"Is there enough time for fasting?" asked Wu Mian.
"Enough, I haven''t eaten or drank water for nearly 20 hours." director Liang replied, "the patient is an old patient. Those who are hospitalized have experience. They know that when they have a stomachache, whether they eat or drink water, they find themselves guilty."
Wu Mian nodded. The preparation before operation is very cumbersome, but it is a routine process. He only needs to know that director Liang doesn''t have red eyes and has to catch the duck on the shelf.
When he came to ERCP room, director Xue did not avoid, but took the initiative to put on lead clothes and stand behind to see the situation.
"Miss Wu, what do you think I should pay attention to?" director Liang asked.
"Just do it slowly. Don''t worry," said Wu Mian. "I''ll tell you in time if there''s any problem. Be sure to slow down."
"OK."
Director Liang put on a full set of equipment and looked thin, but the thick lead clothes were obviously special.
When Wu Mian saw that director Liang was wearing the same clothes as the tin man, he couldn''t cry or laugh.
Generally speaking, I don''t want to be fully armed when I do interventional surgery. After all, I''m wearing more than 20 kilograms of equipment. If the operation time is long, even Wu Mian''s body can''t bear it.
At this age, director Liang wears special lead clothes, lead skirts, lead hats, lead glasses and lead Bibs thicker than ordinary lead clothes
"Director Liang, can you carry it?" Wu Mian asked curiously.
"Mr. Wu, I was timid in those days. I was forced to have no choice. I know how to eat thread, but I always have to learn new technology." director Liang smiled and put on a leaded glass mask. "That''s more protection. I have a wire detection box inside. When I put this set of things on, I don''t eat much thread."
"How much does it cost?"
"36.2kg." director Liang said, "teacher Wu, don''t laugh at me. I''m just timid. There''s nothing else wrong with me."
"No joke, no joke," said Wu Mian. "How many hours can you resist wearing this?"
"I''m used to it, but I don''t think so." director Liang said. "Generally, I can resist it in three hours. No matter how much, I haven''t tried. After all, I still have a group of professors under me, and I only have one or two operations a day."
Wu Mian nodded and looked at director Liang wearing the same lead bucket. It was funny.
This is not a sharp, but a tank for surgery.
Venous access has been established in the patient''s right forearm as part of preoperative preparation.
"Intravenous injection of isocortidine 20mg, diazepam 5mg, pethidine hydrochloride 50mg." the only thing director Liang didn''t wear was lead gloves. After all, he had to have normal surgery. As he tidied up his heavy lead clothes, he gave the doctor''s orders.
The nurse in lead immediately injected the patient with medicine.
These drugs are to effectively control gastrointestinal peristalsis and facilitate operation, so as to avoid restlessness and delay operation time.
The patient''s body position is left lying position, and the left arm is placed behind his back. A group Professor operated duodenoscopy and director Liang personally operated pancreatic duct endoscopy.
Normally, the endoscopy nurse assists in the operation of sending the mirror and operates gently under X-ray fluoroscopy. Wu Mian saw that the operation would begin immediately, and said gently, "director Liang, let me give you a hand?"
"Ah?" the professor with the group was stunned and wanted to make way for his position.
"No, I''ll help deliver the camera," Wu Mian said.
The endoscopic nurse was also stunned. What she did was the simplest "rough work". Did teacher Wu want to do this?
After receiving the thread in the nurse''s hand, Wu Mian smiled and said, "thank you."
"Emmm, you''re welcome." the little nurse''s face turned red.
"Let''s start, director Liang." Wu Mian said calmly facing the screen.
Director Liang first performed ERCP, determined the lesion location and measured the diameter of pancreatic duct, and then inserted pancreatic duct endoscopy. The whole process is very smooth. I can see that he is skilled. ERCP is not too difficult for him.
Wu Mian is very pleased that there are many doctors who can do ERCP to this extent, but it can''t be said that there are many.
In particular, director Liang is also wearing 37 kg lead clothes
The weight of the lead coat really didn''t affect his operation. Maybe he had been wearing it from the beginning and was used to it? Wu Mian is curious about this. Maybe it''s like a Wulin expert laying the foundation at the beginning.
If director Liang wears ordinary lead clothes, will he fly directly?
All the preparatory work needs to be done in the early stage, and the real focus is on the operation of spyglassds.
When he picked up the lens of spyglassds, director Liang was uneasy. After all, he did little and was not as skilled as ERCP.
"Miss Wu, look..."
"Just do it slowly. Spyglass system overcomes the shortcomings that in the past, two doctors are usually required to operate and cooperate at the same time, the field of vision of factor lens is narrow, and the direction and angle of over dilated bile duct need to be constantly adjusted to aim at the target. At the beginning, it is very stable to operate with two people."
Wu Mian briefly said, and then watched director Liang put the Spyglass lens under the patient''s mouth.
Under the X-ray fluoroscopy, director Liang inserted the cannula into the lesion, then inserted the pancreatic duct mirror into the main pancreatic duct along the cannula, and the end of the sub mirror exposed from the cannula to observe the pancreatic duct cavity.
The whole journey went smoothly. Wu Mian had nothing to say.
Through the four-way controllable spyglassds push catheter, you can browse the surrounding tissues except RT and provide a 360 degree panoramic view of the lumen.
The blind area of vision in the past now clearly appears on the screen.
After starting the operation, director Liang entered the state. The heavy lead clothes on his body seemed to no longer exist, and even Wu Mian standing beside him no longer existed. His hands are flexible and the operation is delicate and gentle. While withdrawing the mirror, he carefully observed the 360 degree panorama of the official cavity.
Through ERCP + Spyglass examination, it was found that there were some problems with the patient''s pancreas.
Pancreatic duct dilated, gelatinous substance was vaguely seen at RT position, nearby pancreatic duct mucosa was congested, and the surface was slightly uneven.
"The stent is in place inside, a large number of flocculent mucinous structures can be seen in the main pancreatic duct, and some pancreatic ducts in the body are staggered like canine teeth."
"Multiple low echo nodules can be detected on the tube wall. After injection of contrast medium, the low echo nodules on the capsule wall have enhanced signals, which are weaker than the pancreatic parenchyma."
"Consider the pancreatic intraductal * * like tumor," director Liang said calmly.
His nurse recorded the whole operation on the record sheet and wrote down the diagnosis. ERCP room is very quiet, only director Liang is talking.
Xue Chunhe feels a little strange to the current situation. Generally, when there is teacher Wu, he is under the command of teacher Wu, but this time he is willing to do what a nurse should do.
The operation of ERCP + Spyglass was carried out under the hand of director Liang. He was so happy that he forgot the existence of Wu Mian.
32 minutes, the inspection is over, very detailed.
Pulling out the lens, director Liang breathed out.
"Miss Wu, it''s done." director Liang''s old face glowed red.
"Not bad." Wu Mian smiled and helped the nurse tidy up her things and take off her lead clothes.
"Do you think there is something wrong with my diagnosis?" director Liang asked.
"No." Wu Mian nodded, "director Liang, if you want to go to my side, report to President Xue within one week."