Doctor’s Life Simulator

Li Mingsheng, who was on the side, was afraid that the dumping would not be complete, and continued to add: "The entire operation was completed in one and a half hours, and the patient's prognosis is very good."

"An hour and a half?"

Professor Huang naturally understood the meaning of this time, and he couldn't help being a little more interested in Qin Lang. He was very excited: "Xiao Qin, come, go with me to see the patient first, and chat while walking."

...

"Xiao Qin, tell me your understanding and views on this single-port laparoscopic cholecystectomy using x-cone and its single-channel special instruments."

...

"Xiao Qin, what do you think about the dissection of the gallbladder triangle, and how to identify the rouviere groove and the common bile duct?"

...

"Hahaha, okay, wonderful, wonderful."

..

Zhuang Tong and the others watched one old man and one young man walking in front. There was a back and forth conversation mixed with a little argument, and there was a sense of absurdity among peers.

Tang Qichen was at the back, looking at this picture, excited: "It's done!"

Could there be better publicity than a young doctor performing a single-port laparoscopic cholecystectomy using their company's x-cone and its dedicated single-channel instrument?

And this Doctor Qin, with such good looks, is simply the best image spokesperson.

After Qin Lang, Professor Huang and Lai Meiyun communicated before the operation, the operation officially started half an hour later.

Anesthesiologist Qian Zhe performed general anesthesia on Lai Meiyun with endotracheal intubation, and took the split-leg supine position.

Qin Lang took a pen and made an incision mark 2cm below Lai Meiyun's delicate umbilicus. In order to cooperate with the operation, it was obvious that the umbilicus was carefully cleaned once.

I don't know if it is too hard, some white and red.

Looking at Lai Meiyun's white, tender and flat abdomen, it would be a bit of a waste to leave an ugly scar.

"Pneumoperitoneum needle puncture..."

As an assistant, Li Ming performed the puncture.

"CO2, the pressure is maintained at 12mmhg..."

Because of the single-channel method, there is also a precise control over the air pressure.

Listen to Qin Lang's step-by-step controller's surgical procedures.

Professor Huang and Director Zhuang, who were guiding them, nodded slightly.

"Scalpel..."

After Qin Lang took the scalpel, he directly chose the pen-holding style, using the open method to cut the peritoneum through the linea alba to prepare for the insertion channel.

The whole action is smooth and fast.

Looking at the incision technology in Qin Lang's tiny operating space, Professor Huang praised Director Zhuang: "Xiao Qin, the basic skills are very good."

Incision is an essential skill for every surgeon. It is easy and simple, and difficult to say. It is very skillful to be able to achieve such precision and smoothness.

Especially such a young man.

"x-cone single channel system ready..."

Soon the instrument nurse brought the x-cone single-channel entry system that had been prepared.

Although I heard Tang Qichen's introduction many times before, and I have seen the operation video, it is the first time that Zhuang Tong has seen the on-site operation.

The x-cone single channel inlet system consists of 2 pieces of metal and rubber sleeves.

Its incision only needs about 2cm, so after the operation is completed, it can be minimally invasive, which is very suitable for idols like Lai Meiyun who rely on their body and face to eat.

The establishment of the entire single-channel entrance system is very simple. After the two metal sheaths are hooked on the abdominal wall and combined, the rubber sheath is put on to complete the establishment of the single-channel surgical entrance system.

The rubber sleeve is composed of 4 5mm operation holes and 1 12mm operation hole. The 12mm operation hole can be inserted into the matching converter and converted into a 5mm operation hole. At the same time, it is equipped with a venting part to reduce smoke interference.

The rubber sleeve has a relatively large range of motion, and with the pre-curved grasping forceps and the endoscope with a length of 50mm and a diameter of 5.5mm, it can effectively reduce the mutual interference of instruments and improve the success rate of surgery.

At the same time, the x-cone single-hole inlet system can be reused many times after being sterilized, and there will be no additional medical expenses.

"The x-cone single-channel entry system is very convenient and practical, and it has practically improved the success rate of surgery."

Professor Huang has personally operated dozens of machines and has a deep understanding of it. He sincerely hopes to popularize it, which is one of the reasons why he is willing to participate in this operation.

Zhuang Tong nodded slightly. The innovation of the technique is closely related to the progress of medical equipment. Of course, the most important thing is the operator.

