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205, Cross-hospital emergency department MDT joint consultation

Virtual operating room.

Su Jie is undergoing surgery.

Laparoscopic cholecystitis resection.

[Laparoscopic cholecystitis resection simulation system] is actually a complete set of teaching procedures for laparoscopic cholecystitis resection.

Similar to the novice tutorial, there will be very stupid prompts that constantly tell you what to do next.

[Please place the patient in the supine position]

[General anesthesia in progress, surgery begins]

[Three-hole positioning, drilling, and pneumoperitoneum establishment]

[Separate adhesions, fully expose the gallbladder, and prevent nearby tissue from blocking the gallbladder triangle]

[Press with three-leaf forceps to fully expose the gallbladder triangle]



The sound of the system continues to appear along with the flashing blue subtitles. Every time Su Jie completes an operation, there will be corresponding pleasant dubbing to add to the fun.

The surgical experience is quite satisfying.

Clinically, most cases of cholecystitis are caused by the obstruction of the gallbladder neck by gallbladder stones, and most cholecystitis attacks are acute.

Therefore, rapid diagnosis and treatment are key.

Diagnosis is not difficult. The pain during a cholecystitis attack is extremely severe, and the radiating pain in the right shoulder and lower corner of the right scapula is characteristic. With the help of blood tests, ultrasound and other examinations, the diagnosis can be confirmed quickly.

For treatment, laparoscopic techniques are often required.

"Laparoscopic cholecystectomy is the gold standard for acute cholecystitis surgery!"

These are the original words of Dr. Jiang Wu.

On the virtual operating table.

Su Jie has practiced it countless times.

Coupled with the success of laparoscopic appendicitis surgery, he has the feeling of being knowledgeable and enlightened.

Disinfect and spread towels.

Drill holes and put a mirror in.

He can do all these basic operations at his fingertips, and there is no hesitation in operating them.

But from the moment the gallbladder triangle was fully exposed, Su Jie's expression began to change slightly.

The biggest problem in laparoscopic cholecystitis resection is the treatment of the gallbladder triangle, which Su Jie had to be extremely cautious about.

The triangular area formed by the cystic duct, common hepatic duct and liver surface is called the gallbladder triangle.

The three are closely related and form a whole.

In laparoscopic cholecystitis resection, the surgeon needs to carefully separate the three, accurately find the gallbladder artery, and ligate and cut it.

It seems simple to say, but during this process, inexperienced surgeons often fail to identify the cystic artery and the right hepatic artery clearly. Both are large arteries with similar shapes and confused anatomical locations, just like twin brothers.

Generally, it is difficult to distinguish.

Once the diagnosis is made incorrectly and the right hepatic artery is accidentally injured, it will cause severe liver ischemia or even necrosis, which is irreversible.

On the operating table.

Su Jie carefully handled the gallbladder triangle, strictly following the principle of distinguishing everything from three words taught by Dr. Jiang Wu, clarifying the relationship between the cystic duct, common bile duct, and common hepatic duct, and then clamping and resecting it.

This feeling is like being a bomb disposal expert. The ticking sound of the monitor next to you is the countdown clock of the bomb, and the three very similar shapes of the cystic duct, common bile duct and common hepatic duct are the three red, white and blue wires.

"Crack."

With a soft sound, Su Jie carefully cut off a thick artery.

[Congratulations to the host, this time the choice was correct, the cystic duct has been removed]

"Right again! Right ten times in a row!"

Su Jie breathed a sigh of relief and closed his eyes. The world with only a shadowless lamp quickly retreated. When he opened his eyes again, he had returned to the real world.

Complete ten consecutive correct cystic duct resections in one day. This is the task he set for himself. It is not a heavy burden, but it requires persistence every day.

In fact, if possible, Su Jie would be willing to devote more time to the virtual operating room, but the ultimate goal of practicing surgery is to treat patients. He is too addicted to the pleasure of the growing technology in the virtual environment and ignores the work in the real world.

and life.

This is a bit putting the cart before the horse.

In fact, after experiencing the live broadcast of the surgery that was watched by thousands of people, Su Jie had completely become famous in the medical circle of Badu, and his daily work became even busier.

Someone was at the scene and captured what Su Jie said to Academician Ke during the interruption of the live broadcast, and posted it on the Internet.

On the one hand, the doctors who were watching the live broadcast at the time understood why the operation took a sudden turn, and they were deeply impressed and amazed by Su Jie, a young doctor.

On the other hand, it also made Southeast Hospital once again have a sense of presence in the hearts of ordinary people.

The idea of ​​a tiny appendix plus diverticulum seems to be incomprehensible to ordinary people who eat melons, and may even make them confused and put them in a situation where they have nothing to eat.

But Su Jie's explanation can be called a classic.

Even a layman who knows nothing about medicine can understand the difficulty of this operation from Su Jie's explanation.

The traveler lost in the complex abdominal maze may be a dwarf, or he may be the maze itself. We need to find him out as soon as possible. He must be hiding in a corner that we ignore!

It's a very symbolic description that makes people want to learn more.

When the crowd read the description of the entire operation, their curiosity was instantly replaced by shock.

There are actually such patients and such cases!

When encountering such a patient, the doctors at Southeast Hospital were able to cure him!

Really awesome!

Moreover, this young doctor is so handsome, and he perfectly caters to the beautiful imagination of doctors in the minds of the melon-eating public.

Sure enough, those bald doctors are just fabrications in novels. All doctors in reality should be so handsome!

Southeast Hospital is really YYDS!

Of course, the Southeast Hospital here refers specifically to our hospital.

For most people in Laobadu, the High-tech Campus is just a place where people are selling themselves off.

Doctors and technology are the foundation of a hospital. Unless the doctors from the Southeast Hospital are relocated collectively, the people of Laobatu are still more willing to believe in the strength of the hospital.

Some people even doubt whether the high-tech campus has anything to do with the headquarters of Southeast Hospital. After all, there are too many cases of Pengci these days. Although Southeast Hospital has been slightly declining in recent years, a skinny camel is bigger than a horse. Pengci is a hospital that

The hospital is not too bad either.

Just like there are Union Medical College hospitals all over the country, but the most popular one in everyone's mind is the one in Kyoto.

this day.

Jiang Wu suddenly found Su Jie who had just come off the operating table and asked straight to the point: "Have you practiced laparoscopic cholecystitis resection during this period?"

"Yeah, ten times a day." Su Jie nodded.

"so much?"

Jiang Wu was really surprised. During this period, the number of MDT surgeries in the emergency department exploded. Su Jie could still find time to practice ten surgeries every day?

However, Jiang Wu will always trust Su Jie unconditionally.

"Very good, come with me. There is a consultation at MDT."

"Which department?" Su Jie asked casually, walking to the nearby sink and starting to wash his hands.

"General surgery." Jiang Wu answered.

Su Jie was stunned for a moment, then turned to look at Zhang Wei, who had just walked out of the operating room, and asked doubtfully: "General surgery? Didn't we just undergo MDT consultation surgery in the general surgery department? Zhang Wei, your department also has combined surgeries?"

"

Zhang Wei looked confused: "I don't know."

Jiang Wu shook his head and said solemnly: "It's not the general surgery department of this hospital."

"It's the general surgery department of the High-tech Campus."
Chapter completed!
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