Come on, Dr. Wu

Chapter 173 Lan Yan’s confidant
Peng Xia's progress is still very fast. He and Wu Xiaofu have had surgeries more than once or twice. Not only is his own level pretty good, but he also knows Wu Xiaofu's habits. He can usually figure out what to do with a hint from Wu Xiaofu. Yes, the cooperation is relatively smooth.

The cancer focus of this patient is a little lower than that of the previous patient.

Wu Xiaofu summarized that this operation actually pays attention to four points, which is almost the same.

First, pay attention to the position of head down and feet up, which is very meaningful for exposing the intraoperative field of vision;

13. Pay attention to the pressure of pneumoperitoneum, keep it at 15 to mmHg. The pressure of pneumoperitoneum is also very particular. If it is too high, it will not be safe for the patient. It does not necessarily mean that the belly is too bulging. The clearer you can see. I have seen it twice. Wu Xiaofu was able to vaguely grasp the appropriate degree of pneumoperitoneum in various patients.

Well, that’s the beauty of experience.

3. Pay attention to the position of the poke card. If it is a low-lying rectum, the poke card should be moved downward appropriately. Just like this one, although the surgery is similar, there are still differences in the subtleties. If the position of the poke card in this surgery is not the same. If you follow the previous formula, it will be uncomfortable when you do it. You have to learn to adapt to the same set of formulas, and rigid application will not work.

Pay attention to the careful separation of layers in the four techniques. This is a matter of serious attitude.

Squeak!

The door of the operating room opened, and the nurse on duty took a quick look at it, feeling a little dissatisfied. Who was here to borrow something again? In fact, during the operation, it is very annoying for people to open and close the door frequently. Not only will it increase pollution, but it will also affect the surgeon. Surgery, but after one glance, there is nothing dissatisfying about it.

He had just gotten out of the operation and was originally going to leave directly, but when he heard that Wu Xiaofu was performing the operation, he couldn't sit still. He quickly asked where the operating room was and came over.

Seeing Wu Xiaofu's treatment of the rectal wound, Chu Jingming couldn't help but nodded. This method was very experienced, not like a novice at all. He also wondered whether Wu Xiaofu might have become angry at this step and had made some omissions, and ended up overthinking it. .

Yesterday, Wu Xiaofu said he was giving it a try, but Chu Jingming didn't take it seriously. Yu Shifu wouldn't think so. She really should find a case for him so quickly.

Chu Jingming came to the operating table, looked at Wu Xiaofu, and saw that he was doing surgery seriously, and then fixed his eyes on the surgical field of view.

"The wound treatment of rectal cancer is actually similar to that of the gallbladder and appendix. When anastomosis is performed, just remember to be careful."

Ok!

Chu Jingming couldn't help but look a little weird when he heard this. Could it be that this guy could eavesdrop on his thoughts? He just thought that this was the key to the operation. In the end, this guy said that this step was very simple. Well, it was indeed very simple. , Wu Xiaofu was just like cutting out a necrotic intestine, with a frightening decisiveness.

Wu Xiaofu was still immersed in the operation at this time and did not look up. After the operation started, Wu Xiaofu quickly entered the state. In this state, his vision was only on the stage, except for Peng Xia and the patient, that is, paying attention to the anesthesia. What the teacher said, after all, this person is in control of the patient's life status.

Rinse the abdominal cavity and start suturing the small holes.

The operation went directly to the later stage. The anesthesia teacher saw the progress of the operation and began to calculate the dosage and recovery time.

The patrol nurse is also an experienced nurse. One look at Chu Jingming's appearance and he can guess a bit of his thoughts. He smiled and said, "This is the third station. I did Director Tian's station this morning, and Dean Yu performed it." Yes, the last two surgeries were performed by Dr. Wu, and the second one was assisted by Dr. Yu, who left in the second half of the surgery. The surgery went smoothly. "

The major surgery of their department, rectal cancer resection, is directly listed with the appendix and gallbladder!
Chu Jingming couldn't help rolling his eyes, and could this guy really listen to his heart?

Handsome guys always have immunity.

"What channel is this?"

"Start cutting."

Wu Xiaofu cut off the rectum while telling Peng Xia.

