I really don't want to be a doctor

Chapter 135 Successful Surgery
this step,
Hard!

Or,

Perhaps this step is the most difficult part of this operation.

The stone has been incarcerated in the cystic duct for a long time, and it has almost adhered to the cystic duct, and the cystic duct is now pressed together with the common hepatic duct. No one can tell whether the three are pulling each other .

If the stone is incarcerated in this way, but does not form traction adhesion with the cystic duct, then take out the stone, and the operation is more than half completed.

But if the stone is adhered to the cystic duct, when the stone is pulled, the cystic duct will inevitably be pulled.

The cystic duct is actually not fragile, but the cystic duct with repeated inflammation is extremely fragile. No one knows whether it will be broken directly after being pulled, or even the common bile duct will be broken.

more even,
If the stone is incarcerated in this position for a long enough time and presses the cystic duct and the common hepatic duct together for a long enough time, then there will inevitably be a traction between the cystic duct and the common hepatic duct. It is not impossible to directly let the common hepatic duct be pulled out of a breach.

this step,
It's really tough.

Of course Yu Wenxing also understands the difficulty of this step,

But when things come to an end,
It's impossible for him to back down anymore,

he has decided,

His strength must be from small to strong, and if he still can't pull out the stone with the maximum strength he feels, then he can use that skill book himself!

He is not reckless,
He had already thought of a way out.

This is his bottom line.

Directly elevating laparoscopic cholecystectomy to top tips,
He believes that this operation can be done.

He took the stone forceps and gently grasped the stone. All the people who could understand held their breath and stared at the monitor.

Yu Wenxing's right hand moved slightly.

On the monitor that has been magnified countless times, this slight movement is magnified to the extreme, and everyone can clearly see that the stone and the cystic duct have been pulled.

but,
Unfortunately,
The stone was not pulled out.

I tried twice with the same force. Although the stone was moving with the forceps, the cystic duct was also moving with the forceps. Gu Jianjun couldn't help shouting to stop.

The risks are really too high.

He was really afraid that this young man named Yu Wenxing would be crazy at a young age, and he would break the cystic duct with a deadlift.

Okay,

Yu Wenxing stopped.

Yu Wenxing's head began to sweat.

The adhesions between the stones and the cystic duct were so severe that he felt that the operation could no longer be performed.

"Doctor Yu, don't hold back. This operation has already demonstrated your level. This is indeed a way of thinking, and it can even be said to be completely correct, but Mirizzi syndrome is a laparoscopic surgery. Contraindications are not a lie."

Wu Liang couldn't help but speak,

He has held back for a long time,

This is his patient!
His level of worry, perhaps only Dean Wu can match him.

"I know."

Yu Wenxing rubbed against Wu Liang's back, wiped off some of the sweat, and took a deep breath, "I'll pull it one last time, if it doesn't come out"

Yu Wenxing didn't finish speaking,

If you can't pull it out, use the skill book yourself.

But at this moment,

Yu Wenxing was also a little depressed,

His familiarity with the cystic duct is really too low,
He didn't know where the cystic duct's endurance limit was.

He wants to push harder, push harder,
But he dared not.

Yu Wenxing manipulated the stone-retrieving forceps again and clamped the stone.

take a deep breath,

Yu Wenxing tried to use the strength he thought was most suitable, and pulled violently.

"hiss."

Gu Jianjun finally couldn't hold back, he took a deep breath,
No accidents,

This wave of gasps,

There are still twists and turns.

but,
This time,
Yu Wenxing's hands didn't tremble in the slightest,

When the sound of gasping for air was still echoing in the operating room, he grinned.smile,

On the stone removal forceps, the irregular stone was removed,
and,

And no bile spilled.

This only shows that
The wall of the cystic duct was intact and the common hepatic duct was not damaged.

"call."

The depressive atmosphere finally dissipated, and a smile appeared on Gu Jianjun's face,

Hard,

but,
Finally had a good result.

Wu Liang's heart almost jumped out from the 4th and 5th intercostal spaces of the sternum. When he saw the stones on the stone removal forceps, he let out a heavy breath.

This feeling
So exciting!
A stone with a size of 2cm cannot even be taken out of the Trocar directly, and its size can be imagined.

"How do you take out this stone??"

Tang Ling wanted to laugh.

She had undergone laparotomy for cholecystectomy before, and sometimes encountered large stones, but during laparotomy, no matter how big the stone was, it was impossible for the stone to pass through an incision of more than 10 centimeters.

But now it's different,
The largest one, the Trocar with the mirror is only 1cm in diameter.

How to get stones out of Trocar?
Tang Ling felt very happy just thinking about it.
She wanted to see Yu Wenxing deflated.

As a result, Yu Wenxing's face remained unchanged, and he said softly:
"Take a pair of gloves."

Tang Ling deliberately teased Yu Wenxing after hearing the words: You have to make your own equipment again!

But seeing so many people present, Tang Ling could only keep her mouth shut and handed over a pair of gloves.

The middle finger of the glove was cut off, inserted into the abdominal cavity through the Trocar, the stone was put into the finger cot, and crushed with oval forceps, the stone finger cot was pulled out of the body.

"For me, is this okay?"

Tang Ling had never seen such a saucy operation before.

but,

General surgeons who have performed laparoscopic cholecystectomy know this kind of operation, so they nodded in agreement.

When President Wu saw Gu Jianjun nodding, he hurriedly nodded as if he understood.

Immediately, many vice presidents and others also began to nod.

Yu Wenxing didn't pay attention to everything that happened behind him, and wiped the sweat from Wu Liang's back, until Wu Liang's surgical gown was completely wet, and then continued.

After the stone was removed, the compression between the cystic duct and the common hepatic duct was relieved, and the subsequent surgery was not difficult for Yu Wenxing.

The cystic duct was divided antegradely and retrogradely, and the gallbladder triangle was completely exposed until the cystic duct was separated to skeleton. The cystic duct was clamped 0.5 cm away from the common bile duct, the cystic artery was clamped, and the cystic duct was severed.

The common bile duct was explored, the posterior serosa of the gallbladder was incised antegrade, and the gallbladder bed was separated. By the time a gallbladder was pulled out of the body, a full two hours had passed.

After leaving another drainage tube in place, Yu Wenxing breathed a sigh of relief.

His back hurts,
But there was a contented smile on his face at the moment,
This is a success he never imagined,
but,
He really hit it off.

A sense of pride unique to the profession of a doctor rose leisurely from the bottom of my heart,
Yu Wenxing felt for a moment,
as a doctor,
It seems not bad!
(End of this chapter)