The mass is located in the posterior wall of the lower end of the common bile duct near the sphincter of the Oddi.

The position is deep, making it difficult for the surgeon to reach until the common bile duct is incised. The presence of a mass can only be palpated and felt when the common bile duct is cut and probed with curved forceps.

The sensation of the forceps touching the stone is completely different from the sensation of touching the mass, so it is normal for the surgeon to have doubts about the diagnosis of common bile duct stones. After that, if you touch it, you will make a diagnosis that it is a mass rather than a stone.

And all of this is based on a distrust of B-ultrasound diagnosis.

On stage, Yang Xi unconsciously touched his hand, and couldn't help but chuckle in his heart.

Isn't it really a stone?

But based on his trust in the system, Yang Xi quickly dispelled his doubts.

Pulling out his hand, the void point poked, and Yang Xi used the only remaining level 3 surgical skill card.

After entering the system state, the common bile duct incision was enlarged skillfully and elegantly, the lower end of the mass was exposed, the midline was cut with scissors, and then the incision was stretched out to both sides with vascular forceps, revealing a stone the size of a corn kernel.

With the cooperation of Dean Lin, Yang Xi clamped the stone with foreign body forceps, separated it from the surrounding area bluntly, and took out the hand, which was not small but by no means large.

"Clank!"

The stone fell into the stainless steel tray with a crisp sound.

Dean Lin let out a sigh, and a relaxed smile appeared on his face. "Dr. Wu, send a WeChat message to Dr. Gao and tell him that it is not a mass, it is an inflammatory mass, and the stones inside have been removed...... Hmph, hehe, I hope Director Qin hasn't left yet, and he's still with Dr. Gao. ”

Wu Weihua frowned and said, "Dean Lin, isn't this okay? In this way, isn't it equivalent to completely offending Director Qin?"

Dean Lin sighed: "Do you think you won't offend him if you don't tell him the result?" Yang Xi is right, if you want to be a character, you have to be a little open-minded, if Director Qin doesn't even have this bit of belly, then I think it will be difficult for him to take Director Ma's class. ”

Dean Lin explained to Wu Weihua that he had completed further exploration of the common bile duct and determined that there were no residual stones in the bile duct, and then quickly removed part of the mass.

Next, the end of the common bile duct is dilated, the T-shaped drainage tube is indwelled, the common bile duct is sutured, the abdominal cavity is irrigated, the abdominal drainage tube is indwelled, and the abdominal suture skin is closed, and the operation is declared over.

The whole process, including the time it took for Yang Xi to wash his hands and dress, was only 35 minutes.

......

Gao Chao caught up with Qin Gewei, but he didn't know how to persuade him for a while.

Qin Gewei refused to speak with a gloomy face, changed his clothes, and walked out of the operating room accompanied by Gao Chao. Outside the operating room, the relatives of the patients didn't expect Director Qin to come out so quickly, and they couldn't react for a while, and when they realized if there was something wrong with the operation, Director Qin and Dr. Gao had already entered the elevator and closed the door.

In the elevator, Qin Gewei felt the worry and apprehension of the patient's relatives, and couldn't help but sigh lightly, and said, "Go back, Xiao Gao, and explain patiently to the patient's relatives." ”

Gao Chao responded: "Well, I'll send you downstairs first." ”

That is, four floors, between the talks, the elevator has reached the first floor. Qin Gewei stepped out of the elevator, regained his cold face again, and without saying a word, he walked out of the ward building and got into the car he parked in the shade of the tree at the entrance of the building.

After getting into the car, Qin Gewei lit the fire and turned on the air conditioner, but he didn't rush to start it, but lowered the window.

One step away, Gao Chao hurriedly stepped forward and bent down.

"Teacher, you say. ”

Qin Gewei exhaled, hesitated for a moment, and said, "Go and sit in the car, I really have a few words I want to talk to you about." ”

Gao Chao walked around the front of the car, opened the door, and sat in the passenger seat.

"Hasn't the appointment of the deputy head of the section been down yet?"

Gao Chao said with a wry smile: "Dean Lin said that it has been almost a month since the Standing Committee of the House of Commons was passed, and the Standing Committee has not been held. ”

Qin Gewei snorted coldly: "Fart big hospital, what kind of standing committee does it need? It's not him Lin Tongan alone who has the final say! In this way, you go talk to Lin Tongan and tell him that I, Qin Gewei, will not worry about him because of a little kid, but the management level of your major surgery department should indeed be improved." Lin Tongan is a smart man, if you tell him this, he should be able to understand what it means. ”

Gao Chao said respectfully: "Thank you, teacher, for your support." ”

Qin Gewei said earnestly: "Liuquan Town is a good place, but it's a pity that it fell into the hands of Lin Tongan, Xiao Gao, you have to work hard, you must have the right to speak in the department, and you can't follow Lao Lin's path anymore." ”

Gao Chao nodded firmly, and responded: "I understand, teacher, don't worry, when I become the deputy director of the department, I will definitely persuade Dean Lin not to invite experts from other hospitals." ”

Qin Gewei pondered for a moment, and then continued: "That little kid surnamed Yang ......"

Gao Chao immediately continued: "Give me a month, I promise that after a month, you will not see him again, teacher." ”

Qin Gewei was thoughtful, but a hint of relief flashed on his face, "Don't go too far, young people, they always make mistakes, they can't be beaten to death with a stick, we still have to leave him a chance to correct his mistakes...... However, this kind of arrogant person, it's better not to do surgery in the future, Kodaka, do you understand what I mean?"

Gao Chao smiled and said, "Students understand, teacher, don't worry, I will definitely handle it properly." ”

Qin Gewei finally had a smile on his face, nodded, took a deep breath, and said, "Okay, you, go back! Call me at any time if you have anything." ”

Gao Chao was about to get out of the car, but at this moment, a WeChat prompt suddenly came from his mobile phone. When Gao Chao got out of the car, he turned on his mobile phone, opened WeChat, and glanced at it casually, but his face changed.

Qin Gewei noticed Gao Chao's abnormality in the rearview mirror, and said hurriedly: "What's the matter? Is it a message from the operating room?"

Gao Chao hurriedly covered up and said, "Oh, no, it's something else!" Teacher, I'll go back first. ”

Qin Gewei's expression was grim, he stretched out his hand, and shouted: "You haven't learned how to lie yet!

Gao Chao's face was stiff, but he didn't dare to disobey Qin Gewei's drinking order, and obediently handed over the mobile phone.

Qin Gewei took the phone, and after taking a look, he closed his eyes slightly and sighed heavily.

"Inflammatory mass...... Qin Gewei shook his head with a wry smile, and said to himself: "Inflammatory mass formed by granulation wrapping stones...... Hmph, when I was changing clothes, I thought that I couldn't rule out this situation, but I didn't expect it, it was really a prophecy...... That's a big lesson!"