Sign In: Going Back to Being a Surgeon 10 Years Ago Chapter 68: Unexpectedly, showing strength
Tian Bai glanced at the laparoscope screen, but he didn't see any problem, but when he looked carefully, he showed a surprised expression.
Tian Bai: "You mean, this is... cancerous?"
Wu Yuan nodded: "It's an early stage cancer, now that it's removed, it shouldn't be a big problem."
Tian Bai: "But if this is the case..."
It is not easy to cut off the cancerous part, and it requires a very skilled scalpel operation.
And laparoscopy is obviously not enough, the incision must be enlarged, and the hand can be reached in to remove it directly.
In other words, the difficulty has increased, and not by a little bit.
Tian Bai has performed many gallbladder-related operations, but he still feels uncertain about such a cancerous condition, so he usually has to ask Sun Jianzhong to do it himself.
The most sensible thing for Wu Yuan to do now is to close the cavity immediately and complete the laparoscopic cholecystectomy.
As for the problem of cancerous tissue, it can be handed over to Sun Jianzhong.
In this case, Wu Yuan should win the establishment test and have a great chance of getting the establishment.
However, Wu Yuan pondered for a moment, then raised his head and said, "Remove the laparoscope and switch to laparotomy!"
Tian Bai: "...Wh, what? Are you sure!? It's better to close the cavity first, and then perform a second surgical resection."
Wu Yuan: "If you don't resolutely remove it this time, you will need a second operation. The damage will be too great for the patient, and it will be very troublesome to recover. It would be better if it can be completely solved by one operation."
Tian Bai was speechless for a while, and immediately said: "But do you know how difficult this operation is?"
Wu Yuan: "I can handle it."
Wu Yuan said solemnly: "It was discovered that there was cancer in the second half of the gallbladder, so I decided to switch from laparoscopy to open surgery for cholecystectomy."
Wu Yuan: "The time now is... 10:28, the operation begins."
It was only then that Tian Bai realized that the operation time had only been over 20 minutes.
I didn't expect Wu Yuan's speed to be so fast.
What Wu Yuan did next shocked the people in the observation room even more.
Tian Hongchun asked suspiciously: "What is he going to do? Is this a re-opening?"
Sun Jianzhong frowned: "This is wrong, what's going on with Wu Yuan? How could he do this? Tian Bai is also true, why didn't he stop him?"
Zhao Qin was fidgeting, and didn't understand why Wu Yuan suddenly withdrew the laparoscope and went for laparotomy again.
This operation is very dangerous.
Tian Hongchun: "Director Sun, go and have a look, don't let him mess around!"
Sun Jianzhong lifted his spirits, stood up and was about to go out.
At this moment, the silent Shen Feichen suddenly said: "No, no, this doctor Wu seems to have made a new discovery to react like this."
Shen Feichen's words made everyone else stunned.
Sun Jianzhong stopped in his tracks and looked back at Shen Feichen.
Sun Jianzhong said: "Director Shen, what do you say? This is a very common and simple cholecystitis, and there shouldn't be any major problems."
Shen Feichen pondered for a while, and said, "Let's look through the medical records again, we might find something."
Shen Feichen is one of the directors of the Doctors Association, so what he says still carries weight.
Sun Jianzhong had no choice but to turn over the patient's medical records.
From it, they found out the medical records of Wu Yuan's patient.
There are various films and laboratory reports in the medical records.
Shen Feichen dug out the list of Dashenghua, looked at it twice, then smiled and said: "If you see it, there is indeed a problem."
When everyone heard this, they couldn't help but gather around.
They are all very curious, what problems do ordinary cholecystitis patients have?
Shen Feichen pointed to the biochemical list and explained: "Look, the direct bilirubin and indirect bilirubin are both a bit high, and the lactate dehydrogenase is a little bit low. Although the low level is not obvious, it is not easy to see, but there is a high probability that this situation occurs at the same time."
At this time, Liu Dazhu brought over the list from Dashenghua.
He is an internal medicine doctor, so he should be more experienced in biochemical indicators.
Liu Dazhu: "Oh! It's really like this!"
Everyone is a bigwig in the medical field, and when Shen Feichen pointed it out, he had already guessed a possibility.
This patient's gallbladder may be precancerous.
Zhao Qin immediately said: "That's right! Let me just say, Wu Yuan has always been very reliable, and it is impossible to suddenly change the operation method. He must have seen the cancerous change through the laparoscope, so he wanted to remove the cancerous tissue as well!"
Sun Jianzhong couldn't help retorting: "Is this possible? Doesn't Wu Yuan know his own level? This is a situation that he can solve at once!?"
Pointing to the monitor screen, Sun Jianzhong said loudly: "If the patient takes too long to operate, the risk will increase. Can he bear this responsibility!?"
Zhao Qin responded unconvinced: "Since Wu Yuan chooses to do this, it means he is sure!"
Sun Jianzhong: "He is a little doctor, how can he be sure? Director Zhao, are you joking?"
At this moment, Shen Feichen said: "I think he is sure."
Sun Jianzhong: "Director Shen, you don't know, this Wu Yuan is not very reliable..."
Shen Feichen waved his hand and interrupted Sun Jianzhong: "He should have plenty of time now~IndoMTL.com~ Let's watch first."
Shen Feichen witnessed Wu Yuan's surgical level with his own eyes, and felt that there was no problem with him being competent for such a cholecystectomy.
At the same time, Wu Yuan didn't know that there was such a big dispute in the observation room because of his actions, but he was concentrating on the operation.
Since it is going to be converted from laparoscopy to laparotomy, another incision will be made.
Wu Yuan cut the knife on the patient's lower right abdomen and the edge of the ribs.
This is an incision about 20 centimeters long, and Tian Bai stared at it dumbfounded.
I didn't expect Wu Yuan's scalpel technique to be so proficient and stable.
Tian Bai thought he couldn't make such a perfect incision, there was almost no bleeding, only a small amount of bleeding.
This shows that no capillaries were injured.
Wu Yuan said: "The incision is complete, let's start to explore the abdominal cavity."
Wu Yuan reached in and quickly found the common bile duct, hepatic artery and portal vein...
Wu Yuan operated methodically all the way.
In the observation room, almost all eyes were on Wu Yuan's operation.
Zhu Qianfeng: "The speed is so fast, this guy is really good!"
Kong Mo: "I changed the operation plan halfway, and I don't seem to have any impression of him. First of all, I need to praise his psychological quality."
When Sun Jianzhong saw this, he couldn't help but said, "I still think that Dr. Wu should do it more safely, and at least discuss it with the second chief surgeon."
A surgeon should really focus on being safe, and never operate on a patient by luck, that is extremely irresponsible.
Shen Feichen said with a smile: "Look at his actions, he doesn't feel forced at all, which means he is sure about it and very confident."