In general, CT scan of the accessory spleen shows a smooth mass with margins of less than 2 cm, and the donor artery connection of the splenic artery can be seen.

Ultrasound does not have the function of CT and cannot be as accurate as CT.

It's just that the patient's condition is urgent and he is an emergency patient, so it is impossible to give Lin Yi time to do CT, so Lin Yi can only choose laparotomy.

After changing into isolation clothes, since the time was already more than eleven o'clock in the evening, Lin Yi made a call to the medical office and asked his colleagues in the pathology department to work overtime, the lump in the patient's body was too far away from the upper abdomen, and Lin Yi suspected the possibility of a tumor.

If you want to rule out that the tumor is not tumor tissue, you can only make a pathological diagnosis, Lin Yi explained it to the patient in detail when he made the preoperative explanation.

I am afraid that the lump is a tumor.

Lin Yi also considered laparoscopic surgery that would cause less harm to the patient, but the small hole in laparoscopic surgery, if it is determined that it is the patient's accessory spleen, this small hole cannot be removed from the accessory spleen.

As for the crushing treatment, Lin Yi didn't dare to take the risk, once there was tumor tissue in the accessory spleen, after it was broken, it would spread directly, and the patient would become an advanced stage of cancer.

Everything was almost ready, Lin Yi called Zhang Ting, and then brushed his hands to prepare for surgery.

The anesthesiologist has finished anesthesia, and since Zhang Ting has not yet arrived, Lin Yi began to disinfect by himself, laid out the sterile sheet, and prepared to open the table.

Turning on the shadowless lamp, Lin Yi glanced at the determined surgical area and frowned, the patient is still a little girl, and the operation directly on the abdomen may have a bad impact on the patient.

Lin Yi thought about it for a while, and decided to make an incision from the left rectus abdominis muscle close to the lower abdomen, and the length of the incision was about 7cm, which was a medium and long incision.

This incision is the smallest incorpoline that Lin Yi can accept, and the blood vessels must be explored during the operation, the incision is too small, and the extension of the incision during the operation is even worse for the patient.

The scalpel gently cuts through the patient's skin, and Lin Yi bluntly separates the subcutaneous tissue and fat, all the way to the peritoneum.

The patient is not fat, the figure is well maintained, the fat layer is not thick, and the surgery is relatively easy to do.

After Lin Yi cut open his abdomen, Zhang Ting walked in in an isolation gown, saw Lin Yi walking up to the operating table alone, and asked, "Doctor Lin, can I go on stage?" ”

Lin Yi nodded, it is better to have an assistant than not to have an assistant.

Zhang Ting came to the stage to help Lin Yi pull the big retractor hook and pull the skin and muscle tissue of the patient's lower abdomen apart.

A dark red piece of soft tissue sits next to the ovaries.

Seeing the dark red soft tissue, Zhang Ting's eyes widened, and she admired Lin Yi from the bottom of her heart.

If Zhang Ting uses the surgical method of ectopic pregnancy to come to power according to Zhang Ting's own ideas, I am afraid that Zhang Ting will be dumbfounded by opening the abdomen, and can only explain to the patient's family with the abdomen.

Lin Yi held the pliers in his hand and began to carefully separate the soft tissue, but fortunately, the soft tissue did not appear to be adhered to other organs.

The barrage in the live broadcast room was suddenly released:

"Is this an accessory spleen? Why in such a deep place, shouldn't it be in the upper abdomen? ”

"Brother Yi should be worried that there is a malignant tumor in this accessory spleen, and the method of separation is the method of isolating the tumor."

Lin Yi carefully separated the accessory spleen, and after the separation, wrapped the accessory spleen with wet gauze, and then touched his fingers up along the blood supply artery to find the point that needed to be ligated, and cut it off and ligated.

"This paraspleen is a bit strange, it actually has a spleen, this is the first time I've seen it."

"Isn't it just an operation to ligate the parasplenic artery, how to do it so carefully, and two people need to do it, is the surgeon old?"

"In the past, the surgeon did it alone, so is there anything special about this operation?"

Some sailors who are doctors in the live broadcast room have expressed their doubts, this operation is really a simple ligation of the paraspleen, just after the ligation, what does he want to do?

Lin Yi was still free of the connective tissue next to the accessory spleen feeding blood vessels, all the way up.

The itinerant nurse suddenly walked in and said, "Doctor Lin, someone from the pathology department is here." ”

"Let them wait five minutes." Lin Yidao.

Zhang Ting exposed the surgical field to Lin Yi, and Lin Yi found that the blood vessels of the accessory spleen were a little long, and the adhesions of the surrounding tissues were not serious, but the distorted sections of the blood vessels were seen in the flat part of the duodenum.

