Chapter 305: The operation of the surgery

Lin Yu said while operating: "Generally speaking, we can just take the laparoscopic bend clamp. Of course, the more complicated way is to take the Trocar under the xiphoid process and use the bile duct to get the stone to get the stone! Depending on the situation, if the stone is at the edge of the opening, we can push the stone into the duodenum!" After Lin Yu said that, he hooked a small stone with a needle hook!

He hooked the stone out accurately! Nothing was used, including what he called laparoscopic bending and ballistic stone extraction bends, nothing was useful!

He hooked the stone out accurately with an ultrasonic knife hook!

This is simply a despicable operation! Not only did he hook out of the common bile duct, he also hooked the stone directly outside his body!

This operation scared Director Yang's heartbeat!

You kid, you are really skilled and brave! You dare to do this! When we see a stone, we usually use professional things to put it out. If you stick it directly to the hook, you will take it out of your body. If the stone accidentally falls into the abdomen, I will see where you are going?

"Generally speaking, the most commonly used stone extraction in clinical practice is net baskets. This method is the most basic, safest and most effective method for laparoscopic common bile duct incision and stone extraction! I saw that the patient's stone was relatively small, so I hooked it out directly!" Lin Yu saw Director Yang staring at him in a daze, and had to explain.

Lin Yu actually thought it simple. The stone was right next to the hole he had just now. It was indeed relatively small and did not completely block the common bile duct. So this is also the reason why the patient's jaundice is not serious. Even if his "golden finger" eyes fell into the laparoscopy, he was not worried. He just found it and took it out.

This is Lin Yu’s idea, but it seems that others are not like this. Director Yang and Han Qiang were a little scared when they looked at it. He stuck out the stone like this. It looked terrifying, afraid that the stone would fall down somewhere!

Of course, the ending was still beautiful, and the stone did not fall off. Obviously, Lin Yu once again showed off, and Han Qiang secretly sighed that he was not as good as he did!

"Brother Lin, you speak very well, but you didn't follow the rules!" Han Qiang couldn't help but "criticize" him. You guy said you should pay attention here and there too, but you didn't pay attention to it yourself.

"Oh! Practice makes perfect! This kind of surgery is too difficult! So I didn't follow the rules! I saw that the patient's bile duct is in good condition, so I'll put it in the T-tube!"

"What size is needed! I have three specifications here!" asked the instrument nurse.

"The smallest one is, the patient's common bile duct is in good condition!" Lin Yu said and built the T-tube by himself, and said: "The short arm should be at least so long! It cannot be too short. If it is too short, he may slip off! That would be embarrassing!"

Director Yang looked at it for a long time and thought to himself how long it was that you said it would be so long? I felt that he didn't say it clearly, but it looked about 2cm!

After a while, he had fixed the T-tube.

"Wait for a long arm! Here is a trick to tie it! Wait until the last time you deflate the air while letting the long arm come out! This way, the long arm is not easy to break, and it is not easy to block!" Lin Yu said very easily.

"You need to fill the water, right?"

"Oh! Well, okay, there's no problem!" Lin Yu said lightly.

Han Qiang wanted to vomit blood again. These are all basic actions. After the surgery, we must see if the T-tube you put leaks! You are fine, but you haven't seen it yet and said there is no problem! You are so confident.

However, the water injection test found that Lin Yu bragging was indeed right, there was no problem! He bragging successfully again, and Han Qiang had to accept it.

"This place is finished, and the gallbladder is removed below! Director Yang, come and give it a try! I have cleared the adhesions here!" Lin Yu said intimately that he came to help the health center grow every time. Director Yang never had the chance to come on stage. No matter how long he guided this way, he would rarely grow up.

The most important thing for surgeons is to take action! Only when you have the opportunity to take action can you grow, otherwise, no matter how much you see, it will be useless!

When Director Yang heard this, he was excited. He had already wanted to do it himself. After all, there was an expert next to him, and he was already promising to Lin Yu.

It’s not difficult for him to do such a difficult operation. Lin Yu had just finished the common bile duct exploration, and Director Yang quietly looked at the wall clock hanging in the operating room. The whole time was only 28 minutes, including him cleaning up the adhesions of the abdominal cavity here!

This is already very fast.

Han Qiang looked unhappy when he saw Lin Yu asking Director Yang to undergo a cholecystectomy, but he was holding a mirror, wearing a hat and a mask, and couldn't see his face!

Han Qiang was very indignant of Lin Yu's behavior of ignoring himself! You said you should take yourself for surgery to let yourself grow up well without giving yourself a chance, how can you grow up?

Han Qiang was so sad! Lin Yu didn't talk much and didn't have a strong personality, but on the operating table, he was the boss and commanded others at all times!

And he didn't take care of his own feelings at all. Han Qiang had to talk to him about this after the operation.

"Then I'm starting, please ask Director Lin Yu for more guidance!" Director Yang began to use a laparoscopy for the first time! He said this very sincerely, and there was absolutely no flattery!

"Well! It's okay, just take it slowly, don't worry!" Lin Yu encouraged.

The reason why Lin Yu gave this operation to Director Yang was because the patient was his mother. Even if he had any minor problems during the operation, he would help him come out in time and take a step back. Even if there were minor problems, his own mother would not have any major medical disputes.

