Chapter 302 Adhesions increase the difficulty of surgery exponentially

Everyone looked at Lin Yu in surprise, and secretly said This is impossible, the stone doesn't fall early, it doesn't fall late, why does it fall now, do you experts fall when they come?

"This patient is my mother, and she has been suffering from cholecystitis for many years, and this time it is more serious, so I want to have the operation done!" Director Yang said.

"Oh! That's the case, then you don't need to do CT, it's a waste of money!" Lin Yu secretly said that it was not easy for the health center, and it was not easy to have such a patient who was actually composed of relatives!

Generally speaking, ordinary people really don't trust the health center so much, and even if they want to trust, it will take time!

After all, the current medical resources are too concentrated, and it is not easy for patients to come to small hospitals because they have no patients in large hospitals, and they can't see the disease in queues every day.

The general surgery department of Taohua Town Health Center is a newly opened department, and it is not easy to come to a patient, usually very simple appendicitis, or some simple trauma patients, it is very difficult to come to a patient with cholecystitis and surgical indicators, sometimes come to this patient, considering the technical level and other factors, many patients are lost.

This patient happened to be Director Yang's mother, and Lin Yu clearly remembered that the director had surgery on his father last time! This is a department director career whose family is sick and supports his son, Lin Yu sighed.

"It's just that there are stones in the common bile duct, so this treatment plan may change a lot, right?" Director Yang worried, although he also trusted Lin Yu very much, but his mother's situation was still quite special, and he and the dean both considered that she was a simple acute attack of chronic cholecystitis, and the B ultrasound also confirmed that there were no stones down.

He still didn't quite believe Lin Yu's words! It's just that he couldn't say anything when the words came to his lips.

"In that case, let's do a CT CT, I also want to see where the stone is!" Lin Yu saw his expression, he could see that he still had doubts about his judgment, and secretly said You don't worry about spending money, then I can't help it, I have already "seen" the patient's common bile duct, and I can see it more clearly than your CT, if you don't believe me, then I can't help it, so let's go for a CT.

"Director Lin Yu said this, then I'll make one?" Although Director Yang used an inquiring tone, he had already decided to do a CT to see what the situation was?

"Well, okay, I'll go to the operating room first, and after you do the CT scan, send the results in!" Lin Yu suggested.

It only takes ten minutes to do a CT scan in the dark tunnel, and I don't have anything to do here, so I just go up and wait.

"Oh! If you really think that there are stones in the common bile duct, then do you still use laparoscopy?" This is the second point that Director Yang is worried about, if he really considers this disease, then the surgical plan must be changed, not only to remove the gallbladder, then the common bile duct exploration stone removal must be performed!

The entire surgical plan has changed, and he is still a little worried about Lin Yu's skills and strength.

"Your mother has been suffering from chronic cholecystitis for many years, with repeated infections, the condition of the abdominal cavity is not very good, and the adhesions are relatively heavy!" Lin Yu muttered again.

"Oh!" Director Yang didn't hear the meaning at first! After thinking about it, he said this, which means that the abdominal condition is not good, does it mean that the abdomen is open!

"Then if you use laparoscopy, it will be much more difficult!" Director Yang worried, after all, he is a surgeon and knows more about these things.

"It's difficult, that's for sure, or laparoscopy, isn't it much more difficult?" Lin Yu said directly.

Han Qiang was directly stunned, and secretly said that this operation is not big, so what is a major operation? In clinical practice, many experts use laparoscopy for most of the laparoscopic cholecystectomy, which is why the health center wants to carry out this operation.

Nowadays, the people have higher requirements for disease treatment, and the conventional surgical plan can no longer meet the needs of the people, so this is also the reason why many hospitals now carry out laparoscopic cholecystectomy surgery.

Of course, laparoscopy is not only about removing the gallbladder, laparoscopy can be used for many abdominal surgeries.

However, the difficulty coefficient of laparoscopic common bile duct exploration has increased geometrically, and it just so happens that this patient's situation is still relatively special, she is a patient with chronic cholecystitis, and the abdominal condition of this patient cannot be very good, which means that the adhesions in the abdominal cavity may be relatively heavy, and the abdominal cavity is like a spider's web, and he will make you have nowhere to go under the knife!

Generally speaking, clinically, severe abdominal adhesions are also a relative contraindication to laparoscopic surgery, not that it cannot be done, but it is much more difficult.

"Brother Lin, if the adhesion is serious, let's open the abdomen!" Han Qiang was still a little worried, the operation was not a child's play, there could not be any mistakes, if he didn't do it on the operating table and changed the treatment plan halfway, it would be really embarrassing.

It's no joke to peel what kind of garlic you have with your fingers, we still have to cooperate with the hospital for a long time! Han Qiang thought about persuading Lin Yu.

"We came to guide Director Yang to do laparoscopy, and finally a patient came, the more serious the adhesion, the better we can do it! In this way, if Director Yang encounters this patient in the clinic in the future, he will not be afraid!" Lin Yu thought like this, he did not have any element of pretending.

