254 Master cholecystectomy

Su Yang saw the patient the next morning.

The patient's family directly sent the patient to the emergency center and called Su Yang to receive the patient.

Su Yang took the man and pushed the flat car out.

The person who sent the patient was a man, who was 35 or 36 years old, looked like a ceo, and everyone next to him shouted Mr. Zhao at the same time.

"Doctor, hello, I am the patient's nephew, my name is Zhao Jiayu."

"Hello, Mr. Zhao." Su Yang stretched out his hand and shook him, and he also shouted with others.

In fact, he is already very familiar with Zhao Jiayu now. He has read the information sent by the police over and over again. With his foundation in the Hunter Commando, to be honest, he can basically eat this guy up.

But he did not show any performance. Judging from his expression, it seemed that it was really the first time he met the other party.

"What's the patient's situation?" Su Yang asked.

"She suddenly felt a stomachache this morning and seemed to have a little fever." Zhao Jiayu quickly introduced.

Su Yang nodded, then pushed the patient into the emergency center with a flat car.

The corresponding inspections were carried out one by one, in an orderly manner.

However, now, Su Yang doesn’t need to do these basic inspections personally, and Cao Jian and Cao Jia have taken over these tasks.

After a while, Cao Jian came to report, "Teacher, the body examination showed tenderness, rebound pain, muscle tension in the patient, and positive Murphy's sign."

After a while, Cao Jia handed Su Yang a stack of inspection reports, and Su Yang hurriedly took them and started to look at them.

The patient's white blood cells are elevated and neutrophils are elevated.

B-ultrasound examination indicates gallbladder edema, gallbladder volume increases to varying degrees, and walls thicken.

Bilirubin is high, but magnetic resonance cholangiopancreatography eliminates common bile duct stones.

So, no doubt, this is a very typical acute cholecystitis.

In fact, the patient had already developed pain symptoms yesterday morning. After examination by the family doctor, it was basically determined that it was cholecystitis, but it continued until this morning.

Therefore, the condition has been delayed for a while and has developed from simple cholecystitis to suppurative cholecystitis. It must be operated immediately, otherwise there will be life-threatening danger.

"Preparing for C surgery" Su Yang said to Cao Jian and Cao Jia.

Soon, everything was ready and the operation began.

Su Yang used three-hole puncture method.

That is, after the pneumoabdominal incision is established, the pneumoabdominal pressure is set to 1315hg, and the entire abdominal cavity and pelvic cavity are placed in laparoscopic exploration.

After establishing the second operation hole, adhesions were found in the abdominal cavity, and the remaining operation holes could not be established. Su Yang then separated the adhesions of the abdominal cavity and then established other operation holes.

The adhesion between the gallbladder and surrounding tissue was then separated by a hook and a separation forceps.

Later, Su Yang found that the patient's gallbladder neck stones were embedded, causing high pressure in the gallbladder and edema in the gallbladder wall. He then used a puncture needle to puncture and relieve pressure.

Of course, at this time, an electrocoagulant hook can also be used to burn the body of the gallbladder and insert the suction head into the gallbladder to aspirate the bile and reduce pressure.

Then, look for the junction between the gallbladder and the gallbladder duct, and use an electric hook to open the serous membrane of the anterior and posterior triangle of the gallbladder.

Subsequently, Su Yang used the suction head to scrape off the fat tissue around the ampulla and the gallbladder duct, separate the back triangle of the gallbladder and then open the anterior triangle of the gallbladder. After trying to clarify the relationship of "three tubes and one ampulla", use a heook to ligate the gallbladder duct at 05 of the cyst duct and common bile duct to close the gallbladder duct. The distal end of the gallbladder duct was clamped with titanium clamp and then cut off the gallbladder duct with scissors.

After completing the above steps, he used the suction head to scrape off the non-tube structure of the front triangular gallbladder and freed the gallbladder artery. At this point, he could clearly see the pulsation of the gallbladder artery, and then clamp it with a titanium clip, and then directly break it with an electric hook.

After that, Su Yang used an electric hook to cut the serous membrane on both sides of the gallbladder and dissected the gallbladder from the gallbladder bed.

When he found edema of the gallbladder wall, he used the suction head to bluntly escape the gallbladder bed, and then used an electric rod to strictly electrocoagulate and stop bleeding.

Rinse the abdominal cavity.

Use the suction head to squeeze the extrahepatic bile duct, carefully observe whether there is a gallbladder leakage in the gallbladder bed and the stump of the gallbladder, and then remove the gallbladder.

The operation time is 10 minutes.

Intraoperative bleeding 10 ml.

The operation is completed quickly.

Su Yang straightened his waist, took off his sterile gloves, and signaled Cao Jian, Cao Jia and others with his eyes that the operation had been completed.

But everyone in the operating room was stunned, no one could move, as if they were being lit.

Su Yang glanced at them, but didn't say anything.

He did not allow Cao Jian and Cao Jia to participate in this operation today, but he only let them observe it. The reason for this is to deliberately let these two top students who graduated from Military Medical University see his master-level cholecystectomy.

Since these two guys want to be his assistants in the future, you must understand how high his level has reached so that you can adjust your state in time and keep up with his rhythm.

Of course, if the two people feel that the pressure is too great and cannot keep up, it is best to withdraw in time. Su Yang’s request is not something that ordinary people can achieve.

After Cao Jian and Cao Jia came to his senses, Su Yang looked at them and said, "You will consider it one day. If you decide to follow me tomorrow morning, then come to me, okay."

After saying that, he glanced at the young nurse, and then pushed the patient out of the operating room with several others.

Crack.

The door of the operating room was pushed open.

The patient's family was stunned, and soon everyone came to meet him.

Zhao Jiayu didn't come up, he frowned, then looked at Patek Philippe on his wrist. After looking at the time, his face looked a little ugly.

It's only been more than ten minutes

What's going on

The first possibility that he thought of was that the patient's disease might not have been as previously speculated, and it was not just cholecystitis. After a laparotomy, he found that the problem was very serious, so he hurriedly terminated the operation.

Zhao Jiayu's heart skipped a beat.

Although the patient who had the surgery was not his real relative, but his nanny, the other party brought him to adulthood. Although he was not a mother, he established a deep relationship like a mother, so he still cared about the other party very much.

Thinking of the possible situation, Zhao Jiayu couldn't help but shivered and didn't dare to think about it anymore.

Is it cancer?

He felt very nervous.

After coming back to his senses, he rushed up three steps and two steps; "Doctor, why is it happening now? Are you in trouble?"

Su Yang was stunned when he heard this, and then laughed, "No trouble, don't worry, the operation went smoothly and it was very successful. After the operation was completed, we naturally came out."

Very smooth

Very successful

Zhao Jiayu frowned

Cholecystectomy

That's a cholecystectomy

It's done in ten minutes

Before coming, he listened to the family doctor explaining the operation in detail. At least he knew the general procedure. This operation is not a major operation, but it takes about forty or fifty minutes.

Ten minutes

Even if you can't handle it quickly

Is Su Yang's level so high?
Chapter completed!