VIP ward, single room 303.
Director Liu Tianxing was lying quietly on the bed while Cen Meng was sitting by the bed. Both of them did not speak to each other. Both of them seemed to be lost in thought.
The television on the opposite wall flickered with snowflakes, its rustling monotonously.
After a long while, Chief Surgeon Liu broke the silence.
"The patient's diagnosis is clear?" Chief Surgeon Liu's voice was hoarse.
"Yes," answered Cen Meng. "Preoperative preparations are complete and the patient is undergoing general anesthesia."
"This is a rather difficult cholecystectomy. This is his first time … Are you sure it's his first laparoscopic cholecystectomy?" Chief Surgeon Liu suddenly asked.
"I'm sure." Cen Meng said, "He's done some appendectomies before. Perhaps he's talented, so he performed well. But I'm sure that he has never been the chief surgeon for cholecystectomy, be it laparoscopic or open surgery, never! "
"I've never been a chief surgeon. I think I've been an assistant before."
The main job of the assistant for laparoscopic cholecystectomy was to hold the endoscope, which was the head of the endoscope. This was a job that was even worse than the retractor used to perform laparotomy.
It was good that there was no actual operation.
Chief Surgeon Liu nodded and slowly closed his eyes. "Young man, you think you're better than the sky just because you've learned one or two surgical methods. Don't be so anxious."
"Yes." Cen Meng knew that it was time for Chief Surgeon Liu to give his speech. As a supporting actor, all he had to do was to simply answer yes or no.
"When you're performing a surgery, especially when it's an unfamiliar surgical method, there's always going to be an accident if there's no experienced doctor watching from the side." Chief Surgeon Liu closed his eyes and mumbled as if he was trying to recall something. "Cholecystectomy doesn't seem to be a big surgery. It's just a Level 1 surgery, but do you know why doctors below the rank of chief resident in the general surgery department aren't allowed to perform it?"
"Because sometimes the shape and structure of the bile duct and the common hepatic duct will change because of inflammatory exudation. Once the common hepatic duct is cut, the damage is irreversible." Cen Meng had personally performed more than ten laparoscopic cholecystectomies, so he knew these things very well.
"Yes, especially for novices who have just come into contact with laparoscopy. I'm afraid they won't be able to tell the difference between left and right. Chief Physician Pan must have gone senile. How dare he allow Zheng Ren to perform a surgical procedure that even he doesn't know? "
"How daring. Something must have happened."
"We just need to watch quietly."
As he spoke, the rustling sound from the TV suddenly disappeared, and Chief Liu opened his eyes abruptly.
The anesthesiologist who was seconded to the emergency operating theater today was Cen Meng's classmate, so he was aware of Zheng Ren's every move in the emergency department through his' insider '.
There was a camera system installed on the endoscope lens, which could be used for video recording and live streaming. It was just that most people did not let others watch their surgery live.
After Cen Meng's repeated requests and promises, his classmate agreed to secretly transmit the surgery process to him using the Bluetooth network.
Cen Meng knew that Zheng Ren did not know how to perform laparoscopic surgery. To cheer Chief Surgeon Liu up, he connected the signal to the TV in the special patient ward so that he could watch Zheng Ren's surgery in real time.
There was no sound, but the endoscope had been opened. It was probably time to use the pneumoperitoneum machine to establish a pneumoperitoneum.
Soon, the camera began to shake. The two surgeons in the VIP ward were experts. They knew that the 'hole' had been made and the endoscope lens was ready to be inserted.
No one spoke. The atmosphere in the ward was a little tense, even more so than when they were operating on their own.
Cen Meng became nervous when he recalled Zheng Ren's sensational forty-nine appendectomies in one night and the last transrectal laparoscopic appendectomy that even Chief Surgeon Liu had never heard of.
He definitely did not know how to do it. Moreover, this patient had been suffering from exudative inflammation for five days and severe adhesion, making the surgery more difficult.
…
…
There was a sudden change in the traffic monitoring on Xinglin Garden's website.
Hundreds of people flooded into a live streaming room. However, having learned his lesson last time, CEO Peng Jia had adjusted the live streaming room limit to 10000 viewers and made contingency plans.
[The god hasn't operated in a few days. I really miss the smooth appendectomy.]
[What's the surgery this time? Let me see …]
[Laparoscopic! Laparoscopic! I'm so excited. I'm new to laparoscopic surgery. I wonder how good the god is.]
[Would you dare to livestream the surgery if it were you? He's definitely good!]
Hundreds of people chatted and cheered as they chatted.
As for the surgeon's laparoscopic surgery skills, that was another matter. Everyone was still immersed in the overwhelming number of appendectomies a few days ago.
The atmosphere in the VIP ward was not as lively as the live streaming room. Although Chief Surgeon Liu and Cen Meng were certain that Zheng Ren had neither performed laparoscopic surgery nor studied it, they could not help but feel nervous.
Soon, the laparoscopic probe entered the TV and revealed the triangular gallbladder region with severe adhesion.
A satisfied smile finally appeared on Chief Surgeon Liu's face when he saw this.
If he were to perform this surgery, he would have to focus on dissecting the anatomical structure of the triangular gallbladder region bit by bit. If he wasn't careful, he could tear it open and it could cost him his life.
If it were a newbie … No, even if it were Cen Meng, the only solution would be to ask him to perform the surgery himself. He dared not perform such a difficult surgery alone.
[Wow, it's a laparoscopic gallbladder!]
[Who said the god doesn't know how to perform laparoscopy? Stand up and I promise I won't beat you to death.]
[Looks like the god doesn't use a laparoscope for appendectomies because the incision is small enough. There's no need for a laparoscope.]
Everyone in Xinglin Garden was even more excited to watch the surgery. No matter how skilled an appendectomy was, it was only an appendectomy. No matter how skilled a resident doctor was, there was nothing much he could do.
There was a saying that a chef who could cook potatoes and cabbages well was a true master chef.
The same applied to appendectomies, which were equivalent to potatoes and cabbages. Based on the standard of the live streaming room's appendectomy, the doctors who had watched the surgery before were certain that the surgeon was a master.
That being said, everyone's talent was different. At a certain level, there was no way to improve one's surgical skills.
There was no point in watching an appendectomy from afar. There was no reference point, be it in terms of skill or … stamina.
Laparoscopic cholecystectomy was different.
At the beginning of the 21st century, domestic hospitals started performing laparoscopic surgery. Many departments, including thoracic surgery, general surgery, and gynecology, gradually popularized minimally invasive surgery.
It was not until ten years later, when the old chief physicians of various departments gradually retired and the new generation of doctors who mastered laparoscopic techniques became first-line clinicians that it was popularized nationwide.
However, the development of laparoscopic minimally invasive surgery was very rapid.
In 2001, a big shot in Imperial Capital used a thoracoscope to perform esophageal cancer surgery in eight hours. Now, as long as the esophageal cancer was not located too high, the completion time was less than two hours.
Laparoscopy had replaced traditional open surgery and became the mainstream.
In Xinglin Garden's live streaming room, the moment the severely adhered triangle of the gallbladder appeared on the screen, countless comments flew in.
[Are all the surgeries chosen by the god so difficult?]
[The gallbladder's triangle is a mess. This surgery will probably take three hours.]
[The gallbladder's neck is wrapped up. How can it be separated?]
The more they looked, the more shocked they were. The gallbladder was almost completely wrapped in inflammatory exudate. A thin layer of membrane wrapped the gallbladder tightly. Even the gallbladder itself could not be identified, let alone the anatomical structure.
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