Yang Chuan frowned and said dissatisfiedly: "It's not like I haven't seen a cholecystectomy before!"
Guo Weiqiang pretended not to hear and quickly stretched his neck to continue watching.
Li Zheng started from the bottom of the gallbladder, lifted the gallbladder serosa with tissue forceps, and used scissors to separate the gallbladder from the gallbladder bed along the loose tissue between the gallbladder and the liver.
"This patient has mild adhesions. During the separation process, be careful to avoid damaging the liver and bile duct. For cases where the gallbladder and liver are severely adhered, sharp separation or scraping can be used. If the gallbladder wall is very thick or inflamed, the bile in the gallbladder can be sucked out first, which will be more conducive to the operation..." Li Zheng shared a lot of experiences again. Even Chen Dayong felt that he was too sloppy when doing gallbladder surgery before and did not pay so much attention to it.
This may be the difference between ordinary doctors and high-level doctors. An operation involves many small details. If you often miss details, the cumulative effect of the operation will be greatly reduced. On the contrary, if you pay attention to every detail, the cumulative effect will become perfect.
After the cholecystectomy, Li Zheng carefully checked the bleeding points in the gallbladder bed and used an electric knife to stop the bleeding, not missing any small bleeding points.
"There's no bile leakage, and the bile duct and blood vessels are not damaged." Li Zheng said as he operated, "If there is bleeding, it must be stopped promptly and thoroughly; if there is bile leakage, the cause must be identified and the bile duct repaired.
"If you're inexperienced or unsure about the surgery, you can place a drainage tube. If everything is fine, you don't have to," Li Zheng continued. "For this surgery, we won't be placing one. When you place it, make sure to find the lowest position and ensure the drainage tube is in place."
Finally, Li Zheng flushed the abdominal cavity with saline to remove the accumulated blood, fluid and tissue fragments in the abdominal cavity, and flushed it again.
"It's time to take inventory."
Lin Xiaomei and the circulating nurse counted the gauze and surgical instruments immediately.
"The quantities match!" said Lin Xiaomei.
Li Zheng nodded and began to suture the peritoneum, fascia, muscles, subcutaneous tissue and skin layer by layer.
Chen Dayong cut the last stitch.
A complete teaching operation officially ended.
"Wonderful! Profound!" Guo Weiqiang couldn't help but applaud and exclaimed in praise.
Yang Chuan put away his notebook and said excitedly, "This operation is incredibly valuable! Whether I was an intern or working, I've never had such a systematic and comprehensive study of cholecystectomy. I'm grateful to Brother Zheng for giving me this opportunity! It's been so rewarding!"
Guo Weiqiang chuckled and said, "Well, do you dare to perform the surgery?"
Yang Chuan's chubby face was full of confidence, and he said in a deep voice: "As long as it is a relatively simple gallbladder stone without excessive adhesion, I think I will be fine."
Guo Weiqiang patted Yang Chuan on the shoulder and warned him, "It seems easy to watch Brother Zheng do it, and you seem to have learned every step. But when you actually perform the operation, you will understand the difficulty. Don't be fooled by the illusion created by Brother Zheng. You still need to learn more from him!"
Chen Dayong nodded, and Zhu Haiping said, "Haiping, do you feel the same as Yang Chuan?"
Zhu Haiping nodded embarrassedly and said, "That's really how it feels! Seeing Brother Zheng do it, I think I can do it too!"
Chen Dayong chuckled and said, "I had the same idea as you at first, until I actually ruptured my gallbladder during my first gallbladder surgery. I realized that watching and actually being able to do it are two completely different things! You still have to actually practice to truly improve. However, today's surgery has taught you the standard procedures and techniques. If you try it in the future, you will definitely be faster and more stable than ordinary doctors."
Everyone nodded, Chen Dayong’s summary was very accurate.
After the gallbladder surgery, Li Zheng took a rest.
Next came a few appendectomies.
Guo Weiqiang and Yang Chuan still did not leave and strongly requested Li Zheng to perform another demonstration operation.
Li Zheng did not refuse and chose the one with the most severe adhesion to work on.
The techniques for separating adhesion tissues are emphasized.
After making one, the remaining ones were handed over to Chen Dayong to complete.
He has done a great job.
"Dayong, from now on, you will be the one to perform appendectomy surgery with Haiping." Li Zheng said seriously while sitting on a small round stool.
Chen Dayong laughed and said, "Don't worry, there's no appendix I can't handle now."
Guo Weiqiang and Yang Chuan both looked envious.
How important it is to follow a good superior, a superior who is willing to let go.
In the surgical department, even if it was an appendectomy, no matter how simple it was, Wang Jiancheng would supervise it thoroughly and never let them do it. This also led to the fact that after working for several years, they had never been able to perform an appendectomy completely.
"Brother Yong, please take us to do appendectomy more often in the future!" Guo Weiqiang showed a flattering smile.
Zhu Haiping said cautiously, "Don't you have a lot of appendectomies in your department? Why are you still trying to get surgery in our emergency department? We don't admit all patients with appendicitis!"
Guo Weiqiang really wanted to curse.
Ever since your emergency department started accepting patients with appendectomy, the number of general surgery patients has dropped by half.
But he didn't dare to say anything more, so he could only smile and say, "Haiping, don't worry that we will steal your spot. We can invite Brother Yong to come to our department to perform surgery. It's our own patient, so it won't conflict with yours."
Zhu Haiping nodded, feeling relieved.
"If I were to come to your department for surgery, I'm afraid Director Wang wouldn't agree!" Chen Dayong had already bandaged the patient's wound and began to take off his surgical gown.
Guo Weiqiang shook his head and said, "Director Wang is no longer so involved in matters now. He's also much nicer to us and isn't as focused on the surgery anymore. He even asked us to take the initiative to learn surgery from you. He's very supportive!"
Chen Dayong was a little surprised, but then nodded. It seemed that what happened to Dean Wang made Wang Jiancheng realize that the situation had completely changed, and he dared not have any opinions about the emergency department.
"Okay, if you have patients, feel free to contact me!" Chen Dayong said happily. It feels so good to be sought after by others!
In one morning, I completed one gallbladder operation and four appendectomy operations.
Li Zheng and others returned to the emergency room.
After lunch, Li Zheng rested for a while.
With Chen Dayong around, Li Zheng no longer needs to personally handle minor emergency injuries and acute abdomens.
2 p.m.
Obstetrician and gynecologist Zheng Jingjing came to the emergency room in person and invited Li Zheng to perform the operation.
"Brother Zheng, I haven't seen you perform surgery for a long time since the ectopic pregnancy operation. I really miss you so much!" Zheng Jingjing stood in front of Li Zheng and said coquettishly.
Chen Dayong almost spit out a mouthful of tea.
This Zheng Jingjing is really bold!
Fortunately, Xiaomei is not here, otherwise Zheng Ge would have a headache.
But Zhu Haiping is here, and he seems to have a good impression of Zheng Jingjing. After hearing this, I guess his good impression will disappear instantly!
Chen Dayong glanced at Zhu Haiping, and sure enough, a look of disappointment and frustration appeared on his face.
Li Zheng coughed and said with a smile, "Doctor Zheng still remembers that operation!"
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