellow connective tissue covering the surface of the gallbladder, there were also some exudates gathered around the gallbladder bed.

In addition, there were some adhesions on the liver with a few light yellow particles (fatty liver).

"Change the suction tube, wear..."

Before Xu Guoqiang finished speaking, a plastic soft stick wrapped in a sterile cover had appeared on the screen.

Comfortable!

During this operation, Xu Guoqiang felt an unprecedented sense of comfort.

Not only was the operation done with great pleasure, but even Xu Guoqiang himself felt that his skills were improving by leaps and bounds.

The three-hole method was now easy for him.

He was even confident that he could complete the one-hole method, which was known as the pinnacle of gallbladder technology.

Just when Xu Guoqiang was full of confidence and was ready to remove the ligated cystic duct and cystic artery in one go.

Suddenly.

The screen was blurred.

The originally clear abdominal cavity image turned into a pile of flashing white snowflakes.

This was like the image that appeared when the closed-circuit television you usually watch suddenly lost signal.

"What's going on?!"

Xu Guoqiang's body suddenly tensed up, his hands were stiffly raised in the air, and the whole person was like petrified, not daring to move.