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

"Teacher Xu?"

Xiao Chenguang reminded Xu Guoqiang when he saw him in a daze.

Xu Guoqiang didn't want to take risks, after all, he had just mastered the three-hole method.

Now it is safest to use his most proficient four-hole laparoscopic technique.

After all, he was invited to perform surgery this time, not to do academic research.

Stability is the most important thing.

But now, he is a little hesitant.

Because Xiao Chenguang's auxiliary work is really good.

No matter the placement of the equipment or the patient's position, Xu Guoqiang has an instinctive feeling.

Three-hole method, it works.

After re-evaluating the patient, he became more and more sure of his idea.

"Then make three holes first, you prepare, I'll change my clothes and we'll start."

Xu Guoqiang said.

"Okay, Teacher Xu."

Xiao Chenguang nodded, and after getting Xu Guoqiang's authorization, he began to prepare to establish the puncture.

"If the visual field is not fully exposed and the operation is inconvenient, I will make another operation hole from the left abdomen."

Xu Guoqiang thought to himself.

Although the process is a bit cumbersome, it is always a safety net.

After all, he originally planned to make four holes. If the operation can be completed with three holes now, not only will the patient suffer less pain, but the recovery will be faster.

It is also a promotion for his reputation.

"Teacher Xu, the umbilical card is completed, and the patient's pneumoperitoneum is now established."

The sudden sentence brought Xu Guoqiang back to reality.

"Well, okay."

Xu Guoqiang changed his clothes and stood on the stage. Suddenly, his body paused and showed an incredible expression.

"Wait... the card has been established?"

Xu Guoqiang felt that his brain was not enough again.

He looked at the patient's abdomen on the stage, which was bulging at a uniform speed. The buzzing sound of the carbon dioxide cylinder in his ears reminded Xu Guoqiang all the time.

While he was changing his surgical gown, Xiao Chenguang had actually completed the establishment of the observation hole, and even the patient's pneumoperitoneum was completed immediately.

How could Xiao Chenguang's operation be so fast?

According to Xu Guoqiang's previous experience in laparoscopic surgery, it would take at least ten minutes to establish the first puncture card.

This is still under the premise that the patient's abdominal cavity is in good condition.

If you encounter a patient with centripetal obesity, there is a thick pile of fat in the subcutaneous tissue. If you want to smoothly insert the puncture needle into the abdominal cavity, it may take more time.

But Xiao Chenguang completed a series of operations such as skin incision, freeing subcutaneous tissue, puncturing the peritoneum, and establishing an observation hole in just a blink of an eye.

Even the most tedious puncture card suture fixation has been completed.

Looking at Xiao Chenguang's lightning-fast operation, Xu Guoqiang suddenly had a feeling.

If Xiao Chenguang hadn't waited for him to change into surgical clothes, it is estimated that even the microscope lens would have been inserted into the patient's body.

"Teacher Xu, are you ready to enter the camera?"

Sure enough, when Xiao Chenguang saw Xu Guoqiang change into surgical clothes, he took the laparoscopic lens that had been prepared long ago.

Yes.

It was really seamless.

Xu Guoqiang, who had just stepped onto the stage, felt that he was being pushed forward by an invisible big hand...

As the operation holes in the upper abdomen and right abdomen were established, Xu Guoqiang took a "gun" on each side and inserted it into the patient's abdominal cavity.

"Xiao Xiao, help hold the mirror."

"Okay."

As soon as Xu Guoqiang finished speaking, Xiao Chenguang, who was standing at the same position as him, had already fixed the camera firmly in the abdominal cavity.

On the connected screen, the entire abdominal structure of the patient was instantly presented to everyone in the operating room.

"Huh?"

Xu Guoqiang, who was about to conduct an exploration, looked at the picture on the screen and was stunned.

On the screen, a dark green cyst the size of a pebble was lazily lying on the liver.

The two thin tubes below, one large and one small, happened to form a triangular area with the adjacent liver.

Isn't this position exactly the gallbladder triangle area he needs to dissect?

Xu Guoqiang was startled, and he couldn't help but turn his head to look at Xiao Chenguang beside him.

At this time, the latter held the laparoscope steadily with one hand, and his whole arm was like a precise machine, hanging in the air without moving.

"Teacher Xu, what's wrong?"

Although Xiao Chenguang looked at the screen, he also found Xu Guoqiang looking at him out of the corner of his eye.

"Oh, nothing."

Seeing Xiao Chenguang's relaxed expression, Xu Guoqiang focused his eyes on the screen again.

He was surprised.

Xiao Chenguang's ability to accurately locate must have a lot of clinical anatomical experience behind it.

Otherwise, he wouldn't be able to find the gallbladder triangle with just a casual look.

Even Xu Guoqiang, who has performed hundreds of cholecystectomies.

It would be impossible for him to operate the laparoscope himself in such a short time.Find the position that needs to be freed.

"Old Wang, no wonder you pushed Xiao Chenguang without leaving any room for maneuver, and even let Xiao Chenguang help you if you don't go on stage yourself."

"I can't help but push talents like this, it's really a face-saving thing for myself."

Xu Guoqiang also put in 100% of his energy at this moment.

After all, the hand holding the scope is so powerful. As an expert in the provincial capital, if he doesn't show a little strength, he will be laughed at by others.

So Xu Guoqiang concentrated his attention, holding two long "guns" in his hands, one grasping forceps and one separating forceps, and began to free and dissect the gallbladder triangle in the patient's abdominal cavity.

Seeing this, Xiao Chenguang couldn't help but nodded.

It must be said that Xu Guoqiang's laparoscopic skills are really good.

After a while, the inflammatory secretions attached to the gallbladder triangle were freed.

The gallbladder duct, common hepatic duct, and gallbladder artery and vein were presented to everyone in turn.

Xu Guoqiang used a grasping forceps to gently lift the gallbladder from the gallbladder bed and fully expose it.

"It's not too serious. It is estimated that the gallbladder can be removed in half an hour."

As the gallbladder was freed, everyone found that the patient's cholecystitis was not too serious.

In addition to a layer of yellowish connective tissue covering the surface of the gallbladder, there was also some exudate gathered around the gallbladder bed.

In addition, there were some adhesions on the liver with a few yellowish particles (fatty liver).

"Change the suction tube, wear..."

Before Xu Guoqiang finished speaking, a plastic soft stick wrapped in a sterile cover appeared on the screen.

Comfortable!

During this operation, Xu Guoqiang felt an unprecedented sense of comfort.

Not only did the operation go very well, but even Xu Guoqiang himself felt that his skills were improving by leaps and bounds.

The current three-hole method is already easy for him.

Even the one-hole method, which is known as the pinnacle of gallbladder technology, he is confident to complete.

Just when Xu Guoqiang was full of confidence and was ready to remove the ligated cystic duct and cystic artery in one go,

Suddenly.

The screen went blurry.

The originally clear abdominal cavity image turned into a pile of flashing white snowflakes.

This was like the image that appeared when the closed-circuit television suddenly lost signal.

"What's going on?!"

Xu Guoqiang's body suddenly tensed up, his hands stiffly raised in the air, and he was like petrified, not daring to move.