Surgical artist

Chapter 239 Can This Surgery Be Saved?
Soon, Director Cui Yongxin sent over the medical records.

Zhao Peiru read it again.

"Intrahepatic bile duct stones, weak biliary tract, and bile duct stricture."

He smiled when he saw it.

This condition is not much different from the previous case, but there are some slight changes.

Just need to make some "personalization" improvements.

The experience in Zhao Peiru's mind is massive and rich, involving various types of "rigid choledochoscopy for the treatment of intrahepatic bile duct stones".

It is a breeze to choose a more suitable and personalized operation method for the patient.

Soon, Zhao Peiru determined the operation plan.

Just wait until the time comes and go to the biliary tract specialist hospital to "show your strength".

……

Biliary tract specialist hospital, inpatient ward.

Director Mu Yin came to the patient Xiang Shichang's bed.

"Director Mu, you have worked hard for worrying about my illness!"

Xiang Shichang was very polite.

He covered his abdomen with one hand, endured the pain, but smiled as usual: "How is it, has the stone removal operation plan been finalized?"

Mu Yin said: "Mr. Xiang, it's like this..."

"We currently have two treatment plans, and I'm here to discuss with you."

When Xiang Shichang heard this, he laughed.

"You are a professional doctor, I believe in you!"

"Let me decide the treatment plan, I don't understand!" Xiang Shichang joked with a smile: "There is a specialization in the surgery industry. When I started a business, didn't I come to your doctor for advice?"

After saying this, Mu Yin also laughed.

Quite right.

This treatment plan should have been decided by their doctor team.

"Well, let me put it another way."

"There are currently two plans, one of which is more expensive and requires the use of an expensive choledochoscope, so the cost of the operation will naturally be higher..."

Before he finished speaking, Xiang Shichang laughed directly: "Just use it! As long as the operation can be done well, just remove the annoying gallstones for me!"

"Besides, I came here because of your medical skills, Director Mu. I believe in you! Just do it with confidence!"

After hearing this, Mu Yin nodded and stood up.

"Got it!"

"Just rush to the trust of the general manager, and I have to do your surgery well!"

Wait until you get back to the small conference room.

Cui Yongxin tentatively asked: "How about it, patients are more willing to use the new plan of the Fourth Hospital?"

Mu Yin smiled triumphantly and shook his head.

"No, the patient intends to use an expensive fiber-optic choledochoscope, so let me do the surgery." He turned his head to the side and said, "Xiao Liu, let the endoscopy room get ready. We're about to do a fiber-optic choledochoscope to remove stones."

Cui Yongxin was taken aback.

The patient actually chose the operation with "slightly inferior operation effect" and higher operation cost?
Instead of choosing "perfect surgical effect", low surgical cost and low fee?
What's going on here?

But when he saw that Mu Yin was already making arrangements, and the patient was still willing to let Mu Yin be the surgeon, Cui Yongxin couldn't say anything more.

Cui Yongxin could only come to the corner and made another phone call with Zhao Peiru.

"Director Zhao, I'm sorry, something went wrong on my side."

"You don't need to come here... We have changed the plan here, I'm sorry."

When Zhao Peiru heard this, he was startled for a moment, and then quickly smiled and said, "Change the plan? That's fine, then I won't go there."

This task opportunity is not a must for him.

Not this time, just find another opportunity.

After hanging up the phone.

Cui Yongxin also blamed himself a little.

"I shouldn't have contacted Director Zhao so early."

"We should wait for the news from Mu Yin."

He originally thought that the patient would be sure and would choose Zhao Peiru's plan from the Fourth Hospital.

Who would have thought that this would be the result?

"Originally, the relationship between Director Zhao Peiru and I was not deep, and we only met a few times."

"It's a little bad to go back and forth this time."

Cui Yongxin shook his head secretly.

Soon, it was time for surgery.

Mu Yin's team is in charge of the surgery.

And Cui Yongxin, as a member of the consultation expert team, also had to stay at the scene to prevent accidents during the operation.

The operation begins.

After the patient was given epidural anesthesia, Mu Yin's team began to puncture and enter the country.

Little by little, the expensive choledochoscope is inserted from the sinus tract.

While monitoring the instrument, slowly feed the mirror body in.

In the observation room, many experts also nodded slightly.

"This expensive fiber choledochoscope is indeed much softer and friendly to the biliary tract."

"At present, it seems that there will be no problems. You just need to pay a little attention when entering the country."

"Sure enough, there are benefits to being expensive."

One of the deputy directors said with a smile: "If every patient is like this case, regardless of the cost, willing to use the most expensive treatment equipment... Then how easy our job is to do!"

