After Tanglou returned to the office, he met Yan Ruoyun.

"Tanglou, come with me to Director Cheng's office. There's something big going on."

As Yan Ruoyun walked, he introduced to Tanglou: "It's like this. STORZ Company is promoting the X-E single-channel entrance system in Hecheng, so it wants to cooperate with our institute."

"X-E single-channel portal system? Is it used to perform single-channel laparoscopic cholecystectomy?"

Under Two Star Cholecystectomy, Tanglou naturally has some understanding of single-channel laparoscopic cholecystectomy.

The two of them soon arrived at Director Cheng's office. In addition to Cheng Jian, there was also a middle-aged man in his forties, wearing a crisp suit and shiny hair. When he saw Tang Lou and Yan Ruoyun, he immediately stood up and said hello.

.

"Tanglou, this is Tang Qichen, the sales manager of STORZ Hecheng. This time they will provide our hospital with the X-E single-channel entrance system for free. They hope to carry out some single-channel laparoscopic cholecystectomies in our hospital."

Cheng Jian introduced to the Tanglou.

Tang Qichen was slightly surprised when he looked at such a young Tang Lou, but with a smile on his face, he directly reached out and held Tang Lou's hand: "Doctor Tang, you are indeed young and promising. I am honored to meet you."

Tanglou nodded, shook hands, and sat aside, wondering whether Director Cheng intended for him to learn single-channel laparoscopic cholecystectomy.

After Cheng Jian waited for several people to sit down, he slowly said:

"As we all know, in the early stages of single-channel laparoscopic cholecystectomy, multiple common punctures were inserted into a single incision to establish an operating channel. Conventional laparoscopic instruments were used to complete the operation, which caused air leakage, insufficient instrument length, and interference between left and right hand instruments.

Problems such as the inability to establish effective triangular operations make the operation extremely difficult."

“In addition, because the endoscope is coaxial and parallel to the operating instrument, the field of view is limited, which increases the risk of iatrogenic bile duct injury, which makes most operators have a negative attitude towards this technology. However, as domestic and foreign researchers have begun to pay more attention to surgery,

With the development and improvement of instruments, some special instruments for single-channel surgery have been launched in recent years."

"The X-E and its single-channel special equipment developed and launched by STORZ are among the best. It has been successfully proven by many hospitals such as Hangzhou and Shanghai to prove its reliability, safety, and feasibility."

"As long as these problems can be solved, single-channel cholecystectomy is obviously very advantageous compared to traditional open or four-port laparoscopic cholecystectomy. Minimally invasive is also the development direction of future surgical operations, with smaller incisions and even

Scarless surgery is what our surgeons pursue."

Cheng Jian looked at Tanglou and Yan Ruoyun and expressed his thoughts.

Tang Qichen also added: "Transumbilical single-port laparoscopic surgery can achieve a nearly scarless effect because the wound is hidden after the umbilical incision heals. It is an ideal "scarless" surgery at this stage. In order to promote this time and your hospital

For cooperation, as well as publicity and promotion of our company’s X-E and its single-channel special equipment, I have contacted and arranged a patient with Director Cheng, and will also invite Huang Yao, a well-known professor in Hangzhou, to perform the surgery.”

"As for this surgery, I hope that you, Tanglou, can participate in the whole process and learn from Professor Huang."

Cheng Jian explained the purpose of calling Tanglou here this time.

Yan Ruoyun sighed inwardly that Director Cheng really valued Tanglou. It was obvious that he wanted to train Tanglou to lead the single-channel laparoscopic cholecystectomy in the general surgery department of the first hospital in the city.

In addition, being able to communicate and learn with Professor Huang Yao throughout the process also paves the way for Tanglou’s future development in the medical circle of Jiangxia Province.

"Professor Huang, when will you come to our hospital?"

As the organizer of this cooperation, Tang Qichen is naturally responsible for the communication and various matters.

"I have contacted Professor Huang's team and confirmed that I will come to your hospital tomorrow afternoon."

Tang Qichen continued to add: "The patient this time is also quite special. She is a member of a girl idol group and is only twenty years old. This is why she was chosen for this minimally invasive cholecystectomy. As long as it can be completed successfully, for

X-E and its single-channel special instruments will play a very good publicity role as well as the General Surgery Department of the First Hospital of the City."

