Chapter 304 is not low-key on the operating table

"Don't worry, I've never failed in surgery!" Lin Yu only said lightly!

Han Qiang.

"..."Director Yang.

Han Qiang secretly said Brother, you are usually a very low-key person, why are you so unreliable on the operating table? I'm anxious for you!

Seeing that Lin Yu was so persistent, Director Yang also said that he had never failed, and it was not easy to express his position, so he cooperated directly.

The live broadcast operating room is also very lively! It may not be a live broadcast for several days, but now that the live broadcast is opened, the people discussing it are especially more often interacting.

Since the start of the broadcast, it has only been seven or eight minutes, and tens of thousands of people have gathered in it, these people are all doctors, they are all professional players, this APP is different from other small videos, and the people in it must have real talents and learning before someone will come to watch!

That's why it's so difficult to make a small medical video, the requirements for the surgeon are too high, and you can't have any flaws in the whole operation!

There are too many restrictions, and it's much better for everyone to post some funny videos, so who would be stupid to post medical videos? Not to mention the live videos of surgical procedures, which is amazing.

On the Lilac Network forum, the live operating room was directly placed on the home page cover, and after the broadcast, people on the entire network "poured in", which almost caused the paralysis of the website for a while.

Everyone is looking forward to it!

The live operating room has been on the air for more than two months now, and it has gathered a lot of regular fans, and of course, a lot of new fans have come.

Everyone is a professional player, and the topic of discussion is always related to the profession!

If you dare to put an advertisement inside, you will be asked to leave in 1/3 of a second!So everyone is still talking about the operation of this unknown god in the live operating room...

[My mother, this patient is not in a good condition!]

[What's wrong? I see it in the clouds, I feel that this is the equipment and it doesn't seem to work! It's not very clear! The surgical vision is a little stumbling]

[Hahaha, it's not that our god's vision is not clear, it's your mobile phone out, our god's surgical vision is seriously adhered to, I still admit it!]

[That's not an ordinary serious, this kind of adhesion is basically a taboo for laparoscopy, you can't do it like this, our big director doesn't dare, Ph.D. supervisor! I'm embarrassed to say it, I'm afraid of being scolded!]

[This is the insurmountable gap between the doctoral supervisor and the great god! What the doctoral supervisor does not dare to do, our great god dares to do!]

[Don't be arrogant upstairs, I've already moved the small bench, sit and wait for him to change the way of surgery, I can't, this degree of adhesion, he did the operation?

I read the patient's diagnosis, not only gallbladder removal, but also choledochiotomy and stone exploration, hahaha, I was thinking, in this case, the whole gallbladder triangle is a piece of meat, I want to see what he do?]

[Separation adhesions is a big problem, this kind of patient, not to mention laparoscopy, even if the laparotomy is done by hand, it will take at least three or four hours!

[Let's wait and see!I've always believed in the great gods!]

[The whole operation is a mess, how to do this? I feel that the field of vision is full of tissues, how can I tell whether it is blood vessels or intestines? If I make a mistake, it will be troublesome]

...

The live broadcast operating room is poured on both sides, and since the faction and the opposition, everyone's appetite has also risen.

The operation is still ongoing, Lin Yu first did bile duct exploration, of course, this point, or depending on their own habits, many people like to do gallbladder removal first, and then do bile duct exploration, some people like to do bile duct exploration first, and then gallbladder removal.

It's like taking an exam, some of you write your essay first and then do the previous content, and some of you do it step by step!

However, there are advantages and disadvantages, the reason why Lin Yu has done the common bile duct exploration stone removal surgery first is because the gallbladder has not been removed and there is a pulling effect, and the other is that the abdominal adhesions are too serious now, so the difficult operation is done first, and then a simple operation is done.

Lin Yu was full of confidence at every step, and when he saw the adhesion part, he didn't hesitate to go down, and he didn't say that he wanted to take a good look at the situation, he made Director Yang Chrysanthemum tighten many times, and after a long time, he felt like he had hemorrhoids.

Director Yang does trust Lin Yu, but now it is his mother who is lying on the operating table, this kind of psychology is more peculiar, we will "study" it before the operation, but Lin Yu's operation is a steady and ruthless, never hesitate, I feel that the tissues, nerves and blood vessels in front of me are already well understood, and I will not hesitate at all!

Although Director Yang was worried, he was still relieved to see that Lin Yu's operation did not have any problems, what is this called, since he dared to pick up this knife, he must still know it in his heart, and he has the technology in his hand, otherwise, he would not agree!

In a word, during the operation, Director Yang was terrified of Lin Yu's miraculous operation.

"As a patient, we remove the gallbladder at the end, and the advantage of this is that the reserved gallbladder will give us a traction effect, which is more conducive to surgery!" Lin Yu explained while doing the operation.

Han Qiang said that he was confused when he heard it, because he had reviewed laparoscopic removal of the gallbladder for half a day, but he had not had time to review the common bile duct exploration, and he felt so confused after watching Lin Yu's operation for a long time.

Although Director Yang reviewed a lot of information, he was also a little confused because of the patient's adhesion.

