BXBX NOVEL Chapter 744: 【744】The leader came to inspect
After adjusting the state, the choledochoscope was withdrawn backwards, and it was withdrawn to the confluence of the left and right hepatic ducts of the common hepatic duct, as if to try to observe the angle problem again.
As everyone expected, it is difficult to calculate what is wrong with the angle only from the inside. The light source shines back and forth, and it seems that there is no angle problem.
Couldn't find any breakthrough, and a bunch of doctors felt like they were going crazy.
"Maybe the right hepatic duct looks smaller than the left hepatic duct?" He Jiuliang tried to find something wrong.
Others agreed: "If this is the case, it means that his right hepatic duct is congenitally narrowed."
"No, if there is only a problem in the right hepatic duct, why does he also have abscesses and stones in his left liver?"
"Did Xiao Song say that his right hepatic duct is stenotic?"
Upon receiving the questions from the seniors, Song Xuelin's brown eyes seemed more confused than the seniors: "The difference between the diameters of the pipes on both sides is a reasonable physiological deviation that does not need to be counted." That is to say, he never said it and didn't think it was. this problem.
Others got hit hard after chewing on his academic discourse. The reason for the natural stenosis of the right hepatic duct has been eliminated, and we have to return to the angle problem. Looking at it now, it is difficult to judge from the inside with a choledochoscope, and we can only think of another way.
"Can we observe the outflow of bile?" Gong Xiangbin raised an assumption.
If you see where the bile is flowing backwards, you can definitely know what the angle is.
As a result, the chief surgeon took the initiative to withdraw the choledochoscope.
The patient developed jaundice, indicating that the bile secretion pressure has reached the limit due to biliary obstruction. Hepatocytes no longer secrete bile into the bile ducts; instead, the bile-producing activity returns bilirubin back into the bloodstream without stopping. To wait for the bile to come out to see if there is any sign of reflux, it is estimated that it will be difficult to wait during the operation.
The main knife is indeed calm and online. Withdrawal of the choledochoscope is to observe the angle from the outside. Others consider that the liver needs to be dissected to clarify the relationship, and the left and right hepatic ducts are inside the liver.
The incision of the liver is a major injury to the patient, but it is not necessary for the examination. What if it is cut and found not to be.
It's been an hour and a half since the exploratory operation has been carried out.
A dense sense of anxiety spread over everyone. Where is the breakthrough point.
At this moment, two people's footsteps came back to the operating room.
"Elder Zhao, you don't need to worry too much about the surgery performed by the doctor in your department." It was Director Tang who spoke with the demeanor of a general.
The young doctors in the operating room stood up straight: the leader came to inspect.
Director Tang and Zhao Huaming stood side by side at the door of the operating room.
"The situation seems to be okay." Director Tang said while observing the operation.
"Okay?" Zhao Huaming asked weakly, not holding out much hope.
"If it's gallstones, removing them can get rid of jaundice. It's better than some weird liver cell disease." Director Tang said. This sentence is equivalent to leaking that he and Tao Zhijie discussed the case.
Zhao Huaming was surprised: "Have you discussed it?"
"Can we not care about your grandson and do our best to treat him? We will think of your concerns." Director Tang criticized him for not being calm enough when he said this.
Apparently, all the famous doctors in the department had given his grandson's condition, but he could not find out the reason after checking the information himself. Zhao Huaming couldn't help but worry: "It can only mean that his disease is weird."
(end of this chapter)