I really don't want to be a doctor

Chapter 132 There is still a way! [Thanks to holycyt for the reward! 】

All three are general surgeons.
Both Deng Liming and Liu Xuejun have been engaged in general surgery for 20 years, and Wu Liang is a graduate student.

What is Mirizzi syndrome?
All three know it.

at least,

worldwide,
At present, there is no report of a case of Mirizzi syndrome that can be done laparoscopically.

Especially Wu Liang,
This patient was taken out to make Yu Wenxing unable to do it!
But now.
Yu Wenxing actually asked to do it under a laparoscope?
Wu Liang felt that he was crazy.

"Doctor Yu, don't be joking. Do you know that there is no successful report of Mirizzi syndrome under laparoscopy. All the reports are failures!"

Wu Liang drank coldly,

Although he wanted to make Yu Wenxing unhappy,
But from the bottom of my heart,

He didn't want the patient to be harmed,

This is why he repeatedly explained to the patient's family members the issue of conversion to laparotomy long before the operation.

And now,
When Yu Wenxing asked to do it under a laparoscope, Wu Liang started to break out in a cold sweat on the spot.
After all,
This is his patient,

If there was a medical accident, he, the doctor in charge, must be responsible.

Wu Liang didn't want to suffer from medical malpractice after working for less than two months.

"Ah."

Yu Wenxing smiled, "Doctor Wu, I'm not boasting. Before I created the two-hole laparoscopic appendectomy, did you see such a report?"

"??"

Wu Liang was stunned by a single sentence,
An idea even came up:
What Yu Wenxing said seems to make sense,
"But, Dr. Yu, this is different. The two-hole method and the three-hole method are a change in the way of thinking, but this operation does not require any special thinking. It only requires fineness and incomparable fineness. The joystick cannot achieve it at all." to such a level of detail!"

Wu Liang really didn't want Yu Wenxing to mess around.

"Doctor Wu, I know that you are doing it for the patient's benefit. Indeed, it is very difficult to do it under laparoscopy, but now that Director Deng is on stage, I'm just in case; I said in case the common hepatic duct is damaged. , can also be dealt with immediately, can't it?"

Yu Wenxing asked.

"No." Wu Liang's face was serious, "When the liver duct is damaged, it will inevitably cause bile to flow out. If the abdomen is opened at this time, the bile has already flowed into the abdominal cavity, causing irreparable damage."

"Hey."

Yu Wenxing also has nothing to say,
after all,

He also dare not guarantee 100% that such a situation will not happen.

more even,
If this patient is not Mirizzi syndrome type I, but type II or III, the possibility Wu Liang mentioned will almost certainly appear.

Although he now considers this patient Mirizzi syndrome type I based on the condition of the cystic duct,
But still,

Didn't open it to see,

He also didn't know if there was a gap between the cystic duct and the common hepatic duct.

"Yu Wenxing, are you sure?"

Although he knew the difficulty of the operation, Deng Liming was really in a hurry today.
"Not sure."

Yu Wenxing shook his head.

"That's fine. Later, Doctor Liu, you can help me to watch more. If you have to open the abdomen, you can do it first, and then call me."

Deng Liming quickly made arrangements.

"I said. Not sure."

Yu Wenxing thought that Deng Liming had heard it wrong.

"I know, you've always been like this."

Deng Liming replied, then turned to Liu Xuejun and said, "Doctor Liu, if the common hepatic duct is damaged and the bile leaks out, the bile should be treated as soon as possible, and the antibiotics should be Supushen."

"Shupushen?"

Liu Xuejun froze for a moment,
Supushen is a restricted drug, and it is generally used in departments such as respiratory medicine and ICU for extremely critically ill patients. Such high-end antibiotics have never been used in general surgery.

"Well, I'll write an application to the pharmacy department then."

After speaking, Deng Liming ran away quickly.

"Then I'll start?"

The operating room was quiet for a few seconds, Yu Wenxing asked.

"You must be careful!!"

Wu Liang gritted his teeth and said,

He was really afraid.

"know."

Yu Wenxing smiled, and then his expression turned serious. Holding the joystick in his hand, he looked at the monitor.

The cystic duct is really dilated. It can be seen that the stones embedded in this place are very large, and the initial estimate is at least 2cm.

but,

He already had the operation steps in mind, and he used the joystick to approach the dilated cystic duct leisurely.

Wu Liang took a deep breath and dared not speak again.

Liu Xuejun also held the mirror with both hands, for fear that the mirror would shake a little and affect Yu Wenxing's operation.

they all know,
If the operation is successful,

Laparoscopic cholecystectomy is bound to take a new step.

Yu Wenxing has two ideas,

The first thought is to push the stone back into the gallbladder.

In fact, this method is also used when the abdomen is opened, but when the abdomen is opened, the hand is pushed, the hand is gentler, and the push is more gentle, and it is not easy to cause damage.

Yu Wenxing used the joystick at this time.

However, he was confident that he was proficient enough with the operating lever. First, he touched it lightly to confirm that it was basically a stone.

"You must be careful!!"

Wu Liang yelled frantically in his heart,

He looked terrified,
This step may directly lead to damage to the cystic duct, and the result of direct damage to the cystic duct is bile outflow.

The gallbladder is the place where bile is stored. The cystic duct, common hepatic duct, and common bile duct all have bile flow. Damage to any of them will lead to bile outflow.

Okay,

Yu Wenxing's control is careful enough,

While exerting force, the cystic duct was not damaged,

But also sorry,
The stone did not move at all.

Yu Wenxing increased his strength, and the biceps in his hands had already protruded.

Wu Liang's thighs trembled suddenly.

The stone remained motionless.

"Okay, okay, goodbye!"

Seeing that Yu Wenxing was going to use more force, Wu Liang had no choice but to stop him.

Yu Wenxing also understood that any more force would only damage the cystic duct, so he took back the non-destructive forceps with a sigh.

"Open your stomach, Teacher Liu."

Wu Liang shook the sweat off his head.

"Wait, there is still a way."

Yu Wenxing said softly, and immediately, he pulled out the joystick in his left hand, "Take a Hemlock clip."

"???"

Wu Liang was stunned,

What else can be done?
"Doctor Yu, what on earth are you going to do? Can you disconnect the cystic duct if you clamp it directly like this?"

Wu Liang was very angry.
He felt that Yu Wenxing was messing around.

During laparoscopic cholecystectomy, Hemlock clips are indeed used, but that is after the cystic duct is separated and skeletonized, the end of the cystic duct is clamped and then cut off.

but now,
The cystic duct has not been separated at all.

What is the use of clamping? ?
Even if it is clamped,
Can the cystic duct be separated?

"Doctor Wu, don't interfere with Dr. Yu's operation. I give you the joystick, can you do it?"

Tang Ling retorted unceremoniously.

(End of this chapter)