Doctor of Healing

"Xiaoji, you have good eyesight, watch for me." Director Liu said at this time.

"Okay, Director."

When the camera came in, the normal physiological and anatomical structures were not visible at all, and the patient's abdominal cavity was in a mess.

Director Liu was dumbfounded all of a sudden. He could think that the operation was difficult, but he didn't expect the operation to be so difficult.

The camera was deflected and landed on the adhesion between the kidney back membrane and the peritoneum.

Director Liu identified it for a few seconds, only to find that this is the fusion of the shrunken kidney back membrane and peritoneum.

MD!Director Liu cursed in his heart, bit the bullet and continued the operation.

Then he introduced a 5 mm, 10 mn poke puncture into the anterior and posterior axillary lines as the second and third laparoscopes respectively. After entering the retroperitoneal space, he first separated the dorsal side and found the psoas major.

Then the outer membrane of the huge hydronephrosis was cut and the water was sucked out.

Originally, Director Liu thought that the vision would be better after the water with a diameter of more than ten centimeters was sucked away, but he didn't expect that the adhesion was too strong, and the adhesion was still messy.

There is no normal physiological and anatomical structure, which is the most difficult thing for surgeons.Director Liu calmed down, took a deep breath, and concentrated on starting the real operation.

He reached out and took the pliers and began to do blunt separation little by little.

"Bai Chu, it's very difficult here, I can't do it, this is one of them."

Director Bai carefully watched the blunt separation action on the screen, and his brows knit together unknowingly.

Indeed, organ adhesion is a taboo in surgery.As for how high the difficulty of the operation can be raised, no one can say.

Looking at the current situation, Director Bai thinks that it is really difficult to win the operation with Director Liu's level.

Blunt separation itself is extremely difficult, and it is an embroidery job.Coupled with laparoscopic surgery and extracorporeal operations, the difficulty of surgery has increased.

Director Liu took the long pliers and began to separate carefully little by little. As soon as he started to do it, red appeared in his vision.

The capillary is broken... Director Liu thought helplessly.

It is quite difficult to stop the bleeding, the key is that he knows that he has just begun to bleed, and he has not exerted much force before he started to bleed.

Director Liu sighed, the numbness on the top of his head became heavier, and his fingers began to stiffen.

He is well aware of similar bleeding, and it is quite difficult to stop the bleeding smoothly.

Lu Gang snorted coldly, all this was within his expectation.

The difficulty of the operation is quite high, not to mention laparoscopic surgery, even if it is a major operation, the chance of Director Liu being successful is only 70-80%.

For surgeons, this success rate is unacceptable.

Take a look, come up with whatever you want.Lu Gang wasn't proud, he just couldn't understand Director Liu's actions.

But at this moment, another hemostat suddenly extended towards the operation area.At the same time, the attractor also landed on Yinhong's position, hissing.

"Titanium clamp." Ji Xiang said softly.

Tang Yan was taken aback, but still handed the titanium clip to Ji Xiang.

After washing the blood, everyone found that Ji Xiang's pliers were firmly clamping the bleeding blood vessel!

The suction device was removed, and the operative field was clean. After the "simple" operation, the troublesome bleeding was stopped.

That look is so good.

Director Bai's eyes narrowed, and Ji Xiang's quick-eyed and quick-handed movements looked like he was performing neurosurgery.

Chapter 238

"How is it, old Lu." Director Bai asked with a smile.

"Damned." Lu Gang was a little surprised, surprised that Ji Xiang caught the bleeding point as soon as he lifted the weight lightly.

But he thinks it must have been tricked by young people.

Although he is a doctor of rheumatism immunity and has not performed surgery himself, various papers cannot deceive people.If it is a common or simple operation, the sample volume of the paper will be extremely large.

Lu Gang can confirm that there are not many papers on giant hydronephrosis, and papers on laparoscopic surgery are even rarer.