It's just that Lin Yi didn't separate the distorted blood vessels, because once the donating blood vessels are opened, the restoration of blood supply can easily lead to the spread of tumor tissue in the accessory spleen, and may even cause bacteremia.

"I know, it turns out that Brother Yi is looking for this section of twisted blood vessels."

"This blood vessel is too long, the distortion time should not be long, and the surgeon should be ready to do a pathological examination of the accessory spleen."

Lin Yi stretched out his hand, Wang Qiaoya slapped the hemostatic forceps into Lin Yi's hand, and Lin Yi followed the blood vessels to find the spleen hila, which is the birthplace of the parasplenic artery branch.

"The retractor is a little up." Lin Yidao.

Zhang Ting nodded hurriedly and continued to expand her field of vision with a retractor, and Lin Yi found the position he wanted.

But Zhang Ting couldn't see the situation at all because of the hook, and when she saw Lin Yi pause, she thought that Lin Yi was going to make a delay.

"Doctor Lin, are you going to make a Yankou?"

"No, you don't." Lin Yi reached out to touch, and with his other hand, he wanted to pass the sharp knife, and began to operate blindly without a field.

A section of blood vessel was pulled out of the abdominal cavity by Lin Yi, and the tissues on the front blood vessels had been separated by Lin Yi.

"Send it for a frozen biopsy." Lin Yidao.

The itinerant nurse hurriedly came over and took the pathology basin away.

Lin Yi slapped the sharp knife aside, reached out to take the needle holder, and began to stitch in the narrow space.

"Dr. Lin, are you sure you have sutures like this?" Zhang Ting looked at Lin Yi in shock.

Zhang Ting knew that she had opened a surgical field, and it could be said that there was only a little bit of the surgical field that could suture Lin Yi, and in such a small surgical field, Zhang Ting could only say that it was incredible to do all the vascular suturing work.

When the last blood vessel was sutured, Lin Yi began to flush the abdominal cavity.

"Dr. Lin, don't you want to check and clean again? Could it be a malignant tumor? Zhang Ting reminded.

"No, it's not a malignant tumor." Lin Yi began to close the abdominal cavity, "Because the surface of the accessory spleen is smooth and there is no adhesion with the surrounding tissues, if it is a malignant tumor, it should have metastasized." ”

The real report still has to wait for the pathology department to come out.

In the operating room, Lin Yi did not leave, and he had to wait for feedback from the pathology department before Lin Yi could officially end the operation.

After waiting for more than an hour, the pathology results came out and were negative.

Lin Yicai ended the operation with confidence, and the patient woke up from general anesthesia and was sent out of the operating room.

Back in the room, the door was slammed open.

A doctor immediately walked in.

"Hello, Dr. Lin. I am Wang Qiang, the attending doctor of neurosurgery. ”

"What's the matter?"

Lin Yao looked at him and couldn't help asking.

"Yes, in the morning, our neurosurgery department came to a patient with intracranial vascular malformation, and he needed to do interventional imaging to confirm the diagnosis."

"But I didn't expect that when I pushed the contrast agent, the operation error pushed the guidewire in!"

"What?!"

Lin Yi suddenly gasped.

Originally, if it was just a movie, ten or twenty minutes would be fine.

But such a simple imaging, not to mention the long time it takes, how careless it takes to push the guidewire forward.

The guidewire is smooth, has minimal resistance, and travels through the blood vessels, whether it is to the heart or the blood supply artery to the brain.

"The situation is a little difficult, we thought of you, I don't know if you can handle it?"

Wang Qiang looked at Lin Yi and said.

"Let's go!"

After Lin Yi finished speaking, he asked Wang Qiang to take him to the operation room.

Entering the operation room, all the doctors in the interventional department who did not come to the stage came, and the director of the vascular surgery department had a gloomy face, walking back and forth between the operations with his hands behind his back.

The advent of vascular surgery means that once the interventional doctors cannot remove the guidewire swimming in the blood vessels, then they will come to the stage and operate to remove the guidewire.

The incision to remove the guidewire and the intracranial incision is no joke.

If you have surgery, you have to pray for good luck, the guidewire does not flow in the blood vessels, and once it slips away, you have to cut it in another position, so that the blood does not flow? That's when people die!

This kind of open surgery is easy to make a lot of incisions, and the operation is extremely difficult.

At this time, the deputy director of the interventional department was furious, and he couldn't wait to pull the doctor out and scold him!

No one dared to talk much in the operation room, and to speak now was to find death.

