Hou Quanhai followed Xiao Jing to the operating room, and saw that there was a woman in her forties on the operating table at this time.

"What's going on?" Hou Quanhai walked over and asked after getting dressed.

"The director didn't come?" Cheng Kai was stunned when he saw that the person who came was Hou Quanhai.

"The director is not available, let Dr. Hou come over to help." Xiao Jing explained.

"Oh......" Cheng Kai also calmed down a little at the moment, and suddenly remembered that Hou Quanhai definitely stood out in the cholecystectomy, maybe the other party had a way to solve it!

"The preoperative examination is different from the current situation after surgery!"

"Previous abdominal ultrasound showed gallbladder dilation, no gallstones, and a segmental thickening of the gallbladder wall. At the time, I thought it was a segmental adenomyomatosis possibility. However, on oblique scanning, there is no dilated dividing area within the gallbladder and the gallbladder wall is not thickened. CT scan of the abdomen with contrast shows diffuse gallbladder dilation and gallbladder wall thickening. ”

"But I'm doing this after laparoscopy now, what the hell is this?" Cheng Kai frowned. In other words, his previous guess may have been a misdiagnosis!

Hou Quanhai leaned over to take a look and saw that under laparoscopy, gangrene and dilated gallbladder could be seen attached to the liver, rotating counterclockwise around the cystic duct, and the gallbladder appeared congested and bleeding.

Fibrin is deposited in the muscle layer, but the gallbladder neck and surrounding tissues are normal!

"It should be acute gallbladder torsion! So it's normal to misdiagnose! Hou Quanhai said. From clinical analysis, gallbladder torsion is first of all a blood transport disorder, the gallbladder vein is blocked first, and the cystic duct is twisted! Then the disease changes from mild to severe, causing the gallbladder to enlarge and the gallbladder wall to thicken. And it can cause gallbladder congestion, gangrene, hemorrhage. It can also cause yellow sputum, peritonitis. Due to the sudden onset of gallbladder reversal, there is basically an 82%~100% chance of misdiagnosis!

"It turned out that the gallbladder was reversed, no wonder, I have never seen this kind of case!" Cheng Kai looked suddenly enlightened.

"Hehe, don't say it's you, I guess Director Liu hasn't encountered it either! This reversal of the gallbladder is rare. Gallbladder torsion is a rare condition that has only been reported about 500 times in the literature since the discovery of the "floating gallbladder". Gallbladder torsion usually occurs in older women, and emergency surgery is generally recommended. However, only 25% of cases are diagnosed preoperatively. The mechanism of gallbladder torsion remains unclear, but anatomical abnormalities, such as lengthy mesentery and visceral prolapse, are more likely to lead to torsion. "Hou Quanhai Road.

In this case of acute gallbladder torsion, he has world-class experience in cholecystectomy and tens of thousands of surgeries, among all of his surgeries. In the experience of this kind of situation, he could count the operating tables he had encountered on one hand!

Therefore, even if Director Liu comes, he may not have encountered it!

"That'...... So how? Cheng Kai subconsciously estimated that Director Liu had never encountered it, so Hou Quanhai definitely hadn't encountered it either, and the two of them had met now.

But how do you do this surgery?

"Although this disease is rare, the difficulty of the operation is not very high, and the gallbladder is removed!" Hou Quanhai said with a smile. If surgical treatment is not delayed, early cholecystectomy in cases of gallbladder torsion has a mortality rate of 3%. In cases of perforation and biliary peritonitis, the mortality rate increases and can be higher than 5%.

So he didn't think it was a big problem!

"Then I'm going to go ahead with the gallbladder removed?" Cheng Kai asked with a sigh of relief.

"No, you can't start the excision directly, you have to twist and reduce the gallbladder first, otherwise it will hurt the cystic duct and even cause massive bleeding." Hou Quanhai shook his head and said.

If cholecystectomy is not reduced, the problem is big.

This is also why he is fortunate to come and take a look, otherwise Cheng Kai will definitely have something to do like this.

"That'...... This reset ......" Cheng Kai was a little flustered.

"I'll reset it, I'll take over this operation later." Hou Quanhai said with a smile. Reduction must be done carefully, otherwise the cystic duct will be injured or even ruptured.

Moreover, there are many edema adhesions in the neck of the gallbladder torsion, and it is a little difficult to dissect, so the laparoscopic surgery must be operated by a doctor with high proficiency to avoid injury to the cystic duct.

Next, Hou Quanhai carefully operated, first slowly reducing the gallbladder, and then began to remove the gallbladder.

With a world-class level, he naturally has no problem operating.

Ten minutes later, it's done!

…………

Walking out of the operating room, Cheng Kai said with a smile: "This surgical example, we think it can be uploaded to the doctor's forum to show countless peers this rare surgical example." ”

"Haha...... This can be had. Hou Quanhai smiled and nodded.

"Then I can apply to Director Liu."

"I don't care~"

At this moment, suddenly there was a quarrel in the lobby of the emergency department, which was heard by the doctors, nurses and patients of the entire emergency department.

A lot of people are watching!

"What's going on?" Hou Quanhai and Cheng Kai walked over.

I saw a middle-aged man in his thirties holding an eight or nine-year-old boy, the boy's eyes were red at the moment, and his face was still a little frightened.

There was also a well-dressed couple on the side.

At this time, it was this middle-aged man who was arguing with the couple!

"The surname is Kang, if my son has any three long and two short, I want you to look good!" Tang Cang said in tears. His son was bitten by the dog of the Conger couple opposite!

"If you are bitten by a dog and you can't die, didn't we promise to pay for your son's medical expenses? Let me tell you, my Samoyed dog was bought for 80,000 yuan. You just killed my dog, and I want you to pay double the compensation! Do you know how many years it has followed me? Three years, three whole years! I raised him like a son! Fan Xuan said sharply.

"You guys, you are so shameless! Are you at fault in the first place, and do you want me to compensate? It's you who walk the dog without pulling the leash, and your dog bites my son, and if I don't kill it, I don't know what it will bite my son into! If you don't stop your dog when it bites my son, you still want me to compensate? Tang Cang roared angrily.

"I don't care! Anyway, if you kill my dog, you have to pay compensation! Fan Xuan said disdainfully.

"That's it, I have to accompany you!" Of course, Kang Jie supported his wife.

At this time, there are more and more onlookers.

The words of this shameless couple made this honest Tang Cang's lungs almost explode: "Friends, you are commenting, are they still reasonable?" It's their fault in the first place! ”

"That's right, that's it, if you walk the dog without guarding it, and if you bite someone else, you have to compensate the dead dog's money, or it's not a person!" A middle-aged aunt said with disdain.

"What dead dog dead dog? Didn't you know that dogs are good companions for humans? Is a dog's life not a life? Do you know that humans and dogs are equal? Fan Xuan was immediately unconvinced.