Chapter 159 Risk
When Yang Yong thought of this, he suddenly put down his laparoscopy and said, "Chen Zhiyuan, you can't do this. The risk is too great. What should I do if the vein is broken?"
Chen Zhiyuan was about to escape the gallbladder vein. As soon as Yang Yong put the endoscope on the monitor, the monitor went dark. Fortunately, he stopped in time, otherwise he would have broken the gallbladder vein. Chen Zhiyuan felt annoyed. Even if you doubt me, no matter how you say it, don’t put down the mirror!
Li Yusheng was also scared and sweated coldly. If Chen Zhiyuan didn't stop and broke the vein, the matter would be troublesome. He said to Yang Yong with a cold face, "What's wrong with you?"
Yang Yong argued: "Professor Li, use laparoscopic clamping to free blood vessels. You should know how much risk is. I don't agree to do this!"
Li Yusheng was happy when he heard that the gallbladder artery had hope of finding it, and he didn't expect that the laparoscopic clamping forceps were not suitable for free blood vessels. After hearing what Yang Yong said, he realized that cold sweat broke out on his back. If Chen Zhiyuan used the clamping forceps to separate the veins, it would be a medical accident. He opened his mouth and said, "Zhiyuan, what Dr. Yang is right. If it doesn't work, let's open the abdomen and use special vascular free forceps to free the veins!"
Chen Zhiyuan is now full of attribute points, so it is not difficult to use this clamp to free. When Li Yusheng said this, he shook his head and said, "If you open the abdomen, the anesthesiologist will be greatly extended, and the patient's physical damage is too great. The patient is so old that he may not be able to get out of the stage. I am sure that using the clamp to free is good. Director Li, please believe me!"
Li Yusheng was naturally convinced of Chen Zhiyuan's surgical level, but this matter was still a bit risky. He was unable to make up his mind at this time.
"Director Li, don't worry, if something happens, I will bear it myself and it has nothing to do with you!" Chen Zhiyuan was a little anxious. This patient had general anesthesia. He had been undergoing nearly 5 hours before and after the operation. If he was transiting and opening his abdomen, the operation time would be extended by at least 3 hours. The extension of the time means that the patient needs to continue to use anesthetic drugs. These drugs are of no benefit to the human body. Too much application will cause great damage to the human body. 90% of patients of such an old age will not be able to get out of Taiwan!
When Li Yusheng heard Chen Zhiyuan's words, he gritted his teeth and said, "Okay. Just use the clamp forceps to move freely. If something happens, I will take care of it. Zhiyuan, don't worry and do it boldly!" Li Yusheng, who was thinking in his heart, also understood that the patient's age is 71, and the prolonged operation time is also a great test for the patient's physical condition. Now he is facing two choices, one is to bear the risk of a medical accident, and let Chen Zhiyuan use laparoscopic clamp forceps to move free blood vessels, and the other is to open the abdomen. But this will greatly increase the risk of the patient not being able to get out of the office. The second plan is the most secure. Even if the patient cannot get out of the office, this is a normal operation failure. He has no responsibility at all, but the second plan is to clear his responsibilities and use the patient's physical condition as a bet. Whether it is dead or alive depends on the patient's luck.
Li Yusheng struggled in his heart, and finally his conscience overcame the interests and chose the first plan with a rough heart. The most unfavorable plan for his own people, but the most powerful plan for the patient.
The anesthesiologist on the side was relieved when he heard Li Yusheng's decision. When the preoperative evaluation of the operation, the patient's operation time could not exceed 6 hours. Once the abdomen was about to be opened, the patient could be sentenced to death. He died on the operating table. When the patient's family made a fuss, he could not get rid of it. Now, they did not open their abdomen and continued to use laparoscopy. It was the doctor's who had an accident, and it had nothing to do with his anesthesia.
Yang Yong saw that Li Yusheng and Chen Zhiyuan insisted on using forceps to free blood vessels, and he was even more dissatisfied. If the operation failed, you were doctors from a large hospital and would take full responsibility. But if you patted your butt and left, the family members had to make trouble with me in the end. How good is the abdomen, the patient would die if he died. This is normal. Anyway, I wrote the operation records clearly and the family members signed it. Why do you make trouble casually? It has nothing to do with me. Is this patient who is not a relative or accused of taking such a big risk to save his life?
The more Yang Yong thought about this, the more unfavorable it was for him, so he took off his gloves and stood aside and said, "I don't agree to do this. If you want to do this, you can do it!" Yang Yong made up his mind to stop participating in the operation. Once it failed, the family members started to make trouble. He also said that he insisted on opening his abdomen at the beginning. It was Chen Zhiyuan and the other two insisted on using forceps to free the blood vessels, which eventually led to the failure of the operation.
When Chen Zhiyuan heard Yang Yong's words, he felt angry. Isn't it worth taking some risk to exchange for a life? If this patient is your relative, will you, Yang Yong, choose the most risky belly opening?
Li Yusheng was so trembling all over his body by Yang's courage that he squeezed out a sentence from his teeth: "You are worthy of being a doctor too!"
Chen Zhiyuan touched Li Yusheng with his shoulder and said, "Director Li, hurry up, hold on to the mirror, I'll do it!"
Li Yusheng snorted coldly, walked to Yang Yong's position, held the mirror, and said, "Is this OK?"
