After listening to Qingping's introduction, everyone was stunned for a moment.

"This was proposed by Tanglou. This step of improvement directly expands the application field of suspended gasless laparoscopic surgery. It is also the first attempt of our department and the first time of Tanglou."

Qingping continued to add and looked at Wen Dalong.

Wen Dalong looked through the previous patient information, and sure enough, the first four surgeries were all single routine laparoscopic surgeries for elderly patients.

"Single-hole LA in the umbilicus is very difficult. In addition to the skills of the surgeon, you also need a mirror-supporting assistant who works well together."

As a senior expert, Dr. Huang is naturally very familiar with umbilical single-port laparoscopy, because during single-port surgery, the internal and external operations of the surgeon and the operator are concentrated in a limited area.

In order to obtain a good surgical field of view, it is often necessary for the two to change the position between the surgical instruments and the lens, or the operator flips the direction of the light source of the lens to obtain a better field of view. It can be said that the requirements for the chief surgeon and the assistant for adjusting the lens are very high.

"Yes, it is precisely because of the high difficulty that the experts' trip is worthwhile."

Qing Ping said calmly, but in his heart he was very much looking forward to Tanglou's performance. The difficulty of this operation was much higher than that of ordinary suspended gasless laparoscopic surgery.

It is precisely because of its high difficulty that it is more suitable to be carried out as the first operation.

Sure enough, after listening to Qingping's introduction, all the experts turned their attention to the screen. Since everyone was a veteran in this field, they understood better the promotion significance of this technique.

Professor Liu even applauded and praised: “Tanglou’s upgraded version of the suspended pneumoperitoneum-free transumbilical single-port LA not only avoids complications caused by pneumoperitoneum and blind puncture of the pneumoperitoneum needle, such as pneumomediastinum.

Swelling, subcutaneous emphysema, air embolism, etc. Without pneumoperitoneum, there is no need to worry about air leakage during the operation when the instruments come in and out through the incision. The smoke generated during the operation can be discharged directly through the umbilical incision, which can maintain a good surgical field. Admire

!”

Wen Dalong was holding back, pretending not to hear anything at all, and feeling very unconvinced in his heart: "I don't believe that a young doctor like you can do such a difficult operation. Umbilical laparoscopy, huh."

...

...

In the operating room, Tanglou Ma En and the instrument nurse are ready.

After more than 50 surgeries, Ma En and Tang Lou have developed a tacit understanding of cooperation. Coupled with the aura of the surgeon, Tang Lou naturally does not have to worry about coordination problems.

The anesthesiologist for this operation was naturally Chen Wenhao. Because of the new surgical technique, Tanglou asked Chen Wenhao to undergo spinal anesthesia.

The patient naturally empties his bladder before surgery and does not leave a urinary catheter.

After the anesthesia was completed, Chen Wenhao followed Tanglou's requirements and put the patient in a supine position, with the head lowered and feet higher, and the left side tilted about 20 degrees. After doing all this, Chen Wenhao stepped aside.

Tang Lou and Ma En stood on the left side of the patient, and the monitor was placed on the right side.

Since it is a single umbilical hole, the marking of the incision is naturally different from the Maxwell incision, and it is also different from the conventional three-hole method of laparoscopy.

Tanglou made a 1.5CM mark on the patient's umbilicus.

In the observation room, the expressions of the experts naturally changed. Although theoretically, the range of this incision is 1.5cm, in order to facilitate the operation, experienced surgeons will control the incision to 2.0CM.

Those who dare to use the 1.5CM incision are either novices or people with advanced skills.

"It's interesting."

Among the expert group, a director was somewhat appreciative of the choice made by Tanglou.

Naturally, Tanglou didn't think so much, and he didn't show off his skills. His only thought was to reduce the incision as much as possible, making it more minimally invasive and more cosmetic.

After all, the patient is a very young professional woman.

After the marking was completed, Tanglou naturally took the scalpel from the instrument nurse.

Under the three-star incision, Tanglou's pen-holding incision method was naturally extremely precise, and the abdomen was quickly opened one after another.

"Incision protector..."

With his talent and concentration, Tanglou was already focused on nothing else and was completely immersed in the operation, with airtight instructions coming one after another.

Having followed more than 50 tenement buildings, Ma En and the equipment nurse have naturally developed instinctive reflexes.

"Kirschner wire, traction bow..."

Tanglou's next instruction came out, and in the observation room, the experts fell into confusion again.

Even Cheng Jian, the direct director and suspected father-in-law, was a little confused.

"What's this brat doing again?"

Qingping looked at everyone's reactions and slowly explained: "Every expert must know that conventional single-port laparoscopic channels (R-port, Triport, Uni-X) are very expensive and can only be

It is a one-time use and must be equipped with special integrated 5.0 mm laparoscopic equipment and special flexible single-port laparoscopic operating instruments. It is expensive and cannot be accepted by ordinary patients."

Qingping said halfway, he unscrewed his tea cup, took a big sip, and then continued to add:

"So, Tanglou proposed a homemade abdominal wall suspension device using orthopedic traction bows and Kirschner wires."

While Qing Ping was explaining, in the operating room, Tang Lou penetrated the skin up and down the extension line of Mai's incision in the right lower abdomen and then passed it out under the skin. The distance of the subcutaneous passage was about 15.0 cm.

After both ends of the K-wire are fixed to the traction bow, the suspension rod and crossbar are used to lift the traction bow, and the abdominal wall of the right lower abdomen is lifted to establish an operating space.

"He's a genius and a genius."

Professor Liu's eyes shone as he looked at the homemade abdominal wall suspension device in the operating room.

Who would have thought that Kirschner wires can be used in this way? Kirschner wires are commonly used internal fixation materials in orthopedics. Their original specifications are generally fixed at about 20 centimeters, and there are several different specifications with diameters between 0.5-2 mm.

It is often used to fix short fractures or avulsion fractures and other fractures with low stress. It is also often used to fix temporary fracture fragments in orthopedic surgeries. It is very cheap.

As for the orthopedic traction bow, it can naturally be used repeatedly.

"Director Wen, how are you doing? Is it okay?"

Professor Liu moved his stool towards Wen Dalong. Wen Dalong didn't say anything and moved his stool to the side.

"Laparoscopic exploration..."

Tanglou issued the next order without any pause.

Naturally, Ma En quickly inserted the laparoscope and began to explore.

"Ultrasound scalpel, grasping forceps..."

Only Tanglou's calm voice was left in the operating room.

Tanglou holds the forceps in his left hand and the ultrasonic scalpel in his right hand. He skillfully removes the omentum of the right lower abdomen and lifts the cecum at the same time.

At the same time, Ma En's camera was also along the colon. The two of them cooperated very well, and soon they saw the appendix.

"Intraoperative findings: purulent acute appendicitis, root perforation, gangrene, severe adhesions..."

Seeing the situation in the abdominal cavity, all the experts breathed a sigh of relief. Tanglou only made such a small incision. Now in such a complicated situation, the biggest difficulty of single-hole LA is at this moment. Due to the limitation of single hole, for

The surgeon's fine operation requirements are very high.

"Ultrasonic hemostatic knife..."

"Is this what he wants?"

With Tanglou's instructions, all the experts were slightly startled, and then immediately reacted.
Chapter completed!