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Chapter 15: Suspension-type laparoscopic appendectomy

“My personal opinion is to perform laparoscopic appendectomy, but due to the particularity of the patient, the following three points need to be done: first, naturally speed up the appendectomy during the operation to reduce the impact of CO2 as much as possible; second,

Second, it is to fully divert traffic and prevent

There is a possibility of infection and inflammation in the post-terminal stage. After all, the patient is too old. If the drainage is not clean and complications occur, it will be difficult for the patient to tolerate it based on his body constitution. The third point is nutritional support to ensure adequate nutrition and speed up the growth rate of granulation.

, speeding up patient healing.”

Deputy Director Shen Bingbing put forward her own opinions, and then looked at everyone: "To achieve these three points, we need a surgeon with extremely fast operation speed, an assistant who cooperates tacitly, and an experienced nurse.

teacher."

"A very fast surgeon?"

Thinking of this, several attending doctors turned their attention to Dr. Qingping, who had the deepest research on appendicitis surgery.

As for Qingping himself, a young figure flashed in his mind, but he immediately stopped the idea. How could he have the nerve to let Tanglou take on such an important burden?

Song Yang naturally thought of Tanglou on the side, but his thoughts went faster. After all, such an old appendicitis surgery patient has such a special status.

It was only one person in Tanglou who was unlucky.

The entire general surgery department of the city's first hospital will be affected.

For a trainee doctor, who is still so young, to perform such an important appendicitis operation, it feels like a big scandal has occurred in a certain department, and it was finally revealed that a temporary worker was responsible.

The public opinion alone can drown several people present at the consultation, not to mention the censure from the patient's family members.

"It seems that only Dr. Qing is qualified to be the surgeon this time."

Song Yang expressed his opinions straight to the point.

Shen Bingbing and others all agree that there is actually no controversy about the surgical plan and the choice of surgeon. What everyone can do in the future is to improve the details of the entire operation and make the three points put forward by Director Shen as perfect as possible.

"Then let's decide on the candidate for Issuke."

Dr. Li Xiang started to advance to the next stage.

"As for Issuke, he will naturally have the best understanding with Dr. Qing. Dr. Qing must decide this himself."

Shen Bingbing smiled slightly and looked at Qing Ping. In fact, she was also curious about who Qing Ping would choose. After all, it was almost impossible for other attending doctors to assist Qing Ping, so she could only choose from the residents under him.

There are three residents under Qingping, and the one who has the most partners in appendicitis surgery is naturally Ma En.

Qingping felt the eyes of everyone and looked directly at Tanglou: "Tanglou, how about you help me complete this operation?"

Song Yang didn't have too many surprises and looked at Tanglou: "Tanglou, this is a once-in-a-lifetime opportunity, do you dare?"

Cheng Jian also looked at Tanglou with expectation. The fact that Qingping could entrust such an important operation to him to hold the mirror showed how much he valued him.

Compared to the three people who had seen Tanglou's surgery, the other attending surgeons were naturally a little unbelievable.

"Dr. Qing, I don't think it's appropriate. This surgery is so important. I suggest you choose from senior residents."

Li Xiang questioned on the side, it was because Tanglou was too young, and he had only been in the First Hospital of the City for a month or two.

"I also think it's a bit too risky. Can he really be qualified at such a young age?"

Hang Cuishan also expressed his opposition and was not optimistic about Tanglou. In order to gild Tanglou, Qingping worked too hard. In usual operations, choosing Tanglou to hold the mirror would naturally not affect the final result, but this time

Surgery is very time demanding.

If Tanglou fails to control the surgical field during the operation, which will delay the operation time, then all the efforts they have made after discussing it for a long time will be in vain.

Shen Bingbing brushed the hair beside her ears and looked at Cheng Jian: "Director Cheng, you know the weight of this patient, but there can be no mistakes."

Cheng Jian slowly took a sip of tea, put down the cup, and did not express his position. Instead, he looked at Tanglou and said in a solemn tone: "Tanglou, what do you think? Doctor Qing fully trusts you in letting you be his assistant, but

You must understand the importance of this operation. If something goes wrong during the operation, not only you, Dr. Qing, but even me will be dead."

Facing Cheng Jian's strong aura, all the chief officials also stared at Tanglou with eager eyes.

"I agree with Dr. Li and Dr. Hang. It's really not appropriate for me to be the first assistant."

Tanglou said in a calm tone.

Hearing Tanglou's answer, Shen Bingbing, Li Xiang and others were stunned. How could they be so cowardly?

He was somewhat self-aware, but he gave up so quickly, which made them look down upon him. It seemed that the person Director Cheng Qingping picked was not very good.

Qingping was slightly stunned, but not angry, just slightly disappointed.

Song Yang grabbed the cup and looked at the Tanglou, thoughtfully.

Cheng Jian tapped his fingers on the table a few times, said nothing, lowered his head slightly, and chuckled. He didn't blame Tanglou, he just felt a little pity.

"Then please ask Dr. Qing to find another candidate for first aid..."

Shen Bingbing glanced at Tanglou's face with disdain and continued to advance the consultation.

"I think it's not only inappropriate for me to be the first assistant, but also inappropriate for Dr. Qing to be the chief surgeon."

Tang Lou directly interrupted Shen Bingbing and looked at Cheng Jian with disappointed eyes.

"Um?"

Cheng Jian was slightly shocked. The confident and conceited look in Tanglou's eyes was very familiar, and he blurted out:

"Tanglou, what do you mean?"

Tanglou stood up, pushed his seat back, walked to Qingping's seat, and inserted a USB flash drive he had prepared into the computer.

Then he looked at the surprised people: "I think laparoscopic appendicectomy is not very appropriate."

Qingping also pricked up his ears, and the familiar feeling of the Tanglou in his eyes came back.

Three mistakes are very convincing! Looking at Tanglou, he looks confident.

Shen Bingbing and Li Xiang felt a sense of absurdity. This was obviously a consultation between attending doctors, but they felt that Tanglou was the protagonist this time.

"I think traditional laparoscopic appendectomy is not the best solution for this patient. So I want to propose a new surgical approach."

After Tang Lou finished speaking, everyone was stunned.

Li Xiang wanted to start a rant, but he saw that Tanglou had prepared a USB flash drive with a serious attitude and the ambiguous attitude of Cheng Jian and Qingping.

However, he softened his tone and said: "Tanglou, then you can tell me. If you can't tell me something, I think it's better for you."

Hangcuishan was very quiet, but he was not watching Tanglou, but was observing Cheng Jian and Qingping, because he doubted whether this was a play performed by the three of them.

Shen Bingbing has also entered a state of calm as water. Being able to sit in the position of deputy director naturally means that she has deep knowledge and cultivation.

Her idea is similar to that of Hang Cuishan. This is probably a crucial step in packaging the tenement building. Director Cheng is usually very immobile, but when he makes a move, it is shocking. He even counts herself in. Let's look at the young man he packages.

How capable people are.

However, even if Qing Ping and Cheng Jian give you a plan, Tanglou, who she will question later, will reveal his flaws. He is good-looking and skilled. She doesn't believe there is anyone else in this department other than Shen Bingbing.

Song Yang on the other hand was looking forward to it, grinning: "Tanglou, please tell me?"

"The improved plan I proposed is suspension gasless laparoscopic appendectomy."
Chapter completed!
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