Coupled with the fact that the difficulty of surgery is mentioned in every paper, Lu Gang can feel the showing-off mentality of the doctors who wrote the papers.

So he felt that his cognition was not wrong. With the technical level of the Second Affiliated Hospital, the surgery for huge hydronephrosis would definitely be impossible.

"That's not necessarily the case." Director Bai saw Director Liu turned to the left, and gave Ji Xiang the pliers again, the corners of his mouth under the mask raised.

It should have been this way in the morning.

Director Bai wanted to see Ji Xiang undergo an operation, but Director Liu couldn't get it, but Ji Xiang might not be able to.

"Not necessarily? If I do it, I'll eat the hemostat." Lu Gang said without hesitation.

"Heh." Director Bai was noncommittal, staring intently at the laparoscopy screen.

Director Liu is not good at performing the surgery, but the level of assistance is still sufficient.He held the mirror, and Ji Xiang began to do blunt separation.

With Jixiang taking over, the speed of the operation has been accelerated.

The mouths of the two long forceps opened and closed as if they had spirits, and the adhesion between the back membrane of the kidney and the peritoneum was loosened little by little.

A few seconds later, the electric burner "clicked" in a blank position, and then continued to dissociate.

What does it mean?

Director Bai was startled, his eyes fixed on the screen like a falcon.

A few seconds later, after wandering past the "spot" of the electric burn just now, Director Bai vaguely noticed that there was a little difference there.

It seems to have capillaries, and it seems not.

Director Bai's blood seemed to stop flowing, and the temperature of his hands and feet dropped instantly.

As a surgeon, he understands the importance of prediction, especially neurosurgeons.

It is not a big deal at all to stop the bleeding if capillaries are touched by chest, general surgery, or bone surgery, but neurosurgery cannot.Their surgical field is extremely small, and if there is a slight mistake, there will be a blood under the microscope, which will make the operation impossible.

Jixiang's technique is quite beautiful, and he has reached the realm of ingenuity and ingenuity.

If Director Bai hadn't done the aneurysm level before going to the office, he wouldn't be able to understand it either.

But even if Director Bai could vaguely understand it, he didn't believe that Ji Xiang could reach such a height at such a young age!

Or maybe I was wrong, Director Bai thought to himself.

However, his eyes were fixed on the screen without blinking, for fear of missing something.

Ji Xiang's operation was not fast, but he never hesitated, and every step was as standard as a teaching video.

Because there was no hesitation and no interruption, it seemed that the operation was done quickly.

A few seconds later, Ji Xiang stopped again. He took the electric burner and "clicked" on the free position, and then continued the operation.

There was no problem there, Director Bai's eyeballs almost popped out, and he didn't see any traces of capillaries.

But to say that Ji Xiang was messing around, he had already separated about 3cm of adhesions, but he didn't see any blood.

Ji Xiang's surgery is completely different from Director Liu's.

Director Liu bleeds as soon as he started, seeing the messy and dirty operation area.Jixiang's operation is not only clean, but also the operation area is clean.

Countless surgical images flashed in Director Bai's mind, including many under-scope images of cerebral hemorrhage that he had personally performed.

Neurosurgery is most afraid of bleeding, and the aspirator on the limp brain must be careful, for fear that a pile of brain tissue will be sucked away with a bang.

In that case, even the surgeon does not know what abnormalities will occur to the patient after the operation.

He froze for a while, and when he regained consciousness, Ji Xiang had freed nearly 8cm of adhesion.

As for the process in the middle and what Jixiang did, Director Bai turned a blind eye!

Director Bai was stunned.

Jixiang's superb surgical technique made him astonished and inexplicable.

It looks simple, relaxed and freehand, but how many people can really do it!

Director Bai replaced himself in the operation, and he knew he would definitely not be able to.

Lu Gang beside Director Bai has also seen some clues when the operation is done here.

Lu Gang is an internist and has never undergone surgery, so his reaction is not as fast as that of Director Bai.

