Chapter 267 Pfft! Really can't hold back
"Director Shen, in my opinion, the difficulty of this kind of hepatic caudate lobe resection is actually average. As long as you are familiar with the tissue structure of the liver, coupled with solid basic skills, good dissection and good incision, you can have a good With good exposure, good suturing, good physical strength, good concentration, and of course the most important thing is to have a good, beautiful, dignified, intelligent and elegant surgeon to guide me, I can get started now."
Tanglou smiled slightly and said very relaxedly.
Doctor Yang looked at Tanglou in disbelief and thought to himself: "This guy is not only thick-skinned, but his dog-licking skills are also top-notch."
Doctor Yang felt like his position was being threatened. He guarded his first assistant position vigilantly, and then hummed softly: "Xiao Tang, don't talk too much, and free, incision, exposure, suturing, concentration, right I’m familiar with the structure of liver tissue, and doing it well requires a lot of time, practice and energy.”
Of course Dr. Yang doesn't think that Tanglou already possesses so many skills.
Shen Bingbing was also a little angry and funny: "It's okay for the beautiful, dignified, intelligent and elegant surgeon to guide you, but can you really get started? I have indeed seen you perform surgery, but I have only seen your suturing and incision. It’s okay, but as for dissociation, it’s not that simple to be familiar with the structure of liver tissue.”
When it comes to professionalism, Shen Bingbing is of course very rigorous and serious. She admits that Tanglou has talents that ordinary people do not have, but she is indeed a little dissatisfied with being so conceited. She frowned: "Tanglou, young people can Be confident, but don’t be overly conceited, especially on the operating table. If recklessness leads to a medical accident, you may leave regrets for a lifetime. Even if the patient can forgive, you cannot forgive yourself."
Shen Bingbing felt that Tanglou must have been praised by Cheng Jian, Qingping and others, especially the recent trip to the Academician Building, which made everyone in Hecheng's doctor circle know that an extraordinary talent had come out of the First Hospital of the City. .
Although he has made great achievements in primary and secondary surgeries, he is complacent and arrogant because of this, which is a bit excessive.
"Director Shen, I'm not talking nonsense. I still have some research on liver surgery. I also performed a partial liver resection with Dr. Wang before. I am very confident about this operation. , and this is not without your guidance."
In order to obtain the reward of two-star diagnostic technique, Tanglou must undergo this surgery.
"Are you serious?"
Shen Bingbing's ability to observe words and emotions is still very strong. From Tang Lou's tone and eyes, she can feel the sincerity and seriousness.
This young man really wasn't talking nonsense, she could see the ambition and desire in Tang Lou's eyes.
He really wanted to have this surgery very strongly.
After thinking for a while, Shen Bingbing looked at the progress of the operation and said: "The next step is to cut the ligament between the left side of the caudate lobe and the most lateral wall of the inferior vena cava, and free the lower pole of the caudate lobe. It is not a dangerous operation. So since you said you have confidence, then you can try to complete this step and let me see?"
Of course, Shen Bingbing cannot be completely reassured, but some small operations are still OK at the beginning. As long as he observes that Tanglou is a little unfamiliar with the structure of liver tissue, he can stop it immediately.
Moreover, in fact, the cultivation of an excellent doctor does require continuous growth and accumulation through surgical practice, and the first time of each surgical procedure is particularly important.
Especially breaking through the psychological barrier.
Seeing that a young doctor like Tang Lou dared to be so bold and make such in-depth requests for the first time, an experienced chief physician like Shen Bingbing was very appreciative.
After all, she has gone through many battles and is no longer a young girl. She has enough skills and methods to guide young people, allowing them to grow rapidly.
On the operating table, what Shen Bingbing dislikes the most is that some young people are extremely nervous for the first time, timid, timid, and wilted as soon as they stand at the door.
There have been several interns whose first surgery ended before it even started, and Shen Bingbing kicked them out of the operating room.
"Doctor Yang, then you can help me. If Tanglou is confident, let him try. After all, every surgeon will go through this step sooner or later."
After hearing Shen Bingbing's arrangement, Dr. Yang was very reluctant, but still obediently gave up his position.
Naturally, Tanglou immediately began to refresh his card library and redeemed and upgraded the three-star hepatic caudate lobectomy.
Tanglou quickly filled up his position, and without a trace of hesitation, he gave the order: "Surgical scissors...hemostatic forceps..."
The equipment nurse on the side had cooperated with Tang Lou countless times and started handing over the equipment in a tacit understanding.
I also added in my heart: "Doctor Tang, it will definitely be possible."
Tanglou, who had entered the operating state, had a very calm and calm expression on his face, and his hands were as stable and calm as ever.
Under the eyes of Shen Bingbing and Dr. Yang, the left intermural ligament between the left side of the caudate lobe and the inferior vena cava was cut.
Seeing Tang Lou's starting position, Shen Bingbing nodded slightly. Tang Lou's two-hand operation was indeed outstanding, precise, flexible and powerful!
Doctor Yang frowned. Although he was a little unconvinced, he had to admit that this was talent. However, he still did not think that Tanglou could complete the following complex operations.
Tanglou stopped paying attention to the people around him and quickly calculated and designed the best surgical plan in his mind. He did not completely follow Shen Bingbing's instructions step by step, but chose a more optimized route.
"Tanglou, what are you doing!"
Doctor Yang was staring at Tanglou, waiting for him to make a mistake. Unexpectedly, in less than a minute, Tanglou had already deviated from Shen Bingbing's guidance path, so he naturally caught him.
However, Shen Bingbing on the side did not move. Instead, a ridiculous thought flashed through her heart. From her surgical experience, she certainly knew that there was a better surgical path, but the requirements for the surgeon were very high, and it was not
Suitable for novice operation.
Therefore, she chose a more secure but relatively slower method.
"Does this kid want to..."
Sure enough, just when Shen Bingbing had the idea, Tang Lou's hand had already completed the operation, and at the same time he said: "The tumor has not invaded the inferior vena cava, so we can choose to separate it outside the sheath."
Dr. Yang had not yet reacted when he heard Tanglou's confused words.
Tanglou has already issued the next order: "Right-angle pliers...clamps...microscopes...No. 0 silk wire..."
"Director Shen, who is he in Tanglou?"
Seeing that Shen Bingbing not only did not stop her, but showed approval in her eyes, Dr. Yang forced himself to ask, but as soon as he said it, he regretted it. After all, he was the attending physician, and he couldn't understand an intern's operation. It was too much. Shameful.
Sure enough, Shen Bingbing glared at him from the side, and Dr. Yang quickly closed his mouth and shrank to the side, looking more like a second assistant than a second assistant.
"Pfft."
The equipment nurse secretly laughed at the side. Although she was professionally trained, she really couldn't hold it back.
In the next few minutes, Tanglou used right-angle forceps to free the short hepatic veins one by one very neatly, and completed it very smoothly:
Clamp, cut, suture.
Doctor Yang looked at Director Shen and wanted to say that the task of Tanglou has been completed. If he were to take the exam, the answer sheet would be several pages long!
However, Shen Bingbing said nothing and watched quietly, Tanglou did not stop moving and acted calmly, the equipment nurse still cooperated cheerfully, Dr. Yang glanced away from the corner of his eye, and even the anesthesiologist widened his eyes with interest!
Chapter completed!