Chapter 490： Choledochoscope (1/2)

On the operating table.

Ling Ran stood at the main knife position, Zhang Anmin stood at the first aid position, and Ma Yilin stood at the second help position, all in a state of full attention.

The patient on the table was covered with a green drape, and he could not see his face or his hands. Only the operation surface on the abdomen was exposed, which highlighted the liver part.

Zhang Anmin gasped, watching Ling Ran peel off a small piece of liver.

He has had a lot of liver surgeries. The era of the second aid did not say, since he became a senior resident, he had a liver resection with the first aid, and there were 80 out of 100.

To be excited, he was very excited when he was in the first few cases of liver resection. After following 20 to 30, he was quite calm.

However, Zhang Anmin today felt the excitement of a long absence.

Perhaps it is because of the resurgence of hope for hepatectomy?

”Okay, electric knife.” Ling Ran reached out and lowered his head, and instantly treated the small blood vessels that were bleeding.

”Needle Holder.” Ling Ran continued to demand equipment and continued processing, her hands dancing very rhythmically.

Zhang Anmin stared greedily.

It ’s not like Lu Wenbin and others who just came into contact with liver resection and did it with Ling Ran. Zhang Anmin has spent so long in hepatobiliary surgery. There are almost ten young directors who have attended the clinic. Not as pure as Ling Ran.

Zhang Anmin no longer considered why, he wanted to learn more now.

Doctors are rare occupations that are willing to take the initiative to work overtime. Don't watch doctors grumble overtime every day, but if the hospital does not allow doctors to work overtime, then it is not grumbles, it is Moncorroque. Ninety percent of the doctors will run away. Like Yunhua Hospital, it is estimated that there will be one week doctor left.

Of course, the night shift was really mournful.

”Okay. Check again for bleeding.” Ling Ran finished checking the patient's abdominal cavity.

Zhang Anmin also quickly followed the inspection. He is a helper, and is doing these auxiliary tasks.

”Dr. Zhang, come to close the abdomen.” Ling Ran finished the examination and was sure there was no problem, so he transferred the work out.

Zhang Anmin responded in a hurry, said ”OK”, and then put his hands together to send Ling Ran away.

Lu Wenbin didn't mean to stay, and said with a smile: ”I'll go to the kitchen to see, Dr. Zhang, after you've done this, rush to the operating room 3, if you go early, maybe you can get help . ”

Zhang Anmin's face became hot, and he said, ”I have no intention of grabbing a helping hand.”

”Oh, I'm not saying you grab it ...” Lu Wenbin paused for a moment, and smiled. ”You will know when you go to the operating room 3, if you are willing to help, everyone will not pay special attention. In our group It ’s all in turns. Do n’t grab it. ”

Zhang Anmin laughed two times, thank you again, heart said: You can rotate in the group before, that is your rich resources, now I come in, I do half of the help alone, I want to see You can't grab it.

puff.

The airtight door closed tightly.

”call……”

”call!”

Zhang Anmin and Su Jiafu breathed out together, then looked at each other and smiled.

”Dr. Ling's gas field is a bit strong.” Zhang Anmin said with a little embarrassment, even if he explained it.

Su Jiafu smiled and twisted his **** comfortably, saying, ”I don't care if the gas field is strong or not, I want to sleep well. How long do we need?”

Surgeons are often called by anesthesiologists and visiting doctors.

Zhang Anmin smiled and said, ”It takes only a few minutes to close the abdomen. However, I would like to appreciate more. You can take more time and sit for a while.”

”Okay.” Su Jiafu and Zhang Anmin also knew each other, but they basically did not talk, and they are not interested in chatting now.

Zhang Anmin asked the itinerant nurse to pull down the shadowless lamp a bit, changing his angle and observing.

After looking at it with naked eyes for a while, Zhang Anmin was still a little dissatisfied, and asked the nurse to bring the choledochoscope and carefully observe the stones in the intrahepatic bile duct.

For liver resection of intrahepatic bile duct stones, the core problem lies in the high residual stone rate of intrahepatic bile ducts, which means that it is difficult to remove the intrahepatic bile duct stones.

It has been reported that the residual stone rate of intrahepatic bile duct stones is as high as 31.3%, that is, after removing part of the liver, about 30% of the stones remain in the liver.

When subdivided, the residual stone rate in the left liver is 17.3%, and the right liver is 54%.

The reason why the right liver is about three times that of the left liver is because doctors usually perform a left external lobe resection of the liver, which removes a large amount of left liver remnants and leaves a large number of left liver stones.

Of course, this is an average ratio. In the hands of a master, reducing the residual stone rate of the left liver below 10% is considered a basic operation.

How much it is reduced is often the main point of this type of surgery.

Zhang Anmin also intends to use this method to identify how Ling Ran's surgery is.