Professor Li pushed the equipment over, and Director Liang didn't say anything, and directly started the ERCP+SpyGlass operation.

During the operation, a huge stone was found in the common bile duct, and Professor Li made an RT incision of about 12mm, which Director Liang felt was not possible, and then expanded to 15mm. Exit the expansion airbag and see that there is lithotripsy discharged, and the stone removal balloon is exchanged and dragged out of part of the lithotriple.

Stepping into SpyGlass, Director Liang held the balance, like a red and white gamepad in the 90s of the last century, looking left and right from time to time. Although the technology has "improved", he is still careful and does not dare to be careless.

It's pretty much the same as just now, except that last time it was just to take a look at the pancreatic duct of the pancreas, and this time it's time to use the SpyGlass device to laser lithotripsy.

Laser lithotripsy cannot be operated blindly, and the effect is better under direct eye vision, and it is not easy to cause secondary damage.

According to the muscle memory, Director Liang slowly sent the guidewire and mirror in, ready to push to the position of the common bile duct stone, and then laser lithotripsy.

If this kind of surgery can be taken down, it can be said that his level has reached the leading domestic and world-class level, Director Liang thought proudly.

But when the mirror goes in, it doesn't always go well. Stumbling, especially disturbing.

Director Liang was already very careful, and he extended the incision of the duodenal large RT from 12mm to 15mm, which is almost the limit size.

But when he exerted his force, the guidewire slipped out directly, and then the mirror slid out along the guidewire.

The operation of the SpyGlass device is definitely not used to it, so Director Liang calmed down and tried again.

However, the result is still the same.

He was stunned for a moment, the process of surgery in front of him was completely different from the operation process just now. The feeling of drinking nectar was gone, and only the incomparable jerky remained, which made Director Liang feel quite uncomfortable.

Director Liang simply stopped the operation, looked at the screen in a daze, and pondered the difference between the two operations in his heart.

Could it be that it is the relationship between Mr. Wu's assistance?

No, the operation of the SpyGlass device, the general assistant is a nurse, and there is no need to do anything at all, just help to hold the optical cable of the guide wire and the lens.

Odd!

Director Liang stopped the movement in his hand, stabilized his mind, rested for 20 seconds, and then continued to operate.

Re-enter the lens and straighten the lens body, but the field of view is always blocked by the incision and expansion of the RT tissue, and the axial deviation is repeated.

The SpyGlass device is standing on ice in the bile ducts, and it is simply unstable and cannot be fixed.

Because it could not be fixed, Director Liang did not dare to use laser stone crushing at all. What if the laser hits the biliary tract and penetrates it directly? The 84-year-old man is already very weak, so he chooses ERCP stone removal, which is the least damaging method.

Is it necessary for surgery to come to the stage for surgery? This is the last step, and surgical means will certainly not be used unless absolutely necessary.

Try again, Director Liang recalled for a long time and cheered himself up.

Director Liang tried many times, but the results ended in failure. Finally, part of the gravel is dragged out under the long mirror body and placed into the nasobiliary duct.

"Director, if it doesn't work, let's get a plastic bracket. Professor Li saw that the director was like falling into an evil spirit, and he tried again and again knowing that it would not work, so he whispered to persuade him.

Strange, Director Liang looked at the screen, trying to find the feeling when he had just examined a patient with pancreatic problems.

But he hesitated for a long time and tried many times. But that feeling is gone, and no matter how hard I try to remember, I still can't remember it. The fingers are like no slits, and you can't find any feeling.

Director Liang looked at the screen and stopped again.

Seeing that the director didn't say a word, Professor Li reminded in a low voice, "Director, or ......."

"Wait a minute. Director Liang said, "Xiao Mu, take my mobile phone and call Dean Xue." ”

Professor Li was stunned for a moment.

Although Dean Xue is the old director of the Department of Gastroenterology, he has never been in contact with ERCP equipment. Looking for foreign aid on the stage is not such a way to find it.

Besides, Dean Xue has already gone to the newly opened Fifth Hospital of the Medical University in Bajingzi, what is the use of looking for him? Professor Li glanced at Director Liang suspiciously, and found that he was actually serious!

A nurse picked up Director Liang's mobile phone and asked, "Director, what is the password?"

“123456。 Another old nurse said.

"Director, you are really above board, the mobile phone is so simple to even have a password, you are not afraid of your lover's check. ”

"Hurry up and call, have surgery, and be in the mood to say this. Director Liang reprimanded.

The little nurse stuck out her tongue and hurriedly found Dean Xue's phone wave and called. The phone prompt sounded, and the little nurse put the mobile phone to Director Liang's ear.

"Dean Xue, it's me, Xiao Liangzi. Director Liang said at the moment the phone was connected.

"I have a problem here, could you please ask if you and Teacher Wu are gone?"

"Oh oh oh, good. ”

Teacher Wu: The eyes of the little nurses lit up in unison.

But what Professor Li was thinking about was another thing - Director Liang was fighting with Dean Xue and Teacher Wu, could it be that he really wanted to leave?!

"Hello, Mr. Wu. Director Liang ignored the thoughts of the doctors and nurses around him, and greeted Wu Mian as soon as he took Dean Xue's mobile phone, and he briefly reported his medical history and difficulties encountered in the operation.

"Director Liang, if it's convenient for you, add me WeChat, send me the operation video, and I'll take a look at the whole process. Wu Mian said.

The ERCP room, like the interventional operating room, has radiation and radiation. So when the operating room was built, the materials were completely different from the materials of other buildings, and the signal shielding here was quite severe.

Can't video at the same time as the operation, let Mr. Wu guide, Director Liang is a little apprehensive.

After sending the existing information, Director Liang stood at the patient's head and looked at the image on the screen with some blankness.

The exhilarating feeling of the past is gone, and all that remains is endless emptiness, loneliness, and ...... Cold.

If it was a sage moment, Director Liang would have endured it. But this is the power that I don't know where to play myself, and it is estimated that I am inexperienced, and I can't think of a success as my own.

"Director Liang, are you there?" Wu Mian's voice came from the phone.

"Yes, yes, Mr. Wu, you speak. ”

"You're in a hurry. Wu Mian's voice came faintly, "The SpyGlass device is not proficient in operation, and it is very difficult to break such a large stone." ”

"But ......" Director Liang hesitated, and did not refute Wu Mian's words very rationally.

"Director Liang, I was here before, it must be different. Wu Mian said with a smile, "Don't worry, there are a few questions here, let me tell you, you can see if it's okay." If not, I'll rush back. ”

Are you there? Director Liang was stunned for a moment.

His heart moved, and he vaguely understood why his previous surgery had gone so smoothly.