I really don't want to be a doctor

Chapter 128
Yu Wenxing knew that he had room to work hard.

He knew his laparoscopic cholecystectomy was better than appendectomy.

No matter from proficiency, sophistication, or innovation,
Both are much worse.

The reason is also very simple,
He has undergone various laparoscopic appendectomies in the system space,
Countless cases accumulated his attainments on the appendix.

For this patient,

indeed,

Patients with Mirizzi syndrome are routinely not recommended for laparoscopic cholecystectomy.
It is because when dealing with the cystic duct, it is very easy or even certain to damage the bile duct.

Once the bile duct is damaged, a T-tube must be placed through the laparotomy to drain the bile.

but.
Yu Wenxing snatched the mirror from Liu Xuejun's hand, carefully identified the cystic duct,

Although locally oppressed,

But at least from now on, the gallbladder and gallbladder duct basket have not been formed.

That is,

If the operation is extremely fine,

There may be a chance to avoid damage to the common hepatic duct.

but,
The premise of all this,

All under the condition of extremely fine operation.

Yu Wenxing is confident that his proficiency in the joystick is enough,
But his proficiency in the anatomy of the gallbladder is not enough.

There will never be two leaves that are the same in this world,
Because of its texture, there are more or less differences.

And people too,
The overall structure of the gallbladder is similar in all people, but there are more or less gaps in the shape of the cystic duct, common bile duct, and common hepatic duct in each person.

Yu Wenxing didn't dare to do this operation rashly,

Because he's out of his mind,
He could not judge the general shape of the common hepatic duct,
and,

The cystic duct and the common hepatic duct have been pasted together.

A little careless,

When dealing with the cystic duct, the common hepatic duct will be damaged.

but,
There is also a difference in damage,

Such as how wide the damage is, how thick the damage is,

Without a certain amount of accumulation,

He really didn't dare to do it.

now,

He wanted to call out the system,

Give yourself a chance to work hard, even if you make yourself more debts, it doesn't matter.
But unfortunately,

The system didn't respond at all.

Only the experience value shows -7333.

For a moment,

Yuwen Xingxing really hates himself for not having surgery day and night,
Lost sighed,
Yu Wenxing suddenly thought of something.

System Backpack!

He remembered,
There's only one thing in there,
A book that he had long forgotten in the horizon.

Skill Book!

Fortunately, the system backpack appeared,

a book,

Lying quietly in the corner of the field of vision.

One person in Dounan: Raise a certain medical skill you already have to the top level.

Yu Wenxing didn't know what would be defined as top-level medical skills,
He knew that with his laparoscopic appendectomy level, he should be far from reaching the top level.

but,
Yu Wenxing also knows,

If I really have such a precise operation on the appendix, as long as there is still a slight chance of this gallbladder removal,

As long as there is still a chance for separation between the cystic duct and the common hepatic duct,

Then you will definitely be able to do it yourself!

but
"Do you really want to use this thing?"

When the matter came to an end, Yu Wenxing felt hesitant again.

With Yu Wenxing's understanding,
According to the current situation, this patient should be regarded as Mirizzi syndrome type I,
Mirizzi syndrome type I is defined as an incarcerated gallstone in the cystic duct or neck of the gallbladder, compressing the common hepatic duct.

At least at present, this patient only oppressed the common hepatic duct, but did not form a gallbladder bile duct basket. As long as the compression of the common hepatic duct can be relieved, the cystic duct and the common hepatic duct will inevitably be separated, and the free cystic duct will not exist. problem.

But now the question is?
how to relieve oppression,

Yu Wenxing frowned, his mind was running fast, and at this moment, he gradually had a thought.

but,
Yu Wenxing is still not sure,
Because he knew too little about the common hepatic duct,
When oppression is lifted,
Will it damage the common hepatic duct?
this is a problem.

"Ms. Liu, if the operation is performed by laparotomy, can you do it?"

Yu Wenxing asked suddenly.

Liu Xuejun has been doing gallbladder surgery for more than 20 years, so of course he understands the current situation.
But he never had a laparoscopy.

think for a moment,
"It's very difficult. The cystic duct of this patient is extremely dilated. Even if the incision is larger and more instruments can be inserted, the risk of the operation is not small.

Moreover, a large incision means large equipment, and large equipment means greater trauma. If one is not careful, it may damage the common hepatic duct more severely, and even cause transection, the most dangerous complication in cholecystectomy.

I may not dare to do this operation, and I have to ask Director Deng for instructions. "

Liu Xuejun was very unwilling to admit his incompetence in front of his juniors.
After all, he aspires to become a sword master,
A sword master must have the temperament of a sword master,

That is to say, holding a scalpel, that is the domineering momentum of the world,
But unfortunately,

He really couldn't do it.

"This kind of surgery requires too much precision. I may be able to do it, but if Director Deng can do it, the risk is lower."

Liu Xuejun rounded up for himself again.

Yu Wenxing nodded,
indeed,

Whether it's an open stomach,
Or laparoscopy,

This surgery is extremely difficult.

It can almost be said that,
In cholecystectomy, this situation is almost the most difficult one.

"Can't you do it?"

Liu Xuejun asked,

In his mind,

Yu Wenxing should have had the opportunity to perform this operation under laparoscopy,
After all, Yu Wenxing performed laparoscopic cholecystectomy in front of him several times, which left him with a very amazing impression.

"You also know that the precision required for this operation is too high. After all, laparoscopy is performed with a joystick, which is far less precise than direct touch with hands."

"But can't you use the joystick to distinguish the serosa and the cystic duct? This."

Liu Xuejun was puzzled.

Yu Wenxing has a hard time to describe.

If there are only serosa and cystic duct inside, he can indeed distinguish them through the operating rod,
But if there are serosa, cystic duct and common hepatic duct, he can't tell whether it is the cystic duct or the common hepatic duct!
"Eh, anyway, I think this operation is difficult, so it's better to ask the director to come and have a look."

Yu Wenxing explained.

"Too."

Liu Xuejun nodded in agreement,
After all, this is an operation, and it is an operation that is prone to major complications. If Deng Liming is not notified, if something happens, it will most likely be difficult to end.

But if Deng Liming is notified, even if there is a complication, it will be a matter of the department.

Under the current medical system,
protect yourself,
It is also a wise approach!
"Hey."

Liu Xuejun sighed inwardly.

He could understand what Yu Wenxing meant, and he might be able to do it, but the risk was high.

But it was difficult for him to make up his mind to take the risk.

but,
If the stomach is open,
The risk remains high,

and,

A bigger scar would have to be left.

In this medical system, too many doctors have lost the spirit of adventure.

(End of this chapter)