Chapter 305: Surgery Against the Sky

Lin Yu said while operating: "Generally speaking, we can take it with laparoscopic curved forceps, of course, the more complicated way is to take off the Trocar under the xiphoid process, and use the biliary way to take the stone with the stone forceps! Depending on the situation, if the stone is at the edge of the opening, we can push the stone into the duodenum!"

He hooked the stone out with unerring accuracy! With the help of nothing, including what he himself called laparoscopic curved forceps, and ballistic stone forceps, nothing was used!

He hooked the stone out with the ultrasonic hook without any mistakes!

This is simply an operation against the sky! Not to mention hooking out the bile duct, he also hooked the stone directly out of the body!

This operation scared Director Yang's heart faster!

You kid, you are really a master of art and bold! You dare to do this! We usually use professional things to net the stone and take it out when we see a stone, you are good, just stick the stone on the hook, you will take it out of the body directly, if the stone accidentally falls into the abdominal cavity, where do I see you?

"Generally speaking, the most used in our clinical practice is the net basket stone removal, this method is the most basic, safest and most effective method of laparoscopic choledochotomy!

Lin Yu actually thought simply, this stone is on the side of the opening he just had, it is indeed relatively small, and it does not completely block the common bile duct, so this is also the reason why the patient's jaundice is not serious, his pair of "golden finger" eyes, even if the stone falls into the laparoscope, he is not worried, just find it and take it out by himself.

This is Lin Yu's idea, but it doesn't seem like this to others, Director Yang and Han Qiang looked a little frightened, he glued the stone out like this, looking terrifying, he was afraid that the stone would fall somewhere!

Of course, the ending is still good, the stone did not fall, obviously, Lin Yu once again pretended to succeed, Han Qiang secretly sighed to himself!

"Brother Lin, you have a good mouth, but you didn't do it according to the routine!" Han Qiang couldn't help but "criticize" him, you guy said that you should pay attention here and there, but you didn't pay attention yourself.

"Oh! Practice makes perfect! This kind of surgery is so undifficult! So I didn't follow the routine! I looked, this patient's bile duct is in good condition, so I'll put in the T-shaped tube!".

"What size do you want! I've got three sizes here!" the instrument nurse asked.

"The smallest, the patient's common bile duct is in good condition!" Lin Yu finished speaking, he built the T-shaped tube by himself, and said: "The short arm should be at least so long! It can't be too short, if it's too short, he may slip off! It will be embarrassing!".

Director Yang looked at it for a long time, and secretly said How long are you saying it is so long? I feel that he can't say it clearly, but it looks like it's about 2cm!

In a few moments, he had fixed the T-tube.

"Long arm, wait a minute! Here's a trick to tie it! Wait a minute, let the long arm come out while deflating! This way the long arm is not easy to discount, so it is not easy to block!" Lin Yu said very easily.

"Need to be refilled, right?"

"Oh!well, well, no problem!" Lin Yu said lightly.

Han Qiang wanted to vomit blood again, this is all a basic action, the operation is done here, we must see if the T-shaped tube you put is leaking! You are good, you haven't seen it yet, there is no problem! You are so confident.

However, the water injection test found that Lin Yu's bragging was indeed right, and there was no problem! He once again bragged successfully, and Han Qiang had to be convinced.

"It's done here, the next step is to remove the gallbladder!Director Yang, you can give it a try! I've already cleaned up the adhesions here!" Lin Yu secretly said that every time he came to help the health center grow, Director Yang didn't have the opportunity to come to the stage every time, so under such guidance, no matter how long the time was, it was rare for him to grow up.

Surgeons, the most important thing is to get hands! You can only grow if you have the opportunity to do it, otherwise, no matter how much you see, it is useless!

When Director Yang heard this, his heart was surging, he had long wanted to do it himself, after all, there were experts by his side, and he was now a five-body thrower to Lin Yu.

With such a difficult operation, it is simply not difficult for him to do it, Lin Yu just finished the common bile duct exploration, Director Yang quietly looked at the wall clock hanging in the operating room, the whole time was only 28 minutes, including the abdominal adhesions he just cleaned up here!

That's pretty fast.

Han Qiang was unhappy when he saw that Lin Yu wanted Director Yang to have his gallbladder removed, but he was holding the mirror at this time, wearing a hat and a mask, and he couldn't see his face!

Han Qiang was very indignant at Lin Yu's behavior of ignoring himself! You said that you want to take yourself to surgery to let yourself grow well, but you don't give yourself a chance, how can you grow?

Han Qiang's whole person is so sad! Lin Yu, this guy, usually doesn't talk much, and his personality is not too strong, but on the operating table, he is a proper boss, always commanding others!

And he didn't take care of his feelings at all, which Han Qiang was going to have to talk to him after the operation.

"Then I'll start, and ask Director Lin Yu for more guidance!" Director Yang began to do it with a laparoscope for the first time! He said this very sincerely, and there was absolutely no flattery!

"Well, it's okay, just take your time, don't rush!" Lin Yu encouraged.

