Chapter 1214 Time-limited surgery? It doesn’t exist

After entering the ERCP room, Wen Yuan was still a little confused.

The resentment that I wanted to promise Zhou Congwen to teach me ERCP but was not proactive had long disappeared.

Since he communicated with the patient's family, Wen Yuan has been thinking about Zhou Congwen.

Technically speaking, Zhou Congwen is impeccable. This is nonsense. He is the world's number one, so when is it his turn to be picky?

Wen Yuan was confused about Zhou Congwen's sense of responsibility.

Generally speaking, the doctors Wenyuan met have higher levels and stronger tempers. Most surgeons do not communicate or communicate with the patient's family and are only responsible for the operation.

But Zhou Congwen is different.

He didn't do everything himself. He usually had 2-3 surgical rooms in the operating room. Wenyuan had seen Zhou Congwen walking around with his hands behind his back countless times.

But today Zhou Congwen gave Wenyuan a new feeling.

What did he do? It was just the duty of a doctor. But it was this duty, the heart that made Wen Yuan feel very nervous.

"Professor Wen, come on with gloves."

When Wen Yuan entered the art room, Zhou Congwen had already set up his position.

"We have 20 minutes, hurry up."

Zhou Congwen wore sterile gloves, comforted the patient with a soft voice, and gave spray anti-asthma medication for treatment.

Wen Yuan put on sterile gloves to assist Zhou Congwen in the operation.

The patient has 10 years of pulmonary heart disease, and has multiple lung vesicles in both lungs, which has severe mixed lung dysfunction. Usually, he can only lie on the right side, and lie on the left side, and is prone to severe dyspnea and asthma.

The 20 minutes Zhou Congwen said were already the upper limit, not the lower limit.

With a maximum of 20 minutes of operation, once the patient can't help but start to torture, the operation cannot be performed!

But when he entered under the gastroscopy, Wen Yuan was stunned.

The patient's gastric cavity is torsion and the gastric antrum is deformed, resulting in pyloric deformation and the mirror body is difficult to pass through.

After all, they are patients who have undergone surgery, and these... are all expected.

With the time limit added, the difficulty of the operation suddenly increased, and Wen Yuan's head suddenly buzzed.

It seemed as if countless flies were whistling in his ears.

"Professor Zhou, this..." Wen Yuan turned his head to look at Zhou Congwen and said in embarrassment.

"Hmm? What's wrong?" Zhou Congwen asked.

"Gastric cavity twist, gastric antrum deformation, mirror..."

"The mirror has passed, concentrate and hurry up." Zhou Congwen said lightly in his eyes at the gastroscopy screen in front of him.

"!!!" Wen Yuan was stunned and looked back at the screen. The gastroscopy had entered the duodenum through the deformed pylorus.

How did he send the gastroscopy in!

Wen Yuan’s body is numb, and what Professor Chen Houkun and Professor Chen said is true!

Judging from Zhou Congwen's level, Academician Chu should be here to learn technology with him, absolutely not wrong!

"There are scar traction caused by cholecystectomy surgery. We can pass through the pyloric canal smoothly by adjusting the lens direction and rotating the lens body." Zhou Congwen explained gently while undergoing the operation.

"Oh oh oh." Wen Yuan could only respond blankly.

"The patient had cholecystectomy due to gallstones and had duodenal diverticulum. The incidence of complications of ERCP is 5% to 10%, and the incidence of pancreatitis in the **ERCP lithotripsy in the diverticulum is as high as 16.1%. Diverticulum causes difficulty in intubation, and endoscopy is required to allow the lens to be located above the diverticulum or at the same level before the incision is inserted for an incision."

"Please note here that the incision direction should be parallel to the edge of the diverticulum to avoid perforation. If you are not careful, there may be major problems after the operation."

While explaining to Wenyuan, Zhou Congwen was incising the sphincter. The operation went smoothly. Wenyuan did not see any troubles to Zhou Congwen.

Under the mirror, the patient's bile duct stones were frequently present, with varying sizes, and beaded in a beaded form, reaching the first-level bile duct in the liver.

Zhou Congwen then took out the stones from bottom to top and used the Nets little by little.

When he encountered a large stone, he did not rush to make progress due to the operation time limit, but instead graveled the stone first and then took the stone.

A limited-time high-difficulty ERCP operation was performed by Zhou Congwen calmly, one, two, three...

A total of twenty-five stones were taken out by Zhou Congwen.

The angiography shows that the patient's common bile duct is unobstructed and there are no remaining stones. Only then did Zhou Congwen take out the mirror.

Wen Yuan was like a dream, and when the operation was over, he looked back at the time.

In less than 15 minutes, 25 stones were removed!

If it weren't for the gloves on his hands, Wen Yuan really wanted to pinch his thighs hard and see if he was dreaming.

But the muscle memory accumulated over the years of sterile operation has curbed Wen Yuan's action.

Just a few hours ago, the patient who thought he would never have had surgery was done in just over ten minutes.

I didn't see how difficult Zhou Congwen's surgery was. Everything was natural, simple, and refreshing.

Is this a new technology? Wen Yuan felt that his hair was about to stand up and he pushed up his sterile hat.

"Professor Zhou...Professor Zhou..." Wen Yuan stammered.

Zhou Congwen smiled and asked the patient to change his position, turned off the oxygen flow a little, and did not rush to send the patient out, but continued to observe the patient's blood oxygen saturation.

"What, Professor Wen."

"You...you...I..."

"Brother Chen told me." Zhou Congwen smiled, "If you want to learn, you won't have surgery in the future. If there is ERCP on this side, I'll ask you to come together."

"Yeah!" Wen Yuan nodded vigorously.

"Actually it's not that difficult." Zhou Congwen said, "Although there may not be many surgeries a year, there is an extra way to solve the problem, what do you think?"

Wen Yuan was crying when he was taught by Zhou Congwen.

Zhou Congwen said it too lightly, is it just a solution to the problem?

A month ago, there was no ERCP room in the second hospital. The only thing the patient could do was percutaneous biliary puncture and drainage to solve jaundice. However, bile duct stones are difficult to solve, let alone the patient's high-risk state.

And even such a high-risk patient was treated in more than ten minutes under Zhou Congwen’s hands!

A person who is going to send off an old man who is waiting to die can live for many years even if he is "magical". Wenyuan thinks that ERCP technology is more useful than he understands.

"Okay." Zhou Congwen saw that the patient's blood oxygen saturation increased to 92%, and could still be maintained. After communicating with the patient for a few words, he called the flat car and sent the patient back.

"Professor Zhou, I want to learn." Wen Yuan looked at Zhou Congwen with an urgent look.

"Okay, there will be surgery these days, so I'll call you. Professor Wen, you can do the most basic duodenoscopy."

"meeting."

"That's good, I'll teach you if you have time." Zhou Congwen smiled slightly, "You can send the patient back. You can be discharged from the hospital after the jaundice subsides 2-3 days after the operation, so I won't go with you."

After 2-3 days, Wen Yuan felt even more confused when he heard this number, and a wildfire burned in his heart.
Chapter completed!