The Surgeon’s Studio

Chapter 64: 0063 Parasites in the bile duct

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At this stage of the operation, all the doctors in Xinglin Garden can understand it.

Whether you know how to do it or not is one thing, but if you can’t understand it, that’s too much.

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

It’s time to remove the stones, everyone thought. Indeed, the common bile duct has been incised, and the next step is to incise and remove the stone to improve the patient's obstructive jaundice symptoms.

Zheng Ren reached out and took a pair of specially made stone pliers in his hand. This is routine equipment in the operating room, but is rarely used. Xie Yiren has been observing Zheng Ren's movements, and when he needs it, the corresponding equipment will be handed over to him.

In the live broadcast room, many people felt envious and jealous.

Look at their desk nurses, they are so skilled. Look at the people in your own home. Not only are they more temperamental than the other, but you can only tell them by reminding them about such unconventional operations as handing out stone tongs.

More often than not, it is discovered after being reminded that the stone extraction forceps are not equipped at all, and the circulating nurse has to go to the disinfection room to get a sterile stone extraction forceps pack.

It only takes a few minutes to go back and forth. How can any artist in the live broadcast room be so relaxed and comfortable

What's even worse is that the stone removal forceps were not sterilized at all... It was simply a nightmare!

But envy is envy, life has to go on.

The pliers inserted into the common bile duct, one piece, two pieces, three pieces... No, why is the strong shape so weird? Isn't it a stone

Judging from my many years of clinical experience, it seems to be a parasite in the gallbladder.

You still have many years of clinical experience, so what are you talking about? Senior directors with many clinical experiences don’t even know how to log into Xinglin Garden.

I am 59 years old and I am an experienced director with a lot of clinical experience. But I keep pace with the times. Can you take care of me

In the Xinglinyuan live broadcast room, the topic suddenly changed.

However, judging from the weird shape, it does not look like a simple gallbladder stone.

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

Then, in a rare moment, the surgery began to stall.

Call, is the live broadcast room stuck? If you see the barrage, please reply. Please reply.

I feel the same way, I feel much better when I see you calling.

It's not a lag, it's because the surgeon needs to prepare the equipment for the next step, which is probably a cholangioscope.

After it was determined that it was not a network problem or a problem in the live broadcast room, the particularly rare operation termination status triggered numerous barrages.

Everyone speculated what happened.

I must have had diarrhea. One time I had acute enteritis and had to go to the bathroom eight times for an appendectomy. I had to wash my hands and change clothes every time. After brushing my hands, I wanted to have diarrhea again. That kind of painful experience makes me feel heartbroken when I think about it. I beg for comfort.

It may be possible to cut open the gallbladder to see if there are any cancerous changes.

Maybe the surgeon got dizzy.

In the hundreds of comments, everyone was chatting happily, but no one was worried about the surgery.

It’s a joke, if nothing else, just based on his proficiency in blunt dissection and anatomical structures, the surgeon should be an old professor in his sixties. Is it possible that he wouldn’t be able to perform a third-level surgery

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

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

"Mr. Zheng, where did this equipment come from?" Chu Yanzhi had performed similar surgeries in West China, but had never seen this kind of equipment.

"I made it myself." Zheng Ren chatted to death with just one sentence.

"Stingy bitch." Chu Yanzhi said angrily: "I don't care if you want it, so why didn't you tell me?"

Zheng Ren was also helpless. He couldn't tell Chu Yanzhi that he had a system mall. But if you have to make up a place, what if she goes shopping? Might as well fool around like this.

Suddenly, my thoughts started racing like a wild dog. If there was a systematic mall for women, would there be big rewards on Double Eleven

After putting on the equipment for Zheng Ren, Chu Yanzhi said with interest: "Sister, if the operation is successful, I think I can write an article in sci."

"It should be possible, and the impact factor is above 3." Chu Yanran sat next to the ventilator, holding the surgical record sheet in her hand, quietly observing the various data displayed on the ventilator and monitor, borrowing This adjusts the drug dosage.

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

Zheng Ren didn't know if this was some rare way of identifying twins.

The picture in the Xinglinyuan live broadcast room was distorted for a while, and then switched to the field of view mode of the fiberscope.

Let me go, it’s an electronic fiberscope!

At the high end, here we use a No. 5 urinary catheter to flush, flush, and flush to determine whether there are any remaining stones.

I have professors who use fiberscopes here, but they are rarely used. Many people cannot use them well, especially when using forceps to remove residual small stones under fiberscopes. That kind of microscopic operation is almost comparable to neurosurgery.

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

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

It’s really not gallbladder stones, but parasites!

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

Most of the stones that were removed were the products of parasites being wrapped and organized by the inflammation secreted by the body.

Can anyone tell me what to do if I encounter parasites? Waiting online, quite urgent.

A little doctor was wearing skin in the live broadcast room.

Normally, as long as someone starts, others will follow. It's the same in the operating room, and in the live broadcast room, it's not only the same, but even more outrageous.

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

The little doctor remained silent knowingly.

All the doctors who watched the live video had a bad feeling that the operation seemed to be stalled.

Would you just observe it like this, then move the parasite symbolically, find that it is strongly adhered, and removing it may damage the lining of the common bile duct, and then give up

This possibility is great!

It was not enough to see the dense white thread-like parasites with our own eyes, and everyone was satisfied.

And most people have a blind trust in the artist in the live broadcast room, he is omnipotent! Since you dare to start a live broadcast, you will expect this situation.

Thinking back to the time when the operation was suspended, many doctors began to be stunned.

Could it be that the surgeon has diagnosed the patient with parasitic biliary obstruction and has all the surgical instruments ready

Even if it is prepared, there is no good solution.

So far, parasite removal surgeries are only preliminary attempts. After all, the probability of parasites developing in the population in developed areas is very low, and most parasitic diseases occur in Africa.

And it is basically impossible to expect a certain medical expert to specialize in the surgical removal of parasites...

Even if doctors are willing, for the sake of boundless love and the sincerity of great doctors, those medical device companies who are obsessed with money are unwilling to design a separate set of equipment for surgical use.

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

So far, this operation has evolved from a "simple" obstructive suppurative bile duct incision and drainage to an unknown technique.

What should the surgeon in the live broadcast room do to complete this operation of unknown difficulty

Or does he just want to observe and then give up