On the operating table, Lin Yu and Director Yang changed positions, and Director Yang began to operate the operation tremblingly. Although his movements were clumsy, his basic skills were pretty good. It can be seen that he had trained off the stage!

As the saying goes, ten years of hard work off the stage, one minute on the stage!

This minute of performance requires training in the audience for a long time! Otherwise, if you get a laparoscopy and your eyes are in darkness, it will be troublesome.

The operation is underway, and the live operating room is still broadcasting, and it is also very lively...

[We master really did the surgery. The one who moved the small stool just now said that we master couldn't do it and carried the semen out!]

[Awesome! The patient's stomach is covered with paste, and he can actually find the common bile duct. I am really convinced!]

[I just showed the video to our old director. He insisted that it was impossible, and he also said that my phone was not good at pixels. My current model is Mate30. You can imagine that the patient's adhesion is so serious!]

[This time is also amazing. It only takes more than twenty minutes to process the common bile duct! It’s so awesome!]

[Our director has been dealing with the gallbladder for more than twenty minutes, but it is just an open belly. If you give him such a serious adhesion for two hours, he may not be able to handle it!]

[I found that our master's ultrasonic knife hook is the most awesome! Hahaha]

[I dare not! If the stone falls into the abdominal cavity, if it cannot be found, then wait for the medical dispute!]

[Just now, I thought I would use a clip to clamp the stone? I never thought that he actually hooked the stone with a hook! This is the first time my mother has seen it!]

[This can be a boast of all your life, but our director said that he violated the principles of surgical diagnosis and treatment!]

[Hahaha! He is sour! He can't handle it himself. We great gods did this. He said it violated the principles of diagnosis and treatment. This is called standing without back pain!]

...

Lin Yu looked at Director Yang and was a little anxious. Although he had trained in the audience, his movements were still a little problem. It took at least five minutes to adapt to the mirror! Having just gotten used to it, Han Qiang started to lose his links again!

"Doctor Han Qiang, the direction of the mirror seems to be off!" Director Yang said anxiously.

As a beginner, the position of the mirror is very important. As long as you tilt, his head must be tilted, otherwise the operation interface in your own field of vision will be tilted quickly.

However, Lin Yu once happened. His vision was reversed by Han Qiang. Lin Yu still operated as usual. Director Yang thought about this and secretly lamented that he was still very far from Lin Yu.

However, at this time he had no time to sigh at these things. Now he just seemed to adapt to the mirror as soon as possible, and he began to look for the gallbladder triangle!

This patient is quite special! The adhesion of the entire abdominal cavity is extremely serious. Lin Yu had just cleaned it. Because of this cleaning work, the patient's entire vision is now full of tissues and is still relatively fresh.

The gallbladder triangle cannot be identified at all. The entire triangle is very important. To remove the gallbladder, the first thing is to do is to cut off the gallbladder artery. However, there is a very contradiction here, that is, there is a right hepatic artery on the side!

The clinical textbooks are all written in "The right liver artery is thicker than the gallbladder artery!" Damn it! That's just one sentence!

What does it mean to be thicker? This concept is not easy to distinguish! If you accidentally cut this artery into the wrong way, the right half of the liver may be ischemia, causing surgical accidents. Therefore, clinically, being able to correctly distinguish the gallbladder artery from the right hepatic artery also requires rich clinical experience!

Usually, Director Yang has done many cholecystectomy, which is not an obstacle, but it is all done with an open belly! Now the health center has begun to open this new project, and under the video, it is done with a laparoscopy! That feeling is completely different! The whole judgment is achieved through the camera, which is not the same concept as what we see with the naked eye!

Director Yang looked at the gallbladder triangle in his sight and felt a little at a loss.

"It's okay! Director Yang, the root under the hook is the gallbladder artery!" Lin Yu directly reminded him when he saw that he didn't do anything for a long time.

He didn't know that Director Yang had searched for a long time, but couldn't find the feeling. He really couldn't find the gallbladder artery. This made him cry.

Lin Yu reminded that he bravely ligated the gallbladder artery. This is the difference between having an expert and not having an expert around. If an expert is there, you will not panic. If there is no expert next to you, you will be entangled for a long time, and then you will not dare to take action!

Although Director Yang is difficult to do at this time, after all, with Lin Yu next to him, his mentality is relatively relaxed and he feels okay. If you move slowly, just let it go!

"There is a trick here, which is to pull the distal end of the gallbladder duct. The gallbladder artery can be seen in the triangular area above the back of her. The gallbladder artery is behind the gallbladder, which can be distinguished from the right liver artery. Then, clamp the gallbladder artery on the side close to the gallbladder and cut off the ligation. For safety, a silk thread ligation must be added to the proximal end, so that it will be foolproof."

Although Lin Yu said this, he was actually guiding Director Yang to do the next move.

Although Director Yang was slow, he still did it, and every move was in place. He just said that he was not very familiar with laparoscopic devices and often had to perform it repeatedly. He might have to do it several times when Lin Yu performed the operation at one time, but he didn't know how to do it every time.
Chapter completed!