2395 Chatting during surgery
He took out 45 adult worms from his lower digestive tract. After he was done, Zheng Ren said,””Director Luo, Su Yun and I will be performing an ERP. Can you guide us from the side?”
“You’re too kind, boss Zheng. ” “I can’t extract the worms that deep,” director Luo said honestly.
After he finished, he paused for a moment and smiled.””In the past, only insect repellents could be used for insects in this position. After it died, it would be discharged little by little. Many of them can’t be discharged, and they directly become gallstones. “
“If there’s a biliary obstruction, we’ll see.”
“Let’s try, I might not be able to take it out. ” Zheng Ren was preparing the materials for ERCP as he said,”well, I can’t do it alone, so I have to drag Su Yun along.”
The nurse and the anesthetist were in the operating theater, and they were all dressed in lead. The rest of the people left the operating room.
“Director Luo, you’re not going to help?” Professor yang asked in a low voice.
“Boss Zheng is just being polite with me.” Lord Luo said,”if we’re really talking about ERCP, my level is not even comparable to the people under me.”
“Look at what you’re saying.”
“To be honest, I’m getting old, and I can’t do some microoperations well. Boss Zheng’s age is really good, he can still work for at least another 20 years!” Director Luo said with envy.
Professor yang sighed in his heart.
Usually, people at boss Zheng’s age were master’s or Ph.D. Students. It wouldn’t be an exaggeration to say that they were still in the process of learning surgery and couldn’t go on stage to solve difficult and miscellaneous diseases.
It was already considered good if he could successfully perform a normal surgery without any mistakes.
But looking at boss Zheng through the lead glass, professor yang sighed again. Regardless of whether it was an interventional surgery or a surgical surgery, he was still very good at it. How’s the hepatectomy? Most people would first perform interventional surgeries before they performed hepatectomy, and people in the hepatobiliary field gradually got used to this method.
The Department Director had been preparing to arrange for someone to learn interventional surgeries from boss Zheng.
There was no need to be particularly meticulous, as long as medicine and embolism were applied. After all, he still needed to perform surgery, so there was no need to make it too delicate.
He had already changed a lot unconsciously, and he didn’t even have a clear feeling about it. Professor yang recalled every scene of his contact with boss Zheng. When he looked back, he was a little stunned.
On the screen, the ERP surgery had begun. Duodenostomy will pass through the esophagus, stomach, and enter the lower section of the duodenum in order to find the duodenum RT.
Professor yang had seen many ERCP surgeries, and the next step, selective intubation, was a very difficult step. However, he didn’t feel anything when he saw boss Zheng’s operation.
It was only right that boss Zheng did it. It would be strange if he didn ‘t. It was worth the whole hospital discussing why.
Sure enough, after inserting the catheter through the biopsy hole, boss Zheng adjusted the angle button and lifted the forceps so that the catheter was perpendicular to the RT opening. Then, the catheter was naturally inserted into the duodenum RT.
Zheng Ren then began to perform angiography.
Reversed choledochoscope examination showed that there was an abnormal image of about 15 cm near the right liver segment of the hepatolithium. After comparing it with the CT scan, it could be confirmed that this was the source of the severe pain in the patient.
The roundworm was stimulated and climbed all the way from the duodenum RT to the hepatolithiasis. Every time the roundworm moved, the patient would feel a heart-wrenching pain.
Why did he do this? if he had the willpower, he really believed that he would be better off eating less and moving more.
Professor yang looked at the image silently and evaluated the patient’s condition in his heart. This type of ERP surgery was quite difficult, and Department Director Luo could not do it.
Were there any precedents of ERCP taking worms in China? He had an impression of the near-end ones. However, it was quite difficult to not pass such a deep one.
“Yang, what would you do if you were in my position?” Director Luo asked.
Although professor yang had never done an ERP before, he still knew the basic theory and operation. This was equivalent to sitting down and discussing the Dao, providing some ideas.
“Uh …” Professor yang thought about it carefully, but then he smiled bitterly.”Director Luo, you’re making things difficult for me.”
“I’m just casually saying. ” Director Luo stared at boss Zheng’s operation and said casually.
“It’s not difficult to catch an roundworm with pincers. At least for boss Zheng, it’s not a difficult task. ” Professor yang said.
It wasn’t difficult, and it indeed depended on the person.
The hepatolithium was quite thin. It was difficult to remove stones from the hepatolithium by ERP, let alone take out a living thing.
“The difficult part is that although roundworms don’t have obvious mouthparts and cling to the biliary tract, their outer layer … Seems to have a protective layer, right?”
When it came to the details, professor yang was a little hesitant.
He couldn’t explain the details, so he just chatted with director Luo based on his memory.
“Yes, roundworms have a cuticles layer on their outer layer, but their physical strength and corrosion resistance are comparable to that of antelope horns and rhinoceros horns. They have a very strong resistance to mechanical, chemical, and biological damage. Therefore, although roundworms don’t live in the stomach, they are not digested by the stomach acid. ” Director Luo said.
“It’s very elastic. If you grab the end of the roundworm and pull it out, I’m afraid the worm will break from the middle.”
“It’s fine when the space is large. Although roundworms don’t have suction cups, their outer walls have the ability to absorb. ” Lord Luo said,”it’s easy to remove the roundworms in the stomach and intestines, but it’s too difficult to remove the worms in the hepatolithiasis.”
“I don’t understand.”
“I don’t understand either.” “At first, I just wanted to ask boss Zheng if he had any good ideas, but since he’s here, it means that he already has an idea,” director Luo said. I’m really curious how boss Zheng is going to take out the bug. “
“Surgery? With boss Zheng’s skills, it’s possible for him to perform laparotomy and cut the liver to take out the worm. “
“No, if it’s a surgery, and a surgery of this level, boss Zheng’s girlfriend will go on stage with him.” Director Luo said with certainty.
That’s true. Professor yang nodded.
The angiography had ended a long time ago. However, in the ERP room, boss Zheng and Su Yun only did a simple operation before they stopped.
Director Luo felt a little strange and pressed the intercom.
Immediately, Su Yun’s voice came out from the walkie-talkie.
” This thing can also be used to lose weight. I really have to admire the human imagination. “
“Progesterone improves insulin resistance and lowers insulin levels, thereby reducing fat synthesis and lowering body weight. But won’t there be any problems if an ordinary person takes it?”
“Of course there is. Two days ago, a student who went abroad for further studies said that there was an old man who ate viagra to lose weight and fell into a coma. There was no one in the house, and when I found out, I was almost in a vegetative state. “
What kind of nonsense was this? in the middle of the night, there were a bunch of people from two departments looking at him. Why wasn’t he doing the surgery? why was he talking about Pavilion master formin? Professor yang and director Luo looked at each other. They could see the confusion in each other’s eyes.