The system takes me for surgery

"That young man just now." Shen Changhe said.

Xu Bowen was taken aback. He thought he was good at identifying people. If that young man had undergone surgery on him, the young man would also look very talented.

I thought to myself, maybe I was bragging in my own name, talk to him after the operation, don't make troubles at that time, and get involved in myself in the end.

He laughed and said, "It's possible that there are too many students, and when you get older, your eyes will become dull, so you can't recognize them."

"You have so many students, it's really easy not to recognize people. Sometimes you don't know people who you haven't seen for three to five years, but you are famous. Sometimes young doctors want to use your name to do things better." Shen Changhe said that now he probably has the bottom line in his heart. Seeing Xu Bowen's reaction, he doesn't know Liang Yi at all.

Unexpectedly, this kid even dared to fool Zhao Yonghui, he was really bold enough.

"That's right," Xu Bowen didn't want to talk too much about his family affairs in the hospital. He planned to find the young man alone after the operation. He looked at his watch and saw that it was past ten o'clock, and said, "The preparations for the general surgery are almost done."

After Xu Bowen read the medical records and auxiliary examinations in detail, he followed Zhao Yonghui to the operating room. Liang Yi and Shan Linfei also followed. The skin has been prepared and disinfected, and the operation can be performed immediately after washing hands.

Walking into the operating room, Xu Bowen glanced at Liang Yi, his eyes instinctively dodged and he took a step back.

Xu Bowen is the chief surgeon, Zhao Yonghui is the first assistant, and Liang Yi is the second assistant.

Patient Feng Fule, 43 years old, preoperative diagnosis: 1. Obstructive jaundice: hilar cholangiocarcinoma; 2. Cholecystitis.

This operation takes a very long time and is a huge challenge for all medical staff, regardless of the difficulty of the operation or physical strength.

After the laparotomy, he found that the judgments obtained from imaging studies were still somewhat discrepant, but Xu Bowen had long been accustomed to this situation. He had prepared three plans of ABC before, and at the last laparotomy, he found a Also useless.

The human body is like a black box, no one knows until it is opened, so the ability to adapt to changes is very important to surgeons.

He chose to use the "scissors excision method" he is most familiar with.

During liver surgery, the liver must be fully mobilized, which is the prerequisite for the safe completion of the operation.

Xu Bowen is used to fully freeing both the left and right livers. Although it takes time, it is safer.

After slowly peeling off, the falciform ligament, coronary ligament, left and right triangular ligament, and hepatorenal ligament of the right liver will be cut, and the adhesion between the liver and the right adrenal gland will be separated, reaching the right wall of the inferior vena cava.

Xu Bowen was explaining the operation while Zhao Yonghui was able to keep up at first, but it was a bit difficult to follow slowly.

Feeling that Zhao Yonghui was struggling to keep up, Xu Bowen stopped and said a few words about medical humanities to ease the pressure of everyone attending the class, and said: "Minimally invasive is being advocated now, but everyone thinks that minimally invasive is narrow, and mistakenly thinks that small wounds are minimally invasive. , In fact, the essence of minimally invasive surgery is not the size of the surgical wound, but to minimize the unfavorable factors for patients.”

Next, he chose to fully reveal the second portal of the liver.In this way, during the operation, the right liver can be completely turned over and held in the hand, and the liver resection can be performed more accurately.

Liang Yi agreed with Xu Bowen's point of view.

The operation lasted for more than three hours, Xu Bowen was suddenly dripping with cold sweat, his face was pale, he kept shaking his head, trying to wake himself up, he said: "It's really not the time." When he was trying to peel off the portal vein, he was in a trance , The scissors shook and punctured the portal vein.

Seeing the blood pouring out, Xu Bowen suddenly went dark and staggered. Liang Yi supported him.

The portal vein was still bleeding. Zhao Yonghui was a little confused when he saw this scene. The location of the rupture was quite dangerous. He held the forceps to stop the bleeding.

Xu Bowen shook his head. He could do it at first, but now he can't see it. He himself is not in good condition and can't do the "blind man feeling the elephant" like usual.

The patient's condition is getting worse and worse, all the vital signs are hovering on the verge of death, the whole operation has fallen into a dead silence, already shrouded in a strong breath of death, the doctor has a professional instinct to catch death, and the doctor who has been on the operating table all year round Humans are far more sensitive to death than ordinary doctors.

Death is coming!

Even Xu Bowen, who has hundreds of units a year, smelled the breath of death. He wanted to go to the stage to rescue him, but now he didn't even have the strength to lift his arms.

Liang Yi shouted: "Hold it with your hands first!"

Only then did Zhao Yonghui come to his senses, and quickly used his hand to hold the bleeding point.

Liang Yi helped Xu Bowen to sit on the stool in the operating room, and said, "Teacher, take a break first."

The pale Xu Bowen nodded, took a deep breath, and tried his best to calm his heartbeat, hoping to recover soon and rescue the patient.

Liang Yi strode over and said in Zhao Yonghui's ear, "I'll take this operation, Mr. Xu is not in a good condition right now."

"Zhao Yonghui is also sweating profusely, and there is no other way now. If the operation cannot be carried out in another 5 minutes, he can only go out and bow his head to the patient's family to express his condolences. He said: "Okay, be careful. "

Liang Yi went to wash his hands again, changed the contaminated surgical gown, activated the system,

"I need this surgery."

"1600 willow leaf coins."

"You took advantage of the fire to rob."

" Not negotiable."

"Okay, a little discount of 1500 willow leaf coins."

Liang Yi gritted his teeth and said, "Deal."

When he walked into the operating table to pick up the scissors, Xu Bowen stood up excitedly, sat down with exhaustion and asked, "What are you going to do?"

"Teacher, take a break first, I have done this operation before, let me try..."

Liang Yi first repaired the two bleeding spots that Xu Bowen and Zhao Yonghui accidentally scratched just now. The position was very tricky, so he had to hook it with one hand, lift it up with the other hand and ligate it. Gently turning his wrist, the hemostasis was completely tied up.

Surgical vision restored!
Such dexterous movements made Xu Bowen, who was already in low spirits, open his eyes and didn't want to miss any operation by the young doctor in front of him.
keep peeling,

Seeing that his peeling movements are very proficient, Xu Bowen slowly breathed a sigh of relief, and sat aside to explain to him the next position, movement, and points to pay attention to,
Xu Bowen is really not used to explaining while performing the operation, but now he really needs to use pure description, and it is a bit incoherent.

Later, Xu Bowen discovered that Liang Yi's movements seemed to be faster than his explanation, and his ability to adapt to changes in the process was very strong, and without a trace of hesitation, just like a robot, without hesitation, fear, doubt,

Xu Bowen stopped explaining, and watched quietly from the side, appreciating this art-like operation, and his heart rate became much more stable.