Chapter 1135 Who is the first time

The head nurse personally set up a position for the patient. Academician Chu put on gloves and carefully read the patient's ultrasound order to make the last confirmation.

The patient's abdominal ultrasound prompts: after cholecystectomy; common bile duct stones and widen.

Academician Chu did not look at the final conclusion, but recalled the ultrasound images he saw at that time while looking at the list.

"Academician Chu, you're ready." The head nurse said softly.

"Yes." Academician Chu put the list aside, rubbing the latex of the sterile gloves with A4 paper, making a sound that made him feel a little uncomfortable.

Academician Chu calmed down and tried his best not to let himself be disturbed.

Because the surgery today is different from the previous week, he was a little worried today.

But when it comes to worrying, it's just a little bit.

The operation is very simple. The lower duodenoscopy enters the pylorus, finds the duodenum, and then inserts the guidewire...

Academician Chu recalled again what to do to do the operation, and then he came to the operating table calmly and calmly.

It is inevitable to be calm and relaxed. Every big shot must have corresponding background music when appearing. Academician Chu does not want to show off, but in the eyes of ordinary gastroenterologists, he is not a godlike existence, but also the one who needs to look up to him infinitely.

And with certain successful experience, Academician Chu felt that he was okay...

Although he used the surgery for the first time today on a patient, he has tried it many times in 3D-printed simulators.

The students led by Academician Chu have already put the duodenoscope in. The Olympus TJF-260V duodenoscope is very useful. The cooperation between Academician Chu and Olympus is quite tacit. The equipment used is of the same level as that of Europe and the United States.

After entering the duodenal descending section, Academician Chu used the guidewire guidance method to intubate.

The guide wire is Boston's disposable plastic-sealed insulated guide wire, with a length of 450cm and a diameter of 0.91mm.

The operation went smoothly here, but the difficulty was in front.

The Nets' stone picking is simple and simple, but complicated... Academician Chu has only done it in simulation. This is the first time he has done it on a patient. The more he does it, the more he is, the more he is, the more he is afraid.

After entering the guide wire, Academician Chu thought of an old joke, and both the patient and the surgeon said that it was his first time.

Hey, Academician Chu smiled self-deprecatingly.

The first time, who would like to try it on the patient the first time?

Not that there is no way.

There is nothing I can do, and the patient can do nothing I can do.

If you refuse to do it, because you take a little risk, you will always be unable to hold your face and be restrained, and if you don’t talk about others, the patient in front of you will have to go home and wait for death.

It’s not like surgically cutting stones. Even in the Magic City, there are not many doctors with this level, and they rarely perform similar operations.

Common bile duct, which is common bile duct. Once there is a fistula or something after the operation, the patient will be worse than death.

And even if it is cut, it may not be possible to remove all the stones.

The ERCP technique is more scientific, with less trauma and greater effect. Academician Chu comforted himself.

At this time, the guide wire entered the main pancreatic duct under perspective, and a small alpha spiral formed at the front end. Academician Chu's student acted as an assistant and held the guide wire.

Academician Chu tried hard to recall the feeling he felt during practice.

It's almost the same, there shouldn't be much problem. It's just a Nets to get the stone.

come on!

Academician Chu remembered the words Chu Yuntian cheered him up on the phone, and his lips raised and showed a smile.

"Prepare for an angiography." Academician Chu said.

The assistant pulled out the wire guide.

This action... Academician Chu felt something uncomfortable, it seemed a little wrong.

But before he could stop the student's movements, an accident occurred.

The α helix has not been completely untied, and the front end of the guidewire is broken at the position of the main pancreatic duct.

"!!!" Academician Chu exclaimed.

In just a moment, his mind went blank and his hands and feet became numb.

Academician Chu never expected that the surgical accident would happen so early. A nearly foolproof operation made such a big mistake at the beginning.

He really wanted to kick his student out of the operating room with one leg, and then tell him to go back to his hometown to farm. He never wanted to see this stupid guy again in his life.

