Although Zhao Pengcheng did not want to let Zhang Yan go, he had no excuse to keep Zhang Yan, so he could only agree to him leave.

"Director Zhao, emergency surgery!

Suspected that it was acute cholecystitis and suspected that it was perforation." Peng Dahai ran in and shouted.

Zhao Pengcheng was instantly excited when he heard this and almost wanted to hug Peng Dahai and kiss him.

I am really my beloved disciple, and I came too timely.

"Doctor Zhang, look, this patient with acute cholecystitis needs to undergo an excision, and I'm afraid you will need to take the lead in the surgery." Zhao Pengcheng looked at Zhang Yan and said earnestly.

Zhao Pengcheng was completely competent for cholecystectomy, but his goal at this time was to keep Zhang Yan at Xicheng Hospital as much as possible, so he naturally would not take the surgery by himself.

"Let's go see the patient first!" Zhang Yan was not anxious or refused, but just said with a smile.

At this time, he almost understood Chu Yunlong's plan.

But, this kind of calculation is a good thing for him?

After all, the competition between Xicheng Hospital and the steel rolling mill for themselves can better reflect his value.

Acute attacks of cholecystitis are usually accompanied by gallstones.

Zhang Yan has also treated a patient with acute attack and perforation of cholecystitis.

At that time, Zhang Yan took gallbladder repair surgery and followed by traditional Chinese medicine for conditioning.

Zhang Yan followed Zhao Pengcheng and Peng Dahai to the ward.

This ward is the single room where Deputy Director Liu lives, and now it has become a triple room.

At this time, on a hospital bed, the patient was lying weakly on the hospital bed, his face pale.

"Patient name: Zhang Daquan, gender: male, age: 43 years old, work unit: worker from Hongxing Rolling Factory.

Total abdominal pain was admitted to the hospital for treatment.

After investigation, it was diagnosed as an acute attack of stone cholecystitis. He was admitted to the hospital for treatment for two days. The pain was worsened, accompanied by symptoms such as high fever and chills.

Suspected of gallbladder perforation." Peng Dahai briefly introduced the condition.

"Does the patient have other underlying diseases?" Zhang Yan asked.

“No underlying disease.”

"Arranging the surgery immediately and conducting an open abdominal examination!" Zhao Pengcheng ordered decisively.

"Yes!" Peng Dahai agreed and turned around to arrange the operation.

"Doctor Zhang, I'll ask you for this operation!" Zhao Pengcheng looked at Zhang Yan again and said sincerely.

Zhang Yan glanced at Zhao Pengcheng deeply, and then said lightly: "No problem."

After agreeing to Zhao Pengcheng, Zhang Yan looked at Deputy Director Liu who was lying on the hospital bed, "Director Liu, how do you feel recently?"

"Xiao Zhang, thank you. After taking the medicine you prescribed, my body feels much better." Deputy Director Liu recovered well, and his face had a blood-colored luster.

"It's just here, I'll give you a pulse!" Zhang Yan said with a smile.

He is not the kind of person who has no emotional intelligence. He is unwilling to have relationships in normal times, which is disdain, not that he can't.

"Okay! Please trouble you!" Deputy Director Liu nodded at Zhang Yan with a smile.

At this time, Deputy Director Liu was convinced by Zhang Yan's medical skills and understood why Director Yang and Secretary wanted to protect Zhang Yan.

Such a person who is proficient in traditional Chinese medicine and understands Western medicine surgery will be treated as a treasure for any leader.

After Zhang Yan gave Vice Director Liu a pulse, he smiled and said, "Director Liu, your body has recovered well and is now ready to be discharged from the hospital.

I'll prescribe you another prescription and just go home and prepare it slowly."

"Okay, please trouble you Xiao Zhang!" Deputy Director Liu nodded at Zhang Yan with a smile.

Zhang Yan adjusted the prescription for Deputy Director Liu before saying goodbye and leaving.

He went straight to the operating room, changed his clothes, brushed his hands and walked into the operating room.

The tour nurse helped him put on the sterile clothes and put on gloves.

At this time, the patient had been pushed into the operating room and was lying on the operating table waiting for the operation.

"Don't be nervous, this operation is not very difficult! Just think that you have a sleep, and after waking up, your cholecystitis will basically be cured." Zhang Yan looked at the patient who was a little nervous and comforted with a smile.

"Thank you, Dr. Zhang!" Dr. Zhang thanked Zhang Yan weakly.

"You're welcome, it's my responsibility to treat diseases and save people." Zhang Yan comforted him and took the silver needle. After one slap, Zhang Dafa went to a deep sleep.

Then Zhang Yan set up his position for Zhang Dafa, laid the surgical cloth, and then began to do acupuncture for Zhang Dafa.

"Okay!" The anesthesiologist checked and saw that the patient had no stinging stress reflex, so he reported to Zhang Yantong.

The anesthesiologist is very helpless now. As long as it is Zhang Yan's operation, he will become a nurse who guards the instrument.www.bǐqυgetν.℃ǒm

"Start the operation!" Zhang Yan raised his hand and said.

"Scalpel!"

Zhang Yan took the scalpel, pressed Dr. Zhang's skin with one hand, and stretched the skin tightly with his fingers.

"Blood rub!"

Qian Hongying quickly wiped away the blood oozing out of the capillaries with gauze.

After Zhang Yan pierced the subcutaneous connective tissue, hematostatic forceps were required to separate the subcutaneous connective tissue.

Zhang Yan did it slowly, so that Qian Hongying could see it more clearly, and also explained to her what to pay attention to during the operation.

Since Chu Yunlong wants to use the surgery to entangle him and prevent him from returning to Red Star Hospital, don’t blame himself for using his operating room to train his doctor.

Zhang Yan slowly explained and underwent surgery.

After completing the abdominal opening, Zhang Yan began to explore the gallbladder and bile ducts, and look for the perforation site.

"There is no obvious abnormality in the stomach and small intestine.

The liver is of normal size and morphology, smooth surface without nodules, and the gallbladder is congested and edema is more obvious, about 9x5x4cm in size, and the gallbladder wall is slightly thicker, about 0.4cm.

One stone can be 1.0cm in the gallbladder, the common bile duct is dilated by about 1.8cm, and one stone can be 1.5cm in size and no other lesions are seen."

Zhang Yan then spoke again: "Common bile duct obstruction, gallbladder, common bile duct opening and stone removal surgery."

What Zhang Yan just said is to facilitate the anesthesiologist to do surgical records.

Zhang Yan is still stubborn and unwilling to undergo a simpler cholecystectomy.

In this regard, there was no objection to Peng Dahai, and Qian Hongying, who helped him.

At this time, Zhang Yan was the biggest in the operation room, and Zhang Yan had the final say on what to do.

Zhang Yan first cut the gallbladder and took the stone.

After completion, the common bile duct and liver duct were separated and exposed.

The common bile duct and the common liver duct are indistinguishable from the appearance.

Zhang Yan asked for a No. 5 syringe, pierced the main tube and extracted the juice from it to distinguish and determine the common bile duct.

The one that can extract bile is naturally the common bile duct.

After confirming the common bile duct, Zhang Yan first made two traction lines on the anterior wall of the common bile duct, and then made an incision of about 2 cm on the common bile duct.

"Absorb!"

When a large amount of dark green bile gushed out of the common bile duct at the moment of cutting it open, Zhang Yan calmly ordered Qian Hongying.

After Qian Hongying sucked the bile, Zhang Yan started to take the stone.

Use stone picking tongs and stone picking spoon to start picking up the stone.
Chapter completed!