Chapter 143 Laparoscopic Cholecystectomy
While communicating with the patient before the operation in Tanglou and conducting further physical examinations, Lin Dong was also arranging the personnel for this operation.
Lin Dong is already a senior resident doctor, so he naturally has several interns and a regular trainee under him.
Lin Dong looked at his subordinates and asked democratically: "There will be a laparoscopic cholecystectomy soon. I have arranged for the surgeon in Tanglou. Who of you is willing to partner with him as a first aid? As for the mirror assistant?
Tanglou brought one himself."
After listening to what Lin Dong said, several interns were naturally very surprised.
"You said that every intern has a dedicated mirror-holding assistant?"
Ye Kai, who has a middle parted hair, has been rotating for almost a year and is already a relatively useful intern under Lin Dong.
"Well, Tian Linsheng, you should have seen it before. After all, there needs to be a deep understanding between the mirror assistant and the surgeon."
Lin Dong explained lightly and ignored Ye Kai's question. Can Tanglou be an ordinary intern?
Even he, who is about to be promoted to a resident general, dare not pat his chest and say that his weight in the department is more important than that of Tanglou.
"I'd better forget it, I still have to be on duty today."
Another intern, Hongguan, is a top student who graduated from Zijingang Medical College. He has been rotating for almost half a year. Naturally, he has heard about Tanglou's amazing deeds, but he is a little unconvinced in his heart.
After all, appendicitis surgery is only a first-level surgery. It is not very difficult, and it does not mean anything if it is done well.
He has also undergone one or two laparoscopic cholecystectomies with Lin Dong, so he is naturally unwilling to be asked to be an assistant who is not even as good as a mirror assistant.
There was nothing he could learn from following Tanglou. Besides, he knew Tian Linsheng, and in his opinion, he was just a mediocre person.
Hearing Hong Guan's direct rejection, Ye Kai stood aside, dialed the small and middle points, and smiled faintly: "Dr. Lin, let me go. It's just time to see how outstanding the famous Tanglou is."
"I hope you won't be disappointed. After all, appendicitis surgery and cholecystectomy are not at the same level."
Hongguan was very direct and didn't care about Lin Dong's attitude. After all, he was able to enter the First Municipal Hospital not only because of his own ability, but also because of his connections in the family.
Lin Dong nodded, naturally he didn't care what his interns thought of Tanglou, and he would not speak for Tanglou.
After all, in his view, everyone will be responsible for their own actions and speeches.
Dr. Yan asked him to arrange the surgeon in Tanglou, so he would just watch from the sidelines. Whether he could do the job well and keep other colleagues from gossiping would depend on his ability.
"Then it's settled, the operation will start in an hour. Ye Kai, you should also go and prepare. Although it is just a common case of gallbladder removal, as far as I know, this is the first time that Tanglou has been under the knife. If it really happens during the operation,
With some accidents, based on your experience, you can help Tanglou. If you can't handle it, of course there will be me."
Lin Dong has never actually seen Tanglou surgery, so the preoperative arrangements are still very cautious and thoughtful.
...
An hour later, in the operating room.
Tanglou and Tian Linsheng were already in place, followed by Ye Kai and Lin Dong.
When Tian Linsheng saw Ye Kai, he naturally recognized him and said hello slightly. He was very excited and a little proud. This was his first time to participate in a cholecystectomy.
I used to be very envious of Ye Kai and Hong Guan for being able to participate in relatively high-level surgeries. However, after undergoing McLaren's incision appendicitis surgery and laparoscopic appendicectomy with Tang Lou, I later participated in ERAT with Tang Lou.
This high-level latest surgery, as well as the first batch of suspended airless laparoscopic appendectomies in Jiangxia Province, was improved and developed by Tanglou.
Unknowingly, Tian Linsheng has seen the "big world", and whether it is an illusion or not, he can learn a lot every time he undergoes surgery with Tang Lou.
Unlike following Ma En or Qing Ping, he only has brain skills but not hands. After doing Tang Lou, he can even instinctively imitate and use some of Tang Lou's operations. Although it is not as good as Tang Lou, it is still the same as ordinary Tang Lou.
Compared with other doctors, those whom I envied before and those cool operations now seem to be just average.
Tian Linsheng put it in serious words: if the Dharma is above, you can get it from within; if the Dharma is in the middle, you can get it below.
To put it in layman's terms: I, Tian Linsheng, am willing to be the licking dog of Tanglou for the rest of my life. I will lick until the end and become proficient in all the eighteen kinds of binding techniques.
As an assistant for holding the mirror, Tian Linsheng has a higher status than Ye Kai in this operation. Therefore, he naturally asked: "Ye Kai, please cooperate with me in a while to cooperate with Dr. Tang. The rhythm of Dr. Tang's surgery is very fast."
Come on, you must concentrate for a while."
Hearing Tian Linsheng, who had been so transparent in his eyes, tell him this, Ye Kai frowned slightly and wanted to laugh in his heart: "I have cooperated with Dr. Yan's mirror support, and I have also worked for Lin Dong."
I know how many times my assistant has seen more gallbladders than you have cut appendixes. It’s not always clear who will wait for whom.”
However, Ye Kai is a well-established person, so naturally he won't say anything. Logically speaking, it is reasonable for Assistant Fu Jing to ask him to help him.
Ye Kai smiled slightly: "I will cooperate with Dr. Tang well."
"Well, with Dr. Tang, although I was mentally stressed during each operation and exhausted after the operation, I gained a lot every time."
Tian Linsheng said something from the bottom of his heart, in a tone that Tanglou could just hear, but was just mumbling to himself, and licked it again.
This time, Ye Kai finally didn't bother to say anything, and his face under the mask was slightly sullen: he felt that Tian Linsheng was a little distracted.
"The anesthetist prepares."
Naturally, Tang Lou didn't pay attention to the conversation between Tian Linsheng and Ye Kai. He was only concerned about his first cholecystectomy and announced the start of the operation in a calm tone.
The anesthesiologist is a small man, Qian Zhe, who usually works with Yan Ruoyun's medical team, so this is his first time working with Tang Lou.
The patient was given general anesthesia with endotracheal intubation as usual and placed in the supine position.
"The head is high and the feet are low 20°, and the operating table is tilted 20° to the left..."
Qian Zhe nodded slightly and glanced at Tanglou. It seemed that this young doctor did have a lot of research on cholecystectomy and had his own set of surgical logic.
The patient's position, generally speaking, angle and inclination are basically randomly selected by the anesthetist and nurse in advance within the conventional range based on the type of surgery.
For some rookie doctors, they basically don't care about these details. Only some senior doctors who have accumulated a lot of surgeries for a certain surgery will adjust the most comfortable patient position according to their own physical conditions, so as to facilitate
The later surgical field of view is expanded and the operation can be performed more smoothly.
Soon Qian Zhe completed his task and it was Tang Lou's turn.
The first step, of course, is to mark the puncture location on the patient’s abdomen.
Seeing Tanglou, he picked up the marker very skillfully and marked the first hole in the patient's umbilicus, a 10CM incision as the observation hole, the 2 incisions under the xiphoid process as the main operating holes, and the right midclavicular line 2cm below the costal margin.
Two 5mm incisions were made in the right anterior axillary line below the costal margin to make auxiliary operating holes.
This is the most classic four-hole method, and you can determine the puncture holes while watching Tanglou move smoothly.
Chapter completed!