263 Pliers Parasite

Su Yang gave a detailed analysis of the condition to Cao Jian and Cao Jia.

After just completing the analysis, Yang Xi, who was called back by a phone call, also came.

"We need emergency surgery, establish an intravenous passage, and indwelling gastric urinary catheters. Cao Jian and Yang Xi, you can make pre-operative preparations. Cao Jia, you and the patient's family will give pre-operative explanations."

"I understand!" the three of them answered in unison.

After staying in the military hospital for a long time, even Yang Xi, who was a civilian, had some sense of decisiveness and ability as a soldier, and his speech was brief and powerful.

After Su Yang sent the three of them away, he sat alone in a daze in the chair. Of course, he was not actually dazed, but entered the system space.

The patient's condition is a bit special, so he must do some training in advance, otherwise he will not be sure of this operation.

This acute obstructive suppurative cholangitis is a tertiary surgery, which is more than twice as difficult than laparoscopic cholecystectomy. Therefore, even the director of the hepatobiliary surgery department of Likang Hospital dared not do this surgery. It can even be said that there are only a few people in Guangcheng who can perform this surgery.

So Su Yang must take down this operation, and must do the best, at least it must be infinitely close to the expert level.

On the one hand, this is conducive to increasing his popularity, and on the other hand, it is also a doctor's instinctive pursuit of business.

Without any exception, his first operation failed. The second time was still unsuccessful. Although the third and fourth time were all improved, the degree of progress was limited.

Su Yang had no choice but to stop, search and search various literatures again with the system, and learn various experiences of this technique again. Afterwards, he combined the various data obtained from the anatomical experiment to re-develop the surgical plan.

The fifth time has made great progress.

But it has not reached a perfect level yet, so he continued to do it more than 80 times.

After doing it for exactly one hundred times, his surgical level was finally infinitely close to the expert level.

"Finally I can take it out!"

Su Yang secretly breathed a sigh of relief, then exited the system space and returned to reality.

At this moment, the time in reality has just passed a little more than a second.

The surgery is fine.

However, Su Yang's brows have not yet stretched.

This Zhao Qun is a special person and is the focus of the police, but for various reasons, the police have never been able to deal with him.

But Su Yang felt that this time might be an opportunity.

Although he is not a policeman, he is just a soldier, but the police and soldiers have the same destination. They are all for protecting this country and the people on this land.

He was shocked when he saw the numerous crimes that Zhao Qun committed, so he wanted to bring this guy to justice, so if he could do something, it would be the best.

After thinking about it, he picked up his cell phone, called Polygranate, and said his thoughts. Polygranate was very surprised when she heard this. She hurriedly said, "I'll contact my superiors now!"

"Hurry up, the surgery here is about to begin!"

"I understand!" Polite hung up the phone.

Her movements were quite fast, and she called back in less than three minutes. She said in one sentence: "The superior has agreed to your plan. From now on, we will cooperate with you together!"

"Okay!" Su Yang replied.

Afterwards, he stood up and began preparing for the operation.

In fact, the first way Su Yang thought was to create a surgical accident, directly deal with Zhao Qun, or leave a hidden danger, causing Zhao Qun to die from complications.

But Polite said that Zhao Qun cannot die yet. First of all, he has a very important interrogation value. The police must find more important clues through him. Second, he must accept the trial of the law to serve as a warning to others.

So Su Yang could only cooperate.

He walked into the operating room and sanitized his hands.

Cao Jian began to anesthetize the patient.

Cao Jian's anesthesia level is really good. She is very skilled in general anesthesia and epidural anesthesia, especially the control of the awakening stage of general anesthesia, which can basically reach the highest level where Su Yang's patient wakes up after the last stitch. This is not the level that ordinary regular trainees can achieve.

In fact, Cao Jia can also have anesthesia, but she is not as good as her sister.

Soon, Cao Jian said: "The anesthesia is completed!"

