Li Zheng separated the adhesion tissue around the gallbladder bit by bit, using a combination of blunt and sharp methods, just like carving a fragile work of art, his movements were gentle and delicate to the extreme.
This was the first time they saw Li Zheng perform surgery so carefully.
Is Brother Zheng too cautious?
Li Zheng didn't care about their thoughts and concentrated all his attention on separating the adhesions between the gallbladder and liver.
This is arguably the hardest part to separate.
Because the liver and gallbladder were too tightly adhered, Li Zheng could only slow down further and peel the gallbladder off the gallbladder bed little by little, trying to avoid damaging the liver parenchyma and intrahepatic blood vessels.
Suddenly, Li Zheng stopped moving.
"Brother, what's wrong?" Chen Dayong's heart tightened and he asked hurriedly.
The others also kept a close eye on the gallbladder, but found no obvious problems: no rupture to leak bile, and no liver damage.
Li Zheng shook his head and said, "The adhesions are too tight, only part of the gallbladder wall remains."
"This is normal..." Chen Dayong shut up instantly when he thought of this special gallbladder.
The other doctors were stunned at first, because when removing the gallbladder with severe adhesions, the gallbladder wall must be left on the liver, because it is impossible to remove the liver without damaging it at all.
They quickly realized that the gallbladder had become porcelain, so how could they separate the gallbladder wall?
As long as it is separated, the gallbladder will be broken and bile will leak out, which is likely to cause chemical peritonitis.
Now we are in a dilemma!
The operating room suddenly fell silent, with only the beeping sound of the monitor.
"Is the only option left to destroy the gallbladder?" Chen Dayong asked in a low voice.
The other doctors all stared at Li Zheng, they really couldn't think of a better solution.
Li Zheng shook his head and said, "No need to destroy the gallbladder, continue to separate the gallbladder wall."
"What?"
Wang Jiancheng was startled and asked, "How can the gallbladder wall be separated?"
All the doctors were confused.
The gallbladder wall is very thin. Although it is divided into several layers, that is a normal gallbladder. But this gallbladder has become like an egg. How can it be divided?
Li Zheng did not answer Wang Jiancheng, but stretched out his hand and said, "Blade No. 15."
Lin Xiaomei handed it to him immediately.
Everyone opened their eyes wide, wanting to see how Li Zheng would separate.
I also have the idea of using a blade directly.
Li Zheng was seen using curved forceps to gently pry open the liver, revealing the adhesions.
Holding the knife handle in your right hand, use the round and small blade to gently cut the gallbladder.
I saw a layer of white ash on the gallbladder wall being scraped off, and the adhesions were gradually separated.
"This...is this possible?" Wang Jiancheng was dumbfounded. All the doctors looked at the changes in the gallbladder in shock.
"Oh my God, how precise does this feel have to be?" Guo Weiqiang works in general surgery and knows how thin the gallbladder wall is, so he is well aware of the difficulty of the operation.
"I'm shaking just watching it, let alone doing it." Yang Chuan's voice was a little trembling.
Xiao Zhihua watched Li Zheng operate and was so frightened that he quickly checked the anesthesia situation again, fearing that the patient would resuscitate and cause the operation to fail.
Chen Dayong and Zhu Haiping didn't dare to breathe, and held the retractor tightly, fearing that a careless operation would cause the operation to fail.
Li Zheng focused all his attention on the scalpel.
Cut little by little, without rushing or getting impatient.
The small round knife seemed to have a spirit in his hand, removing only the outermost calcification layer, a maximum of 0.1 mm, with precision down to the hairline.
But the process is also very slow.
No matter how capable Li Zheng is, he can't be fast at this kind of operation.
The separation process lasted ten minutes.
The medical staff present seemed to have gone through a long period of suffocation.
When Li Zheng cut off the last bit of adhesion to the gallbladder wall and separated the gallbladder from the liver, the atmosphere in the entire operating room instantly became much more relaxed.
"call……"
Everyone breathed a sigh of relief.
"Oh my god, this operation made me, an anesthesiologist, nervous!" Xiao Zhihua sat down on a small round stool and calmed down.
"It's incredible!" Wang Jiancheng was completely impressed by Li Zheng's surgical skills.
"Brother Zheng, that's a robotic arm, it's so stable." Guo Weiqiang exclaimed.
"Even if I know I can do this, I don't have the courage to do it!" Yang Chuan said a little excitedly.
Li Zheng straightened his body.
Even he felt a little sore in the waist after keeping a bent-over posture without moving for ten minutes.
After relaxing for a while, Li Zheng said, "This surgery requires a very high level of physical fitness. Of course, mental fitness is even more important. Any psychological fluctuations during the operation will be transmitted to your hands, and if you're not careful, it could damage your gallbladder!"
Everyone nodded continuously.
Even just watching it just now, I felt it deeply.
Li Zheng took a deep breath and said, "Focus! The operation isn't over yet, and the next steps won't be easy!"
Chen Dayong and Zhu Haiping immediately regained their composure.
There's still a lot of structure to deal with, and the adhesion is a mess.
Next, we need to deal with the gallbladder triangle.
The first thing is to dissect it.
Li Zheng gently wrapped the gallbladder with wet gauze, pinched the bottom of the gallbladder with his left hand, and left his palm empty to avoid squeezing the gallbladder.
Seeing this scene, everyone's heart was in their throat again.
If you use even a little force, the gallbladder will shatter instantly.
Chen Dayong didn't dare to take over at all. He had no confidence that he would not crush the gallbladder.
Li Zheng also had no intention of handing over his gallbladder.
He gently pulled up the gallbladder, revealing the gallbladder triangle.
This triangular area is surrounded by the cystic duct, common hepatic duct and lower edge of the liver, and contains important structures such as the cystic artery and cholecystic lymph nodes.
When the triangle was revealed, everyone was speechless again.
"The tissues are so adhered that we can't even distinguish them!" Although Guo Weiqiang had confidence in Li Zheng, the operation was indeed too tiring.
What's more, Li Zheng can only operate with one hand now, so no matter how strong his ability is, problems are likely to occur.
Li Zheng, however, remained calm.
He picked up the mosquito forceps and separated the adhered gallbladder lymph nodes bit by bit, and the cystic duct and cystic artery gradually appeared.
After the organizational structure became clear, Chen Dayong became bolder.
Li Zheng clamped the lymph node with forceps and lifted it up, and Chen Dayong carefully cut it off with ophthalmic scissors.
After the lymph nodes were cleared, the cystic duct and cystic artery were basically exposed. As expected, they were adhered together.
Although these two pipes are not vitrified, it is still very difficult to separate them.
Li Zheng used mosquito forceps and ophthalmic scissors with one hand to carefully separate the two tubes, using the two instruments alternately to separate the two tubes little by little.
His other hand was holding his gallbladder.
Everyone felt a little short of breath. Li Zheng's condition was really a test of his physical strength and energy.
If there is any problem with the strength of either hand, the consequences will be unacceptable.
This state has lasted for more than ten minutes.
Both Chen Dayong and Zhu Haiping felt that they could no longer hold on.
Continue read on readnovelmtl.com
