0063 Parasites in the biliary tract

At this point in the operation, the doctors in Xinglin Garden can understand it.

It's one thing to do it, but if you can't understand it, it's too much.

This basic quality is still possessed by many doctors with professional backgrounds.

It's time to get the stone now, everyone thought. Indeed, the common bile duct has been cut, and the next step is to cut and remove the stone to improve the patient's obstructive jaundice symptoms.

Zheng Ren stretched out his hand and slapped a special stone-taking pliers in his hand. This is a routine piece of equipment in the operating room, but it is rarely used. Shay had been observing Zheng Ren's movements, and when he needed it, the corresponding equipment would be handed over.

In the live broadcast room, many people have feelings of envy and jealousy.

Look at the nurses who are on the table, they are so skilled. Look at your own home, one is more tempered than the other, not to mention, the unconventional operation of handing over stone tongs can only be reminded.

In more cases, it is only after the reminder that the stone removal forceps are not equipped at all, and the roving nurse has to go to the disinfection room to get the sterile stone removal forceps bag.

If you come and go, you will be delayed for a few minutes, how can there be a surgeon in the live broadcast room who is so relaxed and comfortable.

What's more, the stone tongs are not sterilized at all...... It was a nightmare!

But envy is envy, and life has to be lived.

Forceps are inserted into the common bile duct, one, two, three...... No, why is it so strangely shaped? Isn't it a stone?

[Based on my years of clinical experience, it seems to be a biliary parasite. 】

The old directors with a lot of clinical experience don't even know how to land in Xinglin Garden. 】

[I'm 59 this year, and I'm an old director with a lot of clinical experience, but I'm keeping pace with the times, can you manage it?]

In the live broadcast room of Xinglinyuan, the topic was instantly crooked.

However, judging from the strange shape, it really doesn't look like a simple gallbladder stone.

After removing the stones in the cystic duct and left and right liver ducts, the surgeon began to rinse with warm salt water to suck out more sediment-like stones.

Then, in a rare occurrence, the surgery began to pause.

[Call call, is it stuck in the live broadcast room? If you see the barrage, please reply, please reply. 】

[I feel the same way, I feel much better when I see you calling me.] 】

[It's not jamming, it's that the surgeon has to prepare the next step of the operation equipment, which is estimated to be cholangioscope.] 】

After determining that it was not a network problem or a problem in the live broadcast room, the particularly rare surgical termination state caused countless barrages.

Everyone speculated about what was going on.

[I went to have diarrhea, once I had acute enteritis, an appendectomy ran to the bathroom eight times, and I had to brush my hands and change clothes every time. After brushing my hands, I want to have diarrhea again. That kind of painful experience, I feel congested when I think about it, and I beg for comfort. 】

[It may be an incision of the gallbladder to see if there is any cancer.] 】

[Maybe the surgeon is dizzy. 】

In the hundreds of barrages, everyone chatted very much, but no one was worried about the operation.

Joke, not to mention anything else, just the proficiency of blunt separation and anatomy, the surgeon should be an old professor about sixty years old, may not be able to do a tertiary operation?

In the operating room, Zheng Ren stopped and asked Chu Yanzhi to open the instruments he bought in the system mall, put the fiberscope on the instrument table, and then put on the connector for himself, so that he could observe the picture detected by the fiberscope with the naked eye.

Chu Yanzhi and Zheng Ren are both 172cm tall. In order to put a connector on the top of Zheng Ren's head, she moved a footstool.

"Mr. Zheng, where did this instrument come from?" Chu Yanzhi had a similar operation in West China, but had never seen this kind of instrument.

"Do it yourself. Zheng Ren talked to death with a word.

"Stingy. Chu Yan said angrily: "I don't care if you want it, why don't you tell it?"

Zheng Ren is also very helpless, he can't tell Chu Yanzhi that he has a system mall. But what if she went shopping?

Suddenly, my thoughts galloped like a wild dog, if it was a female system mall, would there be a big reward on the day of Double 11?

After putting on Zheng Ren's equipment, Chu Yanzhi said with interest: "Sister, if the operation can be successful, it seems that I can write a SCI." ”

"It should be okay, or the kind with an impact factor of 3 or more. Chu Yanran sat next to the ventilator, holding the operation record sheet in her hand, quietly observing the various data displayed on the ventilator and monitor, so as to adjust the dosage of drugs.

Only during the operation did the Chu sisters behave completely differently.

Zheng Ren didn't understand whether this was some rare way to identify twins.

The picture in the live broadcast room of Xinglin Garden was distorted for a while, and then switched to the field of view mode of the fiber mirror.

[I'll go, it's an electronic fiber mirror!]

[High-end, we all use the No. 5 urethral catheter to flush, flush, and constantly flush to determine whether there are any residual stones. 】

[I have a professor here who uses a fiberscope, but it is rarely used, and many people do not use it well, especially the fiberscope uses forceps to remove the remaining small stones, and the kind of micromanipulation is simply comparable to neurosurgery. 】

The camera went inside, and the picture that appeared made the atmosphere in the live broadcast room sober.

The traditional style of the barrage disappeared, and everyone looked at the white silk thread attached to the wall of the common bile duct in amazement.

It's not a gallstone, it's a parasite!

These white silk threads are definitely not purulent objects caused by inflammation and oozing, but are elongated parasites attached to the cystic duct.

Most of the stones that are removed are also the products of the parasite being wrapped and organized by the inflammation secreted by the body.

[Which one told me what to do if I encounter a parasite? 】

A little doctor is skinned in the live broadcast room.

In general, as long as someone starts, someone will follow along. In the operating room, in the live broadcast room, not only is it the same, but it will be more presumptuous.

But this time the live broadcast room was extremely cold, and a barrage slid from the right side of the screen to the left side of the screen alone, and no one paid attention to him.

The little doctor was very amusefully silent.

All the doctors who watched the live video had a bad premonition in their hearts that this operation seemed to be going to happen.

Will you just observe it like this, and then symbolically move the parasite, find that the adhesion is strong, and remove it may damage the lining of the common bile duct, and then give up?

This is a great possibility!

Not enough to see the dense white silk thread-like parasites with their own eyes, everyone is satisfied.

Moreover, most people have a blind trust in the practitioner in the live broadcast room, he is omnipotent! Since he dares to start the live broadcast, he will expect this situation.

Reminiscent of the time when the operation was paused, many doctors began to be stunned.

Could it be that the surgeon has already diagnosed the patient with parasitic biliary obstruction, and the surgical instruments have been prepared?

Even if it's ready, it's not a good idea.

So far, the removal of the parasite is only a preliminary attempt. After all, the likelihood of parasites in populations in developed regions is low, and most parasitic diseases occur in Africa.

And expect a medical master to specialize in the surgical removal of parasites...... Basically impossible.

Even if the doctor is willing, for the sake of boundless love and sincerity, those medical device companies that get into the eyes of money are not willing to design a separate set of equipment for surgical use.

Even if designed, Africa's spending power is limited.

So far, the operation has evolved from a "simple" obstructive purulent cholangiotomy and drainage to an unknown procedure.

What did the surgeon in the live broadcast room have to do to complete this operation of unknown difficulty?

Or does he just want to observe and then give up?