Shen Bingbing saw that Tanglou was coping with the situation easily and even took the initiative to raise questions, but she was a little unsure.

Just looking at such a young face, she really couldn't believe that such an improvement plan was made by Tanglou himself.

To be able to make great achievements in pediatric surgery, Shen Bingbing naturally has excellent patience and self-cultivation.

Shen Bingbing raised the second question calmly: "According to your surgical design, it can be expected that the surgical space exposure of the suspended pneumoperitoneum technique is worse than the arched space formed by traditional pneumoperitoneum.

The exposed area is smaller, which means that it will bring great difficulty to the surgical operation. Therefore, it must be performed by a surgeon with a higher level of laparoscopic surgery. Since it is the first time to perform it, the uncertainty is actually no better than that of traditional laparoscopy.

The risk is low.”

"Yes, Tanglou's plan has improved the success rate in terms of surgery, but due to the difficulty of the operation and the first deployment, it has increased uncertainty for the surgeon. Therefore, after comprehensive analysis, for such an important patient, it is a safe and reliable solution."

For the sake of safety, it’s better to adopt the traditional method.”

Hang Cuishan took over Shen Bingbing's words and said that before any new surgical procedure is carried out, adequate preparations must be made, and the surgeon in charge must have a good enough psychological quality before he can start.

"When I perform surgery for other doctors, it is true that there may be mistakes the first time and the doctor himself is under great psychological pressure, but if it is up to me, I am fully confident."

Tanglou dared to say this because he had some basis.

His natural focus and resilience allow him to solve tense problems. Three-star appendectomy is enough to support him to complete the operation as quickly as possible. The surgical master's 30% reduction in infection rate and 30% increase in healing rate solve the most difficult problem.

Difficult postoperative infection problem.

Moreover, Tanglou's chief surgeon's aura can increase the assistant's cooperation and success rate.

Whether it is for the patient's recovery or to complete the system's tasks, Tanglou always does its part.

So this time he chose to show off his sharp edge, almost arrogantly!

Tanglou looked around at everyone without the slightest fear, and finally looked at Shen Bingbing: "Director Shen, as long as I am the surgeon, none of the above will be a problem."

Shen Bingbing didn't expect that Tang Lou would speak so straight to the point, almost arrogantly, with his beautiful eyes widening and his mouth slightly open.

"Nonsense, Dr. Qing doesn't even dare to vouch for it, but you dare to say that you are absolutely sure? Do you think your laparoscopic technique is better than Dr. Qing's?"

Li Xiang was very dissatisfied and regarded everyone as nothing. Tanglou's words were too full.

"I don't dare to speak about other laparoscopic techniques, but I am qualified for suspension gasless laparoscopic appendectomy! Director Cheng, Dr. Qing, I request to perform this operation."

Tanglou ignored the other attending doctors and looked directly at Qingping and Cheng Jian, who were sure to win.

Qingping looked at Tanglou and was slightly absent-minded for a few seconds. Even he did not expect that Tanglou had rejected his invitation to be an assistant before. It turned out that he wanted to be the surgeon himself.

Such age, such courage!

Qing Ping breathed a long sigh of relief, and suddenly felt that he was better than his master. He said happily: "Director Cheng, all the chief ministers, I agree to Tanglou's request, and I believe him."

"To be able to come up with such a solid improved surgical procedure, Tang Lou's achievements in laparoscopic appendectomy are obvious to all. And unfortunately, I participated in Tang Lou's laparoscopic appendectomy once. He was able to perfectly perform the surgery within an hour.

Completed a case of acute appendiceal perforation and severe gangrene. So..."

Song Yang also expressed his thoughts with some excitement, and finally looked at Qingping: "I also agree to let Tanglou perform this operation. Whoever has the most powerful medical skills will do it. No funding is required.

Discussing seniority."

"How is it possible? You said he can complete it within an hour? It usually takes 90-150 minutes for a senior attending physician. An hour is too exaggerated."

Although Li Xiang is now performing more difficult surgeries, every surgeon started with appendicitis surgery. As a basic skill, he knows the time of laparoscopic surgery very well.

"Actually, there is nothing to argue about. Since Tanglou is confident in his laparoscopic technology, he can just show us the video of the operation. If it is really as powerful as Dr. Song described, as this improved surgery

The person who proposed it, and the chief surgeon certainly deserves the title.”

Shen Bingbing always looked at the problem comprehensively and meticulously, and she found the key point at once. All operations in the First City Hospital are videotaped. One is to facilitate the surgeon to watch, study and summarize later, and the other is to serve as a verification in case of any disputes later.

