Chapter 321

"The boss's hand seems to be steadier than before."

Lin Gaoyang held the mirror and could observe Xiao Chenguang's operations at close range.

Different from the past, the difficulty of this operation lies in the fixed drainage of suppurative cholangitis.

Under laparoscopy, Xiao Chenguang fixed the common bile duct with one hand and held the puncture needle in the other hand. The needle tip moved slightly and penetrated the wall of the tube directly.

Nearly 100ml of dark green bile was immediately drawn out along the suction device.

The accompanying milky white floc is particularly eye-catching.

This is purulent secretion, and it is also the culprit that causes patients to suffer from septic shock and high fever.

"There is so much pus, all accumulated in the bile duct. Without surgery, the consequences would be disastrous."

They looked at the increasing amount of pus, and suddenly felt a shudder.

Fortunately, I had this surgery tonight.

Otherwise, if pus of this level develops gangrene over time, the patient may not even have a chance to undergo surgery.

"Prepare to remove the stone."

Seeing that the pus was almost gone, Xiao Chenguang decided to solve the problem of bile duct obstruction.

As soon as he stretched out his hand, the incision knife quickly hit the palm of Xiao Chenguang's hand.

He made a longitudinal incision along the common bile duct, and suddenly hard black stones came into view.

"No wonder obstruction occurs. Such a large stone is really rare."

The stones on the screen vary in size, with the largest diameter exceeding 20mm, which is as hard as a jujube stone.

Xiao Chenguang used a special net to fish it out. It took a lot of effort to get it out.

Bang...

The stone collides with the healing bowl and makes a crisp sound.

Seeing the huge stone that had not been seen for many years, the equipment nurse was dumbfounded and said something unexpectedly.

"This guy must have been in the body for at least five to seven years before he could produce such a big stone."

"Uh..." Everyone was confused. They had heard of walnut-packing and gourd-packing people, but this was the first time they heard of stone-packing people.

But looking at the texture of this stone, it seems to be well nourished. The surface is smooth and shiny, and even the hand feels...

Just when everyone was about to be led astray, Xiao Chenguang cleared his throat.

"Prepare T-tube drainage, round needles, absorbable sutures, and gentamicin warm saline to flush the abdominal cavity."

After relieving the biliary obstruction, Xiao Chenguang checked whether the entire biliary system was unobstructed.

After making sure everything was correct, Xiao Chenguang began to place the drainage tube and suture the common bile duct.

His movements were precise and orderly, but in the eyes of others, they seemed to be dazzled.

Even if he uses instruments instead of using his hands, Xiao Chenguang is still able to do it with ease.

After the suturing is completed, the abdominal cavity is checked again to see if there is anything missing, and finally the operation is declared complete.

The anesthetist did not forget to glance at the time clock embedded on the wall.

As they expected, the operation lasted 48 minutes.

It was 12 minutes faster than Xiao Chenguang said he would complete the operation in one hour.

As expected, it was Director Xiao who took the stage to make people worry-free.

The anesthesiologist glanced at the small warm stool behind him, but he felt very happy.

Finally one day, I can get off work early and go home to sleep.

Even the equipment on duty and the circulating nurse have already discussed what to eat for midnight snack.

Lin Gaoyang on the stage was closing the pneumoperitoneum and closing the puncture.

"Extubation on the stage?"

Seeing that the operation was about to be completed, the anesthesiologist asked Xiao Chenguang's opinion.

"Okay, there's no problem here, you can wake up directly."

Xiao Chenguang glanced at Lin Gaoyang, who had closed the last hole, and nodded with satisfaction.

During this period, Lin Gaoyang has indeed made great progress, and his laparoscopic surgery has obviously reached a new level.

After hearing Xiao Chenguang's words, the anesthesiologist immediately turned off the sedative and directly removed the tracheal intubation after the patient was breathing spontaneously.

The patient woke up faintly and opened his eyes in confusion. The bright shadowless lamp was a bit dazzling, and he felt that his throat still hurt.

Did he fall asleep accidentally?

The patient looked confused and continued the topic in a hoarse voice.

"Doctor, how long will it take for the operation to be completed? I'm afraid of pain. Can you be gentle during the operation later..."

The patient finally spoke out what he had hidden in his heart.

However, everyone responded to him with smiles.

"Don't laugh. I'm naturally afraid of pain. I used to be afraid of injections. Now I'm lying on the operating table. I'm so nervous!"

The strange scene made the patient even more nervous, and he even began to stutter when speaking.

"Don't be nervous. The operation is complete. It was a success. You will be able to walk tomorrow."

patient:"???"

Facing Xiao Chenguang's answer, his face was full of question marks.

Is the operation done?

When was it done? I haven't even received anesthesia yet. How could such a big operation be done like this?

Just when he was puzzled, the patient looked at the huge gallstones in the treatment bowl on the operating table and was completely dumbfounded.

It's really done.

This is too fast!

I felt nothing while lying on the operating table. I closed my eyes and opened them again. The operation was over and I got off the stage smoothly.

What level is this? Director Xiao, the surgeon, is so awesome!

The patient instantly transformed into Xiao Chui, and expressed his gratitude to Xiao Chenguang like a star.

Especially this kind of minimally invasive surgery, which does not require large incisions and only makes holes, is highly praised by patients.

Faced with the patient's gratitude, Xiao Chenguang just responded with a smile.

In fact, in the future, surgery for bile duct obstruction like today may not even require laparoscopy, let alone major surgery.

A simple PTCD (percutaneous transhepatic drainage) can completely solve the problem.

Even if the patient has large gallstones and it is not easy to remove the stones, there is endoscopic technology.

It is the same principle as the bronchoscope that Xiao Chenguang performed on reporter Liao's father when he went to the provincial capital last time.

This is done through the esophagus through the stomach and into the duodenum. After determining the location of the gallbladder, puncture and drainage are performed to remove the stones.

In this way, even external trauma is omitted.

After the gastroscopic puncture and drainage is completed, the mucosa is fixed with a titanium clip to end the operation.

Simple and efficient.

Most importantly, it can save patients from the pain of trauma.

This is also the general trend of future medical development, that is, entering a new version of internal medicine surgery, minimally invasive surgery, and medical intervention.

Of course, this requires the progress of the times and the dual upgrade of materials and equipment to gradually achieve it.

Xiao Chenguang once thought about why he traveled back to the 1990s for no reason.

Now it seems that perhaps the meaning of his existence is to promote the progress of medicine.

Even if the original technical equipment is pushed forward a few years, many suffering patients can gain a larger living space and even have a chance to recover.

Perhaps this is why Xiao Chenguang came to the 1990s.

…

The patient stepped down and was pushed back to the general surgery ward by Lin Gaoyang in a wheelchair.

When the patients in the ward saw that the man came back in a wheelchair, they were all dumbfounded.

The patient who was in agony and rolling on the ground just now seemed to have changed into a different person in just a short while.

Even when he moved over the bed, he moved over by himself. Such a result was beyond everyone's expectations.

Even those old patients, when they saw this scene, their eyes immediately became extremely hot, and they made up their minds.

When Director Xiao is done with his work, I will take advantage of this golden opportunity to keep him alone and let Director Xiao personally check the symptoms I have encountered these days.

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