Another deputy director couldn't help sighing: "Indeed, there is a reason why it is expensive. Good equipment has a higher fault tolerance rate. It is not only friendly to patients, but also friendly to our surgeons. How much trouble can it save us! "

Cui Yongxin frowned secretly when he heard the conversation of several people.

Physicians rely on good equipment and equipment, which of course marks the progress of medical technology, which can be said to be a good thing.

However, if you rely too much on equipment and equipment, you will be helpless when encountering "cases where high-tech equipment cannot be used". Moreover, if things go on like this, you will be complacent and not enterprising. When facing new diseases and situations, you will not face difficulties. ability.

"Oh, sure enough, not everyone is as good as Director Zhao Peiru."

"Director Zhao can always propose more advanced and suitable medical cases when faced with complex diseases."

"In the face of the situation where high-tech equipment cannot be used, it is also possible to rely on one hand and solid basic skills to complete the operation."

"On the other hand, these young doctors below are too impetuous."

"I didn't learn the work style of old doctors!"

Cui Yongxin shook his head secretly.

He thought in his heart that he had to find an opportunity to talk to the leaders to see how to rectify the atmosphere in the hospital. It would be best to find some old experts and doctors like Zhao Peiru to come and give lectures.

was thinking...

Suddenly, an exclamation was heard!
"Oops! Bleeding!"

"The gallbladder was pierced! It burst!"

"Stop the bleeding!"

"The patient's blood pressure is dropping!"

A sound of bad news, one after another!

Cui Yongxin raised his head quickly, and saw that the surgical field, which was clean and tidy just now, was suddenly covered with blood, especially in the display of the fiber-optic choledochoscope, which showed that the biliary tract was ruptured and blood was gurgling out.

Cui Yongxin's heart skipped a beat!
The most dreaded thing is still here!

The patient's biliary tract has been severely traumatized and is very fragile!When the choledochoscope was inserted just now, it directly pierced the biliary tract!

All the experts in the observation room rushed into action.All go to the operating room to help stop the bleeding!

The biliary tract is ruptured and bleeding profusely, so it must be repaired and ligated as soon as possible. Once the blood loss is too much, it may cause a series of bad problems and make the operation uncontrollable!

"This...how can the gallbladder be so fragile?"

The instigator of the iatrogenic accident, Director Mu Yin, turned pale at the moment: "I entered the mirror so gently, how could the sinus be torn apart?"

He looked at the blood red in the monitor, and kept asking questions in his heart.

At the same time, my heart panicked!

This patient is so important!
And she trusted him so much that he messed it up!
Cui Yongxin shouted: "Control the bleeding first!"

With the help of everyone, Mu Yin forcibly restrained his mind and quickly stopped the bleeding.

"First ligate the bleeding vessels and repair the biliary tract."

Cui Yongxin is the director of the Department of Liver and Gallbladder, so it is natural for him to preside over the rescue work.

Soon, the bleeding was brought under control as the bleeding vessels were ligated and sutured.

But many tiny blood vessels are still oozing blood continuously.

"Now, should we repair the biliary tract first, or stop the bleeding first?"

Cui Yongxin is thinking about it.

Seeing that the hemorrhage was under control, Mu Yin felt a little more at ease. He shook his head and said, "The work of repairing the sutures and tying the biliary tract has to be leaned back."

"The stone in the bile duct in the patient's liver has not been removed yet."

"Once the biliary tract is repaired and sutured, there is no way to enter the country. The stones inside cannot be left alone, right?"

Cui Yongxin also hesitated.

Now, the operation is caught in a dilemma.

Or, directly repair and suture the biliary tract to completely control the intraoperative bleeding and ensure that no more serious consequences will be caused.But the price is that intrahepatic bile duct stones can no longer be managed.

Or, under the pressure of continuous slight bleeding, forcibly remove the stone by crushing the stone, take some risks, and bite the bullet to complete the operation.

How to choose?
Who will take this responsibility?
Cui Yongxin looked at Mu Yin: "Director Mu, I still suggest to deal with it safely and completely control the bleeding."

He always remembered that Zhao Peiru had a new plan that didn't require any contact with "Biliary Way".If it really doesn't work, first deal with it safely, repair and suture the biliary tract, and then use Director Zhao's plan.

Mu Yin frowned: "No matter what, the stone must be removed first."

"If not, let's try to enter the mirror again to see if we can crush the stone first."

"As long as it can be crushed, the rest of the stone extraction will be easy."

Cui Yongxin was angry when he heard this: "If you force yourself into the mirror again, aren't you afraid that the patient's biliary tract will rupture again?"

"The patient's current condition can no longer afford a second hemorrhage!"

