Tian Bai glanced at the screen of the laparoscope and didn't see any problem, but when he took a closer look, he showed a look of surprise.
Tian Bai: "You mean, this is... cancerous?"
Wu Yuan nodded: "It's an early-stage cancer. Now that this piece is removed, it shouldn't be a big problem."
Tian Bai: "But in this case..."
The cancerous location is not easy to cut out, and requires a very high-level scalpel operation.
Moreover, laparoscopy is obviously not good, the incision must be enlarged, and the incision must be directly cut out.
In other words, the difficulty has increased, not just a little bit.
Tian Bai has done a lot of gallbladder-related operations, but he still feels uncertain about such a cancerous situation. Usually, Sun Jianzhong can only do it himself.
The most sensible thing for Wu Yuan now is to close the cavity immediately and complete the laparoscopic cholecystectomy.
As for the problem of cancerous tissue, we can leave it to Sun Jianzhong to solve it.
In this case, Wu Yuan should win the compilation exam and have a good chance of getting the compilation.
However, Wu Yuan pondered for a moment, then raised his head and said, "Remove the laparoscope and switch to open surgery!"
Tian Bai: "...W-what? Are you sure!? It's better to close the cavity first, and then perform a second surgical excision."
Wu Yuan: "If it is not removed decisively this time, it will require a second operation, which will cause too much damage to the patient and will be troublesome to recover. It is better if one operation can completely solve it."
Tian Bai was speechless for a while, and immediately said, "But do you know how difficult this operation is?"
Wu Yuan: "I can handle it."
Wu Yuan said solemnly: "It was found that the second half of the gallbladder was cancerous, so I decided to convert laparoscopic surgery to open surgery and perform cholecystectomy."
Wu Yuan: "The time is now... 10:28, the operation begins."
Only then did Tian Bai realize that the operation time was just over 20 minutes.
I didn't expect Wu Yuan's speed to be so fast.
Wu Yuan's next action shocked the people in the observation room.
Tian Hongchun asked suspiciously: "What is he going to do? Is this to reopen the abdomen?"
Sun Jianzhong frowned: "That's not right, what happened to Wu Yuan? How could he do this? Tian Bai is also true, why didn't you stop him?"
Zhao Qin was restless and didn't understand why Wu Yuan suddenly withdrew the laparoscope and went to open the abdomen again.
This kind of operation is very dangerous.
Tian Hongchun: "Director Sun, go have a look, don't let him mess around!"
Sun Jianzhong was refreshed, stood up and was about to go out.
At this moment, Shen Feichen, who was silent and silent, suddenly said, "No, no, this Doctor Wu seems to have made a new discovery to have such a reaction."
Shen Feichen's words made everyone else stunned.
Sun Jianzhong stopped and looked back at Shen Feichen.
Sun Jianzhong said, "Director Shen, what do you say? This is a very common and simple cholecystitis, and there shouldn't be any major problems."
Shen Feichen pondered for a while and said, "Let's look through the medical records again, and we may find something."
Shen Feichen is one of the directors of the Doctors Association, and his words still carry weight.
Sun Jianzhong had to turn over the patient's medical records again.
From it, I found out the medical record of Wu Yuan's patient.
There are various films and laboratory reports in the medical records.
Shen Feichen pulled out Dashenghua's list, glanced at it, and said with a smile, "If you see it, there really is a problem."
When everyone heard this, they couldn't help but gather around.
They are all very curious, what is the problem with ordinary cholecystitis patients?
Shen Feichen pointed to the list of Dashenghua and explained: "Look, both direct bilirubin and indirect bilirubin are a little high, and lactate dehydrogenase is a little lower, although it is not very low, it is not easy to see, but at the same time There is a high probability that this will happen.”
At this time, Liu Dazhu brought Dashenghua's list over.
He is a physician in internal medicine, so he should have more experience in macro-biochemical indicators.
Liu Dazhu: "Alas! That's true!"
Everyone is a big boss in the medical world. When Shen Feichen pointed it out, he had already guessed a possibility.
The patient's gallbladder may be precancerous.
Zhao Qin immediately said: "Yes! Let me just say, Wu Yuan has always been very reliable, and it is impossible to suddenly change the surgical method. He must have seen the cancerous situation through laparoscopy, so he thought about taking the cancerous tissue together. resection!"
Sun Jianzhong couldn't help but retort: "Is this possible? Doesn't Wu Yuan know his level? How can this be a situation that he can solve once!?"
Sun Jianzhong pointed to the monitor screen and said loudly, "If the patient's surgery takes too long, the risk will increase. Can he bear this responsibility!?"
Zhao Qin replied unconvinced: "Since Wu Yuan chose to do this, it means he is confident!"
Sun Jianzhong: "He is a small doctor, what can you be sure of? Director Zhao, are you kidding me?"
At this moment, Shen Feichen said, "I think he is sure."
Sun Jianzhong: "Director Shen, you don't know, this Wu Yuan is not very reliable..."
Shen Feichen waved his hand and interrupted Sun Jianzhong's words: "He should have plenty of time now Let's see first."
Shen Feichen has witnessed Wu Yuan's surgical skill with his own eyes, and feels that he is competent for such a cholecystectomy without any problem.
At the same time, Wu Yuan didn't know that there was such a big dispute in the observation room because of his actions, but focused on the operation.
Since it is going to be converted from laparoscopy to open surgery, another incision has to be made.
Wu Yuan made a knife on the patient's right lower abdomen, on the edge of the rib, and slashed it.
This is an incision about 20 centimeters long, and Tian Bai stared at it beside him.
I didn't expect that Wu Yuan's scalpel technique would be so skilled and stable.
Tian Bai felt that he couldn't make such a perfect incision. There was almost no blood, only a small amount of oozing blood.
This means that the capillaries were not damaged.
Wu Yuan said: "The incision is completed, and the abdominal cavity is now explored."
Wu Yuan reached in and quickly found the common bile duct, hepatic artery and portal vein...
Wu Yuan operates all the way in an orderly manner.
In the observation room, almost all eyes were on Wu Yuan's surgery.
Zhu Qianfeng: "The speed is so fast, this guy is really good!"
Kong Mo: "I didn't seem to have any impression of him when I changed the surgical plan in the middle of it. This psychological quality should be praised first."
Seeing this, Sun Jianzhong couldn't help but say, "I still think that Dr. Wu should do a more secure job, and at least discuss it with the second chief surgeon."
A surgeon should really focus on being safe, and never operate on a patient by luck. That would be extremely irresponsible.
Shen Feichen said with a smile: "Look at his actions, there is no reluctance at all, which shows that he is confident and confident."