I really don't want to be a doctor

Chapter 145 The appendix is ​​gone!
The lower part of the colonic band is empty.

Is it a mutant appendix?
Li Xiaojun instantly thought of a possibility.

The general length of the appendix is ​​6-8cm, and the diameter is about 0.5cm.

But this is generally the case,

There is a case report that someone's appendix is ​​20cm long.

A 20cm appendix can extend almost anywhere in the abdominal cavity,
This is why appendectomy has always been a minor operation that no one dares to underestimate.

Just like the subhepatic appendix that Yu Wenxing did last time,
The appendix was not found below the band of colon, but was reversed upward, and eventually the appendix was found under the liver.

Although surprised,

But Li Xiaojun's expression didn't change,

Carefully separate the mesentery above the colonic band, and after the colonic band is exposed, lift the colonic band gently with non-destructive forceps,
Li Xiaojun was dumbfounded again.

Just now, Li Xiaojun thought that the appendix was retrograde and was covered by the colon band covering it.

But after lifting the colon band,
Li Xiaojun discovered in bewilderment,

colonic band,
right here,

ended! !

"Fuck!!"

Li Xiaojun's head was sweating,

Damn it!

Laparoscopic appendectomy is easier than open appendectomy
It is because the field of view of the laparoscope is larger,
During laparotomy, the field of vision is very narrow, and it is extremely difficult to find the appendix. If you encounter an ectopic appendix, it is very troublesome to find it, because the field of view of an operator is very narrow, and it is difficult to observe everything in the incision.

Although the field of view of the laparoscope is only 30°, it can well expose everything in the required field of view.

The level of Xiao Luo's mirror is average,
But it is also enough to clearly expose everything Li Xiaojun wants to see.

but,
Li Xiaojun stared at the monitor several times,
The band of colon lifted by him,

right here,

ended! !

"I'm so crazy."

Li Xiaojun was speechless,
He thought he might have been looking for the wrong colonic band, mistaking the thickened mesentery for a colonic band.

I re-identified the cecum again,
Then follow the cecum to find the colon band,
Lift the colon band up again,

Empty again,

Li Xiaojun suddenly didn't know what to do.

What an appendix! ! !

Gone! !
How dare you believe it! !

Even if it is an ectopic appendix, there must be something under the colon band, right?

Even if the appendix is ​​abnormally out of shape, under the laparoscope, if the colon band is lifted, the follow-up direction can always be seen.

But this appendix,

It's really gone.

Li Xiaojun broke out in a cold sweat, knowing that he might not be able to perform this operation.

"Brother Jun, what are you doing?"

Tang Ling started to complain,

As a specialized nurse in operating room No. [-], Tang Ling hasn't worked the night shift for a long time.

There are many advantages of not working night shifts,

Like going to bed early and getting up early,

Such as skin care.

Tang Ling was called here just after putting on the mask today. Although she was angry, when she heard that it was appendicitis, she thought she would step down within an hour at most.

It turned out that it was almost an hour and a half now, and the chief surgeon, Li Xiaojun, was still there in a daze.

That ghost Tang Ling is furious,

"Wait, wait"

Li Xiaojun forced himself to calm down,

Although no appendix was found, the patient's abdominal pain was real.

Taking a deep breath, Li Xiaojun restarted the full abdominal examination.

It is necessary to find out the cause of the abdominal pain for the patient.

The joystick wandered in the abdominal cavity, and Li Xiaojun found it very carefully, including the liver, gallbladder, pancreas, spleen, kidney, ureter, and intestines. Li Xiaojun followed Yu Wenxing's appearance back then and searched inch by inch.

No exception!

Nothing unusual!

"Is it really a non-organic disease??"

Li Xiaojun suddenly thought of this possibility.

Non-organic diseases are diseases in which no abnormality of any organs can be found. For example, in some patients with irritable bowel syndrome, the organs of these patients are basically normal, and the cause of abdominal pain is mostly psychogenic.

or,
Is this patient gastroenteritis?
Patients with gastroenteritis can't find the problem from laparoscopy, and most of them have to do colonoscopy for diagnosis.

After finding two reasons for myself,
After convincing himself with professional knowledge, Li Xiaojun breathed a sigh of relief,
At least the reason was found.

As a result, the breath is not over yet.
Li Xiaojun suddenly reacted,
special!
Why is the appendix missing? ? ?

No appendix found,
Can I have surgery?
Li Xiaojun gave himself a negative answer.

"Brother Jun, what's going on?"

Ling Jiangfeng has been playing mahjong for more than half an hour, and he has lost all his breakfast money for this week.

Li Xiaojun glanced at the clock in the operating room, it was already [-]:[-] in the morning, and he also knew that it would be difficult to end today without yelling, so he started yelling.

But who?

Li Xiaojun immediately thought of Deng Liming.

I am the leader of the appendix group, so I can be regarded as the second-tier. If the second-tier can't do it, it is understandable to call the third-tier.

Can.
Li Xiaojun reckoned,
It's not that he looked down on Deng Liming,
But Deng Liming can't do laparoscopy!
Call other second line?
Liu Xuejun?Jiang Guoqiang?
Li Xiaojun denied one by one,

To the end,
He suddenly found out that
As the second-line team leader of the general surgery department, I actually went to ask the intern doctor for help.

His face blushed a little, but he didn't hold back. He also knew that his level was worse than Yu Wenxing's.
"Help me find the phone and call Yu Wenxing."

Ling Jiangfeng ran over and took out the phone from Li Xiaojun's surgical gown, and called Yu Wenxing.

And there was a sound,
The phone is on.

Li Xiaojun shouted impatiently: Yu Wenxing, surgery!

On the one hand, yelling can relieve embarrassment, on the other hand, it also reflects the urgency of the situation.

More than 20 minutes later, Yu Wenxing appeared in operating room No. [-] in good spirits.

He is really in high spirits.

The weather in September is already getting colder. After looking for a shared bicycle on the street for more than ten minutes wearing shorts, can you not be shaken by the cold?

"what's the situation?"

Yu Wenxing was speechless, and glanced at the monitor, the camera was facing the intestinal cavity at the moment,

Nothing unusual?

"hey-hey."

Seeing Yu Wenxing coming, Li Xiaojun didn't panic anymore, "He is a patient with chronic abdominal pain, and he is considering chronic appendicitis."

"Then you do it!"

Yu Wenxing complained, why did you call me to the platform so late after having an appendectomy?

"Brother Jun, don't you usually do it too?"

"It didn't work out."

Li Xiaojun was a little shy.

"Didn't finish it?"

Yu Wenxing was taken aback.

He and Li Xiaojun have not been partners for a short time, and he is also aware of Li Xiaojun's situation.

Although the technology is not yet proficient,
However, under normal circumstances, laparoscopic appendectomy is not a problem.

Even chronic appendicitis,

Li Xiaojun can also separate fluently,

After all, in the final analysis, this is an appendectomy. As long as you are familiar with the anatomy of the appendix, it is no problem to remove the appendix.

"what happened?"

Yu Wenxing frowned slightly.

"Appendix, gone."

Li Xiaojun said while shooting the mirror at the colon belt.

"Gone??"

Yu Wenxing didn't understand all of a sudden.

(End of this chapter)