Xie Wanying was a little surprised. This was her first close-up visit to laparoscopic surgery, and the teacher should know that she was an absolute novice in this area.
No matter what, follow the teacher's arrangements.
I washed my hands before the operation and came back into the operating room, ready to stand next to the teachers and observe.
Like traditional surgery, disinfection and draping are required. The difference is that laparoscopy requires establishing pneumoperitoneum first. A small incision is made on the umbilicus, a puncture is inserted, an appropriate amount of CO2 gas is injected into the abdominal cavity, and a certain amount of gas is injected into the pneumoperitoneum machine to maintain pressure.
, pull out the cone core and replace it with a laparoscope. At the same time, the situation inside the patient's abdominal cavity will appear on the monitor screen.
Then, casings are inserted into the lower left and right sides of the abdomen and above the pubic symphysis. Surgical instruments such as ultrasonic scalpels must be placed in these casings. Laparoscopic surgery usually involves three doctors. In addition to the chief surgeon and an assistant, there is a special mirror hand.
As the name suggests, the scope hand holds the laparoscope to the surgeon to view the surgical field. The surgeon usually operates the ultrasonic scalpel, and one assistant holds other instruments, such as a curved forceps suction device, to assist the surgeon in the operation.
From this point of view, the division of labor between laparoscopic surgery teams and traditional surgery have both similarities and differences.
Today's surgery is especially for low-lying rectal tumors, and laparoscopic surgery is not easy to perform. The students standing in the corner are looking forward to a miracle from the technical master.
Liu Chengran, who continued to serve as the first assistant, helped the surgeon establish pneumoperitoneum and inserted a laparoscope into the patient's abdominal cavity.
A color picture of the patient's abdominal cavity immediately appeared on the monitor. The scene captured by the laparoscope was the outside of the intestines, which is different from the way the digestive endoscope traveled inside the intestines. Therefore, it was possible to see that the patient's intestines were vaguely moving.
The laparoscope was then handed over to the surgeon for abdominal exploration. Like traditional surgery, exploration is to determine whether the tumor can be cut and how much needs to be cut.
After holding the laparoscope, Tan Kelin looked at the monitor screen and said to someone behind him: "Stand up a little bit."
The surgeon's every move attracts everyone's attention.
All the students in the operating room heard the surgeon calling someone to come up, and immediately saw Xie Wanying walking up to watch the monitor screen with the surgeon.
The students immediately exploded:
"who is she?"
"Resident?"
"It's a doctor from this hospital, he should be."
"It can't be a visiting scholar or intern."
"Female doctor?"
"Why was a female doctor called in by Dr. Tan?"
The two of them whispered to each other, forgetting the order to silence themselves, and seemed to be greatly stimulated by this scene.
Luo Yanfen, Li Wenhao and the other three were even more stunned: What did the teacher want this rookie to do? The problem was that they didn't think that such a young Xie Wanying could have enough clinical skills to do what Tan Kelin asked her to do.
"Stop talking!" Sun Yubo turned back and yelled impatiently at those who were talking.
When did the quiet operating room become a wet market?!
All the shouting stopped for a second.
The operating room returned to dead silence.
The students' attention returned to the progress of the surgery.
The monitor screen showed scenes of the laparoscopic perspective moving inside the patient's abdominal cavity. Sometimes the screen changed very quickly, sometimes slowly.
It is not a teaching demonstration, and there is no explanation by the teacher, so it is difficult for students to understand everything on the screen.
Luo Yanfen and Zhang Zhongqiang looked inquiringly and asked Li Wenhao, who was in charge of bed 7: Did you see anything?