Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 245: Why would he know?

Several young doctors started talking there, whispering to each other.

"Don't say it, this man's hand is really steady."

"Yeah, it doesn't look like it's moving at all."

"Could it be because you are far away and can't see it on the screen?"

"What you said, I have seen you undergo surgery, and you were shaking very much on the screen."

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

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

At this time, Liu Guang, a surgeon from the General Surgery Department, said in a low voice: "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, but said nothing.

Sun Zhizhong had the same idea 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 the patient Hu Lumin have all the angles that can be obtained. Except for small dark areas in some places, no lesions can be seen.

Those dark areas are lesions?

It is indeed possible.

But this possibility is very low. It can be said that there are hundreds of similar cases, but no lesion can be found.

Sun Zhizhong was very disgusted by changing the relatively easy operation plan for such a low possibility.

In Sun Zhizhong's view, this behavior of not rubbing sand in his eyes is a waste of medical resources.

The surgical beds in the hospital are so tight, and the recovery time of large-incision laparotomy is relatively long, which increases the burden on the hospital and the burden on patients, which is really not worth the candle.

Anyway, now Wu Yuan has opened the big wound.

Whether it is necessary to do large-incision laparotomy, or whether it is better to do laparoscopic surgery, you will know right away.

If it turns out that Sun Zhizhong is right and there is no need for a large-incision laparotomy, then Sun Zhizhong will have to talk to 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 the flying knife can always be deducted.

According to Sun Zhizhong, Wu Yuan is a student of Gao Huajiang, and also the main doctor in the emergency department of Yanjiang Dongcheng Hospital, so the cost of throwing knife for him by the Affiliated Hospital of Yanzhou University is quite good, basically reaching the level of the director of surgery.

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

When Sun Zhizhong found out, he was quite depressed.

Wu Yuan is so young, and he still pays so much for the surgery, who can balance it?

At this time, Wu Yuan had already used tools such as hemostatic forceps to expand the wound, and then penetrated in layer by layer, finally seeing the internal organs in the abdominal cavity.

Fang Yangyang has not had an operation with Wu Yuan for a long time, and he is quite nervous.

Of course, even when Wu Yuan was in the Affiliated Hospital of Yanjiang University, Fang Yangyang didn't have many operations.

When Wu Yuan was undergoing surgery, Fang Yangyang basically played the role of a bystander.

However, Fang Yangyang is very smart and has a very high understanding. 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 swollen at that time.

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

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

I don't know how to do it anyway, who would have known that Wu Yuan's progress would be so fast?

At this time, Fang Yangyang once again became Wu Yuan's assistant, and he was able to watch Wu Yuan's operation process up close.

Fang Yangyang wanted to know that Wu Yuan had also improved, but he wanted to know how much he had improved?

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

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

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 gets worse, the gallbladder may have to be removed completely. It's okay now, the gallbladder can still be saved."

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

Bile is produced every day, especially during meals. Once it is removed, bile cannot be stored. It enters other parts and participates in digestion, which breaks the original law and affects other parts. It is very common to be accompanied by swelling and pain. Digestion is in a disordered and abnormal state, and metabolism is unbalanced.

When the gallbladder is removed, the bile secretion continues in the state of fasting. There is not enough food to neutralize the stomach acid, and the internal organs are difficult to decompose. Instead, there will be reflux, which will have a reverse effect on the stomach.

If you are a young person, your body function is better, your metabolism is better, and gallbladder removal is not a big problem.

But this patient, Hu Lumin, is already 60 years old. If the gallbladder is removed, he may need to rely on drugs, and even have to go to the hospital constantly to solve the sequelae.

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

Fang Yangyang said again: "On the surface, it seems that there is really no focus."

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

As for the 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 onlookers saw the condition of the gallbladder clearly, there was quite a commotion.

It was indeed Liu Guang who spoke first. 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!"

Others nodded and discussed with each other.

"It seems that there is nothing wrong with it."

"If this is the case, there is no need to perform laparotomy with a large incision, and laparoscopy is the most suitable."