After following him for more than half a year, I already have so much trust in Wu Xiaofu!

They were all experts. Seeing Wu Xiaofu's skillful movements, Chu Jingming knew that he might really be worrying too much.

"Resection of rectal cancer is relatively simple among digestive system cancer resection surgeries. Unlike resection of liver cancer, the resection of rectal cancer is very clear-cut and the range of resection is large. As long as you don't come on stage drunk, you basically won't do it. Error."

Yeah, reliable.

Expand the incision and take the specimen.

Especially when he saw Wu Xiaofu's separation of levels, it was really good and very precise. At least Chu Jingming didn't think there would be any hidden dangers if he handled it this way. This shows that Wu Xiaofu is not in a hurry for quick success and can do it so quickly. , which shows that Wu Xiaofu’s understanding of this operation is no less than his level.

There is no rush to leave. Removing the lesion is the most critical part. If it is not done well, the rest will be in vain.

But in Wu Xiaofu's hands, these surgeries were solved with such ease.

It only took an hour and a half, how could it be so fast? Of course, if he had performed this operation, it might have been faster, but who was he? Who was Wu Xiaofu? How many rectal cancer resections had he performed? Which one is Wu Xiaofu? Compared with Wu Xiaofu, he is only the second surgeon. His assistant is still a novice, and his proficiency is worrying.

This may really be a genius who is more talented than himself.

Wu Xiaofu's ideas can always give him a lot of inspiration.

Studying with Wu Xiaofu was really easy and efficient. Before, he was obsessed with choosing a superior doctor, which became Peng Xia's top regret.

Who thought it would be so fast.

This is what Peng Xia admires about Wu Xiaofu. After having the surgery with Wu Xiaofu, he is extremely confident when he performs the surgery himself. Moreover, after Wu Xiaofu gave the surgeon a chance last time, he felt that his understanding of the surgery has directly improved. It has gone through several levels, which is why Peng Xia wants to have surgery with Wu Xiaofu so much.

Chu Jingming felt a little inexplicable. At the beginning, the teacher was not so relieved to let him go.

Chu Jingming looked at his watch, one and a half hours.

He arrived late. Wu Xiaofu had almost separated the layers and was about to start cutting the lesions.

That’s outrageous!

Wu Xiaofu didn't know what Chu Jingming was thinking. The operation was just at this stage. It was just a real experience. Peng Xia said that following Wu Xiaofu's operation was the same feeling. It was simple. He drank water and ate food, and the liver cancer lesions were acne heads. Rectal cancer and gallbladder and appendix were removed. Almost, well, if it weren't for the fact that this was not a level one surgery, Peng Xia would really believe it.

It was arranged the next day. After entering the operating room, Chu Jingming was really surprised. Just give it a chance. Why is there no one here? Don't you need to watch? Are you so relieved?

"Doctor Chu."

When Wu Xiaofu's voice came, everyone was refreshed.

Look at the nurse next to you.

Did you reach the stage of removing the lesion within an hour and a half?

Chu Jingming looked at Wu Xiaofu with a strange look. At this time, he was already saying sorry to Wu Xiaofu in his heart. He really underestimated the little brother in front of him.

Only then did Wu Xiaofu notice Chu Jingming, "Hey, Brother Chu, you have an operation later. I'll finish it right here."

Chu Jingming couldn't help but smile bitterly when he heard this. This guy just noticed him. Looking at Wu Xiaofu's serious expression, although he had only seen him a few times, in his opinion, Wu Xiaofu was not the kind of person who was pretentious and scheming. He was probably I was really too involved in the surgery and didn't notice him. Also, if I hadn't done the surgery so seriously, how could I have achieved such an effect.

Now he actually feels sympathy for Wu Xiaofu. He is the kind of person who stands in the position of the chief surgeon and doesn't care about anything else. Wu Xiaofu is really similar to him.

"No, I just had an operation. I heard that you had an operation here. Come and have a look. Well, you did a good job."

Wu Xiaofu was stunned when he heard this. Chu Jingming was actually praising him. Not to mention, hearing such praise made Wu Xiaofu feel really good. I don't know if it was an illusion. Wu Xiaofu felt that Chu Jingming's attitude towards him seemed to have changed a lot. He felt much more comfortable. Yes, but this is a good thing, Wu Xiaofu also laughed.

