Back to 1999: From operating surgeon to becoming a top doctor

Xiao Chenguang held the lens with his hand, leaned over, put his eyes on it, and looked into the patient's abdominal cavity through the cavity tube.

At this time, the screen was still gray, and the entire operating room was quiet. Everyone's eyes were focused on Xiao Chenguang.

No one dared to speak, for fear of affecting him.

As time passed, Xiao Chenguang gradually adjusted the direction of the lens.

Due to the lack of image processing, some blind spots and dead angles can be easily overlooked by naked eye observation.

Once the lens is dirty and the field of view is not clear, it must be taken out and wiped again.

In this way, the previous efforts will be in vain.

At this time, everyone's heart has been raised to their throats, and they feel that the whole chest is beating non-stop.

"Okay."

Xiao Chenguang stopped moving and fixed the laparoscope again.

As soon as this was said, everyone breathed a sigh of relief.

"Teacher Xu, I'll help you get the forceps, and you look at the lens."

"Okay."

Facing Xiao Chenguang's request, Xu Guoqiang instinctively handed over the "gun" near him.

The latter reached out and held it steadily.

The whole process was very fast, but it made people feel very relieved.

If this scene was seen by someone familiar with Xu Guoqiang, they would probably be shocked.

You should know that in laparoscopic surgery, the two "guns" in the hands of doctors are no less than their own lives.

But now, Xu Guoqiang handed one of the "guns" to Xiao Chenguang.

This trust that is willing to let him take risks can be called a life-long friendship.

At this time, Xu Guoqiang leaned over, grabbed the lens fixed by Xiao Chenguang, and began to operate in an extremely weird posture.

"Prepare to cut the gallbladder duct, turn the grasping forceps 10 degrees to the right."

"Okay."

Xiao Chenguang controlled the grasping forceps and began to turn slightly.

"Okay, stop, hold it steady."

Xu Guoqiang pinched the handle and lightly pulled the trigger, and the sharp scissors split the slender gallbladder duct into two.

The whole process was very fast.

"Continue to cut the gallbladder artery and vein, pay attention to the strength, and prepare the bag."

"It's ready, you can start cutting."

There are two people on the stage, one is observing and checking, and the other is operating the cutting.

The two people cooperated tacitly, and at this moment, it was unclear who was the main surgeon and who was the assistant.

Everyone present was nervously waiting for the result.

Finally.

"The gallbladder is removed. There is no excess blood and fluid around the abdominal cavity. The total amount of bleeding is expected to be less than 5ml."

As a gradually shrunken gallbladder was taken out from the observation hole, a three-port laparoscopic cholecystectomy was successfully completed.

There was a burst of cheers at the scene.

"That's great, it was really scary just now."

On the operating table, instrument nurse Li Wenxia caught the cut gallbladder in a sterile bowl.

At this time, the surface of the gallbladder had begun to turn white due to the loss of blood supply.

The cut gallbladder duct and artery and vein were firmly sutured with a black needle and thread, without any cracks.

The operation was done perfectly, and even the local bleeding was less than 5ml.

If the screen hadn't turned gray and there wasn't a video recording, this operation could probably be used as a teaching material for people to learn and communicate.

Of course.

Because of this sudden change, even Xu Guoqiang, who had performed hundreds of cholecystectomies, became excited.

"Xiao Xiao, you're really good. If it weren't for you, this operation would definitely have to be converted to an open abdomen."

Xu Guoqiang has been a doctor for so many years and has rarely experienced such thrilling operations.

Adrenaline surged, and his heart rate was still above 100 until now.

"Teacher Xu, are you still putting in a drainage tube?"

"Is the patient waiting in the operating room for anesthesia to wake up and remove the tube, or will he be transferred back to the ward?"

Facing Xu Guoqiang's endless praise, Xiao Chenguang just smiled.

In fact, this operation would not be considered a major operation if there was no small episode in the middle.

Even if the screen broke in the middle, it would be a little troublesome for Xiao Chenguang to operate directly with the naked eye.

