But before Dr. Huang could come to the rescue, Tanglou had already issued the next order:

"I want to change the surgical plan and prepare the ERCP incision."

After Tang Lou finished speaking, Dr. Huang's eyes widened slightly in disbelief. Naturally, the method proposed by Tang Lou was exactly what he thought.

ERAT was originally inspired by ERCP. Senior doctors like Dr. Huang first mastered ERCP, and then learned the newly launched ERAT. Naturally, it is easy to think of the ERCP incision knife to solve the problem of inability to enter the internal ostium of the appendix.

question.

However, young people of Tang Lou's age basically started with ERAT and have never been exposed to the more difficult ERCP, so the thought of using an ERCP incision knife certainly made Dr. Huang stunned.

The colonoscope used in ERAT does not have a forceps lifter. During intubation, the direction of the catheter cannot be adjusted with the forceps lifter after it extends out of the endoscope.

Therefore, when dealing with the ectopic internal ostium of the appendix, a curved ERCP incision knife must be used to approach the internal ostium of the appendix, and the internal ostium of the appendix can be adjusted to the most convenient position by adjusting the size of the colonoscope and rotating the scope body.

However, after trying it for a while, he still couldn't enter. The operating position and angle were not satisfactory to Tanglou. Tanglou looked at Ma En again calmly:

"Help me fine-tune the patient's position and turn him slightly to the left...Okay, stop..."

With the tacit cooperation of Tang Lou and Ma En, the most difficult intubation was quickly completed.

In the observation room, Dr. Huang licked his lips and couldn't help but applaud: "Even if I were to do this surgery, I couldn't do it better than him."

Hearing Dr. Huang's praise, the other experts were also thoughtful. Indeed, Tanglou's attainments in EART are already at the level of senior experts.

So they no longer doubted that Tanglou had the ability to perform those fifty cases.

In the observation room, the only one who was still insisting was Wen Dalong, and the only reason he was still questioning was whether Tanglou could complete so many surgeries in five days, and

Such a fast healing speed.

But even if it turned out to be prepared by the Municipal First Hospital a few days in advance, it wouldn't do any harm.

At least, so far, it has been proven that Lishi No. 1 Hospital has the ability to perform ERAT techniques, and Tanglou is not just an illusion.

Professor Liu naturally became more confident, took a sip of coffee brewed by Cheng Jian, and continued to watch the rest of the operation.

In the following time, under the control of Tanglou, washing, removing stones, and placing brackets, the whole process went smoothly.

This ERAT was soon completed.

Even though the intubation method was changed along the way, the total time was only 40 minutes.

"What a speed!"

Dr. Huang is naturally very sensitive to the operation time of ERAT. Looking at Tanglou's completion time, he becomes more and more convinced that Tanglou can complete sixteen surgeries in one day.

After all, there are always some people in this world with extraordinary physical strength and energy.

Of course, Tanglou has proven to be top-notch in terms of surgical talent and on-the-spot reaction ability.

The three operations plus the preparations in between took almost three and a half hours, and the time was also at 12:30.

In the observation room, several big bosses looked at Cheng Jian meaningfully.

Even if you don't go to the restaurant box or anything, you can still get some fast food.

However, Cheng Jian received no hint at all and had no intention of letting the tenement house stop.

The preparations for the fourth operation were completed in less than ten minutes.

Another young patient who comes here is a 31-year-old female patient.

For this patient, Tanglou once again used the LoopTip looped guidewire. After testing on a previous patient, Tanglou unexpectedly discovered that this kind of guidewire is more convenient than the zebra guidewire and the intubation time is much faster.

.

In the observation room, several experts did not expect that due to the temporary change of the guide wire in the previous case of pinworm appendicitis, Tanglou accidentally took the ERAT procedure a step forward.

Medicine is like this. In continuous practice, it is constantly perfected and improved due to accidents or the practitioner's own understanding.

[Ding, the host has achieved the achievement of Lean Sperm Rescue. The technique has been improved and optimized during the operation, and has extensive promotion value, and has been recognized by peers. Reward gold coins: 3, reward: instant recovery of energy. 】

Tanglou's eyes lit up. The next operation was naturally very skillful, and the patient's physical condition was not special at all.

Thirty minutes later, Tanglou completed the fourth ERAT operation.

"Oh my God, this is too fast."

Tang Lou’s original proficiency was already amazing, and the use of LoopTip guidewire further reduced the intubation time, so by the time Tang Lou stepped off the operating table,

In the observation room, several experts did not respond.

The time came to a little after one in the afternoon.

During the operation interval, the faces of several experts were already a little ugly.

However, Tanglou, as the chef in charge, did not stop. As observers, they were naturally embarrassed to ask for a meal.

After all, Cheng Jian and Qing Ping were not accompanying him either.

"Director Cheng, I think your coffee is really good. Give me a cup too."

Doctor Huang is preparing to save the country, but he doesn't have enough time to eat, so he can always drink some coffee: "And I can't eat too hard, Director Cheng, please add more sugar to me."

We are all doctors, so we naturally know what sugar means.

"It's so shameless."

Another expert rolled his eyes, but with his growling stomach, he immediately looked at Cheng Jian with a smile:

"Director Cheng, I also like coffee. What a coincidence. I also like sweet drinks. It would be better if I could add some milk."

Cheng Jian: "..."

Sure enough, none of these old guys are good.

Cheng Jian returned to the office to make coffee for these old guys, chewing beef jerky and complaining angrily.

Too thick-skinned, these experts!

As for Qingping, he was naturally monitoring the experts in the observation room, and would come out to "make coffee" during the next break.

When the hot, sweet coffee was delivered to the observation room, several experts rushed to grab it.

Cheng Jian deliberately left a cup of white wine and handed it to Ma Shuya and winked.

Ma Shuya took it in confusion, and then took a sip: Oh, warm cereal!

Silently, Mashua drank it all.

At this time, in the operating room, Tanglou's next operation was ready.

Patient information is also distributed to various experts:

Patient, Xie Fei, male, 25 years old

He was admitted to the hospital because of "upper abdominal pain accompanied by fever for 5 days, which worsened for 8 hours". 5 days ago, he developed mid-upper abdominal pain for no reason, and was suspected of having a gastric disease, so he did not seek medical treatment. 8 hours ago, the pain worsened with fever (39.3°C), and the pain spread to the entire abdomen.

Physical examination: body temperature 38.8°C, pulse 93 beats/min, blood pressure 126/80mm Hg (1mm Hg=0.133kPa), whole-abdominal tenderness, severe tenderness in the right abdomen, accompanied by mild rebound tenderness and muscle tension.

Computed tomography (CT) examination showed that the appendix was located under the liver, with obvious congestion and edema, and a small amount of fluid accumulation in the right paracolic groove, suggesting the possibility of appendicitis.

...

After reading the information, the experts naturally forgot about their hunger. It was obvious that this was a rare case of ectopic appendicitis.

As for ectopic appendicitis, the difficulty in performing ERAT can be imagined.

Even though they had seen various scenes like this, they would also be a little worried about the ectopic appendix. Then look at Tanglou who is still calm and composed in the operating room.
Chapter completed!