Tanglou quickly completed the separation of the lower pole from the wall of the inferior vena cava, and then freed the caudate process to the right.

"Awesome." Shen Bingbing was slightly surprised. This guy from Tanglou is really good. No wonder he dared to talk like that. She didn't have any guidance for this step of the operation, so he completed it alone.

The surgery continues.

And when Tanglou started clamping, cutting, and suturing the small blood vessels and bile ducts between the caudate process and the V liver segment, the biggest thrill of the operation occurred.

"Tanglou, stop what you are doing and leave it to me."

Shen Bingbing was directly prepared to interrupt Tanglou's operation. Since the patient's tumor was close to the first porta hepatis, and the patient had a history of abdominal surgery before, the adhesions were severe, the common bile duct suffered some damage, and the bile duct wall was damaged, requiring liver surgery.

Roux-en-Y tubejejunostomy.

Shen Bingbing naturally did not think that Tanglou could perform such a complicated and delicate anastomosis.

Tanglou did not stop the action, but continued the operation, and said calmly: "If the previous operation was my first attempt, then I was already working with Dr. Qingping on the Roux-en-Y hepatoductojejunostomy.

I’ve made several of them.”

Confident, calm, and under the aura of the surgeon, Tang Lou raised his head slightly, glanced at Shen Bingbing, directly stated the solution, and immediately lowered his head to continue the operation.

Shen Bingbing was in a daze and nodded instinctively. I have to say that Tanglou's confidence and professionalism are really very convincing.

"Absorbable sutures... microscopic glasses..."

Tanglou very skillfully began to perform the extremely difficult Roux-en-Y hepatoductojejunostomy.

"Tanglou, you are so awesome!"

Shen Bingbing saw Tang Lou's operation and completely believed his words. What she didn't know was that under the three-star level anastomosis technique, Tang Lou didn't even use his full strength.

After that, Tanglou blocked the first porta hepatis at a textbook level, used an electric knife to cut the liver capsule around the tumor, freed it in the liver, ligated it, and cut off the portal vein and hepatic artery branches entering the caudate lobe...

Twenty minutes later, the caudate lobe tumor was removed, and the dissection was clear and the tissue was intact.

"Confirm that the bile duct is clear and there is no bile leakage."

"Second assistant, you can start closing your abdomen."

....

[Ding, new mission, we will complete it differently. Reward: Diagnosis skill upgraded to two stars.]

Seeing that his panel was equipped with diagnostic skills (two stars, 9), Tanglou was naturally very excited and could not wait to see the patient with bleeding from the seven orifices.

Take action immediately!

While Director Shen and Dr. Yang were finishing their work, Tanglou walked towards the changing room without knowing the rules. To be fair, this was the prerogative of the superior doctor and chief surgeon.

Shen Bingbing frowned slightly, although she had to admit that Tang Lou was really a genius. However, he was really too difficult to discipline!

"Tanglou, are you in a hurry to leave?"

Shen Bingbing did not directly call Tanglou to stop, but nodded at Tanglou with a somewhat dissatisfied tone.

You don’t know how to respect people!

It's like one minute we are chatting with each other, and the next minute we pick up our pants and leave ruthlessly, without even knowing how to comfort ourselves, hand over a wet wipe or something...

"Oh, I suddenly thought of a possibility of Xiao Yunyun's condition, so I'm going to take a look again."

Tanglou nodded matter-of-factly, not realizing the dissatisfaction in Director Shen's tone at all, and walked away, even quickening his pace.

Hearing Tang Lou's answer, Shen Bingbing was stunned. She didn't know what to say, as if she had met Tang Lou all over again.

"After he completed such a difficult operation, the first thing he did was not show off his achievements and be proud, but instead think about the current condition of another patient who had little to do with him? For this reason, he didn't realize that it might be coming from his superiors.

Physician’s Dissatisfaction.”

"He is truly an admirable boy."

Shen Bingbing smiled.

A doctor's character is sometimes more important than his skills.

"However, spending a lot of time on Xiao Yunyun's condition is in vain."

Shen Bingbing wanted to stop Tang Lou. After all, even so many experts couldn't find the reason, but that didn't dampen his enthusiasm.