Now that the operation has been successfully completed, the next thing to consider is the issue of postoperative recovery.

Facing Xiao Chenguang's first question, Xu Guoqiang was stunned.

Can a cholecystectomy be performed without a drainage tube?

In his impression, even laparoscopic surgery with minimal bleeding requires routine placement of a drainage tube after surgery.

But why did Xiao Chenguang look so confident, as if it would be okay without a drainage tube?

"How about putting a gallbladder drainage tube?"

At this time, even Xu Guoqiang himself did not realize that when he answered Xiao Chenguang's question, he actually felt a kind of... timidity?

"Okay."

Xiao Chenguang somewhat understood Xu Guoqiang's answer.

After all, compared with later generations, laparoscopic cholecystectomy, which has been achieved with vomiting, is still a new technology.

To be on the safe side, even if the amount of bleeding is less than 5ml, a drainage tube must be placed for observation for two days.

Soon, the drainage tube was placed, the mirror was put away, the pneumoperitoneum machine was turned off, and the incision was sutured.

Xiao Chenguang, who was busy on the stage, could not help but make Xu Guoqiang beside him sigh.

This young man is really a young man to be feared.

"Anesthesia, prepare to stop the medication, and return to the ward after the patient wakes up."

Xu Guoqiang was much more confident about the second question raised by Xiao Chenguang.

"Okay, the patient will wake up in three minutes."

"???"

Xu Guoqiang was stunned again and looked at the anesthesiologist in amazement.

Since when has even the anesthesia at the prefecture-level become so powerful?

Liu Tie smiled and felt happy when he saw Xu Guoqiang's expression.

This was thanks to the fact that he had been doing surgery with Xiao Chenguang recently. He was not only familiar with his operation procedures, but also able to reduce the dosage of medicine in advance.

The most important thing was that Xiao Chenguang taught him a lot of knowledge about anesthesiology and respiratory mechanics.

This allowed Liu Tie to gradually achieve the highest level of waking up the patient as soon as the surgery stopped.

At this time, the patient had gradually woken up, and there was a painful expression on his face. Liu Tie had already given him painkillers.

As the medicine entered the blood vessels, the patient's expression instantly cleared up, and his expression was peaceful.

"Old Wang, are you sure you haven't done abdominal surgery?"

Looking at the tacit medical staff on the stage, Xu Guoqiang asked again a soul-searching question.

At this time, Wang Jingang was also confused.

When did the level of the operating room of Shengli Hospital advance so rapidly?

Wang Jingang has been doing surgery in Shengli Hospital for a lifetime. He knows better than anyone what the operating room is like and what level people are.

Even if the current surgical team is what he thinks is the best.

But it was beyond Wang Jingang's expectation that the patient was so good that even Xu Guoqiang from the provincial capital would look at him differently.

"Good luck, good luck..."

In order to save Xu Guoqiang's face, Wang Jingang laughed and laughed, but he looked up and outstretched his chest, and it was estimated that he was already very happy.

Soon, the patient was completely awake.

Liu Tie stopped the ventilator and removed the tracheal tube from the patient's mouth. He answered fluently and spoke clearly, and everything went very smoothly.

"The patient can be transferred back to the ward."

After the awakening, Liu Tie said to everyone in the operating room.

"Okay, let's go." Wang Jingang nodded with satisfaction.

As for why Xiao Chenguang proposed to remove the tube in the operating room, it was mainly for the psychological comfort of the patient and his family.

After all, surgery is very nervous for both patients and their families.

The awake patient was pushed into the operating room, and when the operation was over, he was awake again.

It was a completely different feeling for the family members to come out unconscious with the tube.

After all, any normal person with an IQ knows that the operation is more successful and less traumatic for patients who are awake when they leave the room.

After a while, with the family's many thanks, the patient returned safely to the general surgery ward.

When the medical staff saw the patient talking and laughing with his family in the ward, they felt relieved.

They knew that after this operation, the spring of general surgery would come.