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0062 Enlarged gallbladder

During the operation, there was no abnormal change in the stomach and small intestine. The liver was normal in size and smooth in the surface, and there was no nodules like those in patients with cirrhosis.

However, the gallbladder was congested and edema was obvious, as big as the fist of most adult men.

The swollen gallbladder was like a balloon filled with air. Judging from the posture, the gallbladder would explode into the sky with a "bang".

【Wow, how many stones are there in this gallbladder?】

【It may not be a stone, it may be a parasite.】

[Why do I feel like the gallbladder breaks after touching it, and then a large amount of bile flows into the abdominal cavity, and the surgery is so contaminated? It’s over, I can’t watch it anymore. If I continue watching it, I will probably have nightmares. I have surgery for one night, and I can’t finish it no matter how I do it.]

The unknown doctor who said he didn't see him was very honest. He didn't even see anyone in the live broadcast room. People kept catching up and rushed in to watch the big bull who had become a legend in Xinglin Garden for surgery.

At 0.5cm from the liver, Zheng Ren cut a small hole with the tip of the knife, and then began his signature move - blunt separation.

Those who watched the live broadcast were all professional doctors, and those who had not had more than a hundred surgeries were embarrassed to post barrage in the live broadcast room.

But no one can achieve such blunt separation as Zheng Ren.

After repeatedly watching Zheng Ren's "performance" of 49+1 appendectomy completed, some people began to try a larger-scale blunt separation, but the ending was frustrating, and there was almost no medical accident that would tear the intestines.

During this period, a post appeared in Xinglin Garden, which focused on the speeches of all the people who tried the surgery after watching the live broadcast for everyone to discuss.

Some people think that their level is poor, but when they see it in the post, they all look the same.

It seems to be a cognitive problem. Daniu has done so many practical operations to develop this ability.

When Zheng Ren used hemostatic forceps to separate his fingers intermittently, he felt a quiet pussy in the live broadcast room.

Many people's fingers trembled slightly with Zheng Ren's movements during the live broadcast.

But... the state of being able to cut a cow with ease, you can tell that you can only see it and never learn it when you look at it.

The gallbladder is congested and edema to the size of a fist of most adult men, with extremely high surface tension. Not to mention blunt separation, everyone present must be careful when performing a simple open cholecystectomy. If you are distracted, you may be afraid that the gallbladder will break.

However, the operator in the live broadcast did not think at all. The middle-bending pliers extended into the bottom of the serous layer on the surface of the gallbladder cut through the blade and quickly separated.

This speed... is simply a desperate attempt.

But no one can say this.

Why? Because everyone I said before was slapped in the face, and there were screenshots of the perverted people as evidence, and placed them in discussion posts for future generations to whip the corpse.

After a few seconds or more than ten seconds, the blunt separation has reached the neck of the gallbladder. The surgeon begins to free the gallbladder triangular area wrapped in a mess of connective tissue by inflammation.

He was proficient in his technique and was not quick in his movements, but he seemed to be thinking without thinking every step, and the doctors present were frightened.

This is just walking a tightrope. Generally, professors in tertiary hospitals... Why are they tertiary hospitals? Why are they professors? Because hospitals below tertiary hospitals do not dare to perform such operations at all, the risk of medical accidents is huge.

Even if it is a Grade A hospital, it is not a common minor instructor and hospitalized.

At least you have to lead a group of professors to have enough confidence to perform such difficult surgery.

If you do it, you will definitely do it carefully. You will never be like this big guy in the live broadcast room, without thinking, and you will just put the pliers and separate them bluntly.

In fact, the artist's movements are not very fast, but they are very accurate. The anatomical structure of the gallbladder triangular area is like a painting, gradually presenting it to everyone.

This guy has definitely dissected a few general teachers, no! A few are definitely not enough, at least a dozen or twenty.

In China, the number of general teachers is so small that in some medical universities, there is only one general teacher for dissection in one class.

A group of eight people or a legendary four people dissect a general teacher, which is a treatment that only a few medical universities can receive.

For example, a major northern border town, the school is still a medical school, but it retains countless Kwantung Army bodies decades ago for dissection. Doctors from that medical school never knew what a general teacher was.

This kind of honorific title cannot be used on Kwantung Jun, even though it has been soaked in formalin liquid for decades.

Because the number of general teachers is small, many doctors above clinical treatment should not hesitate to work as part-time forensics.

Of course, this is just a special treatment only for motivated doctors in cities where there are no full-time forensic doctors in third- and fourth-tier cities.

This guy must have dissected a large number of general teachers in the live surgery, and this point gradually appeared in the gallbladder triangular area until it was completely exposed. The doctors had this idea in their minds.

The gallbladder duct and gallbladder artery are exposed clearly, and ligation is started, cleavage, and the gallbladder is removed retrogradely.

The removal of the gallbladder only announced that the curtain of the surgery had been opened.

【Laparoscopy is very good, but I didn’t expect that open cholecystectomy can achieve this level.】

In Xinglin Garden, a doctor expressed his thoughts in a daze.

Experts can tell if there is any one. No need to look at anything else. Just a cholecystectomy, everyone already believes that the surgeon will definitely complete the operation beautifully.

As for how much you can learn from it, it depends on your talent.

[You are stupid, you can't even do open surgery. Where can you do laparoscopic surgery?]

[Not necessarily. Nowadays, many young doctors at the attending physician level start practicing laparoscopic surgery. Just now, you have accidentally exposed your age.]

【The gallbladder is cut off, and I feel that there will be at least three or five stones more than three centimeters in the gallbladder.】

Zheng Ren's anatomy was too clear. After the gallbladder was cut off, the common bile duct and liver duct were clearly exposed to the surgery field, and you could tell which one was which one at a glance.

But he still prevented all accidents and reached out to ask for a 5ml syringe, punctured and pulled out the bile, confirming that it was the common bile duct.

When doing the traction line and stretching the common bile duct, Zheng Ren stretched out his hand and the suction device he wore was gently patted on his hand.

The moment the common bile duct is cut open, the suction is stuffed inside.

There was no gap between them, and the large amount of bile accumulated in the common bile duct was sucked away by the suction before it could be sprayed out by the huge pressure.

This detail has attracted the attention of doctors in Xinglin Garden.

Generally, protection near the common bile duct is required for general surgery, because some bile will inevitably flow out.

However, the operator in the live broadcast room did not provide any protection. The cut incision in the gallbladder duct and the suction device wearing the cover was the same size, and there was no trace of bile that could flow out.

Everything is just right, it looks simple and extremely relaxed. Only those who have truly done this technique will know the difficulties.

[Suddenly I was a little sad. I had an incision and drainage operation for acute obstructive suppurative cholangitis a few years ago. During the operation, bile flowed out and induced postoperative infection. It was first bacterial and then moldy, and it took me a month to get better.

[Similar to the sense that the operator is very stable in operation. With that knife, the cutting edge is as big as the attraction. Is this feeling and eyesight trained?]
Chapter completed!
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