Yang Xi quickly walked to Su Yang, helped Su Yang put on his sterile clothes, put on gloves, lay the last layer of sterile sheet, and then handed Su Yang the spotlight handle of the shadowless lamp to assist in the installation.

The cooperation between Yang Xi and Su Yang became more and more tacit. Although Yang Xi could not reach the point where he knew what he wanted to do with a look of Su Yang, he was not far apart.

As far as Su Yang knows, in order to improve her tacit understanding with Su Yang as soon as possible, Yang Xi specially asked for all the previous surgery videos of Su Yang, and watched them over and over again, analyzed Su Yang's surgical habits, and understood Su Yang's surgical characteristics. So although she had not cooperated with Su Yang several times, her tacit understanding seemed to have worked together for several months.

Su Yang was disinfected with iodine and wiped with dry gauze.

As soon as he stretched out his hand, Yang Xi slapped the handle of the scalpel into his hand.

The right lower costal margin was taken to incise the epidermis and dermis, but the capillaries below the dermis were not cut off.

Then, bluntly separate the subcutaneous tissue and muscles, open the peritoneum, and use an automatic hook to expand the surgical field.

During the operation, there was no abnormal change in the stomach and small intestine. The liver was normal in size and smooth in the surface, and there was no nodules like those in patients with cirrhosis.

However, the gallbladder is congested and edema is obvious.

What was seen during the operation: gallbladder wall thickened     4～    5mm, no bile in the sac, no stones, and about 20ml of white viscous pus. The gallbladder duct is thickened, the diameter of the tube is about 15mm, and the wall thickened is about 4mm, and the scars are hyperplasia at the confluence of the gallbladder duct and the common bile duct are attributable to the atresia. The common bile duct is about 8mm, and the stones are not palpated.

At 0.5cm from the liver, Su Yang cut a small hole with the tip of the knife and then began to separate bluntly.

Five seconds later, the blunt separation had reached the neck of the gallbladder.

Su Yang began to wander away from the gallbladder triangular area wrapped in a mess of connective tissue by inflammation.

Su Yang's actions just now seem simple, but even if he is a regular primary attendant in a tertiary hospital, he will never be able to be hospitalized. At least he has to lead a group of professors to achieve this level.

These scenes made Cao Jian, Cao Jia and Yang Xi widen their eyes and couldn't believe it.

The gallbladder duct and gallbladder artery were exposed clearly, and Su Yang began to ligate, cut off, and resection of the gallbladder retrograde.

But the removal of the gallbladder only announced that the curtain of the operation had been opened.

After the gallbladder is removed, the common bile duct and liver duct are clearly exposed to the surgery field.

Su Yang stretched out his hand, and Yang Xi immediately handed him the 5ml syringe.

Su Yang used a syringe to puncture and extract bile.

Do the traction wire and stretch the common bile duct.

Su Yang stretched out his hand and gently patted the suction device he wore to his hand.

The moment the common bile duct is cut open, the suction is stuffed inside.

The large amount of bile accumulated in the common bile duct was sucked away by the suction before it could be sprayed out by the huge pressure.

......

Su Yang stopped and asked Cao Jian to put the fiber mirror on the instrument table, then put a connector on himself so that he could observe the picture detected by the fiber mirror with his naked eyes.

In the field of view, dense white silk threads are attached to the wall of the common bile duct.

That's the parasite!

The parasite has a lot of extremely tough body hairs all over the body, and they rely on these body hairs to adhere to the common bile duct of the human body. If the parasite is pulled down strongly, the body hair has penetrated deep into the inner membrane of the common bile duct, which will definitely cause irreversible damage to the inner membrane.

Severe damage means that the patient will have complications after the operation. Even if bacteremia occurs, toxemia may occur.

So you have to use pliers to clamp the parasite.

Pliers parasites.

It took Su Yang a full hour to retrieve the 296 parasites.

The entire operation took one hour and forty minutes.
Chapter completed!