As if he were a surgeon, he was stuck in a mental deadlock, and he was in trouble.
After adjusting the condition, the choledochoscope was withdrawn back to the confluence of the left and right hepatic ducts of the common hepatic duct, as if to try to observe the angle problem again.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 by just observing it from the inside. The light source shines back and forth, but it seems that there is no problem with the angle.
Unable to find any breakthrough, some doctors felt like they were going crazy.
"Is it possible that the right hepatic duct looks smaller than the left hepatic duct?" He Jiuliang tried hard to find something wrong.
Others agreed: "If this is the case, it means that his right hepatic duct is naturally narrow."
"No, if there is only a problem with the right hepatic duct, why does his left liver also have abscesses and stones?"
"Has Xiao Song ever said that his right hepatic duct is stenotic?"
After receiving questions from his seniors, Song Xuelin's brown eyes looked more confused than his seniors: "The difference in diameter between the two sides is a reasonable physiological deviation that does not need to be taken into account." In other words, he never said it nor did he think it was.
this problem.
Others were severely shocked after chewing his academic words. After eliminating the reason for the natural narrowing of the right hepatic duct, they had to return to the angle problem. Now it seems that it is difficult to judge from the inside with a choledochoscope, so they can only think of another way.
.
"Can we observe the outflow of bile?" Gong Xiangbin put forward a hypothesis.
If you can see with your own eyes where the bile is flowing backwards, you will definitely know what the angle problem is.
As a result, the surgeon made a prompt decision and withdrew the choledochoscope.
The patient developed jaundice, indicating that bile duct obstruction caused the bile secretion pressure to reach the limit. The liver cells will no longer secrete bile into the bile duct. On the contrary, the bile-producing activity will not stop and the bilirubin will flow back into the blood. You have to wait.
Check whether there are any signs of reflux when the bile comes out. It is estimated that it will be difficult to wait until the operation.
The surgeon was indeed calm. When withdrawing the choledochoscope, the angle must be observed from the outside. Others feared that they would need to cut open the liver to clarify the relationship. Both the left and right hepatic ducts are inside the liver.
Cutting open the liver will cause serious damage to the patient, but it is just for inspection and is not necessary. What should I do if it is found that something is not right after the liver is cut?
A full hour and a half has passed since the exploratory surgery was carried out.
A strong sense of anxiety spreads in everyone's heart. Where is the breaking point?
At this time, there were two footsteps walking back towards the operating room.
"Mr. Zhao, you don't need to worry too much about the surgery performed by the doctors in your own department." Director Tang spoke with the air 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 as he observed the progress of the operation.
"Is it okay?" Zhao Huaming asked feebly, not having high hopes.
"If it's gallstones, removing them can get rid of the jaundice. It's better than some weird liver cell disease." Director Tang said. This sentence was equivalent to revealing that he and Tao Zhijie had discussed the case.
Zhao Huaming said in surprise: "Have you discussed it?"
"How can we not care about your grandson and not do our best to treat him? We will still think of your concerns." When Director Tang said this, he criticized him for not being calm enough.
Apparently all the famous doctors in the department had examined his grandson's condition, but he could not find out the reason by checking the information himself. Zhao Huaming couldn't help but worry: "It can only mean that his disease is weird."