"Oh! Let's go to the operating room!" "Han Qiang thought about waiting to go up or persuaded him bitterly, to do the operation, we have to ensure that the operation is done first, and then we will get 10,000 yuan, you are good, guide others, increase the difficulty of the operation for no reason, and help others grow, this is the icing on the cake, you have become a feeling of sending charcoal in the snow, are you so good?

Director Yang saw Lin Yu and Han Qiang go upstairs.

Doctor Zhang, who was under his command, looked at him with some puzzlement and said, "Director, how do I feel that Mr. Lin Yu has deliberately exaggerated his condition! Aunt Yang's condition is already obvious, and the dean has also seen it, it is an ordinary acute attack of cholecystitis, and now she insists on going to do a CT, it is really innocent to spend money!"

Director Yang rolled his eyes, glanced at him, and said coldly: "Don't be suspicious of employing people, don't use suspicious people, don't talk nonsense!"

"Boss, I heard from the urologist that this Dr. Lin is a new doctor?" said Dr. Zhang mysteriously in Director Yang's mouth.

"Hmph, don't listen to their nonsense, they see that I have formed a department, and they feel uncomfortable, they have long thought that our department is the best, you have also seen it, Dr. Lin Yu came to do those few surgeries, who can do it in our health center? Do you remember that little kid last time?" Director Yang told all these things like a cannon.

He had also heard of other people's evaluations of Han Qiang! Even for Lin Yu, he had heard some rumors, everyone was in the same system, and if they wanted to know a person, as long as they understood it carefully, it would be clear.

"That's right! I remember that the last time my aunt had hypokalemia, Dr. Lin Yu discovered it!" Dr. Zhang reminded.

"That's it, do you believe hearsay?" said Director Yang.

In fact, this time my mother's cholecystitis attack, I also reported to Dean Tao, do you want to find Lin Yu, Dean Tao is his old classmate, the relationship has always been good, and it is also with his help that his general surgery was established, and now is the time to make achievements, and it is really the time to employ people.

Dean Tao's words were deafening for him: "Don't doubt the use of people, don't suspect people, Lin Yu's strength, he has seen too much with his eyes, I only believe in what my eyes see, if others say that mountains are water, then the department doesn't need to develop!"

Director Yang listened to Dean Tao's words and made this phone call! It's just that after Lin Yu came, he only glanced at the patient and concluded that she had stones in her cystic duct, which is indeed a bit incomprehensible!

He also concluded that the patient had serious adhesions, which is even more incomprehensible, and your patients didn't even look at it, how do you know that the adhesions are serious, just because my mother has repeated cholecystitis, and it feels too hasty.

Lin Yu's more ruthless words just now, he was a little shocked when he heard it, what he said was to do a difficult operation for us, let us study hard!

The people around Director Yang said irresponsible things to Lin Yu, and there were still some subtle changes in his heart, a person who listened to these words and didn't have any opinion on Lin Yu, this is impossible, but why he was able to take those surgeries down, this is incomprehensible.

Just now he swore that the patient's stone had fallen into the common bile duct! On what basis did he say this? Could it be that he deliberately said this in order to show his level?

He thinks so, but he can't say it, he can only wait for the result.

The process of waiting for the results is anxious.

Since he was a family member of an employee in the hospital, Director Yang stood directly next to the computer in the CT room to watch the results.

Watching my mother push under the CT of the big C, the operator pressed the irradiation button, and the CT made a familiar 'poof' sound, familiar and unfamiliar.

"Xiao Li, please take a look, the patient's common bile duct situation!" He wanted to confirm the situation in time, did the patient have common bile duct stones, why didn't there be B ultrasound, as soon as you Lin Yu came, did you say that there was?

He is indeed powerful, but it is impossible to conclude that the patient's stone has reached the common bile duct just by looking at the patient and asking the patient a few questions?

It's absolutely impossible! unless you're really a surgical expert.

Xiao Li is the director of the CT room, he saw Director Yang's mother coming, put down what he was doing, and came to do it for her in person, and he didn't charge money, in the hospital, take care of each other, everyone tacitly agreed.

"Well, I'm watching!" Xiao Li looked at the computer screen layer by layer, looking carefully, and seemed to be very professional.

He looked at it for a while, nodded and said: "There is indeed a problem, there is a stone in the common bile duct, but it is not big! It may not be completely blocked! Because the common bile duct has not expanded, in the past, the common bile duct has expanded!"

"Ah, really?" Director Yang muttered, and in an instant, Lin Yu's image in his heart grew taller!

He even regretted that he was a little suspicious of Lin Yu just now, the experts from big cities and big hospitals are different, and the CT scan can directly see that the patient has stones, which is also too powerful.

If he hadn't been invited to come over for surgery, he might have been removed according to ordinary cholecystitis surgery, and in the end, he would have to have another operation!

"Director, then I'll type out the film for you, you can refer to it when you operate! Since it's an aunt, we don't write our names, so we don't have to charge!".

"Thank you! Thank you very much!" Director Yang is still very clear about the kindness of others to him, first, others are giving you face, and second, this is also a human favor, which is originally a human society, which is inevitable.