Shen Bingbing was also curious about Tanglou's surgical capabilities.

"I agree. If Tang Lou's surgery video can convince us, then we will agree that he will perform the surgery."

Hang Cuishan also added, as the saying goes, it is the mule or the horse that comes out to run around.

"Can."

Cheng Jian looked at everyone's reactions and made the final decision.

Five minutes later, the video of the last laparoscopic appendectomy in Tanglou was copied over.

Several attending doctors looked at the projection curiously:

"Preparing for three-hole puncture..."

Tanglou's calm voice echoed in the office, and then he saw a pair of hands with thin gloves beginning to mark the patient's abdomen.

...

Seeing the somewhat unconventional puncture location, several attending doctors were slightly surprised.

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

Qingping introduced with a somewhat proud tone. This case can be regarded as a classic. He has begun to look forward to waiting for them to see the complex situation in the abdominal cavity and tell the entire diagnosis process. I am afraid these attending doctors will not be so calm.

.

When they heard that the patient had an ectopic appendix, the attending doctors suddenly realized that they were all experienced experts after all, and they quickly regained their composure.

Soon Isuke pressed the mark on the tenement building and completed the puncture.

"Laparoscopy."

After listening to Tanglou's instructions, Qingping stood upright in excitement and watched everyone's reactions.

Even after experiencing it once, Qingping was still unsatisfied when he saw the patient's video again.

With the laparoscopic lens, a clear view appears in front of everyone's eyes.

"Huh? What's the shadow of McFarland's point? That's not right. The patient's ectopic appendix is ​​not in the lower part of the liver area. How come there are two masses?"

Sure enough, several attending doctors were immediately confused.

"Isn't it weird? At that time, I was almost swollen by the mass in my lower right abdomen."

Qingping began to review the case, stood up, and drew an abnormal path on his abdomen: "Do you know that the patient described to me at that time that her pain transfer path was like this..."

Seeing Qingping's gestures combined with the laparoscopic vision, several attending doctors were shocked.

Looking at the expressions of several attending doctors, Qing Ping smiled slightly: "If you didn't open it, would you think like me that the right lower quadrant is the real appendix? During my physical examination at that time, I had rebound pain, tenderness, and all the symptoms.

They are exactly the same as typical appendicitis."

"The thing on the right lower abdomen is..."

As the laparoscope got closer, everyone could see clearly. Based on their surgical experience, they naturally recognized it: "Is it the lumen with postoperative adhesion?"

"Yes, the lumen left by the removal of the ovaries twenty years ago."

What was shown in the projection was that Tanglou was not surprised at all by the situation in the abdominal cavity, and was not interfered by the lower abdominal lumen at all. The camera shot directly towards the lower part of the liver, with a very clear purpose and without any pause.

The wandering began.

With the eyesight of these attending surgeons, they naturally understood that the only explanation was that the surgeon had fully understood the patient's bizarre cause before opening the abdomen.

She closed her eyes and recalled the patient's rare symptoms. Shen Bingbing thought that if it were her, she would never be able to associate the abnormal pain trajectory reported by the patient with the adhesion lumen after surgery twenty years ago, and the real appendix hidden in the upper abdomen.

.

"Dr. Qing, if I were to use the most traditional McLaren incision for laparotomy, I would adapt to changes during the operation. Although the operation could be completed, it would definitely cause incisions and even take a lot of time to find the real appendix. The diagnosis of this patient

, you did great!”

Shen Bingbing gestured her thumb towards Qingping, convinced.

"admire!"

Li Xiang and others also agreed with Shen Bingbing's opinion. This rare case does not require laparotomy and can be perfectly diagnosed by physical examination alone. It is indeed amazing.

"Isn't it amazing?"

Qingping deliberately raised his voice.

Shen Bingbing has a dark look on her face, is this still the always humble Qingping?

"I am naturally impressed by Dr. Qing's achievements in treating appendicitis."

Shen Bingbing gave a perfunctory commercial compliment.

Only Song Yang looked at Shen Bingbing's elegant face and smiled strangely, unable to hold back: "Actually, this case was not discovered by Dr. Qing."

"It's him!"

Song Yang pointed his finger at the Tanglou standing nearby.

"Isn't it amazing?"

Qingping said it again very appropriately.

Shen Bingbing:...

But when he looked at the tenement building, his expression became much more serious.

The picture continues during the projection:

...
To be continued...