The combination of advanced technology and a gifted healer can often produce infinite energy.

In front of the operating table, after completing the establishment of the single channel, Qin Lang slightly adjusted the patient's body position, with the head high and the feet low.

The next step is to begin the first step of dissecting the triangle of the gallbladder.

I saw that Qin Lang used curved forceps to pull the bottom of the gallbladder cephalad very delicately. The next step was to identify the rouviere groove.

The rouviere groove is the only visible mark on the surface of the right liver, first proposed in 1924 by the French anatomist rouviere.

In the development of hepatobiliary surgery, with the deepening of the understanding of the anatomy of the sulcus of rouviere, it was realized that cutting the cystic duct above the level of the sulcus of rouviere can effectively avoid extrahepatic bile duct injury.

Therefore, when dissecting the gallbladder triangle, we will first identify the rouviere groove and use this as a benchmark to determine the safe triangle area.

On the screen, under Qin Lang's meticulous anatomy, the meeting point was clearly revealed, and the safety triangle was quickly found along the rouviere ditch.

"Xiao Qin, you have a very deep understanding of the anatomy of the rouviere ditch."

Professor Huang praised again.

"Really very skilled."

Zhuang Tong replied indifferently, and he was very happy in his heart. There are very few practitioners who can be admired by Professor Huang.

Qin Lang has been quietly and focused on the operation there. After confirming the safety triangle, he opened the retroperitoneum directly downwards, and then separated the gallbladder fossa upwards and backwards.

"The movement is well controlled, and the mentality is also very stable, and there is no greed to stray from other structures."

Professor Huang continued to comment that the more he looked at Qin Lang, the more he liked it. Many physicians would add superfluous to synchronize and dissociate other structures when they reached this stage. It seems very neat, but it is easy to accidentally injure the hepatic portal duct structure.

"Separation pliers..."

Qin Lang was completely immersed in the operation. After dissecting the posterior triangle and anterior triangle of the gallbladder, he began to dissect the cystic artery and cystic duct with dissection forceps.

"Ultrasonic knife..."

Another command, issued calmly.

The instrument nurse immediately handed over the instrument.

"It is quite decisive to directly use an ultrasonic knife to cut off the cystic artery."

Professor Huang looked at Qin Lang's steps on the screen, and was very happy. He didn't expect that the operation in Hecheng No. 1 Hospital was not completed this time, but instead he received a bigger surprise.

The next step was to peel off the gallbladder. On the screen, the curved forceps controlled by Qin Lang pulled the bottom of the gallbladder towards the upper left.

The gallbladder was peeled off from the right side of the gallbladder bed. It was obviously a single-channel operation hole, which gave Qin Lang a sense of relaxation.

Especially after working for so long, instead of getting tired, I became more and more energetic.

"Xiao Qin's concentration and energy are very good, and it is really suitable for the operating room."

Professor Huang has brought too many interns and resident doctors, and even many advanced doctors from municipal hospitals who were chief physicians.

"Qin Lang, is a famous physical monster in our hospital."

Zhuang Tong said quietly from the side, after all, he was also hurt by it.

On the screen, Qin Lang continued to control the curved forceps to pull the ligamentum teres hepatica to the head and peel it off from the left side of the gallbladder bed.

After the left and right sides meet, continue to peel in the direction of the hepatic portal.

At this point, more than half of it has been completed~www.readwn.com~ The next step is to reconfirm the relationship between the cystic duct and the common bile duct. As long as there is no problem, the proximal end of the cystic duct can be directly clamped. After the ultrasonic scalpel is severed, the gallbladder can be removed.

Zhuang Tong breathed a sigh of relief. Professor Huang was a little unsure.

However, Qin Lang's hand suddenly stopped on the screen.

"what's the situation?"

Zhuang Tong was a little surprised.

Professor Huang also looked at the screen and saw that the camera stopped at the cystic duct and the neck of the gallbladder.

"The cystic duct and the common hepatic duct are too long..."

"Stenosis of the hepatic duct caused by incarcerated stones in the neck of the gallbladder..."

Professor Huang's eyesight is so amazing, he saw the clue at once, and Cheng Jian, who was beside him, also reacted, and the two almost blurted out together:

"Oops, it's mirizzi syndrome."

Professor Huang's face turned gloomy.