"First of all, the endoscopic image is not ideal. It should be that the lens is too close to the target. The lens is almost pasted to RT because the mirror is pulled too hard and pasted too close to RT, and then RT runs to the right. Here, it may be better for you to push the mirror forward." Wu Mian Qinglang''s voice came from the phone.


    "Second, the difficulty is mainly the repeated slippage of the mirror.


    However, after careful study of the process, there was no slippage when the intubation was cut and expanded in the early stage. The mirror fell off in the second half of the operation, which has a significant relationship with the long operation time. Therefore, this operation should shorten the time as much as possible and make the channel as smooth as possible on the premise of ensuring safety. "


    "After expanding the columnar air bag to 12mm, enter the basket and take the stone from bottom to top. Pay attention to the detailed action of pushing the mirror + up. The standard inverted" seven "shape can be seen from the perspective. By doing so, you will find that the mirror body is very stable."


    "Then the net blue is sent to the common hepatic duct, pressurized water injection and waterfall irrigation of the bile duct."


    "At this time, we can start laser lithotripsy. When doing laser lithotripsy, we must take into account both the parent mirror and the sub mirror, and look at them at the same time; when doing super large stones, we first use laser lithotripsy, divide the whole into parts, and go in according to the traditional method to break stones - Take stones."


    "Director Liang, have you written down everything I said?" Wu Mian asked.


    "Miss Wu, I wrote it down." director Liang hurriedly said, "is this OK? Are there any other questions?"


    "Do as I say first. If there is a problem, I''ll go back immediately." Wu Mian said with certainty.


    Director Liang hesitated, but teacher Wu said so. What else can he do.


    "Director Liang, I''ll send you what I just said by voice again." Wu Mian said, "if not, hurry up and tell me. You''re welcome. Dean Xue, stop the car. If that side doesn''t work, let''s turn around and go back."


    The second half of the sentence was said by Wu Mian and Xue Chunhe.


    "Thank you, thank you." director Liang thanked Mr. Wu Mian from the inside out.


    He thought too carefully for fear of being brave. He didn''t remember some details and had to say it again. And even the possibility of rescuing Taiwan has been prepared so as not to worry yourself.


    Director Liang was really worried about this, but Wu Mian was much more relieved when he said so.


    Soon, one voice was sent, and director Liang began to operate according to what Wu Mian said.


    Did you pull the mirror a little hard at first? Then try to be light. Push in and send. Spyglass''s lens is much more stable than the last operation.


    This time, director Liang paid attention to the detailed action of pushing the mirror + up according to Wu Mian''s technique, and the standard inverted "seven" shape can be seen from the perspective.


    The Spyglass lens did not feel "slippery" again, but steadily appeared in the biliary tract.


    At the moment of entering the camera, director Liang seemed to feel that inexplicable hand feeling returned to him again. It''s amazing. I can''t say it clearly, but director Liang thinks it''s true.


    For a moment, the lead clothes on his body were not so heavy, and director Liang was in great spirits!


    When doing laser lithotripsy, we must take into account the mother mirror and child mirror. When Mr. Wu said this, his tone was heavier, which must be very important.


    Director Liang went into spyglass to have a look, injected water to wash - saw stones, then took into account the master mirror and sub mirror, and crushed stones with dual frequency laser U100 +.


    The advantage of dual frequency laser U100 + lithotripsy is that it does not damage the bile duct wall, but it is safe to lithotripsy under direct vision. Therefore, Mr. Wu repeatedly stressed that the master mirror and sub mirror should be aimed at the stone, which is equivalent to pulling the trigger after aiming.


    This is the most cautious place, director Liang knows.


    The laser hit accurately. Originally, director Liang wanted to break stones at more points. As a result, because the stones were too large, they not only didn''t break, but directly hit a "tunnel".


    Although there are still twists and turns, director Liang knows that what teacher Wu said is right. Now it has been preliminarily completed, but it will take some time to break this huge stone.


    Again and again, after three times of laser gravel, director Liang finally took out the small stones.


    Director Liang went into the mirror again to have a look - from the left and right hepatic ducts to the end, there are no formed stones, and the debris attached to the wall can be discharged by itself.


    Now the patient''s bile drainage is very good. It has been determined that there are no residual stones under direct vision. There is no need to use balloon drag angiography. The operation is over after placing the root nasal bile duct.


    Professor Li didn''t react until the end. Although he listened very clearly, he couldn''t realize many details at his level. He just felt very magical. Under the guidance of teacher Wu, director Liang took down the operation.


    Taking off his lead clothes, director Liang was not tired at all. He called the head nurse directly.


    "Head nurse, who can I access the surveillance video of the operating room?" director Liang asked.


    The doctors and nurses in the operating room were stunned. Why did the director want to adjust the video surveillance? Did you lose something in the operating room? Or did he find something?


    "Director, I want to find the security office."


    "I''ll find it." director Liang hung up the phone, took a look at the patient''s ECG monitoring, determined that there was no problem, and hurried to the security office.


    Director Liang never thought that one day he would go to the security office to adjust video surveillance, but this is the only way to prove his guess.


    The reason why the examination and operation of the first patient with chronic pancreatitis were so smooth, and even gave himself the illusion of a technological leap, was because Mr. Wu was there.


    This idea lingered in director Liang''s mind, but he couldn''t understand it. Teacher Wu just took the place of the nurse and helped himself hold the mirror. What did he do to make the operation so smooth?


    When he came to the security office, director Sun was already waiting for him.


    "Director Liang, what''s so urgent? What equipment have you lost? Or what narcotic drugs have you lost?" director Sun asked.


    Generally speaking, there are only two possibilities for the clinic to find the security office to transfer the surveillance video. Another is the emergence of medical disputes, to obtain evidence.


    However, the medical department is generally responsible for obtaining evidence, and there is basically no clinical director in person.


    Looking at director Liang''s face, director Sun wondered whether he was having an affair in the operating room and was photographed?


    This happened occasionally. Many years ago, a video was put on the Internet, causing an uproar.


    Director Liang looks thick eyebrows and big eyes, honest and honest. Is he still doing this? Sun chuchang''s face showed a smile that men knew.


    However, director Liang was worried and didn''t notice director Sun''s Micro expression and action. He came to the monitoring room and said, "director Sun, I want to see the monitoring picture of ERCP room from 11:30 to 13:00 at noon."


    "Well, OK," said director Sun, "director Liang, is it convenient for me here? Should I avoid it?"