Chapter 744 【744】The Leader Came to Inspect
Like the chief surgeon, he fell into a deadlock of thinking, which is troublesome.
After adjusting the state, the choledochoscope was withdrawn to the confluence of the left and right hepatic ducts of the common hepatic duct, as if trying to observe the angle problem again.
As everyone expected, it is difficult to calculate what is wrong with the included angle only from the inside. The light source shines back and forth, and it seems that there is no angle problem.
Unable to find any breakthrough, a group of doctors felt like they were going crazy.
"Is it possible that the right hepatic duct looks smaller than the left hepatic duct?" He Jiuliang tried hard to find something wrong.
The others all agreed: "If that's the case, it means that his right hepatic duct is congenitally narrow."
"No, if there is only a problem with the right liver duct, why does his left liver also have abscesses and stones?"
"Has Xiao Song ever said that his right hepatic duct is narrow?"
Receiving the questions thrown by the seniors, Song Xuelin's brown eyes seemed more confused than the seniors: "The difference in diameter between the two sides is a reasonable physiological deviation that does not need to be counted." It means that he never said it and didn't think it was. this problem.
Others chewed through his academic discourse and got hit hard. After eliminating the reason for the natural stenosis of the right hepatic duct, we had to return to the angle problem. Looking at it now, it is difficult to judge from the inside with a choledochoscope, so we can only think of another way.
"Can we observe the outflow of bile?" Gong Xiangbin put forward a conjecture.
If you see where the bile flows backwards, you can definitely know what the angle is.
As a result, the chief surgeon immediately withdrew the choledochoscope.
The patient developed jaundice, indicating that biliary obstruction caused the pressure of bile secretion to reach the limit value. The liver cells no longer secrete bile into the bile ducts; instead, bile-producing activity returns bilirubin back into the blood without stopping. To wait for the bile to come out to see if there are signs of reflux, it is estimated that it will be difficult to wait during the operation.
The chief surgeon is indeed calm and online. Withdrawal of the choledochoscope is to observe the angle from the outside. Others are afraid that the liver needs to be cut open to clarify the relationship. Both the left and right hepatic ducts are inside the liver.
Incision of the liver is a great injury to the patient, and it is not necessary just to check it. What to do if you cut it and find that it is not.
It has been an hour and a half since the exploratory operation was carried out.
A strong sense of anxiety spread in everyone's heart. Where is the breakthrough point.
At this time, there were two footsteps walking back to the operating room.
"Mr. Zhao, you don't need to worry too much about the operation performed by the doctors in your department." Director Tang spoke with the demeanor of a general.
The young doctors in the operating room stood up straight: the leader came to inspect.
Director Tang and Zhao Huaming stood side by side at the door of the operating room.
"The situation seems to be okay." Director Tang said observing the progress of the operation.
"Is it okay?" Zhao Huaming asked feebly, without much hope.
"If it's gallstones, removing them can get rid of the jaundice. It's better than some weird liver cell disease." Director Tang said. This sentence is equivalent to revealing that he and Tao Zhijie discussed the case.
Zhao Huaming was surprised and said, "Have you discussed it?"
"Can we not care about your grandson, can we not do our best to treat him? We will also think about your concerns." Director Tang criticized him for not being calm enough when he said this.
Apparently all the famous doctors in the department had given his grandson his illness, but he couldn't find out the reason by checking the information himself. Zhao Huaming couldn't help but worry: "It can only mean that his illness is weird."