"First of all, the endoscopic image is not ideal, and it should be that the lens and the target are too close. The lens is almost attached to the RT, the reason is that the mirror is pulled too hard, too close to the RT, and then the RT runs to the right, and here you push the mirror forward may be better. Wu Mian's clear voice came from the phone.

"Second, the difficulty is mainly to slip off the mirror repeatedly.

However, a closer look at the process showed that there was no slippage during the incision and dilatation of the intubation in the early stage, and the mirror loss occurred in the second half of the operation, which was significantly related to the long operation time. Therefore, this operation shortens the time as much as possible, and the passage is made as smooth as possible under the premise of ensuring safety. ”

After the columnar airbag was enlarged to 12mm, the stone was taken from the bottom to the top of the net basket imagery, and the detailed action of pushing the mirror + UP was emphasized, and the standard inverted "seven" shape can be seen in perspective. By doing so, you'll find that the mirror body is very stable. ”

"Then the net blue is sent to the common hepatic duct, pressurized with water, and the bile duct is flushed with a waterfall. ”

"That's when laser lithotripsy can begin. When doing laser lithotripsy, we must take into account the mother mirror and the sub-mirror, and at the same time look at it; to do super-large stones, it is to use laser lithotripsy first, break it into parts, and go into the stone crushing - stone extraction according to the traditional method. ”

"Director Liang, have you written down everything I said?" Wu Mian asked.

"Mr. Wu, I wrote it down. Director Liang hurriedly said, "Is it okay to do this? ”

"Do as I say, and if there's a problem, I'll rush back right away. Wu Mian said with certainty.

Director Liang was a little hesitant, but Mr. Wu's words were like this, what else could he do.

"Director Liang, I'll send you what I just said by voice again. Wu Mian said, "If it doesn't work, hurry up and tell me, you're welcome." Dean Xue, stop the car, if that doesn't work, let's turn around and go back. ”

The second half of the sentence was said by Wu Mian and Xue Chunhe.

"Thank you, thank you. Director Liang is grateful to Mr. Wu Mian from the inside out.

He thought too carefully, for fear that he would be reckless, and some details were not remembered, and he had to say it again. And even the possibility of saving the table has been prepared, so as not to be in a hurry.

Director Liang was really worried about this, but after Wu Mian said this, he was much more relieved.

Soon, a voice message was sent, and Director Liang began to operate according to what Wu Mian said.

Was the mirror a little hard at first? Then try to be lighter. Push it in, send it, and SpyGlass's lens is really much more stable than the last operation.

This time, Director Liang followed Wu Mian's technique, focusing on the details of pushing the mirror + UP, and the standard inverted "seven" shape can be seen from perspective.

The SpyGlass lens did not appear "slippery" again, but appeared steadily in the biliary tract.

At the moment when he was sent to the camera, Director Liang seemed to feel that inexplicable feeling coming back to him again. It's amazing, I can't say it at all, but Director Liang just thinks it's true.

In an instant, the lead clothes on his body were not so heavy, and Director Liang was in good spirits!

When doing laser lithotripsy, you must take into account both the mother mirror and the child mirror, and Mr. Wu's tone is aggravated when he says this, which must be quite important.

Director Liang went into Spyglass to take a look, injected water and rinsed - saw the stones, and then took into account the mother mirror and the child mirror, and used dual-frequency laser U100+ lithotripsy.

Dual-frequency laser U100+ lithotripsy has the advantage that there is no damage to the wall of the bile duct, but it is safe to lithotripsy under direct vision. Therefore, Mr. Wu repeatedly emphasized that the mother mirror and the child mirror should be aimed at the stone, which is equivalent to aiming and then pulling the trigger.

This is the most cautious place, Director Liang knows in his heart.

The laser hit accurately, and Director Liang originally wanted to crush the stone at more points, but because the stone was too big, not only did it not break, but directly punched out a "tunnel".

Although there were still twists and turns, Director Liang knew that what Mr. Wu said was right. Now that it has been preliminarily completed, it will only take some time to break this huge stone.

Again and again, after 3 times of laser stone crushing, Director Liang finally took out all the small stones.

Director Liang went into the mirror again to take a look - from the left and right liver ducts to the end of the stone that has not been formed, the debris attached to the wall can be completely discharged by itself.

Now the patient's bile drainage is very good, and it has been determined that there are no residual stones under direct vision, and there is no need to drag the imaging with a balloon to see, and the operation is completed by inserting a nasobiliary duct.

Professor Li didn't react until the end, and although he heard it clearly, many details were not even aware of it at his level. He just felt amazing, Mr. Wu's voice guidance, and Director Liang took down the operation.

Taking off his lead clothes, Director Liang was not tired at all, and he called the head nurse directly.

"Head nurse, who can access the surveillance video in the operating room?" asked Director Liang.

The doctors and nurses in the operating room were stunned, what did the director want to turn up the video surveillance? Could it be that something was lost in the operating room? Or did he find something?

"Director, look for the security department. ”

"I'll go find it. Director Liang hung up the phone, glanced at the patient's ECG monitoring, and made sure that there was no problem, so he hurriedly ran to the security office.

Director Liang never thought that one day he would go to the security department to adjust video surveillance, but this was the only way to prove his guess.

The reason why the examination and operation of the first patient with chronic pancreatitis went so smoothly and even gave him the illusion of a technological leap was because of the presence of Mr. Wu.

This thought lingered in Director Liang's mind, but he couldn't figure it out. Mr. Wu just took the place of the nurse and helped himself hold the mirror, what did he do to make the operation so smooth?

When he came to the security office, Director Sun was already waiting for him.

"Director Liang, why are you so anxious? What equipment have you lost? Or what narcotic drugs have you lost? Director Sun asked.

Generally speaking, there are only two possibilities for the clinic to find the security department to transfer the surveillance video. Another is that there is a medical dispute and you have to come to collect evidence.

However, the medical department is generally responsible for collecting evidence, and there is basically no clinical director who comes forward in person.

Looking at Director Liang's anxious expression, Director Sun wondered, could it be that he was cheating in the operating room and was photographed?

This happens occasionally, and many years ago a video was posted online that caused an uproar.

Director Liang looks thick-eyed, honest and honest, what else is he doing? A smile appeared on Director Sun's face that all men understand.

However, Director Liang was in a hurry, didn't notice Director Sun's micro-expressions and movements, came to the monitoring room, and said, "Director Sun, I want to see the monitoring screen from 11:30 to 13 o'clock in the ERCP room." ”

"Well, okay. Director Sun said, "Director Liang, is it convenient for me to be here?"