"I still want to learn from Brother Chu. By the way, I was about to ask Brother Chu for advice. This..."

Wu Xiaofu handed the rest to Peng Xia, got off the operating table, and asked Chu Jingming. He had seen a lot of gastrointestinal-related surgeries in the past two days, and he had little knowledge of them. It was inappropriate to ask Yu Shifu about those surgeries. Now, It just so happened that Chu Jingming was a genius in this area. Seeing that Chu Jingming seemed to be in a good mood today, he just wanted to ask for advice.

Chu Jingming looked at Wu Xiaofu who felt no burden to ask for advice, and he looked at Wu Xiaofu with a certain disdain.

Geniuses are very burdened and will rarely take the initiative to ask questions to their peers. Wu Xiaofu is really an exception. He is not a stingy person in academics. Wu Xiaofu sincerely asks for advice. Naturally, he will not hide his secrets. The two of them are really good at each other. The conversation became more and more exciting. After leaving the hospital, both of them were fine. They went directly for a massage and dinner. They kept talking until about eight o'clock in the evening before going back to their respective homes.

Looking at the newly added contact information, Chu Jingming was in an inexplicably good mood. Although they had only known each other for a few days, after today, he had already introduced Wu Xiaofu as a confidant. He talked to many people without talking to each other. But it was really relaxing and fun to communicate with Wu Xiaofu.

From the process of communication, Chu Jingming knew why Wu Xiaofu had such achievements. This knowledge reserve was really profound.

He graduated with a Ph.D. and studied abroad. He has been working for two years. But as for Wu Xiaofu, he asked, he had just graduated with a master's degree two months ago. Such a foundation actually gave him a lot of knowledge during the exchange process. The place he was inspired by was simply unbelievable. From today on, Wu Xiaofu must be added to the list of people he admires.

Wu Xiaofu didn't know this. He really gained a lot today.

In the past two days, he has read a lot of gastrointestinal surgeries and books. After today's surgery, he has learned a lot. However, when it comes to gastrointestinal surgery, he can only be regarded as a newcomer. There are many things to learn, but with After some exchanges with Chu Jingming, Wu Xiaofu felt that he had achieved some success in gastrointestinal matters.

Wu Xiaofu also recognized this friend. He was really easy to get along with and had no secrets at all.

Home.

Opening the door, the scent immediately hits your nostrils.

"Hey, you're back?"

It was Wu Bin and Sarilang who came back. Wow, it was already eight o'clock, and they had just eaten. The smell made him feel a little unbearable even after finishing his meal.

"Come, talk to your sister."

Sarilang was still busy in the kitchen. Wu Bin said something and gave the phone to Wu Xiaofu. Although Wu Bin doted on his daughter more, his daughter's nagging also made Wu Bin a little unbearable. You must know that Wu Bin had previously Smoking and drinking are also very dangerous, but under Wuman's control, he drinks less and smokes less.

Now I basically smoke a pack of cigarettes every few days, and rarely drink alcohol except for guests. People who don’t know better think it’s to keep in good health.

I guess he was nagged again. When he saw Wu Xiaofu, he immediately regarded Wu Xiaofu as his savior. Since Wuman became pregnant, his nagging has increased even more. When he was a child, Wu Xiaofu couldn't stand Wuman's nagging, but it doesn't work, you If you don't listen to the nagging, Wu Man can also give you a fist to eat, a real female devil.

"Sister, is your due date coming soon?"

"It will be almost the end of September. I will work hard to see if I can be born on October 1st. From now on, I will be called Liu Guoqing."

"Sister, if I don't tell you, you are really good. These things can make you work hard to make a living. Do you know that you are so good, brother-in-law?"

"Are your skin itchy again? Do you want me to come over and fix it for you?"

"Hmph, are you flying in the sky or hiding on the earth? You still want to fly over, but you can't even get on the plane."

In the first and third trimester of pregnancy, it is not recommended to fly at the airport. At this time, Wu Xiaofu was not allowed to talk freely.

"Okay, you can, just wait."