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

"Let me just say, don't listen to Dongcheng Hospital's reputation. The level of surgeons there may not be very high, and this doctor is too young and inexperienced."

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

"Huh? Then which department is he a doctor in? It can't be the emergency department, right?"

"It's really an emergency department."

"A doctor from the emergency department came here to throw a knife? Isn't this too outrageous?"

"Hey, who knows what the top management thinks."

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

Hearing this, Sun Zhizhong didn't look back, and felt secretly refreshed.

This doctor named Wu Yuan has been 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 has no reason to perform this operation anyway.

Xu Yuankai and Fan Zhiliang also exchanged in low voices.

Fan Zhiliang also briefly explained the whole story to Xu Yuankai, as well as the reason why Wu Yuan was asked to undergo this operation.

After Xu Yuankai heard this, he couldn't help but sneered: "Sure enough, this kid is extremely unreliable, and I'm going to be ashamed now!"

At first, Xu Yuankai wanted to watch it for half an hour before leaving, but now he decided to finish the operation.

At that time, it will be very cool to mock and humiliate Wu Yuan in front of Fang Yangyang.

Anyway, gallstone surgery, even a large incision and 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 activated the "key lock" talent.

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

The patient Hu Lumin is 60 years old after all, and there will be some small problems in the organs.

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

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

Just now Fang Yangyang said that there was no lesion on the gallbladder, but Wu Yuan was a little uncertain.

At this time, Wu Yuan observed for a while, 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 entertain people's appetites."

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

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

Wu Yuan laughed and started the stone removal operation.

Cholecystolithectomy, the full name is gallbladder stone removal surgery.

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

If it was the last century, when a person was found to have gallstones, the most common method would be to remove the entire gallbladder, which would be a cure-all.

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 their views, thinking that the gallbladder is still quite useful, and removing it will cause various functional loss, and the quality of life of the patient after recovery will be greatly reduced.

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

The technique of gallbladder preservation and stone removal has gradually developed and grown, and various methods have appeared.

The most commonly used method is actually laparoscopic gallbladder stone removal.

Of course, this kind of surgery has the least physical damage to the patient, and the recovery time is the shortest, but there is also a problem, that is, the removal of stones may not be clean with laparoscopy.

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

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

However, something surprising happened.

Wu Yuan said to the equipment nurse: "Scalpel."

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

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

Wu Yuan: "It can be used."

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

"That's weird, why did he use a scalpel at this time?"

"That's right, what is this number? Shouldn't it be right? There is already a hole, and it's just a stone."

"Does he want to widen the opening?"

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

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

Everyone was stunned.

Could it be that Wu Yuan wanted to open the gallbladder and remove the stone from the incision?

Is this okay too? This is too uncommon 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 well, it cannot be guaranteed to work normally, so it still has to be removed in the end.

Of course Fang Yangyang was also taken aback, but then she found out that the incision made by Wu Yuan was very small, and the incision was made at a place where it was convenient for suturing.

Fang Yangyang: "It's amazing."

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

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

The people in the observation room were dumbfounded. This is not the same as the surgery they imagined.

Sun Zhizhong and Liu Guang were also taken aback.

They are all doctors in general surgery, and they have done a lot of gallstone surgery, but they have never seen this kind of method.

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

It is very convenient to remove the stone even in that position, and it can ensure that the stone is removed cleanly.

After a while, almost all the stones were taken out.

The doctors in the observation room couldn't help but froze.

Some people began to discuss immediately.

"Look, look, is that a lesion?"

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

"It's too hidden~ IndoMTL.com~ and the ultrasound can't even shine there."

"By the way, I thought of a question, how did Wu Yuan know there was a lesion there?"

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

"My God, if you say 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 at Dongcheng Hospital saw it with the naked eye, right?"

"That... may not be impossible, it may be that you have more experience."

Sun Zhizhong was stunned at this moment.

Liu Guang is not much better, looking silly.

Thousands of calculations have been made, but I didn't expect the lesion to be inside the gallbladder.

Sun Zhizhong suddenly thought, Wu Yuan chose to use a scalpel to make an incision on the gallbladder, probably because he knew there was a lesion there?