Intraoperative examination revealed no abnormalities in the stomach and small intestine. The liver was normal in size with a smooth surface without the nodules in cirrhosis patients.
However, the gallbladder was the size of an adult man's fist with obvious congestion and edema.
The swollen gallbladder was like an inflated balloon. Judging by the posture, it would explode with a loud bang if Zheng Ren wasn't careful.
[Wow, how many stones are in this gallbladder?]
[It might not be stones. It could be parasites.]
[Why do I feel like the gallbladder will rupture with one touch and a large amount of bile will flow into the abdominal cavity? Is the surgery contaminated? Oh no, I can't watch anymore. I'll probably have nightmares if I keep watching. The kind of nightmares that can't end no matter how hard I try.]
The unknown doctor's body was honest even though he said he didn't want to watch. No one logged out of the live broadcast room. People continued to stream in to watch the surgery performed by Big Niu, who had become a legend in Xinglin Garden.
Zheng Ren made a small incision with the tip of the scalpel about 0.5 centimeters away from the liver and began his signature move — blunt dissection.
Everyone watching the live broadcast was a professional doctor. Those who had not performed hundreds of surgeries would be too embarrassed to comment in the live broadcast room.
However, no one could perform blunt dissection like Zheng Ren did.
After repeatedly watching Zheng Ren perform 49 + 1 appendectomies, some people began to attempt a wider range of blunt dissection. However, the outcome was depressing as there was barely a medical accident involving the intestine being torn open.
During this period, a post appeared in Xinglin Garden to gather comments from those who had attempted the surgery after watching the live broadcast for discussion.
Some people thought they were bad at the surgery, but when they read the post, they found that everyone was the same.
It seemed like it was a cognitive problem. Who knew how many practical operations Big Niu had done to master this skill?
The live broadcast room was silent when Zheng Ren performed blunt dissection with the hemostatic forceps and finger.
Many people's fingers trembled slightly as they followed Zheng Ren's movements.
However … that skillful and skillful dissection was something that could only be watched and absolutely not learned.
The gallbladder was congested and swollen to the size of half an adult man's fist, and the surface tension was extremely high. Forget blunt dissection, even the doctors in the room would have to be careful when performing a simple open cholecystectomy. If they were distracted, the gallbladder might rupture.
However, the surgeon in the live broadcast did not seem to be thinking at all. The middle-curved forceps extended into the serous layer on the surface of the gallbladder that the blade had cut open and quickly separated it.
This speed … was simply courting death.
But no one would say that.
Why? This was because those who had said this before were all slapped in the face. Some busybodies even took screenshots as proof and placed them in the discussion thread for future generations to whip their corpses.
A few seconds or more than ten seconds later, the blunt dissection reached the neck of the gallbladder. The surgeon began to dissociate the triangular region of the gallbladder, which was wrapped in a mess of connective tissue due to inflammatory stimulation.
His movements were not fast, but every step he took seemed to be executed without any thought. Many of the doctors who were watching were terrified.
This was like walking on a tightrope. A professor in a Class Three Grade A Hospital … Why a Class Three Grade A Hospital? Why a professor? This was because hospitals below Class Three Grade A did not dare to perform such surgeries, as the risk of medical accidents was extremely high.
Even in tertiary Grade A hospitals, ordinary attending physicians and chief residents would not go there.
At the very least, he had to lead a group of professors to have enough confidence to perform such a difficult surgery.
Since he was going to do it, he would definitely do it carefully. He definitely wouldn't be like the big shot in the livestream, who didn't even think and directly used pliers to perform blunt dissection.
In fact, the surgeon's movements were not very fast, but they were very accurate. The anatomical structure of the triangular region of the gallbladder was like a painting, gradually appearing in front of everyone.
This guy must have dissected a few cadavers. No! A few was definitely not enough. There had to be at least a dozen or twenty.
In the country, the number of cadavers was so small that some medical universities only had one cadaver for dissection in a class.
A group of eight, or the legendary group of four, dissected a cadaver. This was a treatment that only very few medical universities had.
For example, in a certain important northern border town, the school was still a medical school, but it kept countless Kwantung Army corpses from decades ago for dissection. The doctors from that medical school never knew what a cadaver was.
This kind of honorific would never be used on Kwantung Army corpses, even if they had been soaked in formalin for decades.
Because the number of cadavers was scarce, many doctors who were clinical attending physicians and above did not hesitate to work part-time as forensic doctors.
Of course, this was a special treatment that only doctors who wanted to improve themselves in third- and fourth-tier cities where there were no professional forensic doctors.
This guy must have dissected a large number of cadavers. This point was gradually revealed in the triangular region of the gallbladder. When it was completely exposed, the doctors had the same thought in their minds.
The cystic duct and cystic artery were clearly exposed. Ligation, incision, and retrograde cholecystectomy began.
Cholecystectomy only announced that the curtain of the surgery had been lifted.
[Laparoscopy is already very good. I didn't expect open cholecystectomy to be done to this level.]
In Xinglin Garden, some doctors expressed their thoughts in a daze.
An expert would know when they stretched out their hands. There was no need to look at other things. Cholecystectomy alone was enough to make everyone believe that the surgeon would definitely complete the surgery beautifully.
As for how much they could learn from it, it would depend on their own talent.
[Are you stupid? If you can't even do open surgery, how can you perform laparoscopy?]
[Not exactly. Nowadays, many junior attending physicians start practicing laparoscopy. The two of you just now have inadvertently exposed your age.]
[The gallbladder is removed. I have a feeling that there are at least three to five stones above three centimeters in the gallbladder.]
After the gallbladder was removed, the common bile duct and hepatic duct were clearly exposed in the surgical field. It was easy to tell which one was which at a glance.
However, to avoid any mishaps, he asked for a 5ml syringe, punctured the bile duct, and extracted bile to confirm that it was the common bile duct.
After placing a traction thread and stretching the common bile duct, Zheng Ren reached out and gently placed an aspirator in his hand.
The aspirator was inserted the moment the common bile duct was cut open.
Without any pause, the large amount of bile that had accumulated in the common bile duct was sucked away by the aspirator before it could be ejected by the huge pressure.
This detail attracted the attention of the doctors in Xinglin Garden.
Most surgeries required more or less protection around the common bile duct because some bile would inevitably flow out.
However, the surgeon in the live broadcast room did not do this. The incision on the common bile duct was the same size as the aspirator with a glove, and not a single drop of bile flowed out.
Everything was just right. It looked extremely simple and easy. Only those who had actually performed this kind of surgery would understand the difficulties involved.
[I suddenly feel sad. A few years ago, I performed incision and drainage for acute obstructive suppurative cholangitis. The bile flowed out during the surgery, which led to postoperative infection. First, it was bacterial, then it became fungal. It took me a month to recover.]
[I agree. The surgeon's operation is so steady. That incision was the same size as the aspirator. Did he train to have this kind of technique and eyesight?]
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
