I really don't want to be a doctor

Chapter 121 The Patient Has Been Arranged
When Lei Showyu received the call, he was stunned, "Master, didn't you say that you will go in half a year? If there is no follow-up data for half a year, then the value of the paper is not enough."

Thundershower knew about the two-hole method. After all, he is a gastrointestinal person. When he saw this paper, he was astonished. If he hadn't checked the distance from Shanghai to Jiangzhong on the Gaode map, he would have driven at least 20 miles. For many novels, Lei Showyu has long wanted to see Director Deng Liming, who is the corresponding author, and Yu Wenxing, who is the first author.

But forget it,
At least [-] novels came and went, and I couldn't say how many operations would be avoided, so I gave up this idea.

"It's not about the two-hole method..." Gu Jianjun's voice trembled slightly, "The first author named Yu Wenxing fired a new technique..."

"what!"

The thunderstorm was scary.
Created a new technique?
The new technique is so easy to create?

Thunderstorm felt a little dizzy.

This is no longer 200 years ago. At that time, modern medicine had just started, and there were many virgin lands. Once you set foot in a field, you could explore it for a long time. New surgical procedures emerged in an endless stream, such as subtotal gastrectomy, which pioneered the Billroth I method, and later also pioneered the Billroth I method. Type II.

But now that modern medicine is gradually maturing and has become a system, it is understandable how difficult it is to innovate within this complete system.

This,
Yu Wenxing,
A doctor at a county hospital,

Created a new technique?
Is it difficult for this county-level hospital to be so NB?

Could it be that the No. [-] Hospital in Jiangzhong County is like the Mayo Clinic in the United States? Although it is called a clinic, it is the most NB hospital.

"Yes, it's a new operation, and it's a laparoscopic appendectomy. I have to go and have a look."

Gu Jianjun said in a deep voice.

Or laparoscopic appendectomy?

Thunderstorm breathed a sigh of relief,

After all, the two-hole technique is a new technique.
As long as improvements are made on the two-hole method, it is considered a new technique.

Thundershower felt that he could accept such a situation,

"It should be the two-hole method and there is room for improvement."

Lei Xueyu said while thinking,
Although he has read the paper on the two-hole method and simulated the whole process in his heart, he has not done it.

the reason is simple,
Although they are already sure of the curative effect of this surgery,
However, there is no data on the long-term follow-up of this operation.

Without long-term follow-up, it is impossible to compare with traditional surgery.

and,

This technique has a rather fatal flaw,

And this defect is the core step of this technique, and it is impossible to improve it.

This is why Shangyuan Hospital has not yet carried out this operation.

"It's not an improvement of the two-hole method, it's a single-hole method!"

"Single hole method!?"

The thunderstorm completely lost its composure.

"Yes, you can arrange it, tentatively set for this Wednesday."

Lei Shower didn't know when the call hung up.

He only knows,

He is going crazy.

Single hole method!
Even if he didn't need to know the specific process of the operation, the name alone had shocked him.

How does one hole operate on a patient?

he does not know.

……

Zhang Wei has already found the patient for Wu Liang,
The patient is a middle-aged female patient,

Recurrent abdominal pain, jaundice,
When he was hospitalized in Xihua Hospital, Zhang Wei suggested that the patient undergo surgery, but the family members strongly demanded to go back to the place of residence for treatment because of medical insurance reimbursement.

That is Jiangzhong County.

Zhang Wei discovered a small detail about the patient during his discharge rounds.

Color Doppler ultrasound showed that the upper part of the common bile duct was dilated,

After thinking for a while, he asked the patient to go directly to his junior doctor, Dr. Wu Liang, when he returned to Jiangzhong County No. [-] Hospital.

The patient immediately burst into tears,

After all, after leaving the hospital by myself, it is not often that the doctor helps to contact the hospital below.

Zhang Wei sent the patient's information to Wu Liang.

Wu Liang was stunned when he received this information.

He is not a fool, of course knowing that this case was specially recruited by his senior brother to embarrass Yu Wenxing, it must be not simple, so he looked at it carefully.

"Dai Xiaohua, 46 years old, had repeated right upper quadrant pain for more than 10 years. The pain was accompanied by jaundice, and the pain and jaundice subsided after out-of-hospital drug treatment"

Wu Liang read it slowly with his mobile phone, thinking while reading, "I have had multiple B-ultrasounds showing gallbladder stones, and there is no history of hepatitis in the past."

"Physical examination upon admission: body temperature 36.8°C, no yellow staining of skin and sclera, flat and soft abdomen, slight tenderness in the right upper quadrant, no rebound tenderness, Murphy's negative, no obvious percussion pain in the liver area, auxiliary examination: abdominal color Doppler ultrasound showed: chronic gallbladder Inflammation accompanied by multiple gallbladder stones, the largest one is about 2.0cm*1.5cm in size”

"This patient is not complicated," Wu Liang had already made a preliminary assessment in his mind,

This patient has a long medical history. Chronic cholecystitis and multiple gallstones in the gallbladder are indeed not an easy operation. It is not easy to cut the chronic gallbladder laparoscopically.

But Wu Liang evaluated it in his heart,
Don't talk about Yu Wenxing,

Even if you come on stage by yourself,
This operation should also go well,

Although the operation time may be a little longer,
But Wu Liang is still confident that he can do it if he has a chance.

of course,

This is in the absence of serious underlying diseases.

For example, tetralogy of Fallot, for example, type I diabetes,
If there is such an underlying disease,

Don't talk about surgery,

Anesthesiologists dare not numb!

Not wanting to understand, Wu Liang continued to read,

"The upper part of the common bile duct is dilated, the diameter of the upper part is about 1.0 cm, and the inner diameter of the distal bile duct is about 0.3 cm."

Wu Liang reacted instantly,

Hey!
This is going to kill me!
Recurrent chronic cholecystitis, gallbladder stones, upper common bile duct dilatation
It has clearly pointed to a disease.

Surgery for this disease is really difficult.
But it's so rare that it's a bit too much.

This is simply an operation that cannot be completed laparoscopically!
Wu Liang scolded his mother in his heart, this time, he didn't send any text messages.

Instead, he dialed Zhang Wei directly.

"Hello, Brother Wei."

As soon as the phone was connected, Wu Liang spoke impatiently.

"Junior brother, don't panic."

Zhang Wei interrupted Wu Liang lightly, "Junior brother, you understand the difficulty of this operation."

"Of course I know! But"

"So, you have to be prepared to open your stomach."

"Can"

"I've already planned the operation method for you. Laparoscopic exploration first, and then you step down and let that boy Yu Wenxing come on stage. This operation is extremely difficult, and the boy didn't dare to mess around with it. Let him see him." I have to step down, and then switch to laparotomy. If laparotomy can be done, I will do it; if it can’t be done, I will have a subtotal cholecystectomy, and then choose a second-stage operation. This patient is only 46 years old and has no basic medical history. The surgery is not difficult."

Zhang Wei quickly finished the follow-up treatment plan,
Wu Liang had nothing to say.

(End of this chapter)