Opening Check-In: Back To Ten Years Ago As a Surgeon

Several young doctors began to chat there, whispering.

"Don't say it, this person's hands are really steady."

"Yeah, it doesn't seem to move at all."

"Could it be because it's so far away that it can't be seen on the screen?"

"What you said, I've seen you perform surgery, and you're shaking a lot on the screen."

"As expected of a surgeon at Dongcheng Hospital, the basic skills are good."

"I said you should be more prudent, just make an incision, don't take him to the sky."

At this time, Liu Guang, a surgeon in general surgery, whispered, "I don't believe it anymore. The patient's gallbladder is unlikely to have lesions. Laparoscopic surgery is the most suitable for this operation."

Sun Zhizhong looked back at Liu Guang and said nothing.

Sun Zhizhong thought the same as Liu Guang.

If there is a lesion, it will be more obvious in CT and ultrasound images.

However, the CT and ultrasound images of patient Hu Lumin have all the angles that can be seen. Except for small dark areas in some places, no lesions can be seen.

To say those dark areas are lesions?

It is indeed possible.

But this possibility is very low. It can be said that there are hundreds of the same examples, and none of them can find a single lesion.

For such a low possibility, Sun Zhizhong was very disgusted to change the original relatively easy operation plan.

In Sun Zhizhong's view, this kind of behavior without rubbing the sand is a waste of medical resources.

The surgical beds in the hospital are so tight, and the recovery time for large-scale laparotomy is relatively long, which increases the burden on the hospital and on the patients. It is really worth the loss.

In any case, now Wu Yuan has opened the big wound.

Whether it is necessary to do a large incision laparotomy or whether it is better to do a laparoscopic surgery will be known immediately.

If it turns out that he, Sun Zhizhong, is right and there is no need for a large laparotomy, then Sun Zhizhong will have to talk to this Wu Yuan.

Although Wu Yuan is not a doctor at the Affiliated Hospital of Yanzhou University, and Sun Zhizhong can't do anything to him, the cost of flying knife can always be deducted.

As far as Sun Zhizhong knows, Wu Yuan is a student of Gao Huajiang, and he is also the main doctor in the emergency department of Yanjiang Dongcheng Hospital, so the cost of flying knives prescribed by Yanzhou University Affiliated Hospital is quite good, basically reaching the level of surgical director. .

Perhaps this is also for Professor Gao Huajiang's face.

After Sun Zhizhong found out, he was quite depressed.

Wu Yuan, this boy is so young, and he has to pay so much for surgery, who can balance his heart?

At this time, I saw that Wu Yuan had used hemostatic forceps and other tools to expand the wound, and then probed in layer by layer, and finally saw the internal organs in the abdominal cavity.

Fang Yangyang hadn't had surgery with Wu Yuan for a long time, so he was quite nervous.

Of course, even when Wu Yuan was at the Affiliated Hospital of Yanjiang University, Fang Yangyang didn't have a few surgeries.

When Wu Yuan was undergoing surgery, Fang Yangyang was basically a bystander.

However, Fang Yangyang is very smart and his understanding is also very high. During this period of time, he has made great progress, and he has even been affirmed by Professor Gao Huajiang.

For a while, Fang Yangyang even felt that his surgical skills were about to catch up with Wu Yuan, and he was still a little bloated at that time.

But when Fang Yangyang witnessed Wu Yuan's teaching operation last time, Fang Yangyang realized that he had not narrowed the gap with Wu Yuan at all.

On the contrary, Wu Yuan's level seems to be higher.

Anyway, I don't know how to do it. Who knows how fast Wu Yuan's progress will be?

At this time, Fang Yangyang became Wu Yuan's assistant again, and he could watch Wu Yuan's surgery up close.

Fang Yangyang wants to know that Wu Yuan has also improved, but how much has he improved?

At this point, the gallbladder of the patient Hu Lumin can already be seen.

At a glance, Hu Lumin's gallbladder was completely bulged, like a balloon being blown up.

This is also normal, the gallbladder is already full of stones.

Fang Yangyang: "It looks like this gallstone is quite serious."

Wu Yuan nodded: "If it were more serious, the gallbladder might have to be completely removed. It's okay now, and the gallbladder can still be saved."

After the gallbladder is removed, it can affect the patient's digestion.

