Ninety percent!"

Ninety percent of these two words are very harsh!

What is the difference between being 90% sure and 100% sure in the field of surgery?

In the end, if it doesn't work out, it's bad luck.

Dare to say that he is 90% sure, Director Shao has not seen it, after all, he is also 90% sure of some simple first- and second-level surgeries. But this surgery is not easy now.

You dare to say that you are 90% sure if you have not done it?

"Doctor Ruan, have you had a similar operation?" Director Shao asked as he looked at Ruan Bin with a strange gaze. No, if you do, there must be a record and a report in the hospital.

"I haven't done it, but I'm sure of it. Although it was retrograde surgery, I was just a little bit of a mistake. Ruan Bin smiled.

“......”

Director Shao's expression is weird, you are pretending to be a bit too much, you have accidentally injured your allies!

"Then what is your surgical plan?" Director Shao knew that he could only bite the bullet now.

After all, if you go to other hospitals, it is estimated that other hospitals will also have a headache, so if the patient wants to be treated, he must have surgery!

Both patients and doctors need to make up their minds!

"Of course, minimally invasive surgery is the first priority. My plan is to undergo endoscopic cholangioretrograde stone removal under local anesthesia first, and laparoscopic cholecystectomy under general anesthesia 3 days after surgery to achieve the treatment effect of minimally invasive gallbladder stones and common bile duct stones. Ruan Bin said.

"And what about the key points?"

"In fact, the most difficult and key point of this kind of mirror surgery is that we can master the reverse thinking of surgery! As long as we can master this kind of thinking and technology, then this operation is actually not difficult. Ruan Bin said.

"Reverse thinking, you know?"

Director Shao was speechless for a while, can I say that I don't understand it yet? But he said, "Ahem...... Kind of understanding. ”

Because Director Shao knows that this kind of mirror person has a reverse organ, when the time comes to do the operation, the surgeon needs to have a high requirement for the understanding of the anatomical structure, coupled with the reversal of the mirror surface of the patient's internal organs, the abdominal bile duct and blood vessel variation, the intraoperative operation is not only a simple "change direction", but requires the doctor to be highly conscious, accurately judged, highly coordinated, and accurate in order to complete the operation.

But is it that simple in this demon's mouth?

It's a demon!

In fact, Ruan Bin's current level, he definitely has some understanding of anatomy and vascular variation.

After all, he only needs to upgrade the laparoscopic cholecystectomy to an innovative level, and there should be no problem!

"Let's talk to the family later. Ruan Bin said as he turned on the system.

[System points]: 67,600

[Laparoscopic cholecystectomy] - world-class+

【Endoscopic cholangioretrograde stone resection】——Not started+

"Upgrade laparoscopic cholecystectomy!"

"Ding-dong...... After deducting 21,000 points, laparoscopic cholecystectomy - innovative level!"

When this operation was upgraded to an innovative level, Ruan Bin not only had two new types of cholecystectomy in his mind, but also had clinical cases and experience and techniques related to cholecystitis and other mirror people.

This operation is absolutely stable.

However, at present, in addition to gallbladder stones that need to be removed, this patient also has common bile duct stones, and it is also necessary to take out the common bile duct stones!

"Recharge 100,000 to enter!"

"Upgrade!" This time I chose to upgrade the endoscopic cholangioretrograde lithotomy!

"Ding-dong...... Deduct 6000 points, [Endoscopic Cholangioretrograde Stonectomy] - Beginner+!"

...

"Ding-dong...... Deduct 18,000 points, [Endoscopic Cholangioretrograde Stone Resection] - world-class +!"

Soon, Ruan Bin and Director Shao talked to the patient.

Endoscopic cholangioretrograde stone removal was performed immediately in the afternoon!

Laparoscopic cholecystectomy three days later!

In fact, this afternoon's endoscopic cholangioretrograde stone removal is the highlight, and the difficulty is definitely more difficult and complicated than gallbladder removal.

After all, this endoscopic cholangioretrograde stone removal was originally a fourth-level operation, and now it is a reverse operation, which is even more difficult!

Operating room.

The anesthesia is effective, and the operation begins.

Ruan Bin is in charge, and Director Shao is his assistant.

The first step in surgery is to create an image – intubation!

Ruan Bin first passed the duodenoscopy through the mouth through the esophagus, stomach, and into the descending duodenum!

If it is an ordinary person, the duodenum *** is still easy to find. However, now the patient is a reverse organ and the location is wrong, so it took Ruan Bin a few more minutes to find the duodenum**.

Director Shao couldn't help but breathe a sigh of relief when he saw Ruan Bin successfully find his position in one step, because this step is the most critical!

The next moment, Ruan Bin inserted the catheter at the biopsy hole, adjusted the angle button and the clamp lifter, made the catheter perpendicular to the opening, and inserted the catheter into the catheter.

It's still in one step, which makes Director Shao give Ruan Bin a thumbs up!

I feel that this mirrored person's displaced organ has not the slightest confusion and influence on Ruan Bin!

Next up is the imaging!

Under fluoroscopy, a contrast agent is injected through the contrast catheter, and the bile duct and pancreatic duct are visualized on the fluorescent screen, showing the location of the stone lesion.

Through the monitor, you can see that there are two large stones at the location of the common bile duct!

The next step is to get the stones out!

At this time, the anesthesiologist and instrument nurse next to him had a strange expression, because Ruan Bin's surgical posture was really not good-looking, and I saw that Ruan Bin sometimes bent over to do it, sometimes leaned back to do it, and sometimes even had to do it with his back to the monitor.

In fact, this is all due to the fact that the endoscopic instruments are designed according to the position of normal people's internal organs, and in the face of the situation of "mirror man", he can only turn his back to the monitor, overcome the reverse entry of the lens, curved lens operation, reverse radiation image, and the opposite direction of stone extraction, resulting in the above 'weird' movements!

At this time, Ruan Bin concentrated on performing duodenal ** sphincterotomy through endoscopy, and carefully removed the biliary stones with a stone removal (lithotripsy) basket.

Ruan Bin seemed to have a very clear understanding of the structure of the common bile duct, and there was no accident at all, and when taking the stone, he controlled the power in the most appropriate force, and there was no situation.

"Succeeded?" Director Shao was a little incredulous.

"This operation doesn't look that difficult!" Director Shao said secretly in his heart.

If Director Shao's hands could speak, he would definitely protest with him: You fart!

Three days later, Ruan Bin still performed a cholecystectomy on the patient, and everything went well.

The success of these two surgeries also made Ruan Bin receive a wave of praise from the hospital, after all, this is the first successful example of mirror surgery in the hospital!

Although there was no substantial reward, the family insisted on pulling Ruan Bin to dinner and thanked him well!