The reason why Lin Yu gave this operation to Director Yang was because the patient was his mother, even if he had a little problem during the operation, he would help him come out in time, take 10,000 steps back, even if there was a small problem, his own mother would not have a major medical dispute.

On the operating table, Lin Yu and Director Yang changed positions, and Director Yang began to operate tremblingly, although the movements were clumsy, but the basic skills were not bad, it can be seen that he had trained under the stage!

The so-called ten years of work off the stage, one minute on the stage!

The embodiment of this minute needs to be practiced offstage for a long time! Otherwise, if you get a laparoscope, your eyes will be dark, and it will be troublesome.

The operation is in progress, and the live broadcast operating room is still live, and it is also very lively.....

[Our great god really did the operation, and the one who moved the small bench just now said that our great god couldn't do it carried the semen out!]

The patient's stomach is a mess of mush, he can actually find the common bile duct, I am really convinced!]

[I just showed the video to our old director, he insisted that it was impossible, and said that my mobile phone pixel is not good, my is the latest Mate30, you can imagine that the patient's adhesion is so serious!]

[This time is also a bull's fork, it only takes 20 minutes to deal with the common bile duct!

[Our director also takes more than 20 minutes to deal with the gallbladder, but it is an open abdomen, such a serious adhesion, give him two hours, he may not be able to do it!]

[I found that our great god's ultrasonic knife hook is the best to take stones!hahaha]

If the stone falls into the abdominal cavity, if you can't find it, then wait for a medical dispute!]

[Just now, I thought I was going to use a clamp to catch the stone? Who would have thought that he would directly hook the stone out with a hook! This is the first time my mother has seen it!]

[This can be bragged about for a lifetime, but our director said that he violated the principles of surgical diagnosis and treatment!]

He can't figure it out himself, our great god did it, he said it was against the principle of diagnosis and treatment, this is called standing and talking without back pain!]

...

Lin Yu looked at Director Yang a little anxious, although he had also trained offstage, he still had some problems with his movements, and it took at least five minutes to adapt to the mirror!

"Doctor Han Qiang, the direction of the mirror seems to be off!" Director Yang said anxiously.

As a beginner, the position of the mirror is very important, as long as you are biased, his head has to be biased, otherwise the operation interface in his field of vision is biased.

However, Lin Yu once happened, his vision was reversed by Han Qiang, Lin Yu still operated as usual, Director Yang thought so, and secretly sighed that the distance between himself and Lin Yu was still very large.

However, at this time, he didn't have time to sigh about this, he was just like quickly adapting to the mirror, and he began to look for the gallbladder triangle!

This patient is quite special! The adhesions in the entire abdominal cavity are extremely serious, Lin Yu has already cleaned it just now, and because of this cleaning work, the patient's entire field of vision is now full of tissue, and it is still relatively fresh.

The gallbladder triangle is not recognizable at all, the whole triangle is very critical, to remove the gallbladder, first need to amputate and ligature, cut the gallbladder artery, but there is a very contradiction here, that is, there is a right hepatic artery on the side!

Clinical textbooks all say that "the right hepatic artery is thicker than the gallbladder artery!"

If you accidentally cut the wrong artery, the right half of the liver may be ischemia, resulting in an operational accident, so clinically, to be able to correctly distinguish between the gallbladder artery and the right hepatic artery, that also requires rich clinical experience!

Normally, Director Yang has done a lot of gallbladder removals, which is not an obstacle, but they are all done with an open abdomen! Now the health center has begun to open this new project, and under the video, it is done with laparoscopy! The feeling is completely different! The whole judgment is realized through the camera, which is not the same concept as what we see with the naked eye!

Director Yang looked at the gallbladder triangle in his field of vision, and was a little overwhelmed.

"It's okay!Director Yang, the root under the hook is the gallbladder artery!" Lin Yu saw that he didn't move for a long time, and reminded him directly.

How did he know that Director Yang had been looking for a long time, but he didn't find the feeling, and he really didn't find the gallbladder artery, which made him cry urgently.

Lin Yuyi reminded that he also bravely ligated the gallbladder artery, this is the difference between having an expert and not having an expert by your side, you won't panic if you have an expert by your side, if there is no expert by your side, you will be entangled for a long time, and then you don't dare to start!

Although Director Yang is more difficult to do at this time, after all, with Lin Yu by his side, his mentality is still relatively relaxed, and he feels that it is okay, so if he is sluggish, let it go!

"Here's a trick, that is, to pull the distal end of the cystic duct, you can see the gallbladder artery in the triangle above her back, the cystic artery is behind the gallbladder, this can be distinguished from the right hepatic artery, and then clamp the gallbladder artery near the gallbladder, cut off the ligation, for safety, and then add a silk thread ligation on the proximal side, so that it is foolproof."

Although Lin Yu said this, in fact, he was guiding Director Yang to make the next move.

Although Director Yang was relatively slow, he still did it, and every action was still in place, but he was not very familiar with laparoscopic instruments, and he had to repeat it many times.