"Okay, you are a mother of a child and you are still so violent. Where is my brother-in-law? Is he not crazy because of your nagging?"

……

The siblings were like this every day, and Wu Bin laughed heartily when he heard this. As long as he was not around Wu Man, Wu Xiaofu's talkative skills were still as good as Wu Man's.

In fact, he also wanted to feel like his daughter and son were at home. After all, when Wu Man was with Wu Xiaofu, most of his energy would be spent on beating Wu Xiaofu, and he would spend less time talking about him.

After hanging up the phone, the food was served.

"Mom, why are you eating so late? It's already past eight o'clock. You'll finish eating later and I'll go down with you for a walk."

Before Sarilang could speak, Wu Bin spoke first.

"When we came back in the morning, your mother started cleaning it for you. Haven't you seen that your house has changed a lot?"

Ah!
Wu Xiaofu looked around. Not to mention, it was much brighter, cleaner, and had a lot more things.

It seemed that he had been busy all day, no wonder he had to eat so late.

"Hey, when my sister gives birth to the baby, you can stay here with me. Without you, I don't know how slovenly this house will look."

"You think so. I have such a big industry. I'm used to living on the grassland. I don't care about anything in the East China Sea."

Wu Xiaofu felt helpless, the East China Sea, the Pearl of the Orient.

But seeing Sarilang looking like the grassland was better, Wu Xiaofu also knew that it was impossible to leave them behind. They were all used to living on the grassland, and that was their paradise. No matter how good the East China Sea was, it couldn't compare. .

Jingle bell, jingle bell.

While Wu Xiaofu was eating, he made a video call to Qu Ying, but it took a long time for the other person to answer the phone.

"Xiaoying, what are you busy with over there?"

"Don't mention it. I told my parents that I found a boyfriend. My mother is okay, but my father is not willing yet. Fortunately, I can't stay for a few days. I will go abroad. Otherwise, I will have to quarrel with him again. "Wu Xiaofu also smiled when he heard this. It seems that if he wants to marry Qu Ying in the future, he will have to go through the hurdle of his father-in-law and mother-in-law.

He also heard Qu Ying say that Qu Ying's father was quite stubborn and wanted to arrange everything for his daughter, not to mention the major life events. Now that Qu Ying quietly found Wu Xiaofu, it would be strange to be willing. What's more, this The father-in-law probably wanted to kill him after he found out about him. The little cabbage he had raised for so many years was taken away just for a trip to the East China Sea. It would be strange not to be angry.

Wu Xiaofu decided to stay out of the way for a while and then try to please his future father-in-law. Well, it was easy for him. He found a girlfriend and used all his military skills.

In the community, Wu Xiaofu and Wu Bin Sarilang were walking around after dinner.

"Hey, Xiaofu!"

While walking ahead, Wu Xiaofu heard the sound and turned around quickly to find a couple also walking.

"Director Zheng, do you also live in this community?"

It turned out to be Director Zheng, the director of the gastroenterology department. It seemed that he also lived in this community. Also, this community was very close to the hospital. I am afraid there would be many people from the First Affiliated Hospital who would buy houses here.

"Yeah, I didn't expect you to live here. By the way, this is my wife. She came back late and just had dinner. She didn't want to go out for a walk. What a coincidence. These are your parents? "

Wu Xiaofu hurriedly greeted Director Zheng's wife and introduced Wu Bin and Sarilang to them.

"Director Zheng, aunt, these are my parents. Parents, this is Director Zheng from the Gastroenterology Department of our hospital."

The two sides exchanged pleasantries again.

"Then let's go for a walk?"

"Okay."

Director Zheng and Wu Xiaofu soon stayed behind. Director Zheng obviously wanted to say something to Wu Xiaofu.

"You had two rectal cancer surgeries today. How do you feel?"

"Director, I was planning to go to the department another day to thank you. This time I would like to thank you for giving me the opportunity. After these two surgeries, I discovered that the surgeries on our digestive system are all pretty much the same. As long as they are... The anatomy is solid, and if you pay attention, you can get started quickly. ”

Although Wu Xiaofu's two surgeries were performed by Yu Shifu this time, they were all gastrointestinal surgery patients. Wu Xiaofu is not a gastrointestinal surgery doctor now. Director Zheng is willing to perform the surgery on the patients in the department for him. Wu Xiaofu You can’t pretend you don’t know anything.

