Chapter 108 Li Baoshan's Test

Li Baoshan looked at Chen Cang, Qin Yue, and Wang Yong, and his heart was slightly shocked!

This is how young people should look like!

very nice!

Just like them back then.

But……

Some things can't be done with blood alone. This is not a war. It takes invincible courage to charge into the battle, and it is not a task that can be accomplished with blood!

Li Baoshan looked at the three of them: "Good job! You are all good, but the patients sent by the 120 emergency center are not ordinary patients, all of them are difficult operations in the gallbladder system operation, otherwise they will not be sent. It's gone!"

"So, don't get involved in this matter, I'll handle it!"

The words have been made very clear, that is, your ability is not enough, so don't talk about passion.

Chen Cang: "Director, I can do it! I have a lot of research on gallbladder surgery, and I have been researching difficult cholecystectomy. I can handle this matter well!"

When everyone was silent, Shi Na suddenly got up and said, "Director, Xiao Chen has really done a lot of research on gallbladder surgery. I have seen it with my own eyes, maybe... I can give him a chance to try it!"

Shi Na is very low-key, rarely speaks out, and belongs to conservatives.

Li Baoshan glanced at Shi Na curiously.

At this time, Qin Yue, as Chen Cang's cheerleader, hurriedly said, "Yes! Director, Chen Cang didn't lie to you. He is really powerful. He can even do Mirrizi syndrome. He didn't lie!"

This sentence made Li Baoshan stunned: "Can you complete cholecystectomy under Mirrizi syndrome?"

Chen Cang nodded: "Yes."

This sentence can stun Li Baoshan!

He knows better than anyone what Mirrizzi syndrome is!

He also understands better than anyone what this syndrome represents!

It is one of the most difficult surgical operations in hepatobiliary surgery.

How old is Chen Cang?

Has he seen Mirrizzi syndrome? can do it?

Seeing Qin Yue's sworn nod, Li Baoshan was a little shocked to tell the truth.

Li Baoshan hesitated for a moment: "Xiao Chen, this is not the time of blood, the patient's life is more important than everything, in comparison, honor is the least worth mentioning, do you understand?"

Chen Cang nodded resolutely: "Director, I can do it!"

In the entire office, everyone turned their attention to Chen Cang.

The eyes are full of complexity, with admiration, envy, admiration, and appreciation!

He stood up again!

When the chemical plant exploded, Chen Cang turned the tide and saved the patient's life.

And this time, when the emergency department was most in need of people and needed talents the most, he stood up again.

You really have no reason to hate such a person.

Wang Yong is much more honest now. Sitting there and looking at Chen Cang, he seems to see his future self in his eyes!

Is there still jealousy in him now?

After being with Chen Cang for so long, he has already learned how to perform cholecystectomy, helping the department to solve problems and making him feel a kind of respect that is needed.

Whenever he thinks of the little nurse in the operating room calling Xiao Doctor Wang kindly, Wang Yong has an inexhaustible energy.

Li Baoshan pondered for a moment, and after thinking about it, he made a decision. He decided to accompany Chen Cang to have an operation. If Chen Cang can really do it, that would be the best!

Li Baoshan nodded and was about to speak when the nurse on duty suddenly rushed in:

"Director, a patient was transferred from the Eighth Hospital of the City. After the endoscopy, it was found that he had a gallbladder duodenal fistula! We will arrive at our medicine soon, so let's prepare the operating room!"

As soon as this word comes out!

Li Baoshan's face changed: "The meeting is over, Chen Cang is preparing for the operation, and Qin Yue is also here."

After finishing speaking, Li Baoshan said to Chen Cang, "Let's go, can you do a gallbladder-duodenal fistula?"

Chen Cang nodded: "Yes!"

Cholecystoduodenal fistula is not a trivial matter!

It is also one of the typical difficult cholecystectomy.

Li Baoshan can just take this opportunity to observe Chen Cang's level.

...

...

In the operating room!

Guo Cheng, director of the General Surgery Department of the Eighth City Hospital, looked anxious and pushed the patient to the operating room: "Director Li, hello!"

