It was as if the surgeon was stuck in a mental impasse, and he was in trouble.
After adjusting its state, the choledochoscopic endoscope was withdrawn to the confluence of the left and right common hepatic ducts, as if trying to observe the angle problem again.
As expected, it is difficult to calculate the angle problem just by looking at it from the inside. The light source shines back and forth, but it doesn't seem to show any angle problem.
Unable to find any breakthrough, the doctors felt like they were going crazy.
"Is it possible that the right hepatic duct appears smaller than the left hepatic duct?" He Jiuliang tried hard to find something wrong.
Others agreed: "If that's the case, it means his right hepatic duct is congenitally narrow."
"No, if it's just the right hepatic duct that's the problem, why does he have abscesses and stones in his left liver as well?"
"Did Xiao Song ever tell me that he has right hepatic duct stenosis?"
In response to the questions raised by his predecessors, Song Xuelin's brown eyes seemed more confused than his predecessors: "The difference in the tube diameters on both sides is a reasonable physiological deviation that does not need to be taken into account." In other words, he never said or thought this was a problem.
...
...
After chewing over his academic words, the others were severely shocked. After eliminating the reason of the right hepatic duct being naturally narrow, we had to return to the angle issue. Now it seems that it is difficult to judge from the inside with a choledochoscopic view, so we can only think of another way.
"Can we observe the outflow of bile?" Gong Xiangbin put forward a hypothesis.
If you see with your own eyes where the bile flows backwards, you will definitely know what the angle problem is.
As a result, the surgeon immediately removed the choledochoscopic endoscope.
The patient developed jaundice, indicating that the bile duct obstruction caused the bile secretion pressure to reach the limit. The liver cells will no longer secrete bile into the bile duct. On the contrary, the activity of bile production will not stop and bilirubin will flow back into the blood. It is estimated that it will be difficult to wait for the bile to come out and observe whether there are signs of reflux during surgery.
The surgeon was indeed very calm. The choledochoscopic scope was withdrawn to observe the angle from the outside. Others were worried that they would need to open the liver to sort out the relationship, as both the left and right hepatic ducts were inside the liver.
Opening up the liver is a big injury to the patient, but it is not necessary for just checking. What if it turns out not to be there after opening it?
A full hour and a half has passed since the exploratory surgery began.
A dense sense of anxiety spread throughout everyone's heart. Where is the breakthrough point?
At this time, two people's footsteps were heard walking back to the operating room.
"Mr. Zhao, you don't need to worry too much about the surgery performed by the doctors in your department." It was Director Tang who spoke with the demeanor of a general.
The young doctors in the operating room stood up straight: the leader is here to inspect.
Director Tang and Zhao Huaming stood side by side at the door of the operating room.
"It seems to be going well." Director Tang said as he observed the progress of the operation.
"Is it okay?" Zhao Huaming asked weakly, not holding out much hope.
"If it is gallstones, removing them will get rid of the jaundice. It is better than some weird liver cell disease." Director Tang said. This statement revealed that he and Tao Zhijie had discussed the case.
Zhao Huaming was surprised and asked, "Have you discussed this?"
"How can we not care about your grandson and do our best to treat him? We have also thought about your concerns." Director Tang criticized him for not being calm enough when he said this.
Apparently, all the famous doctors in the department had examined his grandson's condition, but Zhao Huaming couldn't find out the cause after looking up the information himself. He couldn't help but feel worried: "It can only mean that his disease is strange."
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