Bile is produced every day, especially in the process of eating, the amount produced is more, once it is removed, it will face the situation that the bile cannot be stored, enter other parts, participate in digestion, and break the original rules. Influence, along with distending pain is very common, digestion is in a disordered and abnormal state, and metabolism is unbalanced.

When the gallbladder is removed, in the fasting state, the secretion of bile continues. There is not enough food to neutralize the stomach acid, and it is difficult for the viscera to decompose. You will find that the pain is more intense, and there will be a feeling of heartburn.

If it is a young person, the physical function is better, the metabolic function is also better, and the removal of the gallbladder is not a big problem.

But this patient, Hu Lumin, is already 60 years old. If the gallbladder is removed, he may have to rely on drugs, or even keep going to the hospital, to solve the sequelae.

According to Wu Yuan's current tendency, unless absolutely necessary, he will not choose to completely remove the patient's gallbladder.

Fang Yangyang added: "On the surface, it seems that there is really no disease."

The gallbladder itself is not large, and there is no problem from the front. As for the back, the possibility of lesions is very low.

As for some darker areas seen in CT and ultrasound images, they are not lesions, but shadows caused by irregular textures and folds.

In the observation room, when the bystanders saw the gallbladder clearly, it also caused a lot of noise.

It turned out that Liu Guang was the first to speak. He pointed to the monitor screen and said, "Did you see it? Did you see it? There is no lesion at all, and the patient's gallbladder is very good!"

The others also nodded and discussed each other.

"It looks like there's nothing wrong with it."

"If this is the case, there is no need for a large incision laparotomy, and laparoscopy is the most appropriate."

"Yes, laparoscopic surgery has the least damage to the patient's body and the shortest recovery time. They can be discharged from the hospital in two or three days. This open surgery will take at least ten days."

"I'll just say, don't listen to the reputation of Dongcheng Hospital, the surgeons there are not necessarily high level, and the doctor is too young and inexperienced."

"Don't you know? He's not a doctor in the surgical department of Dongcheng Hospital."

"Ah? Then which department is he a doctor? It won't be the emergency department, right?"

"It's really an emergency department."

"The doctor from the emergency department came to us to throw a knife? This is too outrageous, right?"

"Hey, who knows what the higher-ups think."

"Shh, keep your voice down, you don't want to mess around!?"

Hearing this, Sun Zhizhong did not look back, and his heart was also darkened.

This doctor named Wu Yuan is overturned.

I don't know what Professor Gao Huajiang will think when he finds out about this.

Although it is normal for doctors to make mistakes in judgment, it will still affect the reputation of Professor Gao Huajiang.

After all, Wu Yuan had no reason to do this operation anyway.

Xu Yuankai and Fan Zhiliang also whispered.

Fan Zhiliang told Xu Yuankai about the whole story and why Wu Yuan was asked to perform the operation.

After hearing this, Xu Yuankai couldn't help but sneer: "Sure enough, this kid is extremely unreliable, now it's going to be a shame!"

Originally, Xu Yuankai thought about leaving for half an hour, but now it's better, he decided to finish the operation.

At that time, it would be cool to scorn and humiliate Wu Yuan in front of Fang Yangyang.

Anyway, gallstone surgery, even a large incision laparotomy will not take too long, and it can be completed in an hour at most.

At the same time, in the operating room, Wu Yuan had already activated his "key lock" talent.

With the blessing of this super plug-in, Wu Yuan's surgical vision has various colors.

After all, the patient Hu Lumin is 60 years old, so there will be some small problems in his organs.

In Wu Yuan's field of vision, a lot of red patches appeared. Fortunately, most of the patches were not dark in color, so there was no serious problem.

Most of the problems are still concentrated in the gallbladder area of ​​patient Hu Lumin.

Fang Yangyang said just now that there were no lesions on the gallbladder, but Wu Yuan was a little unsure.

At this time, Wu Yuan observed it a little, shook his head and said, "There are still lesions."

Fang Yangyang was stunned: "Doctor Wu, where is the lesion, I didn't see it."

Wu Yuan: "Student Fang Yangyang, you will know in a while."

Fang Yangyang raised his head and glanced at Wu Yuan: "Doctor Wu, you are still the same, always like to hang people's appetites."

Wu Yuan: "It's not because you have a big appetite."

