After the patient was brought in, Tang Yan stopped chatting and started brushing her hands and getting dressed before going on stage.

"Dr. Xiao Ji, are you cooperating with Director Liu?" the anesthesiologist asked.

"Um."

"Awesome, Director Liu is really confident, and he doesn't even bring a professor." The anesthetist was obviously dissatisfied with Director Liu's "chaotic life" and complained.

The so-called confidence is definitely an irony, and it is definitely not a compliment to Director Liu.

Ji Xiang smiled and did not argue with the anesthesiologist.

Surgery requires teamwork.

Moreover, for such a major surgery, Director Liu only brought one trainee with him, which was indeed a problem.

However, Ji Xiang was not worried because he could perform the surgery on his own. Looking at everything in front of him, especially the familiar figure next to the instrument table, he told Ji Xiang that this was reality, not a systematic operating room.

He began to check the patient's information. After several checks, the anesthesiologist began anesthesia and Ji Xiang positioned the patient.

In the lateral decubitus position, with the waist bridge raised, Ji Xiang gave the patient adequate protection before brushing his hands.

"The same goes for Director Liu, and so does the head nurse." The anesthetist nagged, "For such a big operation, alas, no one is reliable."

In his opinion, such a major operation requires at least a few professional backbones to perform it. As a result, Director Liu brought a regular trainee to work, and the head nurse also assigned a young nurse.

Just as he was talking, Director Bai and Lu Gang walked in.

The anesthesiologist immediately stood up and said, "White vagina!"

"You are busy with your business." Director Bai said, "I'll come and take a look."

Lu Gang also heard the anesthetist's complaints. It is normal for doctors on the front line to complain about this kind of thing.

It was a major surgery in itself, and all the front-line experts were sent in not knowing whether it could be done. As a result, Director Liu actually brought a graduate student like Ji Xiang into the surgery.

What's the difference between this and being shirtless and resisting Gatling fire?

Lu Gang curled his lips, but said nothing.

He patted the anesthetist on the shoulder sympathetically.

"Doctor Xiao Ji, you are making great progress." Director Bai said to Ji Xiang who was busy, "Director Liu is willing to take you through such a major surgery."

"Director Liu has always been very hands-off and very good to our training doctors," Ji Xiang said.

"Just be busy, I'll just take a look."

Ji Xiang didn't think anything of it, but with such a god like Director Bai standing here, whether it was the anesthetist or the equipment, the traveling nurse's hands and feet felt stiff.

They didn't know what was happening, and the atmosphere in the operating room was a bit strange.

Director Liu came in and greeted Director Bai when he saw him. The two exchanged a few words in a low voice. Seeing that Ji Xiang had already started laying out sterile drapes, Director Liu went to wash his hands.

Lu Gang waited for the operation to start with a look of disdain.

After the preoperative preparation is completed, the operation begins.

First, Director Liu selected the first puncture incision two fingers above the ilium in the mid-axillary line and injected air with a Veress needle, which was then used as the first introduction port of the laparoscope. After a certain cavity was created, a 10 mm poke card was inserted

, ready to insert the laparoscope.

It's normal to do this surgery.

"Lao Lu, is it going to be difficult next?" Director Bai looked at Director Liu's skillful operation and asked sideways.

"Just watch." Lu Gang said in a low voice, "I looked at the film. The kidneys have been crushed into a piece of paper. The adhesions in the abdominal cavity must be very severe. There may not be much blood when blunt dissection is performed.

.”

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His voice was very low, trying not to interfere with the surgery.

It doesn't matter how many opinions there are in the audience, but the operation has been performed and everyone hopes that the operation will go smoothly.

Even if Lu Gang doesn't think so, he can't cause trouble.

But the disdain and disdain in his tone were not concealed at all, and were clearly revealed to Director Bai.

"Xiaoji, you have good eyesight, help me keep a close eye on it." Director Liu said at this time.

"Okay, Director."

When the camera enters, the normal physiological and anatomical structures cannot be seen at all, and the patient's abdominal cavity is a mess.

Director Liu was stunned for a moment. He could have imagined that the operation would be difficult, but he did not expect that the operation would be so difficult.

The camera tilted and landed on the adhesions between the dorsal membrane of the kidney and the peritoneum.

Director Liu identified it for a few more seconds before he discovered that this was the fusion point between the dorsal membrane of the kidney and the peritoneum that had been squeezed.

MD! Director Liu cursed in his heart and gritted his teeth to continue the operation.

He then used the second and third laparoscopes to introduce 5 mm and 10 mn poke card punctures in the anterior and posterior axillary lines respectively. After entering the retroperitoneal space, he first separated the dorsal side and found the psoas major muscle.

Then the outer membrane of the huge hydronephrosis was cut open and all the water was sucked out.

Director Liu originally thought that the vision would be better after all the water with a diameter of more than ten centimeters was sucked away, but he did not expect that the adhesions were too severe and the adhesions were still messy.

The lack of normal physiological and anatomical structures is the most difficult thing for a surgeon. Director Liu calmed down, took a deep breath, and concentrated on starting the real operation.

He reached out and grabbed the pliers and began to perform blunt separation bit by bit.

"Bai Chu, it's very difficult here. I said I couldn't do it. This is one of them."

Director Bai carefully watched the blunt separation action on the screen, his brows furrowed unknowingly.

Indeed, organ adhesion is a taboo in surgery. As for how much difficulty it can increase, no one can say.

Looking at the current situation, Director Bai believes that it is indeed difficult to perform the operation with Director Liu's level.

Blunt dissection itself is extremely difficult and is an embroidery job. Coupled with laparoscopic surgery and extracorporeal operations, the difficulty of the surgery becomes even more difficult.

Director Liu took the long pliers and began to carefully separate them little by little. As soon as he started, red appeared in his field of vision.

The capillaries are broken... Director Liu thought helplessly.

It was quite difficult to stop the bleeding. The key was that he knew that as soon as he started bleeding, he would start to bleed before applying much force.

Director Liu sighed, the numbness on the top of his head became more severe, and his fingers began to stiffen.

He knew very well that it was quite difficult to stop bleeding smoothly.

Lu Gang snorted coldly, all this was within his expectation.

The operation is quite difficult. Let alone laparoscopic surgery, even if it is a major surgery, the chance that Director Liu can successfully perform it is only 70-80%.

For surgeons, this success rate is unacceptable.

Let's see, whatever comes to mind will come to mind. Lu Gang was not proud, he just felt that he couldn't stand what Director Liu was doing.

But at this moment, another hemostatic forceps suddenly stretched towards the surgical area. At the same time, the suction device also landed on the bright red position, making a hissing sound.

"Titanium clip." Ji Xiang said softly.

Tang Yan was stunned for a moment, but still handed the titanium clip to Ji Xiang.

After washing away the blood, everyone discovered that the pliers dropped by Ji Xiang were firmly clamping the bleeding blood vessels!

The suction device was removed and the surgical field was clean. After a "simple" operation, the troublesome bleeding was stopped.

This look is so good.
Chapter completed!