Professor Li pushed the equipment over. Director Liang didn''t say much and directly started ERCP + Spyglass operation.
Intraoperative cholangiography showed a huge stone in the common bile duct. Professor Li RT cut it for about 12mm. Director Liang felt that it was impossible, and then expanded to 15mm. After exiting the expansion air bag, if there is gravel discharge, exchange the stone taking balloon and drag out some gravel.
After entering spyglass, director Liang grasped the balance and looked around from time to time like a red and white console in the 1990s. Although the technology has "improved", he is still careful and dare not be careless.
It''s similar to the operation just now, but last time it was just to have a look at the pancreatic duct of the pancreas, and this time it was laser lithotripsy with Spyglass equipment.
Laser lithotripsy can not be operated blindly. The effect is better under direct vision and is not prone to side damage.
According to the muscle memory, director Liang slowly sent the guide wire and mirror in, ready to push them to the position of common bile duct stones, and then laser lithotripsy.
If this kind of operation can be taken down, it can be said that his level has reached the domestic leading and world-class level. Director Liang thought proudly.
But when the mirror goes in, it''s always not smooth. Stumbling, especially annoying.
Director Liang has been very careful. He extended the incision of duodenal RT from 12mm to 15mm, which is almost the limit size.
But when he exerted a force, the guide wire directly slipped out, and then the mirror slid out along the guide wire.
Spyglass equipment operation is definitely not used to it. Director Liang calmly tried again.
However, the result is the same.
He was stunned. The process of the operation in front of him was completely different from that just now. The feeling of drinking manna disappeared, leaving only incomparable astringency, which made director Liang feel very uncomfortable.
What''s going on? Director Liang simply stopped the operation and stared at the screen, thinking about the difference between the two operations.
Is it teacher Wu''s assistance?
No, the general assistants for the operation of Spyglass equipment are nurses. They don''t need to do anything at all. They just help hold the guide wire and the optical cable of the lens.
Strange!
Director Liang stopped the movement in his hand, stabilized his mind, rested for 20 seconds, and then continued to operate.
Enter the mirror again and straighten the mirror body, but the field of vision is always blocked by the RT tissue after incision and expansion. The axis deviates and slides the mirror repeatedly.
Spyglass equipment is like standing on ice in the bile duct. It can''t stand stably and can''t be fixed at all.
Because it could not be fixed, director Liang dared not use laser lithotripsy at all. What if the laser hits the biliary tract and pierces it directly? The 84 year old man was already very weak, so he chose ERCP to take the stone with the least damage.
Do you want surgery on stage? This is the last step. Surgery will not be used unless it is absolutely necessary.
Try again. Director Liang recalled it for a long time and cheered himself up.
Director Liang tried again and again many times, but all ended in failure. Finally, part of the gravel was dragged out under the long mirror and placed into the nasal bile duct.
"Director, if you can''t, let''s have a plastic support." Professor Li whispered when he saw that the director was evil and tried again and again.
Strangely, director Liang looked at the screen and tried to find the feeling when he just examined the patient with pancreatic problems.
But he hesitated for a long time and tried many times. But that kind of hand feeling disappeared. No matter how hard you try, you still can''t remember. I can''t feel my fingers as if they don''t split.
Director Liang looked at the screen and stopped again.
Seeing that the director didn''t say a word, Professor Li whispered, "director, or..."
"Wait a minute." director Liang said, "Xiao Mu, take my mobile phone and call president Xue."
Professor Li was stunned.
Dean Xue? Although President Xue is an old director of Gastroenterology, he has never been in contact with ERCP. It''s not such a way to find foreign aid on the stage.
Besides, President Xue has gone to the newly opened Fifth Hospital of Medical University in bajingzi. What''s the use of looking for him? Professor Li looked at director Liang suspiciously and found that he was serious!
A nurse picked up director Liang''s mobile phone and asked, "director, what''s the password?"
"123456," said another old nurse.
"Director, you are really aboveboard. Your mobile phone is so simple even with a password. You are not afraid of your lover checking your post."
"Call quickly, have an operation, and be in the mood to say this." director Liang scolded.
The little nurse stuck out her tongue and hurriedly found the telephone wave of President Xue and called him. When the phone sounded, the little nurse put her mobile phone in director Liang''s ear.
"President Xue, it''s me, Xiao Liangzi." director Liang said at the moment when the phone was connected.
"I have a problem here. Would you please ask if you and Mr. Wu have left?"
"Oh, good."
Miss Wu? The little nurses'' eyes lit up.
Professor Li was thinking of another thing - director Liang, Dean Xue and teacher Wu were in a hot fight. Did he really want to go?!
"Hello, Miss Wu." director Liang ignored the thoughts of the doctors and nurses around him. After Wu Mian took president Xue''s mobile phone, he said hello at the first time. He briefly reported the medical history and the difficulties encountered in the operation.
"Director Liang, if it''s convenient for you to add my wechat and send me the operation video. I''ll take a look at the whole process," Wu Mian said.
ERCP room is the same as interventional operation room, with radiation and radiation. Therefore, when building the operating room, the materials are completely different from those of other buildings. The signal shielding here is quite serious.
We can''t video the operation at the same time and let Mr. Wu guide us. Director Liang is a little nervous.
After sending the existing data, director Liang stood on the patient''s head and looked at the image on the screen.
Before that kind of happy and dripping feeling disappeared, leaving only endless emptiness, loneliness and... Cold.
Director Liang would endure it if he were a sage. But I don''t know where the power comes from to play with myself. It is estimated that I am still inexperienced. A success can''t be regarded as my own success.
"Director Liang, are you there?" Wu Mian''s voice came over the phone.
"Yes, yes, Mr. Wu, tell you."
"You''re a little worried." Wu Mian''s voice came faintly. "Spyglass equipment is not proficient in operation. It''s difficult to break such a big stone."
"But..." director Liang hesitated and didn''t refute Wu Mian''s words rationally.
"Director Liang, I was here before. It must be different." Wu Mian said with a smile. "Don''t worry. There are a few problems here. I''ll tell you if it''s OK. If not, I''ll go back now."
Are you there? Director Liang was stunned.
His heart moved and he vaguely understood why his previous operation was so smooth.