Originally, I was certain that Director Liu of the Department of Urology would not be able to carry out the operation at all, but when Director Liu went to hold the mirror, the speed of the operation unexpectedly jumped after changing the surgeon.

Speed ​​is not important, 1 minute faster and 1 minute slower can't make the difference between life and death.

The most important thing is that during this minute or so, there was no trace of bleeding in the surgical field!

Lu Gang didn't know the difficulty of this operation, he was just surprised, and even had self-doubt.

Could it be that I was wrong?Or are the authors of the paper exaggerating?

Ji Xiang didn't have any emotions, he just performed the operation silently.

Before the operation, he went to the operating room of the system, and had done several times for the patient in front of him.

Where there will be bleeding, he can avoid it the first time he gets started, and it is even more handy to use it after doing it a few times.

Using skills many times--Knowing the details, Ji Xiang gradually came to understand.Jixiang is also very happy that the possible bleeding can be avoided in advance, and the operation went smoothly.

Soon the blunt dissociation was over, and Ji Xiang breathed a sigh of relief.

"Prepare to rinse with warm salt water." Ji Xiang said softly.

"Uh...so fast?!" Tang Yan was surprised.

"Rinse it first, let me see what's inside." Ji Xiang explained.

He was still a little unaccustomed to it. No one could speak in the operating room of the system. No matter what he wanted, it would be delivered in the next second.

"Sister Li, warm salt water..." Tang Yan greeted the itinerant nurse.

The roving nurse was also taken aback, "Director Liu, I didn't expect your surgery to be done so quickly. I'm not ready yet. Wait a minute, wait a minute."

Director Liu was also inexplicably stunned. He was immersed in the operation that Ji Xiang had just completed and couldn't extricate himself.

Seeing that Director Liu was silent, the roving nurse asked cautiously, "15 minutes, don't delay."

Flushing is a big deal, and some surgeons will curse because they didn't prepare warm salt water in advance.The itinerant nurse also knew that she had made a mistake, and with Director Bai around, she rarely asked low-key questions.

"Forget it." Ji Xiang was a little helpless, but this step is not important, and it doesn't affect anything if he doesn't wash it. "If not, I'll continue the operation."

"I'm going to Wenzhou now, old Director Liu, what did you eat today? How did the surgery go so fast?" The roving nurse came over and saw Director Liu holding the mirror, the mask almost fell off and polluted the operation area.

Knowing that she had said something wrong, she turned around and ran to prepare warm salt water.

Chapter 239 The So-Called Straight Man

"Impossible." Lu Gang said to himself in surprise when he saw that the adhesion between the kidney back membrane and the peritoneum was easily separated, and the anatomical structure in the entire abdominal cavity could be seen.

"Hehe, the hemostatic forceps are very hard, so slow down when eating." Director Bai joked, "Do you like braised or stewed? Or fresh? See how you like it."

"..."

Lu Gang was dumbfounded.

He never expected Director Bai to say this, but it doesn't matter.

The most important thing is that Lu Gang refuses to believe everything he sees.

It doesn't make sense. It is rare to see someone writing about the surgical treatment of huge hydronephrosis under laparoscopy in the world's top journals.

Every time I see similar articles, the author will mention how difficult the operation is.

Damn it, how could it be so simple that even a Gui Peisheng can learn it!

I actually let the bullshit authors of the world's top journals be fooled!

Tolerable or unbearable!

Lu Gang really wanted to have a good chat with those authors.

The operation is still going on, the patient's Gerota's fascia has disappeared, and the kidney is deflated like a thin piece of paper. Ji Xiang separated to the lower pole of the kidney to find the ureter, and freed it along the ureter to the renal pelvis.

The shape of the renal artery and vein at the position of the renal hilum has deviated from the normal anatomical structure, but Jixiang operated the long forceps to press and pick, and the buried artery directly "jumped" out.

Ji Xiang then carefully separated the renal artery, and found the vein to separate carefully.