"Thank you no matter what. It's all about treating diseases and saving lives. It doesn't matter who does it. What's important is whether it can relieve the patient's pain. You did a good job in these two surgeries. I watched them in the observation room for a while. Dean Yu said you are a genius. I I was dubious at first, but after seeing it this time, I have to admit it. So, have you ever thought about which department you want to work in in the future? "

Wu Xiaofu immediately understood that Director Zheng was here to recruit him. Wu Xiaofu was currently in the emergency department, but both Yu Shifu and Director Zheng knew that Wu Xiaofu could not stay in the emergency department all the time. At this stage, the emergency department It can also play a big role in training Wu Xiaofu, but as Wu Xiaofu improves later, the emergency department will become very limited.

It is only a matter of time before you leave the emergency department and go to other departments.

Wu Xiaofu's major is most likely general surgery. Director Zheng had never thought about this before. After all, Wu Xiaofu specializes in liver, gallbladder, pancreas and spleen. But this time when he saw Wu Xiaofu perform surgery, the situation suddenly opened up. Why? It must be the hepatobiliary department, they also do gastrointestinal surgery.

Although there is no shortage of doctors in gastrointestinal surgery, there is a shortage of talented doctors.

Having been on stage twice, he was able to perform rectal cancer resections. Director Zheng had never seen anyone with such talent, so he naturally wanted to take down Wu Xiaofu.

"Director Zheng, to be honest, I haven't thought about this matter. Right now, I'm afraid the focus will still be on the emergency department, and then I will graduate successfully with a PhD. I'm afraid I can't answer this question until I graduate with a PhD. I'm sorry. Ah, Director Zheng.”

Director Zheng also smiled and said, "Let's just chat normally. The emergency department is still suitable for you now. When you want to transfer to another department, you can tell me that gastrointestinal surgery will not bury talents. As long as your level is up to , Whatever surgery you want, there will be no shortage of them. Okay, they have gone far, let’s take a few steps quickly.”

Thursday.

After the morning meeting, Duan Hao handed the information about the two surgeries to Wu Xiaofu. During this period, Duan Hao saw that he was getting busier and busier, and he was no longer so crazy about receiving surgeries. Just like today, there were only Two units.

"You will come to the surgery with me soon. After the surgery, I have an out-of-hospital consultation, and I'm so busy that I'm fuming."

Wu Xiaofu took a look and saw that it was a case of chronic cholecystitis, gallbladder stones and bile duct stones, so the operation was still difficult.

Is the other patient a patient with pyloric obstruction?
Wu Xiaofu has seen a lot of gastrointestinal surgeries in the past two days, and pyloric obstruction is one of them.

It is important that there are two doors in the digestive tract, one is the cardia and the other is the pylorus. The cardia is the junction between the esophagus and the stomach, and the pylorus is the junction between the gastroduodenum and the duodenum.

This is the most famous stenosis of the digestive tract, but it is also an indispensable part of the digestive tract. Because of the stenosis, the risk of blockage is very high, especially the pylorus, which is narrower than the cardia. The normal diameter is 1.5cm. Then However, no matter how narrow the digestive tract is, the blockage will naturally be greater. There are many patients with pyloric obstruction in the gastroenterology department. Generally, those who are admitted need to undergo surgery.

The surgical procedure is generally distal subtotal gastrectomy.

Pyloric obstruction means that due to the obstruction of the passage of the pylorus, the gastric contents cannot enter the intestine smoothly, and a large amount of them are retained in the stomach. Well, just think about the situation when the toilet is suddenly blocked. The toilet is blocked, and the size is still being solved in the bathroom. What it will be like, what it will be like at home, well, the body will be similar.

After pyloric obstruction, the retention of gastric contents will lead to hypertrophy of the gastric wall muscle, expansion of the gastric cavity, and inflammation, edema, and erosion of the gastric mucosa. If it goes on for a long time, the stomach will probably become useless, and the toilet will become clogged. It was so disgusting that I didn’t even want to wash it and just throw it away, let alone my stomach.

