Chapter 107 Sudden accident, what about the appendix?
On the second day, Tanglou was fully prepared for the laparoscopic cholecystectomy and naturally completed the first assistant's work perfectly.
Compared with Ma En's mirror-holding technique, what Tanglou does is really comfortable for the surgeon. There is no need to worry about the shaking of the surgical field, and there is no need to distract the assistant to prompt the assistant to switch lenses.
The chief surgeon and Ichisuke are like the director and the photographer. After two cooperations, Qingping has become inseparable.
Inside Cheng Jian's office.
Qingping made coffee for Cheng Jian and reported with great surprise: "Director Cheng, your vision is really good. This Tanglou is really talented. I have done so many surgeries and have cooperated with him."
There was a lot of help, but Tanglou’s mirror-holding technology is really the best I’ve ever encountered. It’s so worry-free and comfortable.”
Cheng Jian was looking at a case in front of the table, holding a pen and writing and drawing: "Isn't our chief surgeon at Qingda University known as the best in holding mirrors in general surgery? No one can look down upon him. Is there anyone else who can convince you?"
Qingping brought a cup of fragrant coffee to Cheng Jian and sat across from him.
He clasped his fingers together, put them on the table, and said half-leaning forward: "Director Cheng, don't believe it. If you see it once with your own eyes, you will be convinced. This little guy can use his brain, and many steps are planned before the surgeon."
Yes, sometimes, I feel like I’m being guided.”
"As for that, I'll praise you to heaven."
Cheng Jian picked up the coffee and took a sip. He pretended to be nonchalant, but he was pleased in his heart. The more powerful the Tanglou was, the more discerning he was.
"To be honest, I think Tanglou has the ability to initially try laparoscopic appendectomy."
Qingping also thought carefully. Tanglou was able to make the supporting mirror so well. It was obvious that he was already familiar with laparoscopic technology and had a solid foundation in the Maxwell incision method.
Cheng Jian didn't say anything. He took a small spoon and stirred it in the coffee cup, making a clanking sound for a long time: "Is it too fast?"
"Director Cheng is afraid that other colleagues will have ideas?"
Qingping is a technical talent and is not very good at dealing with people's hearts in the workplace. This is why he came to Cheng Jian for consultation.
"That's right. After all, Tanglou's qualifications are too low. Trying to perform a laparoscopic appendectomy so soon will make people gossip. I mean wait for a while. Then we will investigate again and let other colleagues be mentally prepared."
Cheng Jian took another sip of coffee.
Qingping thought for a while: "Okay, let him be an assistant for a while, but I can continue to perform surgery on Max's incision appendicitis and continue to accumulate experience."
"By the way, when was Tanglou's latest surgery? Since you admire it so much, I'll go and have a look too."
Qingping recalled: "Originally, there were no arrangements for these days, but there is a laparoscopic appendix surgery at Ma En. The original first assistant, Wang Daquan, was not feeling well, so we arranged for the first assistant in Tanglou. It should be tomorrow."
"Okay, then I'll go and take a look. Is this brat really as good as you say?"
“You will not be disappointed.”
Qingping said a few more words and left the director's office.
...
...
On the other side, Ma En and Wang Daquan were also secretly discussing in a cafe outside the hospital.
"The time for the operation has been set, it will be tomorrow afternoon. You should ask for leave tomorrow and not come to the hospital."
Ma En looked after Wang Daquan opposite him.
"Well, are you all ready?"
Wang Daquan asked with some concern. After all, tomorrow will depend on whether he can kill Tanglou's spirit.
"Don't worry, I have prepared a lot of difficult questions."
"But don't be too deliberate. It would be bad if Dr. Qing notices."
Wang Daquan reminded him a little worriedly, after all, it is the most wonderful thing to live in a tenement building without being too conspicuous.
"I understand. For these difficult questions, I also screened the patients. Take a look."
Ma En directly showed Wang Daquan the previously selected patient information:
"The patient, a 43-year-old female, was admitted to the hospital because of pain in her right lower abdomen that worsened for 2 days and lasted for 5 hours. She was diagnosed with appendicitis in the outpatient department of our hospital two days ago. She was not hospitalized. Out-of-hospital anti-inflammatory treatment had poor results. She suddenly felt pain throughout the abdomen and visited our department.
