Chapter three hundred and forty-one stitches on the two mm hepatic duct(1/2)
After Bai Xiaofei went in, he saw that the test question was liver duct reconstruction anastomosis surgery, and he felt even more at ease!
This is his area of expertise!
This surgical examination requires that after the left hepatic and caudal lobes are removed, there are three liver duct openings on the right liver section that require intestinal reconstruction pathways. Each liver duct opening is about 2mm in diameter, and the three liver duct openings on the right liver section need to be reconstructed pathways respectively with the small intestine!
"2mm, the difficulty is a challenge!" Bai Xiaofei sighed in his heart. I wonder if Ruan Bin next door could complete this difficult bile duct reconstruction!
Because 2mm is 2mm!
You need to do stitches on the 2mm liver tube!
Of course, it is operated with the support of 3D laparoscopic equipment, and 2D equipment cannot be sutured.
Only a 3D laparoscopic device is needed to support your operation, otherwise you can't operate the stitching on 2mm, and 2D will not be able to do it at all!
Here we need to require your accuracy and slight operation level.
If you sew a needle on the liver duct at 2 mm and stagger it a little bit, it will be a huge difference.
However, when Bai Xiaofei was studying with Teacher Chen Chengquan, he had dozens of such surgeries with the teacher. Later, under the guidance of Chen Chengquan, he personally performed several surgeries.
After returning to work in the hospital here, he personally took more than a dozen shots!
"Although I need to stitch the 2mm liver duct, I am serious and careful, and the speed is slower, so it should be done." Bai Xiaofei said in his heart.
This time the test is not the speed, but you can complete it. If you can complete it well, you can get high scores!
He believes that this semi-final will definitely be unable to complete such delicate and precise operations at all.
Including that Ruan Bin!
Bai Xiaofei started the surgery.
I saw him slowly start to operate step by step.
The three examiners were staring at his operations.
Because the TV surveillance was broadcasting his surgery live.
"I am worthy of being a contestant from Huashan Hospital in the Magic City. I didn't expect that I would be so skillful in this operation at such a young age!" An examiner exclaimed.
"It depends on whether he will make a mistake."
"We can't relax at all when we do a stitch on the 2mm liver duct. Sometimes we can't even keep it from going wrong."
"Yes, the main reason is that the requirements for precise and delicate operations are too high."
How big is the liver duct?
Do you think it's the intestinal duct of the intestine?
…………
The other side.
Ruan Bin also went in.
I introduced myself to the judges and looked at the test questions. I didn’t expect that it would match the liver duct!
The exam has begun.
He walked to the operating table and looked at the model of liver intestine.
"These liver ducts are too small, only 2 mm in size. It is very difficult to rebuild the pathway between the three liver ducts in the right liver section and the small intestine." Ruan Bin frowned.
He can't do the stitching on 2 mm at present.
Because this anastomosis suture requires the help of 3D laparoscopic instruments and equipment, it is not only possible to do it with innovative debridement suture.
You also need to know how to operate these devices and have a 3D laparoscopic radical hilar cholangiocarcinoma treatment!
You don’t know how to cure hilar cholangiocarcinoma in the 3D laparoscopic hilar hilar cholangiocarcinoma, and of course you won’t be able to operate these instruments and equipment!
Even with the support of 3D devices, the operation of the surgeon is extremely high!
This is comparable to picking some of the eggs!
"system!"
【System Points】: 30,400
【Radical cholangiocarcinoma of the hilar hepatic cholangiocarcinoma】: Not introductory + (traditional, laparoscopy)
"Recharge 100,000!" He is rich now.
"Dingdong...recharge successfully."
"upgrade!"
"Ding Dong...Deduct 6,000 points, [Radical Curing of Hierarchical Choleduct Cancer in the Hierarchical Surgery]: Introduction +!"
"Ding Dong... After deducting 9,000 points, [Radical Curing of Hierarchical Choleduct Cancer]: Proficiency +!"
"Dingdong...Deducted 12,000 points, [Radical Curing of Hierarchical Choleboduct Cancer]: Director-level +!"
"Ding Dong...Deduct 15,000 points, [Radical Curing of Hierarchical Choleboduct Cancer]: Expert Level +!"
"Ding Dong...Deduct 18,000 points, [Radical Treatment of Hierarchical Choleduct Cancer]: World-class +!"
boom……
A huge stream of information was embedded in his mind.
Next, Ruan Bin began to skillfully fiddle with this 3D laparoscopic instrument.
Manipulating the equipment, Ruan Bin began to rebuild the pathway between the three liver ducts in the right liver section with the small intestine...
Every step of his operation is extremely fast!
Every step is meticulous!
Every step is extremely delicate!
Every step is accurate to the nano level!
The key is that his speed is still so fast.
The three examiners frowned when they saw it.
"You can't be too hasty to perform anastomosis and suture on the liver duct on 2 mm, you have to do it slowly. If you are so fast, you will definitely not be able to successfully match it!" A examiner shook his head.
"After all, I'm too young, so I can't succeed at all! It's mainly about quality, quality!"
"Even if it can be completed, it will definitely not match up well. Many points will be deducted."
However, after a few minutes, they stopped complaining.
Because they actually saw Ruan Bin sewing it very well!
It's natural, nothing to be picky, almost perfect!
"Three examiners, I have completed the operation." Ruan Bin said.
"So quickly? Only 20 minutes have passed!" A chief examiner looked at the time and almost shocked his chin.
"I'll take a look!"
The three examiners began to check carefully.
"It's very good at anastomosis, and the bile ducts can circulate with the intestinal duct!"
“Nothing was found to be missing.”
“It’s perfect!”
After reading the three examiners, they looked at each other.
Too scary!
It took only 20 minutes to make it!
This is the horror!
…………
The other side.
Bai Xiaofei finally finished the three bile ducts at hand.
"Huh... it's done!" Bai Xiaofei breathed a sigh of relief. He looked at the time and it took him 50 minutes in total! This speed was relatively fast.
If many doctors do this, it usually takes an hour or even more than an hour.
Like his teacher Chen Chengquan, it takes more than 35 minutes to match this at the fastest, so he can complete it in 50 minutes, which is definitely better than many people!
The three examiners also began to review and score.
"It is completed within the specified time."
"It matches very well. Although it is still far from perfect, it has achieved excellent results."
“The liver duct circulation is good, no problem.”
"Give a score."
To be continued...