Sleepless Doctor

Chapter 334: Reasons why the operation went well

Professor Li pushed the equipment over, and Director Liang didn't say much, and started the laser operation directly.

   Intraoperative radiography showed huge stones in the common bile duct. Professor Li's RT incision was about 12mm. Director Liang felt that it was not possible, and then enlarged to 15mm. After exiting the expansion balloon, gravel is seen to be discharged, exchange the stone-removing balloon to pull out some of the gravel.

   Enter, Director Liang is in control of the balance, like a red and white console game controller in the 1990s, watching from time to time. Although technically "advanced", he is still cautious and dare not care.

   It’s similar to the operation just now, except last time it was just to take a look at the pancreatic duct of the pancreas, and this time it was laser lithotripsy with equipment.

   Laser lithotripsy can not be operated blindly, and the effect is better under direct eyes, and it is not easy to cause side injuries.

   Director Liang, according to the muscle memory, slowly sent the guide wire and mirror in, ready to push to the position of the common bile duct stone, and then laser lithotripsy.

   If this kind of surgery can be taken, it can be said that one's own level has reached the domestic leading and world-class level, Director Liang thought proudly.

   But when the mirror goes in, it doesn't go well. People who stumble and stumble are particularly troublesome.

   Director Liang has been very careful. He extended the incision of the duodenal large RT from 12mm to 15mm, which is almost the limit size.

   But when he applied force, the guide wire slid out directly, and then the mirror slid out along the guide wire.

   The equipment operation is definitely not used to it, Director Liang calmly tried again.

   But the result is still the same.

   He was taken aback, and the procedure before him was completely different from the procedure just now. The feeling of drinking nectar disappeared, leaving only the extremely jerky, which made Director Liang feel quite uncomfortable.

what happened? Director Liang stopped the operation altogether, staring at the screen in a daze, wondering the difference between the two operations in his heart.

   Could it be said that it was the relationship assisted by Mr. Wu?

   Can’t. In the operation of the equipment, the assistants are usually nurses. They don’t need to do anything at all. They just help with the guide wire and the optical cable of the lens.

strangeness!

   Director Liang stopped the movement in his hand, stabilized his mind, rested for 20 seconds, and then continued the operation.

   Go into the lens again and straighten the lens body, but the vision is always blocked by the cut and expanded RT tissue, the axis deviates, and the lens slides repeatedly.

   The device is standing in the bile duct as if it is standing on ice.

  Because it cannot be fixed, Director Liang dare not use laser to break the stone. What if the laser hits the biliary tract and penetrates directly? The 84-year-old is already very weak, so he chose ERCP, which is the least damage method.

   Do you want the surgery to come on stage? This is the last step. Surgical methods will not be used as a last resort.

   Try again, Director Liang recalled for a long time and cheered himself up.

   Director Liang tried many times, but all ended in failure. Finally, drag out part of the gravel under the long mirror body and place it in the nasobiliary duct.

   "Director, let's get a plastic stent if it doesn't work." Professor Li saw that the director had been attacked by an evil spirit, and he tried repeatedly when he knew it was impossible, so he whispered.

  Weird, Director Liang looked at the screen, trying to find the feel of the patient who had just had a pancreas problem.

   But he hesitated for a long time and tried many times. But that kind of feeling disappeared, even if I tried hard to remember it, I still can't remember it. The fingers are the same as they are not sewn.

   Director Liang Mu Ran looked at the screen and stopped again.

   Seeing that the director didn't say a word, Professor Li reminded him in a low voice, "Director, or..."

   "Wait a minute." Director Liang said, "Xiao Mu, take my mobile phone and call Dean Xue."

   Professor Li was taken aback.

   Dean Xue? Although Dean Xue is the old director of the Department of Gastroenterology, he has never touched ERCP equipment. Finding foreign aid on stage is not such a way to find foreign aid.

  Furthermore, Dean Xue has already gone to the newly opened Fifth Hospital of the Medical University in Bajingzi. What's the use of looking for him? Professor Li glanced at Director Liang suspiciously, and found that he was serious!

   A nurse picked up Director Liang’s cell phone and asked: "Director, what's the password?"

   "123456." Another old nurse said.

   "Director, you are really upright and honest. Even the password of the mobile phone is so simple. I am not afraid that your lover will check the post."

   "Hurry up and call for an operation, and I am still in the mood to say this." Director Liang scolded.

   The little nurse stuck her tongue out, and quickly found the phone number of Dean Xue and called. The phone prompt sounded, and the little nurse put the mobile phone to Director Liang's ear.

   "Dean Xue, it's me, Xiao Liangzi." Director Liang said when the phone was connected.

   "I have a problem here, can you ask if you and Teacher Wu have gone?"

   "Oh oh oh, good."

Professor Wu? The eyes of the little nurses all lit up.

   But what Professor Li thinks is something else-Director Liang is fighting with Dean Xue and Teacher Wu. Is it possible that he really wants to leave? !

"Mr. Wu, hello, hello." Director Liang ignored the thoughts of the doctors and nurses next to him. He greeted the first time after Wu Mian took the mobile phone of Dean Xue. He briefly reported the medical history and the encounter during the operation. Difficult to arrive.

  " Director Liang, if it is convenient for you, add me to WeChat and send me the video of the operation. I will look at the whole process~www.wuxiaspot.com~ Wu Mian said.

   The ERCP room, like the interventional operating room, has radiation and rays. Therefore, when constructing the operating room, the materials are completely different from those of other buildings, and the signal shielding here is quite serious.

   You can't make videos while performing surgery, let Teacher Wu guide you, and Director Liang feels a little nervous.

   Sending the existing information, Director Liang stood on the patient's head and looked at the image on the screen blankly.

   The invigorating and dripping feeling before disappeared, leaving only endless emptiness, loneliness, and...cold.

   If it's a sage moment, Director Liang will endure it. But this is because I don't know where the power comes from to play with myself. It is estimated that I am inexperienced, and one success cannot be regarded as one's own.

   "Director Liang, are you there?" Wu Mian's voice came over the phone.

   "Yes, yes, you speak, Teacher Wu."

   "You are a little anxious." Wu Mian's voice came over faintly, "The operation of the equipment is not proficient. It is difficult to break such a big stone."

   "But..." Director Liang hesitated for a moment, and sensibly did not refute Wu Mian's words.

"Director Liang, I was there before, so it must be different." Wu Mian said with a smile, "No hurry, there are a few questions here. Let me tell you if you can see if it works. If it doesn't work, I will rush back. ."

   Are you there? Director Liang was taken aback.

   He moved in his heart, vaguely understanding why he had performed so smoothly before.

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