Li Zheng was a little confused for a moment. When he saw Director Peng, he vaguely guessed something, but he was not sure.
"Which patient specifically asked me to perform surgery?" Li Zheng asked.
Director Peng smiled and said, "It's the pregnant woman with the fish sperm in her belly. She's taken a fancy to you and specifically wants you to have the surgery."
Chen Dayong laughed and said, "Brother Zheng is so charming! He is easily attracted by women."
Director Peng patted him on the shoulder and said, "Don't talk nonsense. They just admire Li Zheng's expertise and trust him to perform the surgery. How can you be so impure in your thinking?"
Chen Dayong smiled and said, "Director Peng, please explain clearly. You are deliberately misleading me."
Director Peng shook his head and said, "I won't delay your surgery. The surgery for that patient will be scheduled for the afternoon. Do you have time to help?"
Li Zheng thought about it and nodded, "No problem this afternoon. Let me know when the show is about to start."
After making the decision, Director Peng happily left the operating room.
"Brother Zheng, do you think Director Peng couldn't perform this operation and deliberately said that the patient asked you to do it?" Chen Dayong asked curiously.
Li Zheng shook his head. "That's unlikely. This patient has an ovarian tumor on one side, so she must undergo a complete adnexectomy. It's impossible to preserve the ovary. So the surgery isn't that difficult. Director Peng wouldn't even do a direct resection."
Chen Dayong shook his head and said, "That's not necessarily true. I think the ovarian teratoma is already the size of a volleyball and is already compressing the abdominal vena cava. He even has ascites, so the surgery is going to be quite difficult. Director Tang may not be able to perform it."
Xiao Zhihua chuckled and said, "The harder the better. A harder task will only reflect Li Zheng's abilities. Otherwise, if I help them with the surgery, they might not even appreciate it and might just think the patient is being nosy."
Chen Dayong nodded vigorously, agreeing with this view.
Preoperative preparations have been completed.
Everyone stopped talking about this issue and focused on the next gallbladder surgery.
This was the first cholecystectomy since the establishment of the emergency department, and also the first cholecystectomy performed by Li Zheng since he came to the county hospital.
No one would doubt that Li Zheng couldn't do it. Now it all depends on how well Li Zheng can perform the operation.
Everyone was looking forward to it again.
The general surgery department got the news at some point, and Guo Weiqiang and Yang Chuan also came over.
"Fortunately, the operation hasn't started yet." Guo Weiqiang said with a smile.
Yang Chuan's chubby face was a little excited. He smiled and said, "I finally have the opportunity to see Brother Zheng perform surgery with my own eyes. I usually only hear about it, but today I want to watch it for myself."
"You have such a sharp nose!" Chen Dayong scolded with a smile.
Guo Weiqiang chuckled and said, "If you want to improve your skills quickly, you must watch Brother Zheng's surgeries. In the future, I will watch not only routine surgeries but also emergency surgeries. As long as I have time and Brother Zheng has surgery, I will show up at any time."
Chen Dayong was completely speechless. This guy was even crazier than Bao Youshan. He had already become a die-hard fan of Zheng Ge.
The operation officially begins.
Li Zheng took the skin cutting knife handed to him by Lin Xiaomei.
A right upper abdominal transrectus incision was performed.
Guo Weiqiang nodded. This is the most commonly used incision for cholecystectomy.
The patient was neither fat nor thin, and the incision made by Li Zheng was about 6 centimeters long.
Guo Weiqiang was stunned for a moment. The shortest incision Director Wang had made for this surgery was at least 8 centimeters, but he had only performed a few. The others all started at 10 centimeters. So he said cautiously, "Brother Zheng, isn't this too short? I'm afraid it won't be easy to show!"
Xiao Zhihua scoffed, "You think it's too short. Li Zheng's length is definitely not his limit. He just doesn't want to show off too much, and to make it easier for you to see, he's following the standard surgical template."
Guo Weiqiang knew that he was too anxious, so he smiled awkwardly, stopped talking, and concentrated on watching the operation.
Li Zheng cut the skin, subcutaneous tissue, and fascia in turn, and bluntly separated the rectus abdominis muscle.
The speed is neither fast nor slow, each step is orderly, and each movement is clear and standard.
The level of a doctor can be seen from the operation he performs at the beginning.
An intoxicated expression appeared on Dr. Yang Chuan's chubby face.
Guo Weiqiang nudged him and whispered, "Fatty Chuan, don't be distracted. Brother Zheng is doing a teaching operation. You have to watch carefully. Opportunities like this don't come often. If you let go of the speed, you won't understand anything."
Yang Chuan glared at him in dissatisfaction and said, "I'm looking carefully, don't disturb me!"
Guo Weiqiang touched his nose to hide his embarrassment and continued to admire Li Zheng's surgery.
Li Zheng opened the peritoneum and entered the abdominal cavity.
After entering the abdominal cavity, Li Zheng helped Chen Dayong and Zhu Haiping adjust the retractor, open the incision, and fully expose the surgical field of view.
Next, Li Zheng carefully examined the situation inside the abdominal cavity, including the liver, gallbladder, bile duct, pancreas, stomach, duodenum and other organs.
"Except for the gallbladder, there are no obvious organic lesions in other organs." Li Zheng said as he examined.
"The gallbladder is obviously enlarged, with mild adhesions to the surrounding area, no accessory hepatic duct, and no blood vessel mutations..." Li Zheng explained the situation of the exploration in detail, telling everyone what to do in this step of the gallbladder surgery, and to be as meticulous as possible.
Yang Chuan suddenly took out a mini notebook and a short pencil from the chest pocket of his washcloth and began to carefully record what Li Zheng said.
"Wow, you're so studious!" Guo Weiqiang said in surprise.
Yang Chuan ignored him and carefully observed every move of Li Zheng. He didn't want to miss any action.
"The next step is to expose the gallbladder triangle. Pull the liver upwards and the gallbladder downwards to reveal it. The triangle is formed by the cystic duct, common hepatic duct and the lower edge of the liver. It contains important structures such as the cystic artery and gallbladder lymph nodes." Li Zheng explained in great detail and professionalism. Zhu Haiping held the hook and took notes as he watched. The anatomy of the gallbladder became clear immediately.
Next, Li Zheng used scissors to carefully separate the loose tissue in the gallbladder triangle, remove the gallbladder lymph nodes, and expose the cystic duct and cystic artery.
He carefully separated the cystic artery within the gallbladder triangle, double-ligated it, and then cut it off.
"In this step, we must be careful to avoid damaging the right hepatic artery or other important blood vessels," said Li Zheng.
"The next step is to deal with the cystic duct..."
Li Zheng used scissors to gently separate the cystic duct 1 cm away from the common bile duct, and temporarily tied it with silk thread without cutting it off.
"Normal saline solution."
Li Zheng reached out and took it.
I saw him lift the cystic duct and flush it with saline.
"This is to confirm that the cystic duct is unobstructed and to rule out whether there are any stones in the common bile duct. If there are, then the stones must be removed by incision. This patient does not have any," said Li Zheng.
Finally, the cystic duct was cut at the distal end of the silk ligature and the proximal end was ligated with silk again.
"The gallbladder needs to be removed." Guo Weiqiang said in a low voice.
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