Doctor of Healing

With the opening of the Cl- channel, the permeability of its Cl- is instantly increased, which makes the cell membrane hyperpolarized.

At the same time, the excitatory response caused by depolarization after glutamate acts on the corresponding receptors is blocked, causing central inhibition.

Ding Yifan's pupils narrowed like pinpoints.

This is so impossible!

The time clearly shows that it only took 8′12″ from the beginning of the operation to the superselection of the next-level artery entering the renal artery!

In other words, the super selection just now was a success, not edited.

Who performed such an awesome operation!

It must be fooled, everyone including Ding Yifan had such a thought in their hearts.

Even Director Sui thought so.

Yesterday's operator seemed to have time-traveled. In the next operation, he slapped everyone in the face with practical actions.

After the super-selection, the coil is driven in to embolize a branch of the bleeding artery, and then the micro-guide wire is super-selected again.

It's still done once!

This time, many people are paying attention to the time, staring at it without blinking, whether there is any trace of editing.

It is a "regret" that the operation was completed in one go, without any trace of editing.

The branch under the next renal artery was successfully super-selected again, the coil was driven in, and the bleeding stopped.

The extremely difficult emergency emergency surgery was actually made a boring feeling by the surgeon.

It's as simple as cutting a lipoma.

Ding Yifan felt unreal with this feeling of lifting weights as lightly as possible.

After the operation, a professor from the organizing committee came to the stage and clicked to replay.

Such high-level surgeries are rare, and I can't get enough of them after seeing them many times.

Ding Yifan suddenly calmed down after a short sigh of emotion, this is a mess!definitely is! !

Chapter 114 Sir, do you prefer left or right

at the same time.

Ji Xiang is brushing his hands, ready to cooperate with Director Liu's operation.

Director Liu asked him to come here today from Mo Chenggui's men unreasonably.

Director Liu is very interested in this little trainee, he seems to have a smooth journey, whether it is Mo Chenggui, Senior Colonel Wang, or Mr. Wu, they all treat him very well.

Even Director Zhao Xiangming, who had just met and had a violent personality, bowed his head and obeyed his ears.

It's a bit weird and doesn't make sense, but Director Liu doesn't care much about it.

There's something interesting about this kid.

Coupled with the fact that he broke more than 100 records in the martial arts competition at the weekend, Director Liu was thinking about cultivating it.

If it works, it's not impossible to brush his face and keep him.

After all, even Elder Gu in Shanghai is optimistic about the young man, wouldn't it be possible to get on the line of Elder Gu by keeping him.

But Director Liu just thought about it casually. It is extremely difficult to keep a regular trainee in the Second Affiliated Hospital, and even his graduate students may not be able to stay.

The most important thing is that Director Liu thinks this kid is weird, and at the critical moment, he is a bit of a fool, and his technical level is ridiculously high.

The handwashing nurse is Tang Yan, that girl who drives a car more crazily than Senior Colonel Wang.

"Ji Xiang, aren't you in the same group as Colonel Wang and Professor Mo?" Tang Yan asked while arranging the surgical instruments.

"I asked Ji Xiang to come and help me." Director Liu replied on behalf of Ji Xiang.

"Ha, if I knew you were going to have an operation, I'd tell Sister Dali not to brush your hands." Tang Yan said.

"What, you want to dress my Xiaoji? Don't stretch your hands too far." Director Liu was talking nonsense while watching the film before the operation, without affecting each other, which is also a skill.

"Hey, Director Liu, have you ever received similar treatment?" Tang Yan asked with a smile.

"When I was young, I was also a little fresh in the countryside, kawaii in the city, and handsome. It's not that I don't know how active girls are." Director Liu confirmed the affected side again, checked with the anesthetist, and he was as stable as an old dog. .

"And then?" Tang Yan was curious.

"Once I went abroad to study, they had never seen such a spirited guy like me, and they were stunned by the itinerant nurse." Director Liu made the final confirmation, turned to brush his hands, and said with a smile, "Cleveland Medical Center The nurse stretched out her hand, guess what she asked me?"

"Hahaha, Director, amazing!" Tang Yan tidied up her equipment, laughed loudly, and waited for the last stalk.

"She asked me, sir, are you accustomed to the left or the right?"

After speaking, Director Liu left the operating room to brush his hands.

"What do you mean?" Tang Yan didn't understand.

The anesthesiologist connected the ventilator with a smile, "Yan'er, the urology department is just a bunch of stinky hooligans, don't talk to them, don't say a word."

The itinerant nurse laughed and went to count with Tang Yan without explaining.

"25, 26...Damn it! Director Liu meant that!!" Tang Yan suddenly exclaimed.

"Yan'er, what are you doing?" The itinerant nurse was taken aback.

"I didn't understand what Director Liu meant!"

"Oh, don't make trouble, where is the count?"

"25."

"Why do I think it's 26."

"Let's start from the beginning."

The door of the operating room opened, and Ji Xiang opened the door with his butt pouted, turned around and walked in.

"Doctor Xiaoji, your butt is quite upturned, and you can see that you are on stage." The anesthesiologist laughed.

"It's still troublesome. I think the kind of sensor door that kicked open before is fine, but the infrared one is a step backward." Ji Xiang said while putting on his clothes.

Seeing the itinerant nurse counting with Tang Yan, Ji Xiang narrowed his eyes, "Teacher, please help me tie it."

The anesthetist helped Jixiang fasten the belt of the sterile suit, "Dr. Xiaoji, I heard that you went to the martial arts competition on weekends and broke more than 100 records in a row?"

"Uh, um."

"Niu, no wonder Lao Liu wants to take you into surgery. Be careful Director Liu, he is good, but quite bad."

As he said that, Director Liu also walked in poking his ass.

