Chapter 743 [743] Problems Have Arisen

The reason is based on the fact that the bile duct stones found are very small, which is consistent with both choledochoscopy and b-ultrasound CT. Small stones will not cause severe cholestasis leading to systemic jaundice.

The choledochoscope continued to go deep into the hepatic duct to further confirm whether He Guangyou's conclusion was correct.

The light source rotates and shines on the patient's right hepatic duct in multiple directions. The gallstones are shocking to look at. They are densely distributed in the hepatic duct, filling the bile cavity with airtightness. How can bile continue to flow in such a duct? Smooth flow.

scare! No one should be surprised to see such a real scene.

"It seems that gallstones may be the cause." He Guangyou and He Jiuliang admitted this with emotion in their tone. It can only be said that the human body is too mysterious, and there are often exceptional scenes that overturn the doctor's original cognition. Now, the usual definition of jaundice caused by large stones will be broken by this special case of Zhao Zhaowei. Small calculus may also become a big killer that threatens the patient's life.

"Why are the stones all small and not big?"

"If it's due to abnormal bile composition or dietary intake problems, it's unlikely that there are all small stones without a single large stone, which is too strange."

"Are there any roundworm eggs? It seems that I haven't found them?"

"The strangest thing is that the large stones block the bile duct horizontally, so they may not move. The small stones are not. The mouth of the liver duct opens downward. The small stones should fall down due to gravity. How could they be stuck together?"

"Didn't Xiao Song mention the angle problem?"

A group of people remembered what Song Xuelin said before, which seemed to make sense.

The angle between the right hepatic duct and the left hepatic duct is wrong, which leads to bile reflux, so even if the stones are small, the bile reflux can only go back, and more and more stones are produced, the bile cannot be discharged, and finally the whole body is jaundiced Appear.

"How do you look at the angle?"

When someone asked this question, everyone suddenly realized that this is the most difficult problem to solve.

The human body is three-dimensional, all the organs and tissues in it are three-dimensional, and the connections between them are all three-dimensional. When doctors think about it, they can only think about a three-dimensional structure, and it is impossible to think about a two-dimensional structure. So the included angle that Song Xuelin mentioned must be the included angle in the three-dimensional world.

It is equivalent to doing the most complicated geometry math problem.

The surgeon stared at the picture on the monitor in a daze. Some touched their foreheads, wishing to make their brains work faster.

The anesthetist and the nurse glanced in the direction of the surgeon, and then shrank back: "It's too hard not to join in the fun."

The expressions of everyone at the scene showed that most of the doctors could only raise their hands in surrender. Don't blame the doctor, this kind of problem can only be imagined by a math genius in a short time. Therefore, various things that assist doctors in their work are often invented because of actual needs.

Like choledochoscope and laparoscope, it belongs to the category of medical devices, which is equivalent to a doctor's hand. The 3D modeling software that Cao Yong taught her before can be regarded as another brain that assists the doctor's thinking, and plays a vital role in the doctor's surgical path planning for the patient.

It's just that the auxiliary tools are only auxiliary, and it depends on the doctor himself in the end. Instruments may not work and 3D modeling may go wrong.

The biggest problem now is not not to clear it up, but to find out why the patient has so many small stones, otherwise the patient who has cleared the stones will continue to relapse in the future, and surgery is meaningless.

When everyone was thinking hard, they saw that the choledochoscope was not moving after entering the intrahepatic bile duct.

Thank you for your support! ! ! good night dears~