Big Doctor Live Room

Chapter 1168 Laparoscopic left adrenalectomy
"Laparoscopic left adrenalectomy begins, No. [-] scalpel, forceps!"

Standing under the shadowless lamp, Chen Qun stood in the assistant's position, and cooperated with the chief surgeon to operate on Master Qi.During the meal just now, his son was also very forthright. Hearing that his father's condition might be a misdiagnosis, the old man's cancer is at most stage one and can be treated with surgery, so he immediately signed the agreement.

However, this operation was not performed by him, but by Lu Yi who had just joined his team. After all, it was an uncomplicated operation. He acted as an assistant and teacher by the side, and complicatedly corrected some of Xiao Lu's surgical techniques.

Different from the fiancée's free-ranging promotion method, for the hospital chief who finally joined his team, he decided to adopt a hard-core hands-on education method to allow this assistant to get a greater promotion.

As the hospital chief, Lu Yi even entered the emergency center to take on a busy job. He has experienced almost most of the operations, so this laparoscopic operation is also performed in a very orderly manner, and the movements are very standardized.

This may be the biggest advantage of a large hospital like Xiangyun. For any doctor without background to go to the position of general inpatient, various professional trainings are indispensable. Although they have not been integrated into one to form their own style, But the basic skills are very solid, which is quite different from other prefectural hospitals.

puff!
With a soft sound, the long tweezers in Chen Qun's hand tapped lightly on the back of Lu Yi's hand.

"Your position is too high, so although you can see the field of view under the endoscope very delicately and clearly, you have sacrificed a little speed. Keep your elbows still, move your palms directly, put them down a little, and use the knife Hold your surgical forceps in the same way, and continue to probe down! Yes, it is to force your wrists and keep your elbows, which is easier and less laborious."

"But Doctor Chen, Dean Liu taught me so personally, why are you wrong!"

Lu Yi followed such a bunch of thorny treasures around him, and also learned to talk back to Chen Qun. As long as there was reason, Chen Qun would not beat anyone.What's more, as we all know, Chen Qun inherited Liu Dapao's protective temper, and he has a very high tolerance for his confidants. Every day, Little Apple provokes Chen Qun, and everyone is used to it.

When Chen Qun saw that honest Lu Yi raised a dilemma, how could he be fooled, he told him directly.

"President Liu's method is wrong. His method is used in field hospitals. He uses the fastest speed and method to maximize the completion of surgical operations. He only pursues speed, and everything else is farting. But now the times are different. It’s different, and it will take a long time to complete the minimally invasive surgery with this field technique.”

Zhao Xue, who was working as an equipment nurse, also interjected.

"Xiao Lu, next time you meet Dean Liu, you can tell him directly, Mr. Dean, times have changed, and most of your old methods are outdated."

"Xiao Lu" glanced at Zhao Xue, a pretty nurse, with some gloom, but felt as if he had integrated into this group in his heart.Although he is considered the oldest one, everyone calls him Xiao Lu, and the reason is that he joined the team last, so he is naturally a junior.

However, Lu Yi found that there seemed to be a few fewer people in the surgery team tonight, the second assistant was directly cut off by Chen Qun, and the anesthetist was also arranged by Chen Qun, so he couldn't help asking.

"Dr. Chen, why didn't you see anyone else? When I entered the operating room just now, I saw Ouyang Yang and Zhou Lin making fists to decide who should be operated. Is this some kind of surgical training?"

"Don't you know that more than 20 new students have come to the hospital? I asked Zhou Lin to perform a heart demonstration operation on live pigs. If those students can complete it, they will enter the second teaching stage. If you can’t do it, I’ll be your servants honestly. Those are all from the Military Medical University, and Dean Liu asked me to suppress their arrogance!”

This group of young military doctors came here, thanks to Yang Xiaoquan's work. When the old military doctor met the young military doctor, he was naturally particularly energetic and gave them a killing blow first. It was simple and direct, and was approved by the entire team.

If it had been a month or two ago, Chen Qun would not have dared to let Zhou Lin pass by, but since he became a heart specialist, in front of a group of students who can only do simple appendectomy, he can only do a liver and gallbladder surgery. Zhou Lin's ability is fully qualified to show off.

There were also a few heroic female military doctors who came over. They wanted to scare them together, but Qi Hong forced them all to go over and took care of the girls himself. Chen Qun didn't dare to say anything.

"Give Xiao Lu an ultrasonic scalpel, put his elbow in this position, then slowly cut the fusion fascia and move the spleen!"

The long tweezers in Chen Qun's hand tapped the position of Lu Yi's right hand a few times to indicate the position, so that Xiao Lu's right hand could better fit his own body structure.

"Dr. Chen, I saw the adrenal gland. It turns out that even the use of the ultrasonic scalpel is so particular. It seems that the surgery I performed was a fake operation."

Lu Yi easily found the location of the liver under the endoscope, and reported to Chen Qun excitedly.

"What's next?"

Chen Qun asked a question calmly, but Lu Yi gave a standard answer without even thinking about it.

"Do blood vessel treatment first."

"The hemodynamic testing is very stable. Professor Chen, the instruments here are so advanced that every operating room is equipped with these expensive instruments. I would have applied for your school instead of going to the Military Medical University if I had known. .”

A tall and slender assistant anesthetist said next to him, this is one of the new military medical students who had performed a non-blood transfusion operation with Chen Qun in the southwestern provincial capital last time, so he acted as a nursing anesthetist. So this time, Chen Qun, a part-time anesthesiologist, handed over all the testing data to her.

Lu Yi became more and more handy, and he also had the leisure to brag in front of his new colleagues.

"Technology doesn't have much to do with instruments. If we talk about the real situation, Dr. Chen has entered the field of minimally invasive surgery from a traditional surgeon. You haven't seen Dr. Chen perform surgery with crude equipment, and that is his real strength. Okay." Alright, let’s not talk about it, peace of mind surgery, we’re about to enter the troublesome part. Prepare to ligate and remove the adrenal vein, give me the Maryland separation forceps!”

Then the operating room was silent, perhaps because of Chen Qun's influence. Everyone knew that Chen Qun liked to complete the operation quietly and didn't like playing some light music.Of course, if the young lady likes it, that's another matter, and Chen Qun won't object, anyway, he doesn't care about listening at all, and whether there is music or not has almost zero influence on him.

A few minutes later, Lu Yi peeled off the lesion of the adrenal gland, and on the laparoscope, a piece of grayish-yellow tissue like an egg was revealed, and he sighed.

"The tumor adhesion is very serious, and the blood flow seems to be a bit heavy. Dr. Chen, what should I do to reduce the blood flow?"

"Just one method, long-term practice, not only to know how to stop the bleeding, but also to be able to control your movements. You are a little sloppy here, which is barely qualified. But if you want to continue to stay in my group, you need to work harder. You have basic skills, but you don’t have your own ideas, while others have enough ideas, but your basic abilities are in a mess.”

Lu Yi was silent for a while, knowing that although these colleagues are surgeons, they are all studying pathology, and there is no explanation for their poor foundation.But this difference in foundation is only from Chen Qun's point of view. Zhou Lin's ability alone is comparable to those of the middle forces in the hospital, which shows that the hands-on ability of these theoretical schools is not very bad. It's just that Chen Qun is too powerful. It sets off the other people's mediocrity.

(End of this chapter)