Considering that the patient has had many years of diabetes and wound healing problems may be a big problem in the later stage, laparoscopic surgery was chosen.

Looking at Fang Yonglin after anesthesia, Zhang Youfu felt a little worried. This is not an ordinary operation!

Come on, Zhang Youfu!

Thinking of this, Zhang Youfu couldn't help but clench his fists.

He is only in his forties and is full of impetus. When he encounters problems, he also wants to try it.

But at this moment, it was still a little shaken.

Surgeons are most afraid of giving two kinds of people on the operating table, one is the closest relative and trustworthy person, and the other is the person with high authority and great influence!

The person lying on the stage at this time was the person with the greatest influence in the Provincial Second Hospital!

Duan Bo and Zhang Zhixin were even more nervous, and Zhou Xiaodong was even more simply trying to exercise his horizons.

This operation depends on Zhang Youfu!

No further traces, the operation began!

Zhang Youfu skillfully drilled the well, and the pneumophilic needle was probed into it to form the pneumophilic abdomen.

Qin Xiaoyuan, Li Jianwei and others stood aside, staring at the monitor like ordinary families.

After opening the abdomen under the laparoscopic laparoscopic, Zhang Youfu sighed.

Although the difficulty of the operation has been predicted, I didn't expect that the reality is always more cruel than expected.

The intestines in the abdominal cavity are stuck together, so it may be a bit incomprehensible. For example, although the normal intestines are in contact but do not affect them, the adhesion intestines are like cooked dumplings that stick to the skin. Don’t think it’s okay at this time. After adhesion, it can be light or severe. The serious result is adhesional intestinal obstruction. This is one of the acute abdominal symptoms in surgery, and it can even cause intestinal fistula that is impossible to occur, causing a large number of intraperitoneal infections and even more serious diseases.

Because it sticks together, inflammation of the intestinal wall becomes increasingly fragile under inflammatory invasion. The place where it comes into contact may rupture due to intestinal peristalsis and human body movement!

This break is a big deal!

Before the operation, Zhang Youfu already knew that the patient was in a special condition, had severe gallbladder inflammation, and there were also obvious dry duodenal varicose veins, and the right hepatic artery was adhesion very closely, which moved the whole body with one stroke!

Patients with portal hypertension have poor coagulation function, while hepatic artery adhesion is severe. Once the surgery is performed, what should you do if you have bleeding?

The operation is like arranging troops and setting up a formation and being confident, so that you can be prepared for any emergencies during the operation!

Looking at the messy operation, Zhang Youfu couldn't help but curse in his heart: Why is it so difficult!

What to do first?

Everything is done!

what to do?

If you want to surgically remove the gallbladder, you must be isolated at this time. At this time, the right hepatic artery is walking from the front of the common bile duct, and the gallbladder hartmann bag adheres to the common liver duct. To separate the adhesion here, sometimes excessive pulling of the gallbladder will damage the right branch of the portal vein behind the common liver duct and cause major bleeding.

The patient is a patient with portal hypertension and is so tired that he cannot breathe.

Looking at this belly, Zhang Youfu felt like he was looking at the mess and couldn't find his head.

It's really impossible to do it!

Biliary duct damage is at most a little more troublesome, but it is caused by bleeding, so it is dead and there is no catenary. This is what Qian Liang said is that the failure rate is as high as 100%!

And: failure = death.

Duan Bo and Zhang Zhixin said nothing, because at this moment, they had no idea at all.

Zhou Xiaodong watched TV, but suddenly realized that this scene was so familiar...

It seemed like I was back to the patient who faced the mirrizi syndrome that night.

Zhang Youfu must be prepared to prevent heavy bleeding. Thinking of this, Zhang Youfu asked: "After bleeding, Duan Bo, you can quickly clamp the rupture with damage-free forceps to control bleeding. Zhixin, can you use No. 5 suture to stop bleeding? Can you do it?"

The two were silent. What a skillful laparoscopic suture technique!

Suddenly Zhang Youfu turned around and looked at Tao Mi: "Director Tao, how about your laparoscopic suture technique?"

Tao Mi nodded, there should be no problem!

Tao Mi took over Zhang Zhixin's work.

The operation continued, and Zhang Youfu carefully separated the adhesions in the abdominal cavity, and pushed them apart bit by bit. Any more effort may lead to problems.

At this time, Tao Mi sighed for the first time that Zhang Youfu's fat hands were so agile.

But, at this time!

Suddenly, Zhang Youfu felt a sense of fainting when the adhesion of the duodenum wall came!

I, Cao!

Broken!

Damn...

Zhang Youfu's face changed drastically: "Sew the duodenum and do not cause leakage!"

Duan Bo's face changed: "I can't do it well. His intestinal wall is too thin. I will definitely have problems when I sew it!"

Zhang Youfu did not dare to move at this time. Once he moved, the internal fistula would become serious. For a moment, Zhang Youfu was immediately dragged and could not move!

This was a bad thing about the surgery.

Zhang Youfu's face changed and he hurriedly said, "Director Li, call Li Baoshan quickly and see where it is. When I move now, the patient must have a problem. Now I need someone to suture the intestinal wall. Hurry up, I won't last long!"

Indeed, Zhang Youfu didn’t know how long he could last for this action. He was too tired. He should be careful to prevent it from being pulled open if he was still. Once it was pulled open, the dumpling skin was broken and the dumpling filling would come out!

Li Jianwei's face changed and he quickly called Li Baoshan: "Baoshan, where are you? What's wrong? Don't ask so many questions. Let's talk about it when you come. If there is a problem with the surgery, come to the hospital quickly."

Li Baoshan nodded: "The fastest...it will take more than an hour!"

Zhang Youfu's face changed: "I can't hold on! See who is in the hospital, and he will suture the intestinal wall, come quickly!"

Li Baoshan heard the sound on the other side of the phone and hurriedly said, "Call Xiao Chen, Chen Cang is on duty today, and his stitching in the field is very good! I will arrive later."

After hanging up the phone, Li Jianwei asked quickly: "Who has Xiao Chen's phone number? Hurry up! Hurry up!"

Zhang Zhixin quickly took off his gloves and picked up the phone: "I'll call!"

As soon as the phone was connected, Zhang Youfu said, "Chen Cang, come to the operating room quickly, Operating Room No. 3!"

...

...

The moment Chen Cang heard the system prompt, he quickly accepted the task!

However, Chen Cang suddenly remembered that he was on duty. What should he do?

Chen Cang looked up and looked at Yuan Fan. He didn't have time to say more: "Yuan Fan, I'm going out for something. Please help me keep an eye on it. I'm in trouble!"

After saying that, Chen Cang ran out of the emergency room directly!

From Zhang Youfu's tone just now, Chen Cang had already realized the seriousness of the matter.

But just after going out, Chen Cang picked up the phone and called Qin Yue directly: "Qin Yue, hurry up and help me on duty. I'm in a hurry. If you have something to do, come to the emergency room quickly!"

Qin Yue nodded: "Okay!"

It’s not that Chen Cang doesn’t believe in Yuan Fan, okay... it’s just that he doesn’t believe in this guy!

Don't make trouble for yourself while you leave!

Qin Yue is relatively reliable!
Chapter completed!