Moreover, after the blockage, there will be no appetite, long-term inability to eat normally, and massive vomiting. A series of complications will follow, including malnutrition, hypoalbuminemia, anemia, severe dehydration, hypokalemia, and Alkalosis, water and electrolyte imbalance, etc. are all possible, and if severe, it can be fatal.

The solution to pyloric obstruction is also very simple, that is, to relieve the obstruction. Functional pyloric obstruction can generally be solved with internal medicine.

However, there are also many organic pyloric obstructions that can only be solved by surgery. For example, in the case at hand, it is caused by submucosal fibrosis caused by chronic ulcers, resulting in scar stenosis and scar contracture that cannot be solved by medical means. , if not treated as soon as possible, it will continue to worsen, so once it is found that pyloric obstruction is caused by scar contracture, surgery should be performed as soon as possible.

"Then which one should we do first?"

"You have pyloric obstruction. After the pyloric obstruction is done, I will withdraw first and leave the back station to you."

Operating room.

At this time, the patient's abdomen has been opened. The surgical procedure for this case of pyloric obstruction is distal subtotal gastrectomy plus gastrojejunostomy. The operation involves resection of the lower half of the stomach and then anastomosis with the jejunum.

After the stomach is opened, the taste is really needless to say.

Needless to say, these things have been in the patient's stomach for the shortest time, more than a week. Needless to say, if they have been there for a long time, they cannot go down. If they ferment in the stomach for a long time, the smell may be the best smell. Son.

Duan Hao couldn't help but frown, and Zheng Hua and You Ruiming turned green.

Wu Xiaofu had already expected to wear an extra mask. Even this was very strong. This is why relatively few people choose gastrointestinal surgery in general surgery. The smell is really too strong, whether it is the stomach or intestines, It is inevitable to encounter this kind of situation. Well, in hospital surgery, it may be second only to the anorectal department.

Emergency departments rarely accept this kind of surgery, and few can perform it. Now, the only ones who can perform subtotal gastrectomy in the entire emergency surgery department are probably Duan Hao and Director Zhang.

Speaking of Director Zhang, Wu Xiaofu couldn't help but shake his head.

During this period, Director Zhang also wanted to be the executive deputy of the emergency department, but in the end his dream was shattered. Duan Hao had already told him that the hospital had recruited a new chief physician who would be the executive deputy of the emergency department. However, Duan Hao still helped Director Zhang to tell Yu Shifu that if the executive deputy director was not good enough, the director would have to be hired.

Two goals, finally one was solved.

Duan Hao had already begun to free the greater and lesser curvatures of the stomach, then cut off the duodenum, and finally cut off the stomach.

Peptic ulcer is actually a very troublesome disease. The cause of pyloric obstruction is gastroduodenal ulcer. The reason for performing subtotal gastrectomy is to reduce the occurrence of ulcer. Well, if everything is removed, how can ulcers and obstruction still occur? The incidence rate is naturally low, and gastrojejunostomy is chosen in order to be able to cut more of the stomach.

If a gastroduodenal anastomosis is performed, the stomach will be left less, but the anastomosis will not be easy. If the anastomosis breaks, it will cause a fistula, which will be more troublesome.

What we do more now is gastrojejunostomy, and it has been improved again and again, and the effect is very good.

Wu Xiaofu cooperated with Duan Hao in the operation while using the formula.

Yeah, that works too.

The abdominal cavity is opened in the same way, the gastric vascular ligaments are freed in the same way, the stomach is cut in the same way, and the anastomosis is the same.

Compared with the rectal cancer resection performed yesterday, there was one less step of lymph node dissection. Speaking of which, this operation is actually simpler than the rectal cancer resection.

"How is it? Do you think this is more difficult than the rectal cancer resection performed yesterday?"

"Well, I feel like this is simpler."

"I just like your confidence. When there are cases like this in the future, I will leave it to you."

Wu Xiaofu naturally agreed directly. Although this kind of surgery was very unpleasant, it was about practicing skills, treating diseases and saving lives, so why did he care about these things.

