I'm a god of medicine

Chapter 31 What to do
Qin Gewei's operation was really beautiful, and an expert can only express it as pleasing to the eye.

Gao Chao's cooperation as the first assistant is quite good, at least Director Qin is quite satisfied.

In just 5 minutes, the two completed the incision of the abdominal wall and opened the abdominal cavity.

Although this speed of laparotomy is not slow, it is not too fast either.However, whether it is fast or slow is not the point.

The point is, during the entire laparotomy, Director Qin only used a piece of gauze to wipe the bleeding, and there were only a few spots of blood on this gauze.

On the side, Sheng Dajun shook his head and sent a rainbow fart in time: "It's amazing!"

The abdominal cavity was opened, and Dean Lin quickly made a move, holding a hook on the left and right, and tried his best...

Sheng Dajun had a sharp eye and a quick mouth, and sent another rainbow fart at the right time: "Look, Dean Lin's hook pulling posture is so professional! Without decades of skill, it is impossible to pull such a good hook."

Wu Weihua happened to be in the middle of Yang Xi and Sheng Dajun, and was stimulated by Yang Xi to give goosebumps all over his body, and now he was smoked by Sheng Dajun's rainbow fart and just wanted to fuck, this taste, this sourness... …

On stage, Director Qin cut open the peritoneum on the right side of the hepatoduodenal ligament, clamped a small gauze ball with a hemostat, and carefully separated the peritoneum to expose the common bile duct in the hepatoduodenal ligament section.Small blood vessels were found on the anterior wall of the common bile duct, which were sutured with No. 0 silk suture to prevent bleeding when the common bile duct was cut.

Another stitch was sutured on both sides of the anterior wall of the common bile duct with the No. 4 line as a traction. Director Qin held a scalpel and cut the common bile duct open.

While operating, Director Qin asked while teaching, "What are the types of common bile duct stones?"

Gao Chao replied: "In terms of composition, it can be divided into gallstones and mixed stones mainly composed of gallstones. From the perspective of shape, it can be divided into single and multiple stones and sediment-like stones. From the source, it can be divided into primary stones. Secondary and secondary. Secondary choledocholithiasis is caused by the shedding of gallbladder stones, and primary choledocholithiasis is caused by biliary tract infection, cholestasis, or biliary ascariasis."

Director Qin was quite satisfied, nodded, and continued: "This rural patient has poor sanitation, and the incidence of biliary roundworm is significantly higher than that of the urban population. Xiao Gao, I suggest that you can use more snacks in this regard, you should It’s a pretty good research direction.”

Gao Chao replied: "Well, thank you teacher for your guidance."

Director Qin glanced at Dean Lin when he was inspecting the common bile duct, and said with a smile: "Old Lin, how long has it been since you pulled the hook?"

Dean Lin adjusted the posture of the retractor, and responded: "It must have been a good ten years."

Director Qin Da said: "Every surgeon starts with a retractor. How can we pull the retractor well? First, we must understand what the surgeon wants to do next and what he wants to see. This requires the retractor to be familiar with surgery. Steps, Doctor Xiao Yang, are you right?"

Yang Xi's face changed suddenly.

Your old man can open his own knife, so why provoke the young master?

Almost at the same time as Yang Xi responded to Director Qin, the electronic sound of the system rang in his ears.

【Ding!The system dispatches a temporary task, asking the host to correct Director Qin Gewei's wrong intraoperative diagnosis.Please select 1 to accept the task, and select 2 to reject the task. 】

Yang Xi was taken aback suddenly, she didn't understand at all.

Immediately afterwards, I heard Director Qin questioning "Huh".

Then, Director Qin stopped the operation, frowned, and asked sullenly: "Dean Lin, are you sure this patient has choledocholithiasis?"

Dean Lin was also startled, and then replied with a little hesitation: "I've taken a B-ultrasound, it should be!"

Director Qin was obviously dissatisfied with Dean Lin's answer, he threw the instrument back on the instrument table, and said coldly, "But why do I feel like the common bile duct is occupying a place?"

The so-called space-occupying can be understood as a synonym for tumor, but its benign and malignant are still unknown.However, there are almost no benign tumors in the common bile duct. Therefore, if the diagnosis of common bile duct space occupation is made, there is at least a [-]% chance that it can be treated as common bile duct cancer.

There is a huge difference between cancer and stones.

Gao Chao touched it in time, and his expression became quite ugly immediately.Dean Lin leaned over and touched it with his hands. He was flustered immediately, and murmured: "That's not right! The B-ultrasound can see clearly, it should be a stone! Why..."

Director Qin said sternly: "I told you a long time ago that the B-ultrasound in your hospital should have been replaced a long time ago, and the level of doctors in your B-ultrasound room is also worrying, but the level is second. It’s the attitude! The difference between the stone and the space-occupying B-ultrasound image is so big, even if the machine doesn’t work, you have to be suspicious, right?”

Gao Chao commented: "The typical clinical manifestations of choledocholithiasis are upper abdominal colic and radiating back pain, accompanied by chills, fever and jaundice. Although this patient has symptoms of upper abdominal pain and jaundice, both colic and radiating pain It’s not obvious, and there’s no chills or fever, so I really should be more cautious, even if I give the patient a CT, it won’t cause a misdiagnosis.”

Director Qin frowned and said, "Xiao Gao is young and inexperienced, but you, Dean Lin, have 20 years of clinical experience. How could you make such a low-level mistake?"

Dean Lin's face was flushed, and the word "囧" written on his face could be seen through the mask. "Then this operation..."

Director Qin sighed heavily with a gloomy face, and said: "The conditions in your hospital are too poor, and you can't even do an intraoperative pathology, what else can you do? Shut up and transfer to another hospital!" After finishing speaking, he took a step back, When you get off the operating table, you have to take off your surgical gown.

At this time, the electronic system sounded again.

【Ding!The system dispatched a temporary task for the second time, asking the host to correct Director Qin Gewei's wrong intraoperative diagnosis, wash his hands and go to the stage to complete the common bile duct stone removal operation.The reward for completing this temporary mission has been doubled, please make a decision immediately, choose 1 for rejecting the mission, and choose 2 for accepting the mission. 】

At this moment, Yang Xi can't wait to strangle this shameless system to death.

Let him, a one-year doctor in a small township, correct the intraoperative diagnosis of a star-level expert in the city hospital, it would be better to ask him to find a rope and strangle himself to death.

Not to mention the words that you can be invincible if you open the hook, that is just the narcissism of a street writer in a novel, but in real life, with the qualifications and status of Director Qin, even if Yang Xi drives a train Hanging is also a life that can be blown to death by others.

However, the system really refused to take into account Yang Xi's life and death, and immediately sent out a temporary mission for the third time.

【Ding!The system dispatched a temporary task for the third time, asking the host to immediately correct Director Qin Gewei's wrong diagnosis and complete the operation.This temporary task cannot be rejected, otherwise it will be punished by the system. 】

What should I do?

(End of this chapter)