Chapter 303 The common bile duct is still blocked!

"It's... Teacher Lin Yu is really amazing, he actually saw it! He should have considered that his aunt had jaundice and that her biliary tract was blocked, but the jaundice was not bad, indicating that he was not blocked to death, which can also explain that the patient only has high bilirubin in the blood, and the clinical manifestations are not obvious!" Dr. Zhang analyzed.

"You are an afterthought, you didn't analyze it before, you questioned Dr. Lin Yu just now, and you are the most fierce! Now that the diagnosis is clear, you have begun to analyze! Usually work hard, the expert is here, your mouth is sweeter, don't think about this and that, other departments are pouring you psychedelic soup? Wait next to study hard!" Director Yang saw that Dr. Xiao Zhang's analysis was straightforward, and he was angry and criticized him.

Xiao Zhang was embarrassed by the boss's criticism, and his face was flushed and he stopped making a sound.

Outside the operating room, Han Qiang smoked a cigarette and waited for the patient to come up.

He saw Lin Yu sitting on a stool and pondering!

"What are you thinking? I see you've been thinking about it for a long time?" Han Qiang was puzzled.

"I'm reviewing the surgical procedure, this patient is in a special situation, I want to do the opposite, first solve the common bile duct problem, and then solve the gallbladder! I just went through the surgical procedure in my mind!".

"Have you done it before?" Han Qiang came directly, and after asking, he felt like he asked a nonsense, and secretly said You can't have done it, didn't you say that you did it every time you did it during your internship?

If you hadn't done it, you wouldn't have been able to come! This is Han Qiang's idea.

"Common bile duct incision exploration stone extraction, I really haven't done it, this operation is the same...."Lin Yu didn't finish his words.

Han Qiang couldn't wait to put out his cigarette and said hurriedly: "What do you mean?

No way!

"Limo is nervous, what do you want me to say? Say I've done it, I've done it, you say I haven't done it, I haven't done it!" Lin Yu said easily.

But obedient people are not easy, Han Qiang secretly said What is the situation of this guy?

The patient is about to come up, and you actually said that you have done it and have not done it, so have you done it or have you not done it? Big brother, don't be kidding.

"You dead fish face, how many times have I let you down? Don't worry! I'll get it done, and if it's fast, we can go back to dinner."

"Is that done with laparoscopy or open abdomen?" Qin Hui only cared about this issue, because laparoscopy was much more difficult, and he rarely went on this kind of stage before.

"Laparoscopy! It's not easy for us to come here, others invite us to come over and spend such a big price, if we don't show a little strength, no one will call me us next time" Lin Yu was still a little worried.

Indeed, it is not easy to come to a trip every time, generally speaking, the doctor comes out to walk a little acupoint, at most a few thousand yuan, but this health center is different, the director is particularly supportive of the general surgery department, and the cost is indeed very considerable!

Lin Yu didn't want to lose it! Last time in the Mo Health Center, Director Niu was too badly scared, and I don't know if there will be a chance to have surgery in the future?

Therefore, here, Lin Yu still wants to seize this market! It must be firmly grasped! It is not easy for grassroots hospitals, and many surgeries cannot be carried out.

Last time, the fact that I was in Mochen Health Center and I didn't have a certificate has been discovered by Director Niu, and it can be seen through this incident that as these directors and deputy directors of the hospital, all of them are human spirits! Everyone is in a system, and they want to know their own situation, even Han Qiang's situation, in fact, it is a matter of minutes and seconds, mainly to see whether others are willing to understand!

Because of this, Lin Yu is thinking about taking out his strength first, not afraid of others talking nonsense behind his back, everyone is thinking about what they hear with their ears, and at the same time, they will believe what they see with their eyes.

This time, Lin Yu wants to show his strength!

"Really, it's fake, we're not here to pretend to be forced, if this patient's adhesions are very serious, then there will be problems!" Han Qiang was a little worried.

When he saw Director Yang and the others going to do CT, he just wanted to come up and persuade Lin Yu well, for fear that he would pretend to wrestle and not be able to get up in the future, this was what he was worried about!

"This patient has very serious adhesions!But the more serious the better!" Lin Yu said, and Han Qiang almost died of anger.

What do you mean the more serious the better,, this is the first time I've heard that the more complicated the operation by yourself, the better!

When Han Qiang was about to continue to do ideological work for him, Director Yang pushed the patient in.

"Director Lin, look at this, it's delayed, this is a film, it is indeed a common bile duct stone, look at this..." Director Yang looked embarrassed, he didn't believe Lin Yu's words just now, but it actually explained some things.

"Hmm" Lin Yu snorted, and said, "Hurry up and send it in for anesthesia, and finish the operation as soon as possible!"

"Why doesn't this have a name? Isn't there a mistake?" Han Qiang looked at the CT list and found that there was no name, which was no joke.

Lin Yu glanced at Han Qiang appreciatively, and secretly said You can be regarded as an expert, and you can see this detail, it is really not easy.

"Hehe, niece and son-in-law, this is our internal look, there is no charge, so there is no name!"

"Oh!" Han Qiang muttered.

The surgery is ready!