"Okay, I'll leave the rest to you,"

After the anastomosis was over, Duan Hao took off his clothes and left. Wu Xiaofu took over the position of the surgeon, and the rest was a piece of cake. Duan Hao was naturally relieved.

"Boss, with you, I can do any kind of surgery."

Zheng Hua couldn't help but sigh. Yesterday, Wu Xiaofu took Peng Xia for rectal cancer resection, and Corey also knew about it. Zheng Hua had never done much surgery for pyloric obstruction in the emergency department, so he just followed Wu Xiaofu. Otherwise, Zheng Hua probably wouldn't be able to meet him in the next few years.

"Why, you like this kind of surgery? If I have one later, I'll take you with me."

"Okay, thank you, boss."

Zheng Hua almost jumped up when he heard this. He was afraid that Wu Xiaofu would take Peng Xia with him instead of him in the future. Not to mention, Peng Xia's writing work was really good. Zheng Hua was really helpless in this regard. He competes with Peng Xia for favor, but who made him the first to visit the dock? The boss is still nostalgic.

Wu Xiaofu didn't know what Zheng Hua was thinking. After flushing the abdominal cavity, he started to close it.

The case of bile duct stones in the back was also done laparoscopically.

In fact, Wu Xiaofu had a lot of gallbladder operations, and there were very few cases of common bile duct stone removal. Most of these cases went to the general surgery department, and it was not easy to save a few in the emergency department.

The opportunity in front of me is also good.

Although it is one patient, the operation is actually three operations: laparoscopic bile duct stone removal + laparoscopic cholecystectomy + T-tube drainage.

The first thing to do is laparoscopic bile duct incision and stone removal.

This patient's bile duct stones, in Wu Xiaofu's opinion, should have been caused by gallbladder stones.

After incising the peritoneum in front of the hepatoduodenal ligament and peeling it off layer by layer, the common bile duct can be seen. Wu Xiaofu carefully performed a routine puncture 1cm away from the upper edge of the duodenum, fearing that he would make the wrong cut. , many people who perform common bile duct incision and stone removal cut the common bile duct incorrectly. If a knife is applied to the pancreas, the problem will be huge.

Therefore, some steps cannot be omitted, and exploration before common bile duct incision and stone removal is even more necessary.

After the routine puncture, what he saw was bile. Wu Xiaofu was relieved. He then cut open directly and used a spoon to take out the stones in the common bile duct under the mirror. Wu Xiaofu would like to call this "strong man's touch". Because the force is too strong, it can easily damage the inner wall or even burst it.

You have to be more careful when digging out. If one or two are left, the meaning of the operation will not be complete, and there will still be various symptoms after the operation.

It's not easy to dig out, and you can still pressurize it. However, you can't just rush it and rupture the common bile duct, which will cause serious problems.

After doing this several times, I saw that the inside of the common bile duct was clean, so I just placed the T-tube.

The purpose of placing a T-tube is to help drain bile, prevent cholestasis and infection after surgery, reduce pressure on the bile ducts, maintain the tension of the bile ducts, and prevent contracture. Well, such a small tube is so useful. .

The T-tube must be placed. Normally during cholecystectomy, the bile duct is not moved. But now it is different. The bile duct has been cut. If the bile duct is not placed, the probability of the above complications is not high. There is a problem, but it will definitely happen.

After the T-tube is placed, the next step is to remove the gallbladder and end it.

"How about it?"

Ah!
Hearing this, Zheng Hua always felt that these words were a bit familiar. Did Duan Hao also ask Wu Xiaofu this question just now?

However, Zheng Hua is not as confident as Wu Xiaofu.

"Boss, I think my goal should be to focus on minor surgeries such as gallbladder and appendix first. For things like bile duct stone removal, I need to continue to upgrade."

In the ward.

Wu Xiaofu told the patient what to pay attention to, but everything else was fine, including a light diet, mainly the T-tube.

The T-tube needs to be retained for about two weeks, and the amount and nature of the drainage must be paid attention to every day. The sutures are basically removed when the tube is extubated.

Wow wow wow.

"Come on, give in, hurry up, give in."

After coming out of the ward, Wu Xiaofu was about to change clothes, and there was chaos in the hall.

(End of this chapter)