Fang Yangyang was not convinced: "Where is my appetite? I didn't eat much at noon!"

Wu Yuan laughed and started the stone removal operation.

Cholecystolithotomy is called gallbladder preservation.

In fact, this concept of surgery has only been gradually formed in the last ten or twenty years.

If it is the last century, after finding out that a person has gallstones, the most common method is to remove the entire gallbladder, so that one hundred and one hundred can be solved.

At that time, the medical profession believed that the gallbladder was a dispensable organ, just like the appendix.

However, in modern times, the medical community has changed its view, and believes that the gallbladder is still quite useful. If it is removed, it will cause various functional deficits, and the quality of life of the patient after recovery will be greatly reduced.

So I tend to keep the gallbladder, so try to keep it.

The gallbladder-preserving lithotripsy technique has gradually developed and expanded, and various methods have emerged.

The most commonly used method is actually laparoscopic gallbladder-preserving lithotripsy.

Of course, this surgical method has the least damage to the patient's body and the shortest recovery time, but there is also a problem, that is, using laparoscopy, the stone removal may not be clean.

Now Wu Yuan is using a large incision laparotomy, which can more intuitively see the condition of the gallbladder, and the stone extraction will be cleaner.

If there is no disease on the gallbladder, this may be the only advantage and benefit of large incision laparotomy.

However, something surprising happened.

Wu Yuan said to the instrument nurse, "Scalpel."

The instrument nurse was startled, but still handed the scalpel to Wu Yuan.

Fang Yangyang: "Doctor Wu, shouldn't you need a scalpel now?"

Wu Yuan: "It can be used."

In the observation room, those doctors also raised the same questions as Fang Yangyang.

"It's strange, why does he need a scalpel at this time?"

"Yeah, what kind of way is this? Shouldn't it be right? There is already a hole, it's just a stone."

"Maybe he wants to widen the hole a little bit."

Sun Zhizhong remained silent. He didn't know what Wu Yuan wanted to do. If an operation accident was caused, they would also be held responsible.

At this time, Wu Yuan started to make an incision on the gallbladder with a scalpel.

Everyone was stunned.

Could it be that Wu Yuan wanted to make an opening on the gallbladder and then take the stone out of the incision?

Does this work too? This is too common sense!

The gallbladder is an organ. It is easy to make an incision on the gallbladder, but it is difficult to sew it up!

Even if it is barely sewn, it is difficult to guarantee that it can work normally, and it has to be removed in the end.

Fang Yangyang was of course also surprised, but then she found out that the incision made by Wu Yuan was very small, and the incision was made in a place that was convenient for suture.

Fang Yangyang: "It's amazing."

Wu Yuan: "Okay, stop flattering here, come and help take out the stones inside."

Fang Yangyang nodded, and quickly asked the instrument nurse for tweezers, and began to take out the stones through the incision on the gallbladder.

The people in the observation room were dumbfounded, this was different from the gallbladder-preserving lithotomy they imagined.

Sun Zhizhong and Liu Guang were also surprised.

They are all general surgeons, and they also do gallstone surgery, but this method has never been seen.

It can be seen that the position Wu Yuan chose was definitely designed, taking into account the convenience of subsequent stitching.

Even taking the stone at that location is very convenient and ensures that the stone is clean.

After a while, the stones were basically taken out.

The doctors in the observation room couldn't help it.

Some people started talking right away.

"Look, look, is that a lesion?"

"It seems... it seems to be true! I didn't expect to have lesions on the inside of the gallbladder."

"This is too hidden~www.wuxiahere.com~ and ultrasound can't shine there at all."

"By the way, I have a question, how did this Wu Yuan know that there were lesions there?"

"It's impossible for him to know, it must be a coincidence."

"My God, if it's a coincidence, it's too coincidental! I don't believe there is such a coincidence!"

"There's nothing you can do if you don't believe it. You can't say that the surgeon from Dongcheng Hospital saw it with the naked eye, right?"

"That...it's not necessarily impossible, it may be more experienced."

Sun Zhizhong was stunned at this time.

Liu Guang was not much better, he looked stupid.

After all the calculations, I did not expect that the lesion would be inside the gallbladder.

Sun Zhizhong suddenly thought that Wu Yuan chose to use a scalpel to make an incision on the gallbladder. Could it be that he knew that there were lesions there?