"Angkor, you should first fix the patient's fracture, and I will communicate with the patient's family to avoid the need for a second operation. After pondering for a while, Liu Banxia said.

"What? Still suspect that the patient has an islet tumor?" Wu Mingyu asked.

Liu Banxia nodded, "Because there is no way to do a detailed examination, it is not easy to determine for the time being." However, if there is, a second operation will be required, and it is not yet certain whether the patient's head is damaged. ”

"Cheng, you go. Wu Mingyu glanced at the patient's vital signs and said happily.

When he came to the family waiting area, Liu Banxia looked for a while and saw the patient's wife and beckoned to her.

"Doctor, is the surgery done?" asked the patient's wife, nervously.

"After the laparotomy, we found that the patient had a perforation in the duodenum and a slight injury to the tip of the pancreas, which has now been repaired. Liu Banxia said.

"But I always had a doubt in my mind that the patient's blood test results showed that the blood sugar was relatively low. Have you had lunch at noon?"

The patient's wife nodded, "I ate, I was in a car accident on the way to cram school after eating." ”

In that case, his blood sugar would be even more abnormal. Now we suspect that there may be an islet tumor, but a simple examination did not find it. ”

"Is there anything else that you think is abnormal during this time? By the way, now that we are dealing with a broken arm, you don't have to worry, we are a very good doctor in orthopedics. ”

"Recently...... , and there hasn't been anything too abnormal lately. He has just been dismissed for less than half a month, and his mood is not very good. I also sleep late at night, and my spirits are not so good during the day. But he really didn't drink alcohol and couldn't take drugs, and the family's money was kept for the children to go to cram school. The patient's wife said.

Liu Banxia frowned, "I know this, the blood test and the poison test have proven it." And what? Are there any other unusual behaviors?"

"Lately, his memory has been poor, and he promised to take his children to the movies, and then he didn't go. The child saw that he was in a bad mood, so he didn't dare to ask. The patient's wife said.

"Okay, I'll go back and look carefully, and if I really find an islet tumor, I'll come out and inform you. Liu Banxia said.

"Doctor, please, be saved. Our family Peng Peng is also undergoing surgery, it is intestinal bleeding, no matter how much it costs, even if it is a house, they can be saved. The patient's wife said.

"Rest assured, we do our best to treat each and every one of our patients. Liu Banxia nodded solemnly.

He knew that what he had just said had frightened the patient's family. As an ordinary person, you will definitely be frightened when you hear about the tumor.

"How are you observing, do you see any obvious tumors?" asked Liu Banxia after brushing his hands again on stage.

"Didn't find it. Teacher Liu, could it be caused by other reasons?" asked Xu Yinuo.

"I just asked the patient's family, and the family said that he has been in a lot of mood swings, bad spirits, and forgetfulness in the recent period, coupled with today's coma, which is very consistent with the symptoms of pancreatic islet tumor. Liu Banxia said.

"Hey...... I should have asked more and done a CT scan if I had known this. I'll contact someone from the radiology department to do an intraoperative ultrasound. ”

He really doesn't want the patient to be found to have an islet tumor after the operation, and even if there is, it is not a surgical accident, but he himself is a little unable to pass this hurdle.

And as far as the current situation is concerned, if the hospital can't get a clear diagnosis certificate, the insurance company's claim may not be very smooth.

It's just that as long as it is checked, there will be an additional fee. It can be regarded as a responsibility, and it is also his last effort.

Wu Mingyu's fracture internal fixation went very smoothly, and when he was waiting for the people from the radiology department to come, Liu Banxia also followed to observe.

Don't look at him as a teacher in the eyes of Xu Yiyu and them, when he observed Wu Mingyu's operation, he was also a student. General surgery and orthopedics, after all, are two different specialties, even if they are both under surgery.

"This car accident is also a very heavy burden for this family. Liu Banxia sighed.

"It's okay, the damage caused by the impact of the steering wheel is not very large. Otherwise, in terms of his blood pressure status, there may be no chance of rescue. Wang Lei said.

"My blood pressure hasn't gone up much so now, and now I tend to have pancreatic islet tumors. Let's check it out in a while, for him, it's a bad thing to a good thing. ”

Everyone also understands Wang Lei's words, and they all know that if there is a problem with the pancreas, it is very likely to be a big problem. Now there is no obvious mass on visual inspection, and if the tumor is really found, it is the early stage of the early stage.

"Dr. Liu, what is the specific situation? It is very rare for emergency patients to ask us for intraoperative ultrasound. Wang Jianwei from the radiology department asked after arriving at the operating room.

"Now we suspect that the patient has an islet tumor and don't want him to have a second operation after this surgery, so we have to trouble you. Liu Banxia said.

"Okay, I'll take a look. Wang Jianwei nodded.

