Qin Gewei's surgery is indeed beautiful, and the expert can only express it as pleasing to the eye.

Gao Chao's cooperation as a helper is also quite good, at least, Director Qin is quite satisfied.

In just five minutes, the two completed an abdominal wall incision and opened the abdominal cavity.

This laparotomy is not slow, but it is not too fast. However, whether it's fast or slow, it's not the point.

The point is that during the entire laparotomy process, Director Qin only used a piece of gauze to wipe the blood, and there were only a few blood stains on this gauze.

On the side, Sheng Dajun shook his head and sent a rainbow fart in time: "Breathtaking!"

The abdominal cavity opened, and Dean Lin quickly made a move, holding a retractor on the left and right, using all his might......

Sheng Dajun's eyes were clear, and he sent another rainbow fart at the right time: "Look, Dean Lin's hook posture is so professional! Without decades of skill, he can't pull such a good hook at all." ”

Wu Weihua happened to be in the middle of Yang Xi and Sheng Dajun, and he had just been stimulated by Yang Xi with goosebumps, and at this moment, he was smoked by Sheng Dajun's rainbow fart, and he just wanted to do it, this taste, this sour......

On the stage, Director Qin Da cut the right peritoneum of the hepatoduodenal ligament, clamped a small gauze ball with a hemostat, carefully separated the peritoneum, and exposed the common bile duct of the hepatoduodenal ligament segment. Small blood vessels were found to cross the anterior wall of the common bile duct and were sutured with a No. 0 silk suture to prevent bleeding during incision of the common bile duct.

Then with a needle on each side of the anterior wall of the common bile duct with the No. 4 line as traction, Director Qin held a scalpel and cut the common bile duct.

While operating, Director Qin taught and asked, "What are the types of common bile duct stones?"

Gao Chao replied: "In terms of composition, it is divided into bile pigment stones and mixed stones dominated by bile pigments, and in terms of morphology, it is divided into single and multiple stones and sediment-like stones, and from the source of distinction, it can be divided into primary and secondary. Secondary choledocholithiasis is caused by the detachment of gallstones from the gallbladder, which are caused by biliary tract infection, cholestasis, or biliary roundworms. ”

Director Qin was quite satisfied, nodded, and continued: "This rural patient, poor sanitary conditions, the incidence of biliary roundworm is significantly higher than that of the urban population, Xiao Gao, I suggest that you can use more dim sum in this area, it should be a pretty good research direction." ”

Gao Chao responded: "Well, thank you for your advice." ”

Director Qin glanced at Dean Lin when he was probing the common bile duct, and said with a smile: "Old Lin, how long has it been since you pulled the hook?"

Dean Lin adjusted his retractor posture and responded, "It has to be a weird ten years." ”

Director Qin said: "Every surgeon starts with pulling the hook, how can we pull the hook well? First of all, we have to understand what the chief surgeon wants to do next and what he wants to see. This requires the hook puller to be familiar with the surgical procedures, Dr. Xiao Yang, are you right?"

Yang Xi's face changed.

Your old man will have to open his own knife, what do you do to provoke the master?

Almost at the same time as Yang Xi responded to Director Qin, the electronic sound of the system sounded in his ears.

The system sends a temporary task to ask the host to correct Director Qin Gewei's erroneous intraoperative diagnosis. Please select 1 to accept the task, and 2 to reject the task. 】

Yang Xi was suddenly stunned, and he didn't know what to do at all.

Immediately afterwards, I heard Director Qin Da question "Huh".

Then, I saw Director Qin stop the operation, frowned, and asked in a sullen voice, "Dean Lin, are you sure that this patient has choledocholithiasis?"

Dean Lin was also stunned, and then responded with a little hesitation: "I've taken a B-ultrasound, it should be!"

Director Qin was obviously dissatisfied with Dean Lin's answer, threw the instrument in his hand back on the instrument table, and said coldly: "But why do I feel like a common bile duct occupancy?"

The so-called mass can be understood as a synonym for tumor, but its benign and malignant nature is still unknown. However, there are few benign tumors in the common bile duct area, so if a diagnosis of common bile duct mass is made, there is at least a 90% chance that it can be treated as common bile duct cancer.

Cancer and stones, that's a difference of 108,000 miles.

Gao Chao made a move in time, touched it, and his face became quite ugly. Dean Lin leaned over and touched it, a little flustered, and muttered: "That's not right! The B-ultrasound can see it very clearly, it should be a stone! Why is this ......?"

Director Qin said sternly: "I mentioned to you a long time ago that the B-ultrasound in your hospital should have been replaced a long time ago, and the level of doctors in your B-ultrasound room is also worrying, the level is secondary, the key is not the right attitude! The difference between the stone and the space-occupying B-ultrasound image is so big, even if the machine is not good, then you have to be suspicious, right?"

Gao Chao reviewed: "The typical clinical manifestations of choledocholithiasis are epigastric cramps and radiating back pain, accompanied by chills, fever and jaundice, although this patient has symptoms of epigastric pain and jaundice, but the colic and radiating pain are not obvious, and there is no chills and fever, I should really be cautious, even if I do a CT for the patient, it will not be misdiagnosed." ”

Director Qin frowned and said, "Xiao Gao is young and inexperienced, but you, Dean Lin, have twenty years of clinical experience, how can you make such a low-level mistake?"

Dean Lin's face was red, and he could see an embarrassing word in capital letters on his face through the mask. "So ...... this operation?"

Director Qin sighed heavily with a gloomy face, and said, "The conditions of your hospital are too poor, and you can't even do a single intraoperative pathology, what else can you do?"

At this time, the electronic sound of the system sounded again.

The system dispatched a temporary task for the second time, asking the host to correct Director Qin Gewei's erroneous intraoperative diagnosis, wash his hands and go to the stage, and complete this choledocholithotomy. The reward for completing this temporary task has been doubled, please make a decision immediately, please choose 1 to reject the task, and choose 2 to accept the task. 】

At this moment, Yang Xi couldn't wait to strangle this stinky and shameless system.

Let him be a one-year-old small township doctor to correct the intraoperative diagnosis of the star-level expert in the municipal hospital, it is better to directly let him find a rope and strangle himself.

Not to mention that if you can be invincible in the world if you open the hanging, it is just the self-absorption of the street writer in the novel, but in real life, with the qualifications and status of Director Qin, even if Yang Xi drives a train of hanging, he will be blown to death by others.

However, the system really refused to care about Yang Xi's life and death, and then sent out a temporary task for the third time.

The system dispatched a temporary task for the third time, asking the host to immediately correct Director Qin Gewei's misdiagnosis and complete the operation. This temporary mission cannot be refused, otherwise it will be punished by the system. 】

How?