Lin Yu saw Han Qiang rubbing his hands, knowing that he wanted to have surgery and wanted to salivate, and ordered: "Han Qiang, you are a bully, Trocar is placed, pay attention to the position, I already talked about it last time!'.

When Han Qiang heard this, he became happy, it was not easy, although he was the second assistant, he was still willing to do this job! Don't look at the foundation of this work, if it is done well, the operation in the back is much less difficult, and if it is not done well, the operation will be troublesome in the future.

...

Han Qiang finally learned something, and after a while, his pneumo-belly was established.

Lin Yu put the mirror in to take a look, and directly gasped!

I never thought that this patient had such severe adhesions.

"Why is the vision not very clear?" Director Yang, as a helper, looked at the field of vision a little confused!

"Your mother's adhesion is too serious!" Lin Yu said, but he didn't stop what he was doing.

"Yes, this is indeed rare!" Director Yang agreed.

"Did she ever have an abdominal infection?" Lin Yu asked curiously.

Why did Lin Yu ask like this, it was because just a second ago, the system in his mind started on time: [System Medical Perspective Started, Live Operating Room Started!].

He had just "seen" that there was a place in the patient's abdominal cavity that was more adhesion!

"Well, my mother? I asked her, and she couldn't tell herself, as if she said that more than 30 years ago, when she was pregnant with me, she had a stomachache and died of pain, but I don't know what kind of illness it was?" Director Yang recalled.

Indeed, more than thirty years, who can say clearly!

"Well, appendicitis, although there was no perforation at that time, the inflammation spread badly! There were adhesions throughout the abdominal cavity, and the appendix was the most serious!" Lin Yu analyzed.

He "saw" it clearly, but he couldn't say it, and the whole tone was a guess.

Director Yang had to admire Lin Yu, this guy looked at it with a laparoscope, and he actually made the disease more than 30 years ago clear, he was indeed right, his mother later told himself many times, saying that the pain was terrible at that time, and he had a fever, and the medical technology at that time was not developed, so he couldn't deal with it at all, so he fell into the water, and he survived for three or four days, and he really survived, it was really not easy, and he almost died in one body.

As a surgeon, he also guessed that it was appendicitis! Unexpectedly, Lin Yu directly and accurately gave the diagnosis, and he even had some doubts about whether Lin Yu had a doctor's certificate?

It's a question, it's an interesting question, they say he doesn't have a certificate, who believes this mother?

"How do I see that this vision is all sticky? Do you want to open your stomach?" Han Qiang still did the work of holding the mirror.

He has already undergone several such surgeries, this is the first time he has seen such a surgical interface, Lin Yu's words just now echoed in his mind, he was afraid that Lin Yu would fail to pretend to be forced, and it would be miserable.

So I couldn't help but remind him.

"Well, Director Lin Yu, this surgery can be done, if it can't be done, we don't have to insist! If it really doesn't work, we can still change it to an open abdomen! Just come according to the actual situation!" Director Yang also agreed with Han Qiang's words.

He was a comforter, but he was more worried about the difficulty and risk of the operation!

Obviously, the current situation, the patient's condition is not very good, the operation is very difficult, the entire abdominal cavity is a mess, sticky here, a little careless, there may be a blood vessel or something, at that time it will be troublesome to open the abdomen.

This is my mother!

She almost died because she was pregnant with herself, but now she can't die on her own operating table, Director Yang has always been very filial, he just wants to cure his mother now, and it doesn't matter what kind of surgery method it is.

"Director Yang, I know that my aunt has diabetes, in order to heal the wound just right, so try not to open the abdomen, this operation is more special, not only to remove the gallbladder, but also to perform choledochintomy and exploration, and at the same time to perform stone removal, it is indeed a relatively large operation in general surgery, in order to achieve the best effect, I tried my best to do it laparoscopically this time! But the operation is really difficult! There may not be a second person in Hanwu City who dares to do it!" Lin Yu said sincerely.

He said it very plainly, and there was no element of pretending at all.

Han Qiang only vomited blood when he heard this, and secretly said You also know that this patient's operation is difficult, brother, since you know that it is difficult, what are you doing? Are you stupid?

You pretend to be a force that has already gone to heaven, you don't need to say that there is no second person in Hanwu City who dares to do such an operation, how do I feel that there is no second person in Hanwu City who is as stupid as you?

In this case, a knife on the patient's stomach and doing it with your hands is definitely much better than using a mirror to turn it inside, you are good, you know the difficulties, you actually dare to do it, this is called knowing that there are tigers in the mountains and biasing the tigers in the mountains, that is not brave, it is definitely a fool's behavior.

"Then thank you! It's just that this situation won't be easy to do!" Director Yang is not worried, in terms of clinical experience, he is richer than these two guys, although he has never done such a major operation, in the past, whether it is internship, further study or something, he has seen this kind of case in a big hospital.

Generally speaking, this situation has already undergone exploratory laparotomy surgery, which is still difficult, but it is half as difficult as laparoscopic gallbladder surgery!

This is also the relative contraindication of biliary tract surgery, abdominal surgery, and abdominal infection in our general surgery textbooks for laparoscopic surgery.

This patient's peritoneal adhesions are not just relative contraindications, they are absolute contraindications.