Xie Wanying was thinking that the positions of these puncture holes were somewhat special, slightly different from the usual surgical puncture positioning. This was reflected in the fact that at least three of the puncture holes formed a straight line under the rib margin.
If her prediction was correct, the surgeon, Brother Tao, might have made the puncture hole in this way in order to facilitate the conversion to open surgery, so that he could cut along this straight line when converting to open surgery.
Senior Brother Tao is a careful person who has taken precautions in advance. This is enough to show that Senior Brother Tao is probably not optimistic about Student Zhao's situation.
A stern look flashed across her face.
As Yue Wentong was thinking about what she had seen, a doctor on the operating table spoke: "The color of the liver has changed."
It was seen that He Guangyou, the first assistant, was giving advice to the chief surgeon.
The monitor screen shows a relatively clear picture of the actual condition of the liver in the patient's abdominal cavity.
A normal liver has abundant blood supply and is dark red to purple in color. Laparoscopy showed that the patient's liver had actually become lighter in color. It looked like partial cirrhosis, which was very different from the mild reversible fatty liver that everyone had previously inferred.
"Isn't it fatty liver?" Gong Xiangbin whispered in the ears of Qiu Ruiyun and the others.
...
...
"If not, what would happen?" The taciturn Guo Yiping showed considerable worry about the patient's condition outlook.
"Liver abscess, there must be an infection." Qiu Ruiyun pinched his chin with his hand, "As for what kind of infection -"
The doctors were just about to blurt out the worst possible outcome. Someone had to be the "bad guy." So He Jiuliang said, "I think we may need to be mentally prepared. The patient may have intrahepatic cholestasis. With this disease, we cannot rule out problems with the patient's liver cells themselves. And since it is a chronic disease, the prognosis will be worse than anything we expected."
A huge splash of ice water poured onto everyone's heart.
Cholestasis is a syndrome with complex causes. To date, medical scientists have not been able to solve many difficult mysteries regarding this disease.
There is a very special thing about this disease: the chronic case is more difficult for doctors to deal with than the acute case.
Acute causes are relatively easy to trace, and as long as they are not caused by the liver cells themselves, it is considered relatively good.
If it is chronic, it is hidden and develops slowly. By the time the patient or the doctor notices it, the condition has reached a certain stage and is likely to turn into severe hepatitis and cirrhosis, with a very poor prognosis. The cause is often defined as a metabolic problem of the liver cells themselves, which is basically unsolvable and has no medicine to cure it. The only solution may be: liver transplantation.
"Fortunately, we had an exploratory surgery." The doctors now feel lucky. If Zhao Zhaowei had delayed the treatment any longer, he might have suddenly developed acute liver failure and died. Therefore, sometimes when auxiliary examinations such as CT scans cannot find the cause of the disease, it is best to perform surgery to explore the actual situation in the patient's body.
Direct vision is always better than blind guessing, and this is the most important significance of surgery.
"Take a biopsy. If it is confirmed that it is a liver cell problem, we need to discuss a liver transplant with the patient's family." He Guangyou said, as if he had changed from a slow-moving senior to a brave and active impatient senior, and he couldn't wait to give Zhao a liver transplant.
Is Zhao's liver really damaged?
Beep, beep, the patient's heart rhythm fluctuated slightly, as if he heard something.
Zhang Tinghai adjusted the anesthesia dosage for the patient.
During the anesthesia process, anesthesiologists commonly use sedatives, muscle relaxants, and painkillers.
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