Li Baoshan nodded: "Director Guo, how is the patient's condition?"

Guo Cheng said as he walked: "The situation is very bad. I thought it was just ordinary cholecystitis, but after entering the endoscope, I was dumbfounded. The entire right upper quadrant was full of adhesions, but the inflammatory indicators were not high."

"It is a mixed cholecystoduodenal fistula with upper gastrointestinal bleeding. If it is not prepared for surgery, it will not be discovered at all!"

Li Baoshan nodded, it was true, mixed cholecystoduodenal fistula had no specific symptoms and signs, and was often concealed by the clinical manifestations of the primary disease, resulting in a high rate of clinical misdiagnosis and missed diagnosis.

Guo Cheng handed over the case: "Director, this is the medical record."

After Li Baoshan looked it over, he handed it to Chen Cang: "This is Dr. Chen, the chief surgeon of this operation, Xiao Chen, please look at the medical records first."

Chen Cang nodded and took the medical record.

Guo Cheng's eyes widened: "Director...this...this is a gallbladder-duodenal fistula operation, such a big operation, you ask a little doctor to do it? Is this appropriate?"

Guo Cheng also considered the patient, not looking down on Chen Cang.

Chen Cang is too young, a hairy young man in his early twenties, you come to do this operation, I have brought the patient all the way here, just worried that my level is not enough!

Li Baoshan patted Guo Chen's arm: "With me, don't worry!"

After listening to Guo Cheng, he was relieved, but he was still a little worried, and looked at Li Baoshan nervously: "Director, I'm not worried, the main reason is that the patient's situation is special, so I'm also worried! If something goes wrong, our responsibility is not small!"

After Chen Cang carefully watched the examination, there was nothing special, so he said: "When I get to the operating table, let's take a look at the situation under the endoscope. The medical record does not show any effect."

Qin Yue also came over, and Chen Cang walked over and said to Qin Yue, "don't help me, help me make a record."

Qin Yue was taken aback for a moment: "what record?"

Chen Cang whispered: "I want to do a summary of the experience of difficult cholecystectomy. You can help me record the operation process, and I will do post-operative analysis in the later stage, mainly taking pictures."

Qin Yue's eyes widened, full of disbelief, this Chen Cang... is a bit of a diao!

To sum up experience?

This is an attempt by Chen Cang!

After all, he has to do a lot of difficult cholecystectomy, and these operations are hard to come across. It would be a pity not to record them.

If you can analyze and summarize these records and write an experience summary, it can help many people.

Moreover, he also discovered that, in order to convince others, you have to get the grades, and the best grades for young people are not other things, but scientific research achievements.

Surgery begins soon.

Chen Cang took the endoscope and started to explore, Guo Cheng suddenly reminded: "The safety factor of endoscopic surgery is not high, why not open the abdomen?"

Before Li Baoshan spoke, Chen Cang said lightly:

"Director Guo, the patient's abdominal infection is very serious, and the adhesion is obvious. It is true that the safety factor of open abdominal surgery is relatively high."

"However! The main reason for the patient's adhesion may be due to the duodenal fistula, and laparotomy will increase a lot of risks, and even cause the spread of infection and enlarge the wound, which is very bad for the patient's later recovery. Abdominal creation can be effective... so I suggest we give priority to laparoscopic surgery."

Guo Cheng blushed for a while: "However, this will undoubtedly increase the difficulty of endoscopic surgery! Moreover, whether it is duodenal suture repair or gallbladder resection, or even the separation of the gallbladder triangle, it will be very difficult. Can you guarantee the safety of patients?”

Chen Cang didn't say much, just nodded: "Yes, I can!"

Guo Cheng was at a loss for words.

Li Baoshan said gently: "Okay, let's start, Director Guo, don't worry, Dr. Chen can complete the cholecystectomy under Mirrizi syndrome, and the duodenal fistula should not be a problem."

As soon as these words came out, Guo Cheng was dumbfounded.

ps: The name of the chapter in the next chapter is wrong. Don't worry about the name, it will not affect the reading.