The patient is lying on the operating table, life and death are uncertain, although the person seems to be fine, but once the guidewire travels to the critical site, the patient can die at any time.

This is equivalent to having a time bomb in the patient's body that could explode at any time, and no one is sure when it will be bandaged.

In the event of an outbreak, both the doctor and the patient will pay a terrible price.

In the operating room, two interventional doctors were sweating profusely and were "fishing" the guide wire, and there was a doctor standing behind them, who seemed to be directing the two.

On the screen in the operation room, the two guidewires are entangled, and the interventionist constantly changes the angle and tries to remove the guidewire.

Wang Qiang glanced at Lin Yi, Lin Yi's face was very calm, but Wang Qiang was very panicked.

On the screen, the black shadow of the guidewire under the X-ray is trying to touch the free guidewire, the object that hooks the guidewire, has a kickback on its head, and tries to buckle the free guidewire.

However, after doing a winding action, the two guide wires did not become entangled, but separated with the operator's operation.

For a moment, there was a neat sigh in the operation room.

It's definitely no fun!

The guidewire falls off in the blood vessel because the surface is extremely smooth, and the possibility of taking it out is very small, and the vast majority of vascular surgery is involved, and the success rate is three to five percent, which is pitiful.

The best way is to use interventional techniques to remove the guidewire, but their interventional doctors have basically tried, and they can't take it out.

The director of the vascular surgery department frowned more and more, and his face became more and more gloomy, which made the situation more and more serious, and he was ready to take the stage.

The two doctors on the operating table looked up at the lead-made glass and looked at the operating room, and they could see deep despair in their eyes.

"I'll give it a try."

Suddenly, Lin Yi, who was standing next to him, said.

Everyone immediately looked at him.

"Dr. Lin, can you handle it?"

The deputy director of the interventional department immediately asked Lin Yao.

"I'll try it, get me a 5F micro guidewire." Lin Yi said to Wu Ming.

"That's good."

The deputy director of the interventional department nodded.

The nurse hurriedly found a micro-guidewire and handed it to Lin Yi.

Lin Yi stood in the position and did not rush to the operation, but picked up the micro-guidewire and asked for a hemostatic forceps to slightly roll up the front end of the micro-guidewire to form a barb.

This method, in fact, is what they tried just now, but the guidewire is too slippery to take out at all.

Lin Yi completed this step and began to follow the arterial sheath to the micro guidewire.

Lin Yi sent the micro guide wire in and began to step on the wire.

Thirty seconds, the microguidewire reaches the vicinity of the free guidewire.

In one minute, the guidewire free in the blood vessel was directly covered by Lin Yi's microwire.

When the deputy director of the interventional department saw this scene, he held his breath, he also observed Lin Yi's movements just now, except for a slight movement of his wrist, there was no extra movement, not like fishing just now.

Lin Yi smoothed out the guide wire little by little, and the people in the operation room were stunned.

How long has it been? Two minutes? The guidewire was smoothed out?

The doctor who was Lin Yi's assistant became short of breath, and the whole person became excited, and after the tension in his heart was released, all that was left was unstoppable trembling.

"Don't shake, shake while shaking!" Lin Yi shouted.

You must know that this kind of delicate interventional surgery, the action of the assistant will be affected, and once it is decoupled, the previous efforts will be lost.

Lin Yi will not be polite to him in the face of surgery.

When the assistant heard this, he hurriedly suppressed the excitement in his heart and held his breath again.

Lin Yi crossed his hands to operate, hooked out the guidewire smoothly, put the two guidewires on the sterile sheet, stopped stepping on the wire, and turned around and stepped off the stage.

"Dr. Lin, wait for me!" Wang Qiang reacted and hurriedly chased after him.

"Doctor Wang, your neurosurgery is not done yet, let them continue to do it first." Lin Yi changed his clothes and said.

Wang Qiang nodded, and Lin Yi changed his clothes and returned to the operation room.

In the operation room, the room full of people looked at Lin Yi who came in stunned, and they still looked incredulous.

Even though the guidewire on the image was gone, they still felt like they were in a dream.

Several department directors have tried before, but no one has a way, otherwise the head of the medical department would not have chosen the most risky method - to open the knife to remove the guidewire.

But the young doctor who didn't believe it fished out the guidewire in two minutes, and many people even found that the operation was over before they could look closely.

They were greatly shaken in their hearts.

I never thought that Lin Yi, a doctor in the emergency department, would have such a brilliant method and do it so easily with such a difficult operation!

It's incredible!

Then, they went to surgery again!

After the operation was successful, everyone couldn't help but breathe a sigh of relief, and Lin Yi walked out of the operating room.