Intraoperative ultrasound is really Liu Banxia's last hope. It's not that I haven't thought about doing a rapid biopsy, but the biopsy will also cause some damage to the patient. And in the case of uncertainty, the tumor may also be irritated.

Intraoperative ultrasound is very useful, because the probe can be placed directly on the organ for examination, which improves the resolution and can detect lesions that cannot be detected by extracorporeal ultrasound.

However, intraoperative ultrasound also has a disadvantage because the probe is small, so the field of view is limited. During the whole examination process, it is necessary to examine every part of the organ very patiently and meticulously.

Because of one of your negligence, you may miss the diagnosis. That's the responsibility, and it's all recorded in the surgical record.

Fortunately, the patient is also doing fracture repair in the arm, and Wang Jianwei's examination will not take up more operation time.

"There really is one, but it's not very big, about 0.5 centimeters in diameter, and I marked it. After checking for a while, Wang Jianxin spoke.

People were already paying attention to the monitor, and they could see more clearly on the marks he had drawn.

"Inform the pathology department, bring the sample box. Later, I cut out this small tumor and do a rapid test. Liu Banxia shook his neck.

Although he confirmed his judgment, this is not a very large tumor, and it is not possible to determine whether it is benign or malignant. Even if there is a high probability that it is benign, there is a whatever.

Now, the difficulty level of this operation has been increased all of a sudden, directly from the original general surgery level 2 to level 4. This means that the tumor is not big, otherwise Liu Banxia's best choice now is to call for support.

However, Liu Banxia did not perform surgery immediately, and had to continue to explore the relationship between the tumor and the pancreatic duct to avoid intraoperative damage.

"It's okay, it's not a big tumor, and it's also a little far from the pancreatic duct, and I think it's okay with Dr. Liu's technique. After the whole inspection, Wang Jianwei said.

"I was praying just now, but luckily my prayers worked, otherwise I would have to go to the director. If the director doesn't have time, he'll have to think of something else. Liu Banxia said.

"Liang Xiaolin, contact those four again to see if Dr. Shi's operation is finished. If it's done, let Dr. Shi come and supervise me and escort me. Make a promise to inform the patient's family and communicate well. ”

Liang Xiaolin nodded and hurriedly went to contact, and Xu Yipromise also hurried to the outside of the operating room.

was so cautious about Liu Banxia, which made Wang Lei a little surprised. In his opinion, this thing is actually quite bold, otherwise it would not have been possible to do so many earth-shattering things in the emergency department.

Now it seems that the cognition of this kid has to be refreshed, and it is still very measured. Several previous cases were emergencies, and now there is a lot of choice.

After waiting for about ten minutes, Shi Lei led people in. At this time, Wang Jianxin also finished the operation he was responsible for, and now he is starting to put on a cast.

"Boss, this is the situation, escort me, I'll do an appendectomy for you when I'm done. Liu Banxia said.

"It's okay, the little patient just now had mesenteric hemorrhage, and I asked Wang Chao to do it. Just now, I asked Zhang Yun to go to the emergency department to help keep an eye on it, but it can't be like this in the future, at least three surgeons are on duty. Shi Lei said.

"I'm to blame for this, I forgot about it in a hurry. First do the surgery, then I review, now separate the pancreas. Liu Banxia hurriedly said.

He was really to blame for this matter, and he didn't make arrangements in advance. Even if it's because he's having surgery some time ago, that doesn't make excuse for him.

However, he can't let such negative emotions affect him, the pancreas is very delicate, and if he damages the patient's pancreas too much during the removal process, it will add a lot of burden to the patient in the future recovery.

Liu Banxia's hand is very steady, which has been tested in countless surgeries. After he carefully separated along the tumor border, completely removed the capsule, and took out the tumor, Shi Lei breathed a sigh of relief.

Even Shi Lei had to sigh in his heart, this kid is really hard enough.

Stopping bleeding, flushing, and closing the abdomen, Liu Banxia is also doing these tasks himself.

Ding! Daily Mission Complete (20/20)

Gain 300 XP and 5 Glory

Upon completion of the emergency surgery, gain 500 XP, 200 Diagnostics Skills, 200 Sutures, 100 Dressing Change Skills, and 500 Pancreaticoduodenal Surgery Skills

This operation is rated as Perfect, and you will receive 500 experience points, 200 diagnostic skill proficiency points, 200 suture skill proficiency points, 100 dressing change skill proficiency points, 500 pancreaticoduodenal surgery skill proficiency points, and 5 glory points

Advanced Mission: Excellent Surgeon Mission completed (5/5)

Earn the title of Outstanding Surgeon

Congratulations to the host level for reaching level 40, 79135/83500, gaining 1 attribute point and 5 glory points

The system mall is being upgraded and will be available later

System update, available later

Looking at the last system prompt, Liu Banxia was a little looking forward to it, although the system mall was dark enough, the things inside were really good.