In fact, endoscopic sphincterotomy and biliary tract debridement were the least traumatic options for the patient.
However, according to international literature, the probability of postoperative recurrence was around 30% despite the minimal trauma.
The patient was not young. If it recurred in five to ten years, the patient would be around 70 years old, and the surgery would be risky.
Therefore, Zheng Ren ruled out the possibility of endoscopic sphincterotomy and biliary tract debridement.
Not only the immediate treatment effect, but also the long-term effect.
Xie Yiren had already finished scrubbing her hands when he reached the operating room. With the circulating nurse's cooperation, she opened the sterile surgical bag and began preparing the instruments.
"Zheng Ren, what kind of surgery?" Xie Yiren asked.
In the operating room and the emergency ward, only two people addressed Zheng Ren by his name — Old Chief Physician Pan and Xie Yiren.
“Oddi
Sphincteroplasty, biliary tract debridement and liver abscess drainage, "Zheng Ren said.
Xie Yiren nodded, not realizing the difficulty of having too many surgical methods.
She asked the circulating nurse to retrieve a few instruments that might be useful. If there were no ready-made ones, they were sterilized in a high-pressure steamer.
That saved a lot of trouble. Zheng Ren was happy to see Little Yiren busy with the surgery.
Together with Su Yun and Yang Lei, they lifted the patient onto the operating table and Chu Yanran started anesthesia. The professor did not help. Perhaps he did not think this was his job, so he stayed away from it out of habit.
Anesthesia, disinfection, sterile drapes were laid out and the surgery began.
Standing in front of the operating table, Zheng Ren heard a 'ding dong' sound. The System had issued a mission.
[Emergency Mission: Cesspool Cleaner.
[Mission Details: Complete the surgical treatment of a patient with cesspool syndrome.
[Mission Reward: 2,000 skill points, 25,000 experience points.
[Mission Time: 4 hours.]
The mission was standard and not difficult for Zheng Ren. He had just completed the first phase of the Crown Jewel mission and was considered a nouveau riche.
Zheng Ren glanced at the mission and the time limit. He reached out and an iodophor gauze with hemostatic forceps fell on his hand.
The surgery was broadcast live in Xinglin Garden as scheduled.
[What surgery is it today?]
[I just finished watching. It's cesspool syndrome … Speaking of surgeries, the surgeries are getting stranger and stranger. Although I'm not a general surgeon, I've heard of most of them. However, this is the first time I've heard of it.]
Fortunately, this disease is not uncommon in general surgery and gastroenterology. We see a few cases every year. Most of them are postoperative patients who have undergone lateral choledochoduodenal resection.]
[How high-end. I'm also unfamiliar with this surgical method.]
[There are many unfamiliar things. The Montreal Medical Center is one of the top five medical institutions in the world. What rare cases have they not seen?
I'm guessing that most of the medical cases will not be broadcasted at all.
As a neurosurgeon, I have to watch general surgery and interventional surgery on my phone every day. I wonder when I'll be able to livestream surgeries outside the brain.]
In the bullet screen of the live broadcast, everyone began to chat after understanding the condition. There was nothing much to see at the beginning of the procedure. The surgeon chose an oblique incision on the right side of the costal margin, which was about 15 centimeters long.
Because the patient had a surgical incision, the scar tissue needed to be avoided, so the shape of the incision looked a little strange.
The next step was naturally blunt dissection to open up the peritoneum. Only then would the surgery be worth watching. Therefore, everyone seized the time to speed up their typing and send bullet screen comments.
The neurosurgeon's words resonated with many people, and everyone grumbled.
The live broadcast of the surgery from the surgeon's point of view gave doctors far more experience points than ordinary surgery spectators. It was even better than the first assistant's field of view.
Modern medicine was an empirical science. There were experienced surgeons displaying surgery and various difficult cases. This was a rare opportunity, and all the doctors watching the live broadcast in Xinglin Garden knew how difficult it was.
However, so far, there were only general and interventional surgeries. They were all regretful, but at the same time, they had greater expectations.
The bullet screen flowed for a few minutes. After the peritoneum was opened, everyone tacitly reduced the number of bullet screen comments and focused on the surgery.
Due to the previous surgery, the normal physiological structure of the abdominal cavity had been altered.
In addition to the inflammatory stimulation caused by this illness, the eyes were filled with inflammatory edema and adhesions that could not be distinguished from the tissue structure.
[If I were to put myself in the shoes of the patient, I think I can give up the surgery at this time. I'll perform a resection to save the patient from embarrassment.]
[The adhesion is so strong, will it damage the proliferating blood vessels?]
[Yes, I can't see the tissue structure at all. This surgery … makes me want to give up after watching it.]
Zheng Ren's mood did not change at all when he saw the situation in the patient's abdominal cavity. He reached out and Xie Yiren placed the blunt scissors in his palm.
The blunt end of the blunt scissors separated the proliferating connective tissue, peeling it off and then cutting it. His movements were steady and steady.
Su Yun's eyebrows furrowed.
How did Zheng Ren identify the position of the proliferating blood vessels when the adhesion was so severe?
This was definitely not the kind of knowledge that could be found in books.
It was too strange.
Although Yang Lei had approached Zheng Ren to learn more surgical techniques, he realized that he could not understand Zheng Ren's surgical method at all. After Zheng Ren separated, clamped, and ligated a slightly thicker blood vessel with # 4 suture, Su Yun asked, "How did you find the blood vessel here?"
After Zheng Ren separated, clamped, and ligated a slightly thicker blood vessel with # 4 suture, Su Yun asked, "How did you find the blood vessel here?"
"I touched it," Zheng Ren answered coldly.
He had focused all his attention on the patient's surgery and had no time to explain to Su Yun that even the abnormal blood vessel pulsed. If his fingers could acutely sense the blood vessel's pulsation, he would be able to know what was going on.
Zheng Ren had only mastered this technique after much practice in the System's operating theater.
Most importantly, Zheng Ren did not know how to describe this seemingly minor but actually important technique.
[I suddenly feel like the host surgeon has X-ray vision and can see the abnormal blood vessels hidden in the connective tissue.]
[Yes, I have the same feeling. Otherwise, there's no way to explain how the host surgeon could quickly and bluntly separate the connective tissue without damaging the blood vessel.]
[So far, the surgery has bled less than 5ml. This is amazing.]
The doctors in Xinglin Garden were also shocked, but … they had no idea how Zheng Ren had performed the surgery.
Zheng Ren dissected the layers of tissue and the complex, abnormal anatomical structure became clear.
Although Su Yun did not know how Zheng Ren found the blood vessel, he understood the meaning behind each of Zheng Ren's movements.
The appendix retractor and small retractor in his hand were always in the right place to help Zheng Ren reveal the next step.
Finally, after five minutes, Zheng Ren peeled off the last layer of connective tissue and a putrid, putrid smell permeated the air.
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