"Prepare for ligation." Li Zheng said.
There was a sound of heavy breathing.
It's finally over.
"It's horrible!" Xiao Zhihua said, sweating nervously, "This is the most torturous gallbladder surgery I've ever had."
"Haiping, pull the hook, I'm going to help Brother Zheng with the ligature!" Chen Dayong said, taking a ligature and a pair of hemostat.
Zhu Haiping felt like he was facing a formidable enemy, and quickly exerted force to stretch and fix the wound.
Li Zheng once again confirmed the cystic artery, the one with obvious pulsation, and clamped it with hemostatic forceps near the gallbladder wall. Chen Dayong then clamped it again one centimeter away.
Li Zheng picked up a small round knife and cut the artery between the two forceps. He first picked up the hemostat near the gallbladder, and Chen Dayong slid the ligature along the forceps to the artery, tied a surgical knot, and repeated the procedure once, doubling the ligature.
Li Zheng released the hemostat.
Use the same method to double ligate the other cut end.
Release the hemostat.
No bleeding.
The cystic duct is then processed.
The cystic duct and common hepatic duct join together to form the common bile duct.
Li Zheng clamped the cystic duct with a hemostatic forceps 1 cm away from the confluence, and also clamped another hemostatic forceps on the side close to the gallbladder wall, and cut the cystic duct between the two forceps.
Li Zheng once again confirmed the relationship between the cystic duct, common bile duct and common hepatic duct to avoid accidentally puncturing the common bile duct.
This is also a habit formed in the previous life because a doctor had made an error in pricking someone.
"No problem, ligation."
Chen Dayong cooperated well and quickly double-ligated both the proximal and distal ends with silk thread.
Li Zheng released the hemostatic forceps one by one.
"There is no bile leakage!" Chen Dayong said with a little excitement.
Because the gallbladder is about to be released.
Li Zheng nodded, confirmed again that the gallbladder had no tissue connection, and slowly took out the gallbladder with his left hand.
"call!"
Everyone finally relaxed.
Once the gallbladder is removed from the body, even if it ruptures now, it will not affect the abdominal cavity.
Lin Xiaomei had already prepared the turning plate.
Li Zheng placed the gallbladder and gauze into the curved tray without opening the gauze.
"It's so tiring. I feel tired just watching you do the surgery. I can't imagine how hard it is for you guys to go through." Xiao Zhihua laughed.
The operation went smoothly and he was very happy, as it meant the anesthesia was about to end.
Wang Jiancheng nodded and sighed, "That's right. I usually perform surgeries involving severe adhesions, and my back aches when I step off the stage. I doubt I can persevere through this kind of surgery."
"Don't doubt it, I can't hold on!" Xiao Zhihua laughed and said, "Don't mind it, I was just kidding! Director Wang, you are also very good!"
Wang Jiancheng glared at Xiao Zhihua fiercely.
This guy is just a rude person.
Li Zheng's operation is still going on.
He carefully examined the gallbladder bed and found several small bleeding spots, which he stopped one by one with an electric knife.
There was no bile leakage from the cystic duct stump, and no bleeding from the cystic artery stump.
"Drainage tube, sharp knife." Li Zheng shouted.
Chen Dayong took it and handed it to Li Zheng.
Li Zheng poked another hole with a sharp knife at a low position next to the wound, clamped one end of the drainage tube with pliers, poked it out from the abdominal cavity, and fixed it to the skin with needle and thread.
The other end is placed in the subhepatic space.
If there is bleeding or bile leakage after the operation, it can be observed through the drainage fluid.
Li Zheng then flushed the abdominal cavity with a large amount of saline to remove residual blood clots, tissue fragments and bile.
"Count the equipment and prepare to sew the skin." Chen Dayong shouted. It was finally a more relaxing moment.
Lin Xiaomei and the circulating nurse quickly completed the inventory.
No more, no less.
Li Zheng took the absorbable catgut, sutured the peritoneum, and then sutured the external oblique muscle aponeurosis, internal oblique muscle, and transverse abdominal muscle one by one.
The skin is sutured intradermally to minimize scarring.
The operation is over.
Chen Dayong and Zhu Haiping were responsible for the final wound bandaging.
"Wonderful!" Wang Jiancheng exclaimed as he looked at Li Zheng's back.
"It's really eye-opening!" Guo Weiqiang also gave a thumbs up.
"What kind of insights have you gained? Even if you're flattering someone, you should be more polite." Xiao Zhihua had already stopped the medication and was just waiting for the patient to wake up. He was already relaxed, so his talent for taunting was fully exposed.
Guo Weiqiang was already accustomed to Director Xiao's personality and didn't care. He smiled and said, "Regardless of the rarity of this case or Brother Zheng's surgical ability, it's all eye opening."
Xiao Zhihua nodded and said with a smile: "You have quite a good eye!"
Li Zheng left the operating table, walked to the instrument table, picked up two curved forceps, and carefully opened the gauze wrapped around the gallbladder.
Everyone's attention was drawn to it.
"Let's show it to the family first." Li Zheng said, picked up the curved tray himself and walked out of the operating room.
Chen Dayong also followed behind him.
When they arrived outside the operating room, the family members had been waiting for a long time. When they saw Li Zheng and others, they quickly stood up.
"Zhang Liumei's family members?" Chen Dayong shouted.
"Here they come." The family members all came over.
"Doctor, what happened? She is a model worker, please don't let anything happen to her!" a male family member said anxiously.
Li Zheng nodded and said, "Don't worry, Comrade Lao Mo's gallbladder has been successfully removed."
The family members gathered around and looked at the grayish-white gallbladder in the curved plate, all of them were surprised.
"Oh, why is the gallbladder this color? Isn't it black?" said a female family member.
"What black? It's usually green." said another female family member.
"You are all wrong, it's dark green!" a young girl shouted.
"Doctor, what's wrong with the gallbladder?" asked the male family member.
Li Zheng explained: "It's calcified, like porcelain."
"ah?"
"Why is this happening?"
Li Zheng added: "This is caused by repeated stimulation of the gallbladder by gallstones. Over time, gallstones may appear like this."
No further explanation.
The family members nodded one after another. Although they still didn't understand, as long as the organ was cut out, it would be fine.
Judging from the shape, it is 100% a gallbladder.
"Thank you, doctor. On behalf of the machinery factory, I would like to thank you. After my sixth sister is discharged from the hospital, I will present you with a banner!" the male family member said gratefully.
"No need to send it, this is our responsibility." Li Zheng said.
After examining the family, Li Zheng returned to the operating room.
Place the bending disc on the equipment cart.
Wang Jiancheng and the other three had not left yet. They all wanted to take a closer look at the gallbladder.
Li Zheng picked up the curved forceps and said, "Come on, everyone, take a look. Why is it called a porcelain gallbladder?"
Li Zheng's words instantly piqued everyone's interest.
Everyone gathered around.
Li Zheng carefully spread out the gauze completely.
Then pick up a sterilized cotton ball, dip it in saline solution, and carefully wipe the blood stains on the surface of the gallbladder.
The level of care was as if he was polishing a precious gem.
After wiping it completely clean, Li Zheng picked up the curved pliers and pinched the tip.
"Watch carefully, don't blink, it's time to witness the porcelain gallbladder!"
After Li Zheng finished speaking, he took a pair of curved pliers and knocked on the gallbladder.
Continue read on readnovelmtl.com
