"But the patient is now in a critical condition and has just been rescued. If time is delayed due to transfer to another hospital, it may cause irreparable consequences."

Logically speaking, Qingping naturally agrees with Yan Ruoyun's point of view, but from a doctor's point of view, the patient's life always comes first, so he still insists on the operation. He just wants to fully communicate before the operation so that the patient and his family can

Know the risks of this surgery.

"We naturally understand Dr. Qing's concerns, but the current surgical risks are indeed too high, and the attitude of patients and their families poses the risk of future medical disputes. After all, this surgery will be performed by Dr. Lin, or with his

Will prevails.”

Of course Yan Ruoyun had to take a stand at this time. After all, if something happened later, it was Lin Dong who took the blame.

Lin Dong naturally felt warm when he heard Yan Ruoyun defending himself like this. He was about to organize his words on how to politely refuse the operation.

I only heard a voice in the corner next to me saying calmly: "Actually, Dr. Lin and Dr. Yan now mainly think that the risk of surgery is too high. Laparoscopic cholecystectomy alone does have some limitations. However, we can improve it through improved surgery

method to improve the success rate of surgery. This surgery is not impossible to try."

Everyone looked at the place where the sound came from, which was naturally the tenement building.

Lin Dong was a little surprised. Since he had never participated in a consultation with Tanglou before, in his concept, the time for an intern was just to attend meetings, listen to suggestions, and gain insights.

How could he be so bold as to put forward his own opinions and improve the technique from the very beginning?

On the contrary, Qingping and Yan Ruoyun were not too surprised. They did not stop or question Tanglou's words.

Just listen quietly to his explanation.

Lin Dong, seeing the two big men listening attentively, of course closed his mouth and looked at Tanglou, feeling very puzzled.

However, he was also curious about what Tanglou could say?

"For this patient, I recommend endoscopic retrograde cholangiopancreatography (ERCP), endoscopic RT sphincterotomy (EST) combined with laparoscopic cholecystectomy (LC)."

Tanglou put forward his plan straight to the point.

Yan Ruoyun and Qingping, after hearing Tanglou's plan, both fell into deep thought, and then quickly understood the reason. These three techniques are very commonly used in the field of liver and gallbladder alone, but when combined together, they can be used

There are indeed not many, but it is not without precedent.

Seeing the expressions of Qingping and Yan Ruoyun, Lin Dong naturally understood that Tanglou's plan was very feasible.

Breaking it down, Lin Dong has done all three techniques with his qualifications, especially ERCP and LC, which can be said to be very proficient.

But when the three techniques were combined, he was really frightened.

Ignoring everyone's expressions, Tang Lou continued to explain why he suggested using this comprehensive technique:

"The reason why it is believed that laparoscopic cholecystectomy for Hu Jie is risky. The biggest hidden danger is that the patient's preoperative stone distribution and stenosis sites cannot be clearly understood. At the same time, conventional cholecystectomy involves a large amount of intraoperative bleeding and postoperative bleeding.

The recovery time will also be longer, and Hu Jiejie has just undergone rescue, so there are too many uncertainties."

"However, if ERCP+EST+LC is used, the incision is smaller, there is no need to destroy the Oddi sphincter, and the stone can be removed under direct vision of the choledochoscope."

"On the other hand, ERCP can clearly understand the patient's preoperative stone distribution and stenosis areas, making it easy to operate during the operation and avoiding the occurrence of residual abdominal stones and infection. During the operation, ERCP can be used to inject water to observe whether there is bile leakage and other conditions to prevent

Complications occur.”

"In addition, patients do not need to use T-tubes after surgery, which is conducive to the recovery of the patient's digestive function. It is very suitable for patients like Hu Jie."

“To sum up, I believe that Hu Jie’s surgical success rate of ERCP+EST+LC for the treatment of gallbladder stones combined with extrahepatic bile duct stones is very high, and it can significantly reduce intraoperative bleeding, shorten postoperative recovery time, and is highly safe.

You can try it.”

After Tanglou finished expressing all his opinions, he closed his small notebook and waited for the reactions of the two attending doctors.

Yan Ruoyun was the one present who had the most research on cholecystectomy and the most practical experience. After listening to Tanglou's analysis, he had already come up with the answer.

Yan Ruoyun did not express his position directly, but wanted to see Dr. Qing's attitude: "Doctor Qing, what do you think?"

Although he mainly specializes in the field of appendicitis, Qingping certainly has a lot of experience in cholecystectomy, which is a first- and second-level surgery, and has experienced many cases under his hands.

After thinking about it, Qingping said very decisively: "I support Tanglou's opinion. If endoscopic retrograde cholangiopancreatography (ERCP), endoscopic RT sphincterotomy (EST) combined with laparoscopic cholecystectomy are used,

Surgery (LC), the success rate of this operation is already within the controllable range, and the risk is still acceptable. Of course, you still need to communicate carefully with the patient before the operation."

After listening to Qingping's opinion, Yan Ruoyun nodded.

Lin Dong was the only one left in front of the conference table who was worried, staring closely at Yan Ruoyun's mouth.

"The operation can be carried out, and I agree to operate on the patient. Since the success rate can be controlled, as long as the operation is successful, the so-called entanglement between the patient and his family will cease to exist."

Yan Ruoyun made the final decision.

Lin Dong's heart skipped a beat, and he said with some embarrassment: "Dr. Yan, I also agree with Tang Lou's point of view. The combination of ERCP+EST+LC is indeed a very suitable treatment for this patient in theory. But I don't think so.

I have no previous surgical experience, so due to my own uncertainty, I think this surgery can still be discussed..."

Lin Dong himself was a little embarrassed, but it was better to admit that he couldn't do it before the operation than to stop on the operating table afterwards.

[Ding, new mission: specialize in treating dissatisfied patients, use superb medical skills to successfully operate on Hu Jie, and convince the patient and his family. Mission reward: 2 gold coins, the card library is refreshed once. 】

...

"If everyone agrees, I am willing to give it a try and I will perform the operation."

Tanglou expressed his wish to be the surgeon with great enthusiasm.

Lin Dong didn't believe his ears. He said he was afraid of not doing well. Why is Tanglou so tough?

Ye Kai and Hong Guan, who had their ears pricked up in the distance, were also in disbelief. Is Tanglou crazy?

Even Dr. Lin Dong tried his best to refuse such a difficult surgery, and he actually jumped into the fire pit.

"Tanglou, this is no joke. Even I dare not say that I can perform it satisfactorily. After all, this operation is very complicated and requires very high standards from the surgeon. Can you do it? If not, don't force it."

It's not that Lin Dong feels that Tanglou has stolen his limelight, but he sincerely advises him. If he can't do it, he is trying to be brave, and then a medical accident occurs, and the family members and patients are obviously not fuel-efficient, and they are not looking for trouble for themselves.

"I can do that."

Tanglou looked at Lin Dong seriously, then at Qingping and Yan Ruoyun.

Under the two-star cholecystectomy, his level is already that of a chief physician, and he also has various talents and diagnostic skills.

"I agree."

"I agree too."
Chapter completed!