Cheng Jian nodded. He naturally wanted to promote this single-channel cholecystectomy in the city's first hospital. This minimally invasive surgery will be very helpful for the successful establishment of a provincial acute abdomen discipline in the future.

.

"Tang Lou, Yan Ruoyun, you will cooperate well with Manager Tang in the future and make sure that this operation is successfully completed. At the same time, it is also a very good learning opportunity for you."

"Okay, Director Cheng, we will complete the task carefully."

Of course Yan Ruoyun also understands the significance of this technique. As long as it is successfully promoted, it will be the first step for Hecheng.

He is naturally proud of you.

"Then I'll leave it to you."

As the organizer of this event, Tang Qichen has spent a lot of money and connections. This promotion must be successful.

After Cheng Jian gave some more instructions, he organized a WeChat communication group with Tang Lou, Tang Qichen and Yan Ruoyun.

Several people left the office.

After Tang Lou and Yan Ruoyun returned to the office, they soon received Tang Qichen's first call.

"In order to ensure the success of tomorrow's surgery, Professor Huang needs you to conduct a physical examination, CT and ultrasound examination on the patient in advance."

"Okay, we will send the information to Professor Huang as soon as possible."

After putting down the phone, Tanglou contacted Yan Ruoyun to arrange CT and ultrasound examinations.

The patient, Lai Meiyun, is a member of a girl idol group. She is small in stature but has an extremely delicate face.

Lying on the hospital bed with a somewhat pale face.

Tanglou was responsible for checking her body, and her manager was accompanying her.

Lai Meiyun said that she had severe pain in her right upper abdomen three times in the past two years. The previous two times occurred after practicing dance for a long time. The pain relieved itself in about 4-5 hours. Since she had not made her debut at the time, she did not seek medical treatment in order not to affect her subsequent selection.

Since it resolved on its own, I didn’t pay much attention to it. I had another pain half a month ago, and the symptoms were quite serious. After seeking medical treatment, I was given intravenous infusion of foxacinoids and cimetidine and it was relieved after 1 day.

Then, the latest time, I had abdominal pain for 4 consecutive days, accompanied by a body temperature as high as 38.5°C, without nausea, vomiting, or diarrhea.

I prescribed "ceftriaxone sodium" and "tinidazole" intravenously in the clinic for 1 day but no improvement.

Since the physical examination data had to be compiled for Professor Huang, Tanglou naturally conducted a routine physical examination and consultation, carefully recording the following in the medical record:

Patient: Lai Meiyun, female, 20 years old

Brief medical history: I was admitted to the hospital mainly due to right upper quadrant pain for 4 days, accompanied by fever. The body temperature was as high as 38.5, without nausea, vomiting, or diarrhea. I was given intravenous ceftriaxone sodium and tinidazole in the clinic for 1 day without improvement.

Physical examination: clear mind, flat and symmetrical abdomen, right upper quadrant tenderness, muscle tension, rebound tenderness

...

After doing this, wait for the ultrasound and abdominal CT to come out.

Two hours later, check it out:

Auxiliary examination: white blood cells 10.05×109/L, neutral 0.93, blood amylase 30U/L, urinary amylase 108U/L, prothrombin time 17.3s, international normalized ratio 1.45, activated partial thromboplastin time 51.3s, kidney

Functional indication: creatinine 154.4umol/L, urea nitrogen 13.65 mmol/L.

Ultrasound showed acute cholecystitis and gallbladder stones, and two abdominal CT pictures were attached.

Clinical diagnosis: acute cholecystitis, gallstones

After completing this, Tanglou packaged the compiled information and sent it to Tang Qichen, who then forwarded it to Professor Huang's team.

Half an hour later, Professor Huang's team replied: In order to make a more accurate judgment, please cooperate with your hospital to conduct contrast-enhanced ultrasound and enhanced CT.

After receiving the reply, Tang Lou and Yan Ruoyun were both a little surprised!

Especially Yan Ruoyun, who looked a little unhappy. Ultrasound contrast-enhanced CT and contrast-enhanced CT were not that simple to perform.
Chapter completed!