In the operating room, Tang Lou's words were loud and clear.

Chen Wenhao, who was originally sitting on the small bench, suddenly woke up from his drowsiness. Every operation he participated in in Tanglou was so troublesome, but every time Tanglou used solid surgical techniques to solve the problem.

Chen Wenhao really wanted to shout: "Do you have another RB name: Conan!"

Seeing Tanglou coming forward, Ma En hesitated.

"The patient has already opened his abdominal cavity and is under pneumoperitoneum. The longer the delay is, the more likely it is that the patient will have sequelae, which may lead to a medical accident."

Tanglou directly performed the surgery with full aura, and glanced at the instrument nurse: "Perform choledochojejunostomy ROux-en-y anastomosis, scalpel, needle forceps are ready..."

Tanglou glanced at Ma En again with unquestionable eyes, and Ma En shrank obediently to the side.

After all, for an industry like doctors, as long as you have the skills and the confidence to solve problems, it doesn't matter if you don't accept it.

Ma En took the laparoscope directly from Tang Lou and began to hold the mirror.

After the Tanglou and Ma En surgeries took place for a while, Yan Ruoyun finally completed the preoperative disinfection preparations.

As soon as he entered the operating room, his face was extremely ugly, and he looked at He Xiaozhuang with sharp eyes.

"Didn't you say they were waiting for me to come over and deal with it? What's going on!"

He Xiaozhuang was also confused, and he clearly saw Ma En holding the mirror on the side, so wasn't the person who was doing the surgery the mirror-holding assistant?

Yan Ruoyun scolded He Xiaozhuang and walked up directly: "Stop, do you know what you are doing! The patient has a rare spontaneous perforation of the common bile duct. You must not be smart and try to repair the common bile duct, it will not work.

"

Dr. Yan took three steps and two steps at a time and arrived at the monitor port of the laparoscope.

Ma En naturally recognized Dr. Yan and felt guilty. Although Dr. Yan was not his direct superior, he was more senior than Qingping, especially in the field of liver and gallbladder.

Ma En looked directly at Dr. Yan, stopped moving his hands, and explained: "Doctor Yan, we have not tried to repair..."

But before Ma En could explain, Tanglou, who was so focused and talented, frowned when he saw Shu Ye not following, and directly yelled: "Shu Ye! Shu Ye! Ma En, be serious!"

Under the aura of the chief surgeon, Ma En reflexively moved his sight back and continued to assist Tanglou in giving him enough vision.

Tanglou watched Ma En readjust his vision for five seconds.

The operating room became quiet. Seeing that there was no movement in the tenement building, Ma En suddenly panicked: "What's wrong in the tenement building? Another accident happened?"

Tanglou nodded.

Ma En's legs suddenly went weak, and cold sweat broke out on his head. He was frightened for a while, but knowing that Dr. Yan was behind him, he felt a little more at ease.

When Yan Ruoyun saw the two young men in trouble, he shook his head slightly and was ready to go to the position of the surgeon team. All this was naturally expected by him.

During the preoperative preparation process, through He Xiaozhuang's description, he already had a surgical plan. Tanglou could think of the choledochojejunostomy ROux-en-y that he recognized very much, but young people are always not as good as him.

Sophisticated.

Sure enough, in the end, he had to take action on his own, and Yan Ruoyun was already ready to go to the position of the surgeon and a big mouth to spray.

Ma En was about to remind Tanglou to obediently give up the operating position.

Tanglou’s voice sounded calmly:

"Using end-to-side anastomosis according to the conventional ROux-en-y choledochojejunostomy is really not possible."

Yan Ruoyun's feet paused slightly.

"Because the patient is older and is not suitable for conventional end-to-side anastomosis, I need to simplify the surgery."

Yan Ruoyun's whole body froze and got stuck in the middle.

Tanglou didn't notice Yan Ruoyun at all. He was focused on the operation. He calculated the new suture method in a blink of an eye and started adjusting the surgical plan: "Ma En, now I need to perform side-to-side surgery on the patient's common bile duct and jejunum.

Anastomosis. Next, I will make a 3.0cm longitudinal incision in the common bile duct, and make a corresponding length incision on the mesenteric side of the elevated jejunum. I will control the lens and do not allow any mistakes."

Listening to Tanglou's serious and clear instructions, Ma En suddenly became calm, and at the same time he felt a sense of disbelief and pride of a young man.

Maybe they can just rely on themselves? Thinking of this and looking at the tenement building, Ma En also gave up.

I can't care less about Dr. Yan. After all, the world is big and the patient's life is the most important in the operating room.

Tang Lou is the chief surgeon, so the entire operation must be centered on him, and he has the greatest command.

With a serious look on his face, Ma En began to control the camera direction and lighting according to Tang Lou's instructions.

Tanglou undoubtedly used a pen-controlled scalpel that was most convenient for short-range and precise operations. He quickly made an incision in the common bile duct, and the length was naturally extremely precise.

"Issuke, if you can't come over yet, lift up the jejunum!"

Tanglou looked very dissatisfied at He Xiaozhuang, who had clearly returned to the operating room and was still outside.

Feeling Tang Lou's suffocating and stern gaze, He Xiaozhuang felt a chill in the back of his head. Under the aura of Tang Lou's chief surgeon, he rushed over immediately, but with the little sense left, he still gave him one last look.

His boss, Yan Ruoyun.

The latter was silent at the moment, with a complicated look on his face, and nodded slightly.

Seeing that his boss acquiesced, He Xiaozhuang felt relieved and assisted Tanglou to start lifting the jejunum.

"3-0 thread, needle pliers..."

Tanglou naturally spares no one in the operating room, and the steps are airtight, which has become his trademark.

Breathing and shorting do not exist.

The equipment nurse immediately started preparing according to Tanglou's instructions.

In the operating room, only Chen Wenhao and Yan Ruoyun were able to think of their own.

"Doctor Yan, hehe."

Chen Wenhao looked prepared for a rainy day and brought over the small bench he had prepared.

Yan Ruoyun glanced at Chen Wenhao and sat down expressionlessly, but his heart was already in turmoil.

The last time Tang Lou proposed a suspended gasless laparoscopic appendectomy, and the subsequent perfect surgeon, he was naturally deeply impressed.

But he didn't expect that Tanglou would have such attainments in the field of liver and gallbladder.

After watching it for less than a minute, he had completely understood Tang Lou's thoughts, and was shocked by the judgments made by Tang Lou.

Not only did he see that the patient's common bile duct could not be treated with repair measures, he also accurately chose ROux-en-y choledochojejunostomy.

Of course, this is not difficult for a doctor if he has studied ROux-en-y choledochojejunostomy and watched the corresponding videos. However, he can make a decision to simplify the operation based on the age and physical condition of the patient on site.

That would be terrifying.

In Yan Ruoyun's opinion, he would not dare to try it without hundreds of surgeries!

The choledochojejunostomy ROux-en-y performed by Tanglou Erxing is close to the level of ordinary directors, so it is easy to make this judgment.

The result was that Yan Ruoyun couldn't say a word for a long time and sat on the small bench in a dull mood.

Time passed by minute by second, and every step was textbook level.

In the monitor, Tanglou's suturing skills were even more perfect. Yan Ruoyun watched helplessly as Tanglou sutured the posterior wall of the jejunum and the lower 1/2 of the common bile duct with 3-0 threads intermittently, and the knots were arranged and hidden inside.
Chapter completed!