"What are you talking about? You still wore crotch pants when my old Liu was the top three elites." Director Liu, an old driver who has been in the sewer for decades, never cared about driving. Saying these words is as simple and casual as eating and drinking .

He disinfected with a smile and put on his clothes.

"Check it again."

Ji Xiang went to disinfect, and Director Liu checked the patient's information with the anesthesiologist again.

"Director Liu, do you have obsessive-compulsive disorder?" the anesthesiologist asked.

"Don't mention it, you must have OCD, otherwise how could you check it so many times." Director Liu said, "Now the nurses have checked it three times and eight times, and I need 28 pairs before I dare to perform surgery."

"I never heard that you cut the wrong waist."

"I didn't miss it, but I saw it. Otherwise, would there be such a big psychological shadow." Director Liu said, "I was a young doctor who just came to the clinic at that time, and I watched what happened to the old Professor Sun. Son."

"When I was drinking later, someone asked me, you can even cut the kidneys wrong, how did you grow your brain? Do you rely on photosynthesis?"

"Oh." The anesthesiologist sighed.

"Whoever does it knows." Director Liu said, "But this is not an excuse. Dim sum is better than anything else, right Doctor Xiaoji."

Director Liu intends to support him, and he doesn't mind impressing Ji Xiang with this seemingly useless but sick clinical experience.

"Yes, Director." Ji Xiang said while sterilizing, "I also heard that a long time ago, it seems that not long ago, a doctor was drunk and went to the emergency department to cut the appendix, but he cut the wrong side. I’m so sorry to make another cut.”

"I'll go, that's okay, isn't it a surgeon!" The anesthesiologist was surprised.

How this little Pearson talks about medical malpractice is like making up.

"He started to smooth out the intestines, poured them out, and then found the appendix and cut them out. Later, it seemed that the patient had a serious intestinal obstruction, and he suffered a lot." Ji Xiang stood in the position of the assistant, and talked about a system in a calm manner The "story" that the NPC told him.

This kind of story could also be called an accident.

"I'll be careful, Director."

Director Liu was taken aback, and the speed of putting on gloves was a little slower.

"Dr. Xiaoji, is your brain...is it pierced by the soul?" The anesthesiologist asked, "This kind of old accident takes at least 30 years, and now all appendixes are cut through laparoscopy, and most of them are inserted through the navel. Can't be wrong."

Director Liu also thinks generally.

Ordinarily, Jixiang’s teachers should be young people during his internship. They are good at laparoscopy, Yishui laparoscopy, and few people perform the ancient open appendectomy.

Ji Xiang has heard of this kind of accident, this kid is quite gossip.

Putting on his clothes and standing in the position of the surgeon, Director Liu suddenly remembered that Director Zhao was scolded like his grandson yesterday, and his heart shuddered.

He glanced at Ji Xiang and saw that there was nothing unusual about him, but he was still a little uneasy.

Chapter 115 Reservations

"Doctor Xiaoji, have you ever had a partial nephrectomy?" Director Liu asked while preparing things.

"I did." Ji Xiang answered honestly.

This answer is very modest, Jixiang has never been there before, there is a system NPC in the system operating room, and he has done too many such operations.

There is an essential difference between Ji Xiang's speech and Director Liu's speech.

Director Liu may not have done as much as Ji Xiang in this life...and in the next life.

"Very good." Director Liu began to open the stage.

This also echoes Director Liu's perception of Ji Xiang. Zhong Shan really put all his efforts in cultivating Ji Xiang, and even took him to such a high-level operation. Director Liu seemed to be sure of something.

During the operation, the patient was placed in the lying position on the healthy side, with the waist raised and general anesthesia given.

Director Liu made an incision at the intersection of 1 cm lateral edge of the sacral spinae muscle and 12 cm below the No.2 rib of the posterior axillary line, separated the intra-abdominal tissue layer by layer, established an abdominal space, and established an artificial pneumoperitoneum.

Every step of Jixiang's cooperation is very comfortable. Although the operation to establish an artificial pneumoperitoneum is relatively simple, Director Liu has an illusion-Jixiang has predicted his own prediction many times, and adjusted the position in advance to make the operation easier. Keep it simple.

Director Liu paid careful attention to Ji Xiang's movements, and he began to take two other places to establish abdominal tunnels for laparoscopy and ultrasonic scalpel.

It seems to be a problem, but it seems to be ok.Whether there is a problem specifically, Director Liu can't tell.

If there was a problem, Director Liu knew that there was only one possibility - the level of the assistants around him was far superior to his own, so he couldn't even tell how big the difference was.

But that doesn't seem possible.

As soon as the thought came here, he remembered what Ji Xiang scolded Director Zhao during the operation yesterday.

There's only one face, just throw it away...

Director Liu is awe-inspiring, he doesn't want to be scolded like a dog by a small doctor.

Even if Xiaogui Pearson was kicked away, he would still be ashamed.And it would be even more embarrassing if he couldn't kick him away.

Under laparoscopic observation, the tumor and surrounding tissues of the kidney were first separated, and the supplying renal artery was blocked and timed.

In doing this, Director Liu abandoned all selfish distractions.

If the renal artery is blocked, the operation must be done quickly, otherwise the consequences of ischemia and necrosis will be disastrous.

The location of the central renal tumor is well known to Director Liu through preoperative renal angiography combined with ultrasound positioning during the operation.

He freed the renal blood vessels supplying the tumor area to block, and the roving nurse counted down the countdown.

"2 minutes."

"3 minutes."

"4 minutes."

At this time, the operating room was quiet, no one was talking or joking. Although everyone was not nervous, they were very serious.

Just kidding, we need to divide the time. Blocking the renal artery and counting down to remove the tumor are the most critical steps, and there should be no negligence.