But just now, the words of advice to keep a good temper today are still echoing in my ears.

Besides, the α-spiral itself didn't notice it at that time, which was a complete accident.

Accident!

Academician Chu did not beat or scold anyone, but cold sweat had already emerged.

The guide wire is broken, what should I do?

It wouldn't be possible to pierce somewhere, causing heavy bleeding.

I have never encountered a similar situation before, and Academician Chu has no idea what he will do next.

In fact, Academician Chu doesn’t know much about ERCP, he is just a rookie who knows basic operations. How could he have too much clinical experience?

But Jin Cancan, an academician of the Academy of Engineering, was on his head, and everyone realized that something happened, looked at Academician Chu.

The big guy and the academic leader need is to make a final decision at this time.

Academician Chu's students were sad and subconsciously hid to the side, fearing that the teacher would scold him.

But he would rather the teacher scold himself and then take action to solve the problem.

He looked at the broken guide wire in the pancreatic duct under perspective, and wished he could grab the ground with his head, as long as the guide wire could come out.

When the head nurse saw this scene, her face turned pale and was frightened to take a few steps back.

Usually, the operation process is a bit unsuccessful, so Academician Chu wants to curse people. Today, there is no need to splatter blood in this matter.

"Call Lao Yang and ask him to take a look." Academician Chu said pretending to be calm.

The patient is not in general anesthesia, and he cannot say too much.

The head nurse hurried out of the operating room and went to call the hepatobiliary surgery department.

...

...

In the operating room of Dawei.

Director Yang's phone rang in his butt pocket.

"Help me take it." Director Yang is doing a laparoscopy. Before the most critical step has arrived, everyone is talking and laughing.

"Director Yang, I saw that a surgeon answered the phone during operation, and it seemed that he had put the phone in the patient's stomach."

"Don't be nonsense, there is no concept of sterility? It must be a rumor that doesn't understand clinically at all. It's nonsense.

We are laparoscopic surgery, and my hands are covered with blood, so how can I stuff it in? Even if there is no concept of sterility, if it is an open-air surgery, you will take your phone with blood."

The tour nurse smiled and took out the cell phone from Director Yang's butt pocket, and then pressed it on Director Yang's ear with his head tilted.

"Hello."

"Well, I'm in the surgery. What's wrong?"

"What's going on?"

Director Yang then fell silent and listened to the description on the phone.

After nearly a minute, after talking to each other, Director Yang said lightly, "I'm having surgery here, please wait for me."

After saying that, he turned his head and said, "You're dead."

The tour nurse hung up the phone and asked, "Director Yang, who is it?"

"Academician Chu." Director Yang said disdainfully, "The gastroenterology department should take a look at the disease and prescribe medicine. If you have to undergo surgery, will they?"

After saying that, Director Yang whispered, "Damn, everyone really wants to have surgery these days, and I feel so fucked."

"What? Gastroenterology surgery? Shouldn't that be a consultation with the gastrointestinal people?"

"What is the new surgery? Today I was a patient who was after cholecystectomy." Director Yang said with infinite contempt, "I dare not touch the bile duct stones, that thing, so Lao Chu dares?"

"How did Academician Chu do it?"

"I don't know." Director Yang continued the operation.

The people in the operating room had already heard the gunshots in Director Yang's words, and no one dared to speak.

Everyone knows that this is a conflict between the boss and the boss. My little body is still farther away from it to avoid being crushed into a meat pie.

"I only realized that the operation was difficult if something happened this time." Director Yang said while doing the operation, "Now I find that the liver and gallbladder are really a piece of fat, and everyone wants to come up and talk. There is interventional concern for liver cancer, and the bile duct is also concerned about the gastrointestinal concern."

After hearing Director Yang’s complaints, no one else could get in touch.

They are very unfamiliar with what intervention is, and few people know about it.
To be continued...