I'm a god of medicine

Chapter 130 He's Really Fast Enough

Chapter 130 He's Really Fast Enough
"Whether the operation is done well or not depends not on the speed, but on the precision." But seeing Yang Xi entered the lounge, Gao Yong explained in earnest.

There is nothing wrong with what he said, and the tone is well-balanced, which is completely in line with the kind of honest teaching a teacher gives to students. However, after Gao Yong finished speaking, he felt faintly that he had taken a big mouthful of jealousy. It's a little sour.

Yang Xi lit a cigarette, sat across from Gao Yong, and said relaxedly, "I'm not afraid of delaying your drinking at night."

I believe you a ghost!
Gao Yong couldn't help giving Yang Xi a blank look.

If you really want me to drink Dean Lin's good wine earlier, then you shouldn't refuse Dean Lin's proposal.Performing two operations at the same time can save half of the time. Everyone should hurry up, and maybe the work can be completed by six or seven o'clock in the evening.But your uncle’s must-have operation is not to be let go, 15 operations are lined up, even if it is not difficult, it will take twelve or three hours anyway, and you can have a drink before twelve o’clock in the evening. It is Amitabha.

Yang Xi doesn't care what Gao Yong thinks in his heart, in front of the system's weekly tasks, everything is just a cloud.

A cigarette was half smoked, and the second patient was sent to the operating room.

Yang Xi then took two quick puffs, threw away the cigarette butt, and went out to wash his hands.Yin Wei was in charge in the operating room. An epidural anesthesia lasted 10 minutes at most. The last operation was delayed for a few minutes because it was not on time. Yang Xi did not intend to waste any more time on this one.

The second operation was still a gallbladder operation. The difference was that the second patient had undergone a percutaneous gallbladder stone removal operation in a hospital in the county two years ago.

Before laparoscopic surgery was popularized, percutaneous cholangioscopic stone extraction was popular for a while in the treatment of gallbladder stones. It was gallbladder-preserving and minimally invasive, and was naturally sought after by patients. The equipment is relatively simple and cheap, and the operation is easy to master. Therefore, it has been highly praised by doctors for a while.

However, as time passed, problems emerged.

One is that the recurrence rate of gallstones after gallbladder preservation is quite high, the other is that there are many postoperative complications, and the third is economic benefits... Cough, let's not mention money, it will ruin the image.

However, the first two points alone are enough to give doctors a headache.

Therefore, when laparoscopic surgery matured, percutaneous cholangioscopy quickly fell to the point where it was about to be eliminated.

This should have been said in Nanjiang Province for more than [-] years.

In the past ten years, private hospitals have developed rapidly, especially a field hospital, which has extended its tentacles to every county.This is a good thing in the first place, more competition will only improve the service quality of an industry, but it turns out that the relevant departments are thinking too much.

For the sake of economic benefits, a certain field often does things that are against conscience.

Jiangbei City and its surrounding areas are areas with a high incidence of gallbladder stones. In order to get a share of this disease, a certain field hospital in Dongshan County could not master laparoscopic technology, so it aimed at percutaneous cholangioscopy. On the Internet, it was widely publicized in the form of advertisements, saying that it was the most advanced treatment technology imported from the Rice Empire.

The patient on the second station had simply believed the ignorant advertisements of that certain field department. As a result, he suffered from gallbladder fistula for more than a month after the operation, and only a little over two years later, the stones recurred again.

Yin Wei personally performed an epidural puncture for the patient. Seeing Yang Xi walking into the operating room with his washed hands arched, he let out a heavy grunt and said, "This one is no better than the last one. It is estimated that the gallbladder triangle has already become a lump, even if it is done by an old horse, it will take at least four to five ten minutes, boy, if you are really awesome, how about half an hour?"

Yang Xi smiled lightly, didn't talk to the patient, but came to the patient's side, and comforted him: "Don't be too nervous, even if it becomes a lump, it won't bother me. Take a nap with peace of mind. When you wake up, the operation I'm done too." After saying that, he gave Yin Wei a look.

Yin Wei understood and nodded, meaning to tell Yang Xi that the sedative medicine has already been given, but it may take a few minutes to take effect.

Either the effect of the medicine had arrived, or Yang Xi's consolation had an effect. In short, the patient nodded slightly after hearing Yang Xi's words, and then slowly closed his eyes.

After the operation area was disinfected and the drapes were laid, when the preparations were ready, even Xiang Dong washed his hands and came to the operating table.

"Second channel, start." Yang Xi sipped lightly.

Take an arc-shaped incision under the costal margin of the right upper abdomen, cut the skin, change the electrocoagulation knife to cut the fat, separate and pull the abdominal wall muscles, expose the peritoneum, then clamp the peritoneum with mosquito forceps, pull and release it twice, and determine the peritoneum If there is no adhesion of viscera, the peritoneum is cut open with tissue scissors to expose the abdominal cavity.

In the whole process, there is no extra movement, just like flowing clouds and flowing water, giving people a pleasing feeling.

Yin Wei looked at it without blinking, and secretly sighed. Just looking at this laparotomy, its level is already second to third in general surgery, which is worse than the old horse in its heyday. Old Ghost Qin is also slightly inferior, but if he can be replaced with a second assistant, he may not be inferior to those two.

The patient's gallbladder triangle was as expected by Yin Wei, the proliferative tissue and omentum were intertwined together, not to mention the cystic duct and common bile duct, even the gallbladder was wrapped in it.

Yang Xi had already been mentally prepared. At this time, he took his time and motioned to the opposite side to expose the surgical area to the east. He held the handle of the knife in his left hand and the tissue forceps in his right hand. With the cooperation of both hands, he bluntly separated it.

Gallbladder, revealed.

The cystic duct is then clearly visible.

Further down, the common bile duct, the left and right hepatic ducts above it, and the duodenum below it are all separated and exposed one by one.

The gallbladder triangle is clearly separated, and the rest of the steps are simple. The distal cystic duct is ligated, and after cutting, the stump is clamped with tissue and turned upwards, and then the separation swab is used. Oh no, it is easy to use the knife handle. That Yang Xi was too lazy to replace it, and replaced the separation swab with a knife handle, and peeled off the gallbladder from the gallbladder bed step by step.

The abdominal cavity is flushed, checked for bleeding, and the abdomen is prepared for closure.

Yin Wei glanced at the time subconsciously. So far, it took 32 minutes in total.

"It's really fast enough!" Yin Wei sighed in his heart.

He has never had surgery, but he has seen a lot. For example, the degree of adhesion in the gallbladder area of ​​this patient can be said to be the most serious one he has ever seen. The second place is Old Ghost Qin who took him next door last year. The county hospital opened a knife, and on that one, Old Ghost Qin took a full 30 minutes to separate the gallbladder triangle.

Although the operation can't be measured simply by the time it takes, the speed reflects the technique and confidence of the surgeon. From this aspect alone, Yang Xi, the monster, has already surpassed Old Ghost Qin, and at least he can keep pace with Old Ghost Qin.

Making such a judgment, Yin Wei couldn't help sighing.

How can this be?

How many knives has he opened?

(End of this chapter)

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