Chapter 63 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 or not, but if you don't understand it, it's too much.
This kind of basic quality is still available to many doctors from the academic class.
It's time to take the stone below, everyone thought. Indeed, the common bile duct has been incised, and the next step is to incision and take out the stone to improve the patient's symptoms of obstructive jaundice.
Zheng Ren stretched out his hand and slapped it with a specially made stone pliers. This is routine equipment in the operating room, but it is rarely used. Xie Yiren has been observing Zheng Ren's movements, and when he needs it, corresponding equipment will be handed over.
In the live broadcast room, many people feel envious and jealous.
Take a look at the nurses who are supporting them. They are really skilled. Take a look at your own family, one is more tempered than the other, and the unconventional operation of handing out stone pliers can only be known by reminding.
In more cases, it was only after being reminded that it was discovered that the stone removal forceps were not equipped at all, and the itinerant nurses had to go to the disinfection room to get the sterile stone removal forceps package.
It takes a few minutes to come and go, how can the practitioners in the live broadcast room be so relaxed and comfortable.
What's more, the stone tongs are not sterilized at all...that's a nightmare!
But envy is envy, and life has to be lived.
The pliers went into the common bile duct, one piece, two pieces, three pieces... No, why is the shape so weird? Is it not a stone?
[Based on my years of clinical experience, it seems to be a gallbladder parasite. 】
[With many years of clinical experience, what are you blowing? The old directors with a lot of clinical experience don't even know how to land in Xinglinyuan. 】
[I am 59 this year, and I am an old director with a lot of clinical experience, but I keep pace with the times, can you manage it? 】
In the live broadcast room of Xinglinyuan, the topic went wrong in an instant.
However, judging from the odd shape, it does not look like a simple gallstone.
After removing the cystic duct and the stones in the left and right hepatic ducts, the surgeon in the live room began to rinse with warm saline to suck out more sediment-like stones.
Then, the surgery rarely came to a halt.
[Calling, is the live broadcast room stuck? If you see the barrage, please reply, please reply. 】
[I feel the same way, I feel better when I see you calling me. 】
[It's not Caton, it's the operator who needs to prepare the next operation equipment, which is estimated to be a cholangioscope. 】
After it was determined that it was not a network problem or a problem in the live broadcast room, the extremely rare operation termination status caused countless barrages.
Everyone speculated about what happened.
[I'm going to have diarrhea. Once I had acute enteritis, an appendectomy went to the bathroom eight times, and every time I had to brush my hands and change my clothes. After brushing my hands, I want to go to diarrhea again. That kind of tragic experience, I feel heartbroken when I think about it, I ask for comfort. 】
[It may be to open the gallbladder to see if there is any cancer change. 】
[Perhaps the surgeon may faint. 】
In the hundreds of barrages, everyone chatted very much, but no one worried about the operation.
A joke, nothing else, just the proficiency of blunt dissection and anatomical structure, the surgeon should be an old professor around 60 years old, is it possible that he can't perform a tertiary surgery?
In the operating room, Zheng Ren stopped and asked Chu Yanzhi to open the equipment he had purchased in the system mall, put the fiberscope on the instrument table, and 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 the connector on Zheng Ren's head, she moved a footstool.
"Mr. Zheng, where did this instrument come from?" Chu Yanzhi had undergone a similar operation in West China, but had never seen such an instrument.
"I did it myself." Zheng Ren killed the sky in one sentence.
"Stingy." Chu Yan said angrily, "I don't care what you want, why don't you tell me?"
Zheng Ren is also very helpless. He can't tell Chu Yanzhi that he has a system mall. But if she wants to make up a place, what if she goes shopping? Might as well mess with it.
All of a sudden, his thoughts galloped like wild dogs. If women had a system mall, would they have a big reward on Double Eleven?
After putting on the equipment for Zheng Ren, Chu Yanzhi said with interest: "Sister, if the operation is successful, it seems that I can write an SCI."
"It should be possible, or the one with an impact factor of 3 or higher." Chu Yanran sat beside the ventilator, holding the surgical record sheet in her hand, quietly observing the various data displayed on the ventilator and the monitor. This adjusts the dosage of the drug.
Only during the operation did the Chu sisters behave very differently.
Zheng Ren didn't understand whether this was some kind of rare identification method for twins.
The screen in the live broadcast room of Xinglinyuan was distorted for a while, and then switched to the field of view mode of the fiberscope.
[I'm going, it's an electronic fiberscope! 】
[High-end, here we use the No. 5 urinary catheter to rinse, rinse, and rinse continuously to determine whether there are residual stones. 】
[I have a professor who has a fiberscope here, but it is rarely used. Many people do not use it well, especially the use of forceps to remove the remaining small stones under the fiberscope. That kind of microscopic manipulation is almost comparable to neurosurgery. 】
The camera went inside, and the picture that appeared made the atmosphere of the live broadcast room solemn.
The traditional barrage disappeared, and everyone looked at the white silk thread attached to the wall of the common bile duct in astonishment.
It's not a gallstone, it's a parasite!
These white silk threads are definitely not purulent objects caused by inflammatory exudation, but slender parasites attached to the cystic duct.
Most of the removed stones are also the product of parasites wrapped and organized by the inflammation secreted by the body.
【Who told me what to do when encountering parasites? Online wait, very urgent. 】
A little doctor is wearing skin in the live broadcast room.
Under normal circumstances, as long as someone starts, someone will follow. In the operating room, in the live broadcast room, not only the same, but also more presumptuous.
But this time the live broadcast room was extremely cold, and a barrage slid alone from the right side of the screen to the left side of the screen, and no one paid him any attention.
The little doctor kept silent.
All the doctors watching the live video had a bad premonition in their hearts, and the operation seemed to be going away.
Would you just observe it like this, and then move the parasite symbolically, and find that the adhesion is so strong that removing it may damage the intima of the common bile duct, and then give up?
This possibility is great!
It is not enough to see the dense white silk thread-like parasites with your own eyes, and everyone is satisfied.
And most people have a blind trust in the artist in the live broadcast room, he can do anything! Since I dared to start a live broadcast, I would have expected this situation.
Thinking of the time when the operation was suspended, many doctors began to be stunned.
Could it be that the surgeon has already diagnosed the patient with parasitic bile duct blockage, and the surgical instruments have already been prepared?
Even if you are ready, there is no good way.
So far, the removal of parasites is only a preliminary attempt. After all, populations in developed regions are less likely to develop parasites, and most parasitic diseases occur in Africa.
And expecting a certain medical expert to specialize in the surgical removal of parasites... is basically impossible.
Even if the doctor is willing, for the sake of great love and sincerity, those medical device companies who have been in the eye of the money will not design a set of equipment alone for surgical use.
Even if it is designed, Africa's spending power is limited.
So far, this operation has evolved from a "simple" obstructive suppurative cholangiotomy and drainage to an unknown surgical procedure.
What should the surgeon in the live broadcast room do to complete this difficult operation?
Or did he just want to watch and give up?
Thank you Zongzi Bule, for the reward, please recommend the ticket~~~