"The most important thing in this operation is to find the common bile duct! But the adhesions are more serious, I have to clean these adhesions and find the hepatoduodenal ligament!" Lin Yu said without making a sound.

"Yes, the most important thing in this operation is to find the common bile duct, but now there is blood in this field of vision, and it needs to be attracted?" Director Yang asked curiously when he saw that his vision was not very clear.

Because he found that Lin Yu has a characteristic of surgery, that is, he doesn't like to suck blood, which he doesn't understand very much, the reason why others are slow to do surgery is because during the operation, in order to ensure a clear vision, the surgeon spends a lot of time and energy, but Lin Yu is different, he has a lot of blood in the field of vision during the operation, and he will not be clear, generally the operation is almost done, he will attract it!

"It's okay! These things don't affect the operation, I see a lot of doctors doing surgery, I see a little blood and go to attract it, I feel so uncomfortable if I don't suck it, I feel like obsessive-compulsive disorder! I like to attract at the end of the operation!" Lin Yu said that he was not in a hurry or slow.

"..."Director Yang.

Han Qiang said secretly, this surgery can't just be done for the sake of pursuing speed, you don't want to attract blood, the whole vision is not very clear, can you be fast? I don't understand.

"Can you see this clearly?" Han Qiang really couldn't help it, because now the entire field of vision was blood-red, and he couldn't bear to look at it directly.

"Hmm, it feels so blurry?" Director Yang also agreed with Han Qiang's point of view, the current surgical vision was indeed not very clear, and he was secretly frightened when he saw that Lin Yu did not slow down the operation.

"It's okay! It doesn't affect, you see, this is the common bile duct, and the position of the common bile duct is generally located on the right side of the hepatoduodenal ligament! Due to the serious adhesions, it is slower to find!" Lin Yu didn't know everyone's surprise, he did it by himself, because of his medical perspective golden finger, the surgical field was clearly displayed in front of his eyes, in fact, he didn't use this video system at all.

Because his eyes are clearer than this system, it can be said that he can see it clearly!

"Is this a hepatoduodenal ligament?" Director Yang said curiously, he listened to Lin Yu explaining, but his vision was full of blood, and now he couldn't tell the difference at all.

"Well, that's it! Look, finding this ligament in this place is very beneficial to confirming the common bile duct! This is the basic skill!" Lin Yu said in a tone that was almost a lesson, and said: "Director Yang, I, I said that Han Qiang listened!"

Han Qiang.

Other doctors, before each step of surgery, they also have to consider whether the tissue under the knife is a blood vessel or a nerve, but Lin Yu doesn't need to, the blood vessels, nerves and other tissues in his eyes can't be clearer anymore, so others see that the current surgical field is a little "unclear" but Lin Yu can see it clearly.

"The serous membrane of the anterior wall of the common bile duct is incised, don't cut too much, pay attention to the depth should not be too large, Han Qiang! You have to listen carefully, this place is especially important, because as long as the movements of our hands are a little bigger, the ultrasound knife in the field of vision will go far! This is a special place to pay attention to!" Lin Yu actually yawned when he saw Han Qiang.

"Well, the textbook says to cut 1-2cm!" replied Han Qiang.

"Indeed, the textbook says so, I don't think you should cut too much, 1cm is enough, after the incision, we try it with a needle, if we can extract the bile, it means that we have found the right one, this step is the key, first determine the common bile duct! If this move is not done well, all the work behind it cannot be done!".

As soon as the needle came out, the dark green bile flowed out, and it was confirmed that it was the common bile duct to be found, don't look at the small operation, many clinical bulls sometimes sweat profusely, and they may not be able to find a place, why should they be confirmed? That is, they are afraid of going to the wrong place, such as entering the blood vessels!

"Found the common bile duct, we cut the anterior wall of the common bile duct along this longitudinal axis, this stone is relatively small, we will cut it smaller, 1cm is good, there is a special attention here, that is, there is a vein in the back, if the tip of the knife is too deep, it may hurt that vein!" Lin Yu said that the anterior wall of the common bile duct has been cut.

"What vein?" Han Qiang immediately asked, feeling inappropriate after asking, but he had already asked and couldn't withdraw it.

"Well, I'm going to ask you, what kind of vein do you say is behind this?" Lin Yu asked Han Qiang without raising his head.

Han Qiang only vomited blood, he knew that Lin Yu would ask himself, how could he have thought that this guy would really ask! I said I don't know, you still ask me, are you going to make a fool of me?

"Portal vein!" Director Yang replied casually.

It can be seen that Director Yang's theoretical knowledge is still relatively solid.

"Do you need laparoscopic forceps?" asked Director Yang, implying that he would be prepared if needed.

Generally speaking, at this time, it is necessary to use laparoscopic forceps to pick up the stone, and there are many ways to take out the stone, not only this method, but also many times you can push the stone into the duodenum, a small stone, it is a disaster for the common bile duct! But after entering the human intestine, he is nothing at all! Nothing, and finally enters the rectum and falls into the fecal pit.