medical road high rise

Chapter 54 Reestablishing Bile Flow
Chapter 54 Restoring bile flow
"Really?" Lu Shan looked up at Qin Feng with tears in her eyes.

"Well, really."

Qin Feng lowered his head and started laying out the surgical sheets to prepare for the operation. The equipment nurse stood aside and counted the equipment, while the emergency doctor was a little embarrassed.

This incident can be regarded as the emergency doctor did not make a good adjustment, he was impulsive, and if something went wrong, the emergency doctor should bear the big responsibility.

But he didn't say it directly, increasing the pressure on Qin Feng for surgery.

Lu Shan also retreated to the side of the instrument and began to monitor. If there is any problem, she will report directly to Qin Feng and the others to stop the operation or add drugs.

Qin Feng checked the patient's pupils, and said: "The anesthesia has taken effect, and the operation begins."

Taking the scalpel, Qin Feng made an incision in the abdomen, opened the peritoneum to find the gallbladder.

"syringe!"

Qin Feng placed the scalpel on the sterile gauze, took the syringe handed over by the emergency doctor, inserted it into the bile duct, and collected the bile.

This is to be sent to the pathology department for pathological testing to prevent cancer or other illnesses.

The syringe was wrapped with sterile gauze, and the emergency doctor took it carefully and placed it on the tray.

"Contrast agent!"

"Hemostatic forceps!"

"Prepare to dissect the hilar region."

Every instruction of Qin Feng was given out accurately, and the emergency doctor and equipment nurse became a circulating machine, constantly replacing surgical supplies for Qin Feng.

This made the emergency doctor feel a little unbelievable about Qin Feng's surgical level. The emergency doctor was an assistant who had performed choledochal cyst resection for other doctors, but the situation he encountered was not as fast and accurate as Qin Feng's.

The hemostatic clip can be accurately clamped on the bleeding site in advance every time, and the operation can proceed smoothly.

Qin Feng carefully pulled the gallbladder with the two fingers of his left hand, and operated the surgical instruments with his right hand to peel it off, exposing all the blood vessels in the hilum of the liver.

"Doctor Qin, be careful of the confusion of the portal vein and the common hepatic duct." The emergency doctor reminded.

"Ah."

Qin Feng looked directly at the position of the blood vessel on the image without slowing down, and used the hemostat to accurately find the position of the common hepatic duct, and cut it off with electric forceps.

Seeing Qin Feng's operation, the emergency doctor's heart skipped a beat. Was it so reckless?
But the current emergency doctors don't dare to speak at all, for fear that what they say will affect Qin Feng, and Qin Feng will cut in the wrong place, causing the veins and arteries to rupture, which means hemorrhage.

And the emergency doctor found a problem, that is, Qin Feng's operation seems to be very smooth, unlike other doctors who stop at one step, it seems that Qin Feng has taken into account the situation that will occur in each step of the operation.

This is also the reason why this operation has been performed without any problems.

"Hemostatic clip, ligature."

Qin Feng clamped the blood vessel near the common hepatic duct with the hemostatic clamp, and the broken blood vessel near the gallbladder was ligated with absorbable thread for a short-term blockage.

This is one of the key points of choledochal cyst resection, which is to separate the common bile duct. The common bile duct exists in two places, one is the hilar region and the other is the pancreas.

What Qin Feng just did was to separate the common bile duct at the porta hepatis and block its blood supply to it. The second step was to block the blood supply to it from the pancreas.

"Physical saline, drop in." Qin Feng shouted.

The emergency doctor quickly dripped the normal saline in, and Qin Feng watched the blood red in front of his eyes turn a little reddish, revealing the bleeding point inside.

Qin Feng ligated the bleeding points everywhere. The emergency doctor asked with some confusion: "Dr. Qin, why didn't you wait until the operation was over to deal with these bleeding points? This amount of bleeding can't affect the overall situation."

"Look at the position of the pancreatic duct and these bleeding points on the image, what will happen if you cut off the bile duct in the pancreas without dealing with these bleeding points?" Qin Feng said in a deep voice.

The emergency doctor followed what Qin Feng said, and as the hospital chief, the anatomical structure of the gallbladder and pancreas is still very clear.

After going through the process in his mind, the emergency doctor gasped.

I finally understood why other doctors suffered from massive bleeding when performing choledochal cyst surgery. They failed to deal with the bleeding point and blindly cut off the common bile duct, causing the pancreatic duct to rupture in both directions, and the junction of the bile duct and pancreas was covered with blood.

The emergency doctor looked up at Qin Feng. Qin Feng's too young face made the emergency doctor sigh.

People cannot be compared casually.

Under the action of normal saline, Qin Feng found bleeding points one after another, successfully ligated them, and continued to cut off the common bile duct.

The emergency doctor stared intently at Qin Feng's movements. This step is the most difficult step. To strip the common bile duct, the mucosa of the common bile duct needs to be dealt with, which is completely different from the common bile duct at the hilum.

Due to the cyst, the mucosa of the bile duct appears a bit stubborn. Even if the common bile duct is cut off, the mucosa will still stick to other tissues.

Qin Feng directly separated without hesitation, and the piece of mucous membrane tissue was excised by Qin Feng and thrown into the pollution basin.

Just like a chef is handling dishes, others are knife workers, and Qin Feng is also a knife worker.

Lu Shan was able to see Qin Feng's operation process through the video. Seeing Qin Feng's skillful operation, he patted his chest and let out a sigh of relief.

Prove that the little doctor really did not lie, he really has the skills to complete this operation.

Lu Shan couldn't help but think of other things in his mind, that is how to join Qin Feng's chariot. With such a doctor, he must not worry about surgery.

If he can successfully take his first step to become a top international anesthetist, Lu Shan feels that he has been delayed by his superior doctors before, if not for himself, he would have rushed out of Taoshi.

The emergency doctor was dumbfounded. Who the hell does the surgery like scraping the mucous membrane one by one, isn’t it afraid of hurting the surrounding tissues and blood vessels?

A layman sees the excitement, an expert sees the way.

Lu Shan just thought that Qin Feng's operation was good, but the emergency doctor saw Qin Feng's real skills.

Even if the director of the emergency department performed this operation and dealt with these mucous membranes himself, he would not dare to scrape casually.

Seeing Qin Feng's calm and calm appearance, the emergency doctor swallowed, and he found the right person for today's surgery.

The movements in Qin Feng's hands didn't pause at all, the first dish was the appetizer, and the real main dish was next.

"Damn it, ROUX-EN-Y anastomosis!" the emergency doctor blurted out.

I saw Qin Feng flying his fingers, resected a section of the liver and jejunum, and then rebuilt the flow of bile.

After observing for a while without any problems, Qin Feng began to make an upper midline incision to separate the falciform ligament.

The small blood vessels of the duodenum between the ligaments are separated upward from the pancreas, and the lymph nodes at the bottom of the bile duct are directly removed.

"Prepare three vascular blocking tapes."

Qin Feng's eyes were fixed on the lower edge of the cyst, and Qin Feng's next goal was to attack there.

(End of this chapter)