The results of the emergency tests came back as soon as possible. There were no preoperative contraindications.
Chang Yue was about to do the preoperative briefing when Su Yun appeared at the door and waved for her to come out.
"What is it?" Su Yun's charm was almost non-existent in front of Chang Yue. She was extremely impatient with him interrupting her work and spoke with a hint of annoyance.
Su Yun was stunned for a moment before a genuine smile appeared at the corner of his mouth.
In an instant, the warmth of spring blossomed.
"You don't have to do preoperative briefing for general surgery," Su Yun said.
"Huh? Why? "
"What's the main point?"
"Laparoscopy." Chang Yue grew increasingly impatient.
"What if you can't do it? Switch to open surgery and there's a problem with the preoperative briefing. Be careful not to take the blame again. "Su Yun obviously knew about Chang Yue taking the blame in the obstetrics and gynecology department.
Chang Yue was startled and immediately realized what Su Yun was trying to say.
"Then …" She glanced into the room from the corner of her eye.
"Chief Zheng, the general surgery department is performing the surgery. Let them explain themselves." Su Yun was always cynical when he spoke to Zheng Ren.
Zheng Ren also knew about the inside story but had not thought of it before. He understood immediately after Su Yun said it.
Su Yun was not being nosy but it was necessary. Therefore, he greeted Chief Sun.
Department Chief Sun smiled bitterly. 'Why are all the people in the Emergency Department so cunning?'
"Chief Zheng, I didn't hide anything when I brought you to surgery in the past," Chief Sun whispered.
Zheng Ren was puzzled and looked at Chief Sun.
Why did he bring him to surgery in the past? They were not in the same department. There were times when Chief Sun was given a table but they were all very special cases. After a few years, there were definitely no more than five surgeries.
"If I can't do it today, you must help me." Chief Sun did not know why, but he seemed to have a bad premonition and his eyes were filled with helplessness.
Based on Chief Sun's standard, he would not have been able to say such words to Zheng Ren.
However, Zheng Ren had performed so many difficult surgeries recently, including the parasitic obstruction surgery on Cen Meng's uncle, which had constantly refreshed Chief Sun's understanding.
The rise of a young man could not be stopped.
Chief Sun's temperament was gentle, unlike Chief Surgeon Liu of the first general surgery department. Therefore, he could lower his pride and beg a junior at a critical moment.
"You're being too polite." Zheng Ren quickly bowed slightly with a polite smile on his face, acting like a junior. "If you can't do it, I can't either. But if there's anything you need, just tell me. "
A gratified smile appeared on Director Sun's face.
Dealing with Zheng Ren was much easier than dealing with Old Chief Physician Pan. Perhaps it was because he had just risen to power, and his mentality was still stuck at the time when he was a young doctor.
With the patient's family and hospital leaders around, the two of them couldn't talk much.
Soon, the junior doctor brought by Chief Sun completed the preoperative signature, and the group of people went to the operating theater.
Zheng Ren had no intention of watching the fun, so he stayed to read. Su Yun did not follow them. It was as if he was not interested in anything other than his phone, including the young nurses.
…
…
After the anesthesia was completed, Chief Sun stood in front of the operating table and began to perform a pneumoperitoneum.
The pneumoperitoneum needle was inserted into the abdominal cavity and filled with 15? MmHg pneumoperitoneum.
Department Chief Surgeon Sun did not choose the position of the three punctures for conventional laparoscopic cholecystectomy. Instead, he performed two telescopic needle punctures on the outside of the left and right rectus abdominis muscles under laparoscopy.
He probably knew that laparoscopy was not possible, so he chose this strange procedure.
Using a dissecting instrument, the adhesion in the abdominal cavity was severe, especially in the upper abdomen, where there was no gap at all.
His rich clinical experience prevented him from making irreversible mistakes.
Department Chief Surgeon Sun immediately gave up on laparoscopic surgery and switched to open surgery.
After calming himself down, Department Chief Surgeon Sun personally took a picture of the laparoscopic screen before leaving the operating theater to explain to Lin Yuanshan.
He took out his phone and showed the laparoscopic image to Lin Yuanshan, pointing out why laparoscopy could not be performed.
Lin Yuanshan agreed with his infinite regret and professional explanation. Department Chief Surgeon Sun felt relieved and returned to the operating theater. Department Chief Sun felt relieved. He turned around and returned to the operating theater. He scrubbed his hands, changed his clothes, changed the equipment, and started the surgery again.
He had only started learning laparoscopic surgery at the age of forty-five.
He had only started learning laparoscopic surgery at the age of forty-five. At that time, his open surgery skills had already reached a very high level.
A simple laparoscopic surgery was not difficult. After all, the basics of anatomy were there, so it was not difficult.
However, if it was an extremely difficult surgery, he was more inclined to open surgery since he was more familiar with it.
He made a 20cm incision below the right costal margin and entered the abdomen layer by layer to explore the abdominal cavity.
Department Chief Surgeon Sun was dumbfounded the moment the peritoneum was opened.
The situation was more complicated than he had expected!
A large clump of viscera appeared in front of him. He could barely make out the greater omentum and transverse colon, but where the gallbladder was … he had no idea.
He braced himself and performed blunt dissection.
However, he did not know where to start when faced with the clump of viscera.
It was like a tangled ball of twine with no clue where the end of the thread was. If it was really twine, he would be able to cut the knot quickly. Unfortunately, these were human viscera. It would be difficult to suture the bowel once it ruptured due to the severe edema.
He carefully separated it bit by bit. Department Chief Surgeon Sun did not dare to be careless. This had to do with the status of the patient's family, but it was not a big factor. Even if it was an ordinary elderly patient, he would be in the same state at the moment.
Five minutes passed and he had no clue.
Ten minutes passed and there was still no clue. The circulating nurse had already wiped Department Chief Surgeon Sun's sweat twice. The disposable sterile cap had long been drenched in sweat.
Twenty minutes passed and the isolation suit on Department Chief Surgeon Sun's back was dark green. That was the result of sweating a lot and drenching the green isolation suit.
He accidentally tore a small artery when he separated the adhesion and blood spurted out. It took five minutes to deal with this artery. In the end, he dangerously ligated the small artery.
Department Chief Surgeon Sun felt that his eyes were a little blurry. The light of the shadowless lamp was very dazzling.
He sighed and said to the circulating nurse who came to the operating theater to support, "Call Chief Zheng and let him go on stage."
Although he had communicated with Zheng Ren before the surgery, Department Chief Surgeon Sun would never let Zheng Ren go on stage unless it was absolutely necessary.
This meant that he personally admitted that his skill was not as good as Zheng Ren's.
However, faced with the adhesion tissue that was still clueless after twenty minutes of blunt dissection, Department Chief Surgeon Sun still chose to give up.
It was self-evident which was more important between medical safety and face.
The key was that he wanted face. In the end, he might lose even more face.
As for Zheng Ren … Seeing that he was skilled in blunt dissection during the appendectomy, he might have a way. Of course, the main reason was that Zheng Ren had completed a pancreaticoduodenectomy at his peak.
…
…
In the emergency ward's office, Zheng Ren read page after page of Hepatobiliary and Pancreatic Surgery attentively and seriously.
Su Yun's face was expressionless. His fingers danced up and down quickly. No one knew if he was chatting with a girl or eating chicken dinner.
The phone in the department rang, and a few nurses swarmed over.
"Chief Zheng, the operating theater is for you."
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