1986: Old Stories in Northeast China

"Actually, I knew you were plotting against me. Did you hear what Dandan was talking about?" Chen Tiezhu asked.

"Yeah, that's true." Dean Lu said.

"You've only been home for two days, and this guy keeps praising you, saying that you made a good choice of master. He also talked about gallbladder removal. Although I haven't seen you do it, you should have studied it."

"Ah..., this apprentice is not easy to worry about." Chen Tiezhu sighed.

"Actually, what I'm thinking about now is similar to the conventional one. It's just that the incision is smaller, just like appendectomy."

"But it also depends on the patient's physical condition and whether it is suitable for such an operation. If the body is too fat, it is unnecessary to force a small incision. That's nonsense."

"That doesn't matter. Anyway, the smaller the incision, the better for the patient." Dean Lu said.

What else can Chen Tiezhu say? This is targeting him.

He was afraid of such a situation at the beginning, but he couldn't avoid it even if he wanted to.

This time, Dean Lu also contacted the operating room directly. When the two of them arrived at the operating room, the observation position above and the observation room with a TV on the side were full of people again.

"I was fooled." Chen Tiezhu said distressedly.

"Since I'm here, what did I get fooled by? Comrades, it's not easy for Consultant Chen to come here once. Everyone cheer up. We don't ask to learn all his skills at once, but at least we have to try to understand them clearly."

"Praise me? Is it useful? Why does the patient want to remove his gallbladder? It will still affect his future life after removal." Chen Tiezhu asked.

"Consultant Chen, the patient has been suffering from gallstones for many years. The history of the disease is more than seven years. This time, he really couldn't stand the torture and decided to remove his gallbladder." A doctor nearby said hurriedly.

"Ah..., this is the current situation of our common people. Many minor illnesses, if they can be intervened early, really don't need surgery. Go and pick up the patient." Chen Tiezhu sighed.

A comrade in the operating room hurriedly picked up the phone next to him and notified the ward.

It didn't take long for the patient to be pushed in. After checking the name and the operation, the anesthesiologist looked at Chen Tiezhu.

"Prepare for an hour and a half, it may be shorter." Chen Tiezhu said.

"Okay."

The anesthesiologist got it right.

Instead, it scared the people watching. Isn't this time a bit short?

Gallbladder removal surgery is also very risky.

"Teacher Chen, the anesthesia has been successful."

After waiting for a while, the anesthesiologist said.

Chen Tiezhu nodded and stood beside the operating table.

"Everyone is too flattering to me. In fact, I am also a student." Chen Tiezhu said.

"Because in medicine, we need to face different changes in symptoms, so I think no matter how capable you are, you can only be a learner."

"For this operation, according to the patient's body shape, I choose a 4.5 cm incision, which should be about right and can give me a sufficient surgical field."

After saying that, he picked up the scalpel and cut the scalpel about two centimeters below the right rib margin of the patient.

If someone takes a ruler to measure it, it is exactly 4.5 cm.

Many people were just wondering if Chen Tiezhu was bragging or something, but now there is no need to think about it, he just does it.

And how big is the conventional surgical incision? Basically, it is more than 7 cm.

"In fact, everyone thinks that small incision surgery is amazing, but I just told Dean Lu that it is just like that." Chen Tiezhu said while operating.

"The key is to see if the patient's indicators are suitable. If they are not suitable, you still have to make a small incision, which really does not take the patient seriously."

"For many operations, we can also estimate a certain time. But when doing cholecystectomy, we must pay more attention, because we often encounter an emergency."

"And the key point of this operation is the exposure of the gallbladder triangle. There are too many blood vessels and important tissues here. If we are not careful, we can make a big mistake."

"What if we accidentally cut the common bile duct, common hepatic duct or other blood vessels? So what we have to do is to fully expose and carefully distinguish. Distinguish one and deal with one."

He spoke slowly and operated slowly. After all, it was a teaching operation, and it was Dean Lu who pulled him here with his face, so he had to teach more carefully.

"Old Xu, what do you think of his technique?" Director Feng of the Provincial Hospital's General Surgery asked with a smile.

"What else do you think? It's really too stable." Director Xu of the Provincial Hospital's Cardiothoracic Surgery said with a wry smile."Comrades, now I understand the true meaning of the importance of anatomy that Consultant Chen talked about. You see, his operation speed doesn't seem to be very fast, but he is very smooth whether it is stripping or ligating."

"You can only do this if you have a full grasp of it. As for the gallbladder triangle, there are actually many variations here."

"Then why can he do it with ease? It is because of his understanding of this area. Even if he encounters unexpected difficulties, he can fully cope with it."

"Yes. We often discuss the surgical plan before the operation, and after it is determined, we will follow this plan." Director Feng also spoke.

"But there are always unexpected situations during the operation. You think that Lao Xu and I are good doctors, but in fact, it's just that we have more clinical experience."

"How long have we stood by the operating table? Consultant Chen has only stood there for a long time. But watching his operation is pleasing to the eye, and every treatment is so perfect."

"Even if we do a regular cholecystectomy, many people will exceed two hours. But what about him? The one he is doing now is a small incision, I think it will only take about 70 minutes."

"Why is he so slow and so fast? It's because of his understanding of anatomy. There are no unnecessary movements, and there is no excessive consideration."

The people around him nodded their heads.

This is a person that the two directors of the provincial hospital are praising, and he has the capital to praise.

During the operation, he can also carefully explain the key points of each step of the operation and the precautions during the operation, and his work is not slow.

You can't help but admire him.

"Okay, wake up."

When the time in the operating room came to the 73rd minute, Chen Tiezhu stood aside.

"You boy, this operation is really too domineering, I can't get enough of it." Dean Lu sighed.

It can be said that he expressed everyone's thoughts, which can only be described as domineering.

Not to mention the people in the observation room, they not only admire Chen Tiezhu's skills, but also Director Feng's vision.