Let him be!

Shen Bingbing began to supervise Dr. Yang.

...

...

After Tang Lou changed into clean clothes, he rushed out of the operating room.

"Doctor Tang, why did you come out so quickly?"

Yuan Aldehyde was a little surprised when he saw Tanglou come out.

"Oh, mine has been taken care of. Second Assistant will take care of the rest for me."

Tanglou said something and rushed to Xiao Yunyun's ward impatiently.

When Tang Lou stood in front of the patient's bed, his heart skipped a few beats. He took a deep breath and began to try the power of the two-star diagnostic technique:

[Patient, Xiao Yunyun, female, 1 year and 2 months old

Symptoms: Continuous fever for 12 days, bilateral bulbar conjunctival congestion, bleeding from eyes, mouth, nostrils, navel and other organs, diffuse congestion of oral mucosa. Abdominal pain, facial paralysis and arthritis. Coronary artery damage...

Diagnosis: The patient suffered from atypical mucocutaneous lymph node syndrome, an acute fever and rash disease, also known as Kawasaki disease clinically. Children under 5 years old are the main affected group of this disease.

The main manifestations of mucocutaneous lymph node syndrome are lymphadenopathy, mucosal damage, fever, systemic vasculitis, etc. Once suffering from this disease, it will not only affect the growth and development of the child, but also affect the health of the child. In severe cases, it may also

Endangering the life of the child.

Because the patient is atypical, it is easily misdiagnosed.

In addition, nowadays, clinical treatment of mucocutaneous lymph node syndrome is generally treated with drugs. Although there are many treatment options, there is still controversy about its efficacy.

The conventional treatment plan recommends aspirin drug treatment, and then, according to the change in the child's body temperature, appropriately reduce the drug dose, and on this basis, gamma globulin treatment.

The system recommends an optimized plan: Note that it has not been clinically verified and can only be used when the patient's condition is serious: methylprednisolone and gamma globulin treatment, where the gamma globulin usage is the same as above; the usage of methylprednisolone is: the dose is 2 mg·kg-

1·d-1, after continuous intravenous infusion for 5 days, switch to oral prednisone, 2 mg/kg per day, and continue to take it for 14 days.]

After seeing the diagnosis, Tang Lou was also frightened. Firstly, the cause of the patient's disease was too rare and the symptoms were atypical. In order to be diagnosed, in addition to medical experience, a bit of luck was required.

In addition, I was shocked by the power of the two-star diagnostic technique. Not only was it able to completely diagnose the patient, it was also able to come up with solutions that were not clinically proven.

"Little girl, you are finally saved."

Tanglou looked at the little girl with all kinds of tubes and monitoring equipment on the bed. He felt a little distressed, but he was finally saved.

"wait for me!"

The next step is to convince Director Shen.

However, I came in a hurry, so I didn't prepare a record book. I came out of the tenement building and walked down the corridor, and happened to see Tian Linsheng in another ward.

I walked directly over and when I saw the tenement building, Tian Linsheng came over to say hello in a very sensible and respectful manner.

The two exchanged simple polite words, and Tanglou temporarily requisitioned his record book. Of course, Tian Linsheng had no complaints about this and was very honored.

Tanglou quickly returned to the ward and began to record Xiao Yunyun's various physical examinations and examination data. In order to convince Director Shen, of course, there must be sufficient evidence.

While recording, he integrated key data and eliminated all kinds of information that could easily be misdiagnosed. Soon, Tanglou organized the information, and then began to write down his diagnosis results and recommended routine treatment plans.

After thinking about it, Tanglou still did not propose a system optimization plan. After all, the patient's condition is still within control. Unless it is a last resort, it is better not to use such a plan that has not been clinically verified.

After finishing writing about Tanglou, I was ready to leave.

It's just that Tian Linsheng's notebook was different from Tanglou's. It was torn and old, and the paper clips were loose. Therefore, Tanglou didn't notice that one of the papers recording key data fell down and fell on the ground. Under the patient's bed.

No one noticed.

Tanglou waited for a while at the door of Deputy Director Shen Bingbing's office before Shen Bingbing came back from the operating room.
Chapter completed!