The advantages of laparoscopic congenital choledochal cyst resection are less trauma, greatly reduced postoperative complications, and faster recovery. But the disadvantages are also obvious. If you encounter patients with severe adhesions and cysts that are too large, the laparoscopic surgical field is not sufficient, which makes the operation difficult, as in this case, due to the inadequate surgical field and the massive bleeding during the operation.

"Rh negative type A? The situation is urgent, even if the patient is turned to open the abdomen, the adhesion of the patient is so serious, there will definitely be continuous bleeding during the operation, and it is difficult to achieve a small amount of bleeding. Director Qian analyzed after a careful observation.

"Blood is not a problem, I have already sent someone to the blood bank center in the city center to transfer blood, and I will be there in half an hour. He didn't expect that there would be so much bleeding during the operation, and the amount of bleeding he usually did laparoscopic congenital choledochal cystectomy was very small, basically left and right, and this amount of bleeding did not require blood transfusion at all.

This time, due to the large cyst of the patient, the 5cm cyst is already very large, and the 6cm cyst is already oversized, after all, the patient is only 5 years old.

For this reason, he prepared 500ml of plasma in advance, but he did not expect that the intraoperative bleeding would exceed 300ml!

"The most difficult problem now is that the patient has poor liver function and severe anemia. If I turn my abdomen, I am afraid that the complications after surgery will be serious. Director Qian, if you come to do a traditional laparotomy, can you use technology to reduce the rise rate of complications?" Director Ye looked at Director Qian with hope and asked.

He knew very well that Director Qian's traditional open congenital choledochal cystectomy was the best in the hospital, much better than him. He is now using Director Qian as a lifesaver.

Although he didn't want to turn to the traditional open stomach, now it was just a last resort!

"It may not be ideal, if the liver function is too poor, this is irreversible, even if I do it, at most it will be reduced a little, but it will not have much effect!" Director Qian shook his head.

"This ......" Director Ye didn't know what to do for a while after hearing this. If you continue laparoscopy, then there will be heavy bleeding, and as the blood bank center said just now, there is only 500ml of plasma left. Because yesterday Director Ye transferred 500ml for today's operation, and today he transferred 500ml, no one knows if laparoscopic surgery will bleed more, and if you want to continue to adjust blood, you have to ask the blood bank center in the city next door!

But now that the operation is halfway through, how can I do it? Just close the abdomen and wait for the next time?

"Aren't there masters in the two pediatric hospitals in our magic capital? Director Qian frowned. The two pediatric hospitals and the two hospitals in Beijing were the first to study this laparoscopic congenital choledochal cyst resection in China. The level is definitely stronger than this Director Ye novice.

Maybe they can do this tricky surgery?

"I asked just now, and they had a full schedule of surgeries every day, and they couldn't spare their hands to help me, so they told me to have a direct laparotomy. Director Ye sighed and said.

When Ruan Bin heard this, he secretly said in his heart, the doctor who didn't hang up is really pitiful, the progress of surgery can only rely on continuous practice, and the more units you do, the greater the progress.

Now Director Ye has encountered setbacks in the process of progress.

"Ding-dong...... System Temporary Mission: Any tricky operation in front of a genius is experience points, let these two rookies see your genius's operation! Take the initiative to do this operation, and a mysterious gift package will be rewarded for the success of the mission! Another 50,000 points will be rewarded!

"Shhh...... When did the system start to be so arrogant and inhumane? Not to mention that there is a mysterious gift package, these 50,000 points alone are very rich!

"It's done!"

Just when Director Qian and Director Ye were still struggling with whether they should turn to the traditional abdomen, Ruan Bin spoke: "Or, I'll try?"

"Huh?" the two of them looked at Ruan Bin in unison.

"Oops, I almost forgot Ruan Bin's 'nano' operation! Maybe such a serious adhesion won't matter to you at all!" Director Qian patted his head and smiled.

"Is he?......" Director Ye was skeptical.

"Ruan Bin, Doctor Ruan, have you heard of his name?" said Director Qian.

"Of course, our little genius in the hospital has completely completed the first pre-hospital reboa in China! Of course I know. Director Ye said with a little admiration.

But does the pre-hospital reboa have a half-dime relationship with this laparoscopic surgery?

"Hahaha, I guess you don't know anything else by the look in your eyes. Speaking of laparoscopic operation, Ruan Bin has no problem, and a laparoscopic cholecystectomy in 19 minutes is still done for pregnant women in 8 and 9 months. He also had laparoscopic surgery for a 100-year-old man. ”

"In particular, his anti-natural 'nano' operation to isolate tumor tissue from the root of the mesenteric vein. Last month, Professor Chen came to our hospital for a surgical demonstration, and it was Ruan Bin who helped a lot. I believe that he separated the adhesions between the hepatic artery and the venous veins of this patient, and he should have been able to catch it!" Director Qian praised Ruan Bin like an apprentice.

"So powerful, admire and admire!" Director Ye looked at Ruan Bin in surprise, and his heart was full of admiration. This kid started practicing debridement and suturing when he beat his mother's womb?

"If I can succeed in separating the adhesion part, although this cyst is larger, the opening of the common liver tube and the intestinal tube are relatively inconsistent, and the anastomosis is the most challenging since my surgery, but I am still 60% sure!

"No, the two directors misunderstood what I meant, I mean I want to do this laparoscopic congenital choledochal cystectomy!" Ruan Bin said lightly.

As soon as these words came out, the air suddenly became a little quiet.

"You, will you do laparoscopic congenital choledochal cystectomy?" Director Ye was stunned for a moment, and then he was shocked and disbelieving! Impossible, Director Qian would not do this operation, how could he do it?

"Did you believe me if I read it once?" Ruan Bin grinned.

After hearing this, Director Ye wanted to scold people! I wanted to scold: "Nonsense! Surgery is not child's play! Now is not the time for jokes! Your jokes are not funny!"

But he still held back, and then looked at Director Qian, he felt that he should let Director Qian teach his unserious subordinates a lesson: "Director Qian, what do you see?"

Director Qian pondered for a while and said, "I believe it!"

Director Ye: ......

"Old Qian, now is not the time to joke, the patient is still lying in front of us waiting to continue the operation!" Director Ye's face darkened, he and Lao Qian have known each other for more than ten years, I didn't expect this guy to love jokes when he would?

"I'm not kidding!" Director Qian said seriously. I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~