.Physical examination showed tenderness throughout the abdomen, obvious pain in the right lower quadrant, suspected appendiceal perforation, diffuse peritonitis accompanied by enteritis and congestion..."
After Wang Daquan read it, his scalp was numb. If the appendix is perforated, the difficulty of holding the mirror will definitely increase, but the difficulty of the same operation will also increase.
"Dr. Ma, everything else is fine, but this patient's symptoms are a bit severe. Laparoscopic surgery, don't wait until then, Tanglou will be in trouble, and you won't be able to handle it yourself..."
Wang Daquan is very cautious in doing things and naturally considers everything comprehensively.
"Don't worry, although I have only done a few laparoscopic surgeries, I have done hundreds of McLean incision surgeries. As long as the patient is not a rare and weird patient, it can still be done."
Ma En didn't care about Wang Daquan's worries.
After all, he has been a resident doctor for many years. In terms of experience and surgical skills, if he can't hold down a tenement house, then he really doesn't have to work around.
While the two were discussing, Ma En's phone rang. When he saw it was Qingping, Ma En quickly picked up the phone.
A minute later, Ma En put down the phone, his face full of joy.
"What's wrong?" Wang Daquan asked.
"God is really helping me. Dr. Qing told me just now that Director Cheng will also attend tomorrow's surgery."
"Really! That's great."
After Wang Daquan heard this, he was very excited. He really wanted to get whatever he asked for.
"Then I will wait for your good news at home tomorrow."
...
...
The surgery on the second day started on time.
Tanglou and Ma En entered the operating room first.
Chen Wenhao soon finished the anesthesia and stepped aside.
Ma En very playfully whispered to Tanglou: "Tanglou, please cooperate with me for a while. Director Cheng and Dr. Qing will be watching, but you must not let your guard down, otherwise you will finally get a chance to help.
I don’t know when the next time will be.”
Tanglou just smiled and gave up his position: "Both each other. Doctor Ma please!"
Ma En sneered inwardly, and will see if you still laugh.
I walked to the position of the chief surgeon, and then Tang Lou naturally walked to the position of the mirror assistant, and next to him was the instrument nurse.
After the three of them stood still, Ma En began to puncture the patient's abdomen. The selection of the three holes was naturally consistent with Qingping.
After Ma En completed the puncture, Cheng Jian and Qing Ping also arrived belatedly.
At this time, Tang Lou held up the laparoscope and began to assist.
"Director Cheng, it seems we came just in time."
Qing Ping smiled slightly, and then looked at Chen Wenhao beside him.
Naturally, Chen Wenhao obediently handed over the bench under him, and then reluctantly took the spare stool with him.
"Director Cheng, Doctor Qing, sit down."
With a smile on his face, he stood aside with a tingling feeling in his heart: "What's wrong with this general surgery department? A small laparoscopic appendix surgery, and so many big guys are here!"
Due to Tang Lou's talent and concentration, he was naturally focused and started a routine abdominal cavity exploration under laparoscopy. Ma En was naturally not going to attack immediately, and was prepared to wait and see Tang Lou's operation first.
But when he put his eyes on the monitor, he was slightly stunned. The picture was clear and stable, and the speed and angle of movement were the ideal viewing angle when he held the mirror.
"This kid really has some skills."
Ma En's heart trembled, but his expression did not change. He still looked at the camera. Under Tanglou's operation, he quickly completed the examination of the liver, gallbladder, stomach, duodenum, colon, and small intestine. Since the patient was a female, the focus was
The uterus and appendages move around in the pelvic cavity.
"...There was no abnormality during the intraoperative exploration, so we started looking for the appendix..."
Ma En was about to ask his own question, but for some reason, Tang Lou started looking for the appendix, as if he was the chief surgeon and he was the assistant, so he obeyed his instinct and began to look at it attentively.
"???"
It took Ma En a while to regain his clarity, and he cursed himself mentally. At this time, the lens path of the tenement building had passed through the colon belt, and the intestine was vertical, reaching the point where the three colon belts converged.
Ma En was attracted for a moment, and then looked at the unusually clear picture, and suddenly froze: "Where's the appendix?"
Chapter completed!