When Mu Yin heard this, his face turned pale.

Indeed, the patient's gallbladder is too fragile!If you continue to forcibly enter the mirror, there is a risk of the biliary tract being broken again.

There may be another "thunderstorm" at any time!
Mu Yin was a little dazed. After a good operation, how could it...become like this?
How could he screw it up when the patient trusted him so much?

Cui Yongxin couldn't make decisions on the spot.

He opened his mouth and said, "Stop the operation for the time being! Ask experts to come to the rescue."

"Please invite Dean Tao from Jiren Hospital to come over and ask for his opinion. Invite Director Zhao Peiru from the Fourth Hospital as well, maybe he has a solution."

After Cui Yongxin said these words, everyone nodded.

As the name of "No.1 Gallstone Disease in Jiangnan Province", Dean Tao is still very famous.It is said that there is no gallstone condition that he cannot cope with.

In the end, Mu Yin was also depressed and nodded.

The current situation is no longer within his control.His greatest hope now is that someone can clean up this mess and minimize the patient's loss.

Soon, several calls for help were made.

At the same time, the bad news in the operating room also reached the leaders of the Biliary Tract Specialized Hospital.

The leaders rushed over with serious expressions and hurried steps.

This patient is very important to their hospital, and there must be no mistakes.

"Director Mu, Director Cui, what's going on?"

The faces of several leaders were as black as charcoal, and they were very angry.

Mu Yin's face was ugly and he didn't speak.

Cui Yongxin had no choice but to stand up and objectively explain what happened just now.

"Iatrogenic piercing of the patient's biliary tract is no small matter."

"Once this patient is investigated..."

The leaders' faces darkened.

Even if it is just an ordinary patient, this kind of iatrogenic accident is not easy to deal with and will cause a lot of trouble.

What's more, the identity of this patient is important. If the patient cancels the donation and sponsorship to their hospital because of this, it will be a big loss!

The leaders immediately criticized Director Mu Yin a few words, asked Director Cui Yongxin to take over the operation, and quickly contacted foreign aid.

The key now is to do everything possible to save this operation.

Jiren Hospital is very close to Biliary Tract Hospital.

Not long after, Dean Tao rushed over with a few people.

"President Tao, I have to trouble you this time!" The director of the Dandao Hospital hurried up to shake hands.

Dean Tao Jiangtao nodded: "Let's look at the patient's condition first! Has the hemorrhage stopped?"

Cui Yongxin nodded: "The hemorrhage has stopped, and now there are still some tiny bleeding spots, which have been oozing blood."

Tao Jiangtao's face was serious: "Blood has been oozing for such a long time? Why stop the bleeding so quickly?"

Cui Yongxin looked at Mu Yin with some embarrassment.

"We haven't made a decision yet, whether to repair the biliary tract or stop the bleeding directly."

When Dean Tao saw Cui Yongxin's eyes, he understood what was going on.He was able to sit on the post of vice president of Jiren Hospital, not only because of his high professional level, but also because he is mature and mature.
He looked directly at the patient.

Everything else is secondary now.Find out the patient's condition, and then talk about other things.

This look...

Dean Tao immediately made a decisive decision: "The biliary tract is too damaged, and there are too many hidden dangers. We must not rush into the mirror through the biliary tract again."

Mu Yin was beside him, his face turned pale.

This directly rejected his plan.

It also means that even if the operation can be saved in the end, it has nothing to do with him at all.All that remained on his head was the word "causing trouble".

Cui Yongxin said: "Then repair the biliary tract first and stop the bleeding of the tiny blood vessels?"

Dean Tao nodded.

"Yes, repair and suture the biliary tract first!"

Next to him, the medical chief of the Biliary Tract Hospital said, "President Tao, the patient's stone..."

Dean Tao smiled and said: "Don't worry, the patient's situation would have been a troublesome thing in the past."

"But now, the industry has a very good new solution, which can remove the stones without going through the biliary tract or even directly touching the sinus tract."

"The whole process can completely avoid the patient's fragile biliary tract."

The eyes of the leaders of the Biliary Tract Specialist Hospital lit up!
And such a good technique?

They also felt relieved, if there is such a good surgery, then this surgery can still be saved!

Director Mu Yin next to him heard this, and a glimmer of hope rose in his heart.He doesn't ask for anything else now, as long as the operation can save him.

The dean of the Biliary Path Hospital boasted, "You really deserve to be Dean Tao."

"The title of 'No.1 gallstone disease' is really well-deserved! Faced with such a situation, there is a solution!"

Everyone followed suit.

Tao Jiangtao smiled and shook his head: "This is not my plan."

(End of this chapter)