Chen Zhiyuan looked at the monitor and said, "Okay, but you still have to take a clamp to help me pull off my gallbladder!"
Li Yusheng is holding the endoscope in his current position. It is very difficult to hold the clamping forceps. His body floats on the patient's body and stretches his right hand to reach the clamping forceps. Maintaining this position will last until the operation is completed. Not to mention Li Yusheng, an old man in his 50s, will change to a young man. He will not be able to stand it in less than 5 minutes.
Chen Zhiyuan began to gently separate the membrane on the gallbladder vein with clamping forceps. After 2 minutes, he saw that Li Yusheng was already full of a big man, but Li Yusheng still insisted on keeping this position, just to be afraid of affecting Chen Zhiyuan's surgical operation.
When Chen Zhiyuan saw Li Yusheng like this, he felt moved and quickly accelerated the movement in his hand. Chen Zhiyuan found a point on the vein and immediately used a grasping forceps to slowly separate the membranes that wrapped the blood vessels. The two claw forceps were as clever as his hands, gently pulling the membranes wrapped on the blood vessels layer by layer. When all the membranes were opened, as Chen Zhiyuan expected, the arteries were together with the veins and were born in parallel.
Looking at the two intertwined blood vessels on the monitor, Chen Zhiyuan breathed a sigh of relief and asked the nurse to pass the titanium clip to prevent the blood vessels.
The instrument nurse on the side saw Li Yusheng and Yang Yong quarreling over the operation, and then Chen Zhiyuan found the artery so quickly. Now he had blocked the blood vessels with three titanium clips, and he couldn't help but feel confused. It seemed that these people made this very simple matter complicated. They came up and blocked the blood vessels and the gallbladder ducts with titanium clips and raised the gallbladder. Isn't that the matter finished? Why do this have to open the abdomen and that has to float away the veins? It's so troublesome? Isn't this augmentation?
The most important medical attention is rigorous. According to what the nurse thinks, it is really simple. Once the blood vessel is blocked, it will be done. However, at the beginning, Li Yusheng did not find the artery. If the vein and gallbladder duct are blocked, the gallbladder is being fooled, fooled, and fooled the patient. When he did not see the artery with his own eyes, once he arbitrarily determined that the artery was born in parallel with the vein, blocking the vein, and then pulling out the gallbladder. If the artery did not grow in parallel with the vein, but was in another place, it would cause heavy bleeding and the patient's life would be explained.
Chen Zhiyuan quickly disconnected the blood vessels and gallbladder ducts, and then used a grasping forceps to pull the gallbladder under the syringe that was pierced on the abdominal wall. He asked the nurse to attract the device, intending to suck out the bile in the gallbladder, and used a hemostat to clamp out the stone inside. This way, the gallbladder can be greatly reduced, so that it can pass through the syringe with a diameter of 3 cm on the abdominal wall. He could suck it for a long time with the suction device, but not much bile came out.
At this time, Li Yusheng just held the endoscope, which was much easier. He opened his mouth and sighed: "I didn't expect that the gallbladder artery was really born in parallel with the vein. The probability is too small. I guess there is no one in 100,000 people like this. Zhiyuan, how did you think of this?"
After Li Yusheng said this, waiting for Chen Zhiyuan's answer, but after waiting for a while, he didn't listen to Chen Zhiyuan's reply. He looked up and found that he was frowning at the attraction. He opened his mouth and asked, "What's wrong, Zhiyuan?"
Yang Yong didn't expect that Chen Zhiyuan really used a laparoscopic grasping forceps to separate the blood vessels, and found the artery that was born in parallel. He looked at the monitor blankly and began to regret it again. Today he offended Chen Zhiyuan and Li Yusheng completely. He was thinking about how to apologize to the two people. When he heard Li Yusheng's words, he turned his head and looked at the attraction in Chen Zhiyuan's hand and quickly said: "Who, Xiao Sun, go and bring the old attraction. Professor Chen, Professor Li, the new attraction in our hospital is not easy to use, hehe!"
Li Yusheng directly regarded Yang Yong's pleasing words as air, and Chen Zhiyuan ignored him, thinking about this matter in his mind.
Chen Zhiyuan looked at the attraction device in his hand and suddenly thought that Liu Jun said that the new hospital looked good, but the things inside were garbage. At first, he didn't believe it. Today he was aware of it. The attraction device looked inconspicuous, but if he had to encounter a patient with perforation and bleeding in the abdominal organs, the attraction device could not suck the bleeding, and the doctor would not be able to see the surgery clearly. So how can I do this surgery?
It seems that there are many tricks in this newly built Guoxian People's Hospital. Looking back, Old Song has come down and has to check this matter. These medical devices are simply a joke to use the lives of ordinary people.
The nurse found the old-fashioned attraction device of the past, put it in and handed it to Chen Zhiyuan. This old antique thing is much more useful than this new one. Chen Zhiyuan sucked out the bile soon, then took out the stone inside, and finally pulled out the entire gallbladder.
After Chen Zhiyuan had finished the operation, he thought that this was the order, so he took Li Yusheng to have a meal and called Liu Jun. After all, Liu Jun would work under his hands a while ago, so it would be nice to let these two people know each other in advance. (To be continued...)
Chapter completed!