At this point, all the doctors in Xinglin Garden could understand what was going on.
It was one thing to know how to do it, but it would be too much if they could not understand it.
Many doctors who were trained in this field still had this basic quality.
Everyone thought that it was time to remove the stones. Indeed, the common bile duct had been cut open. The next step was to remove the stones and improve the patient's obstructive jaundice.
Zheng Ren reached out and a pair of specially made lithotomy forceps appeared in his hand. It was a common equipment in the operating theater, but it was rarely used. Xie Yiren had been observing Zheng Ren's movements. When he needed it, the appropriate equipment would be passed to him.
Many people in the live broadcast room were envious.
Look at the assistant nurses, they were so skilled. Look at their own nurses. Each of them had a bad temper and could only be reminded for an unconventional procedure like passing the stone forceps.
Most of the time, the circulating nurse had to go to the disinfection room to retrieve a sterile set of lithotomy forceps after being reminded.
It would only take a few minutes for this to happen. How could the surgeon in the live broadcast room be so relaxed?
What was worse was that the lithotomy forceps were not disinfected at all … It was a nightmare!
However, they still had to live their lives.
The forceps reached into the common bile duct. One stone, two stones, three stones … No, why was the shape so strange? Was it not a stone?
[Based on my years of clinical experience, it looks like a parasite in the bile.]
[Years of clinical experience? Stop bragging. The experienced chief physicians don't even know how to log into Xinglin Garden.]
[I'm 59 this year. I'm considered an experienced chief physician, but I keep up with the times. What can you do about it?]
The topic in Xinglin Garden's live broadcast room instantly changed.
However, judging from the strange shape, it did not look like a simple gallstone.
After removing the stones from the cystic duct and left and right hepatic ducts, the surgeon in the live broadcast room began to rinse with warm saline to aspirate out more silt-like stones.
Then, the surgery began to pause, which was rare.
[Calling, calling. Is the live broadcast room lagging? If you see the bullet screen, please reply. Please reply.]
[I feel much better when I see you calling.]
[It's not lagging. The surgeon is preparing the equipment for the next step. I think it's a choledochoscope.]
After confirming that it was not a problem with the network or the live broadcast room, the rare termination of the surgery triggered countless bullet screen comments.
Everyone was guessing what had happened.
[You probably had diarrhea. Once, I had acute enteritis, and I had to go to the bathroom eight times for an appendectomy. I had to wash my hands and change my clothes every time. After washing his hands, he felt like having diarrhea again. That kind of painful experience, just thinking about it makes my heart feel stifled. Please comfort me.]
[Maybe they cut open the gallbladder to see if there are any cancer changes.]
[Perhaps the host surgeon fainted.]
In the hundreds of bullet screen comments, everyone was chatting happily, but no one was worried about the surgery.
What a joke. Putting everything else aside, the surgeon should be an old professor in his sixties based on his proficiency in blunt dissection and anatomical structure. How could he not be able to perform a third-level surgery?
In the operating theater, Zheng Ren stopped and asked Chu Yanzhi to open the instruments he had purchased from the System Shop. He placed the fiberscope on the instrument table and put on the connector so that he could observe the images detected by the fiberscope with his naked eye.
Chu Yanzhi and Zheng Ren were both 172cm in height. In order to put the connector on Zheng Ren's head, she moved a footstool.
"Chief Zheng, where did this equipment come from?" Chu Yanzhi had performed similar surgeries in Huaxi but had never seen such equipment.
"I made it myself." Zheng Ren ended the conversation with one sentence.
"Stingy," Chu Yanzhi said angrily, "I didn't ask you for it, so why didn't you tell me?"
Zheng Ren felt helpless. He could not tell Chu Yanzhi that he had the System Shop, could he? However, if he made up a random place, what if she went there to buy things? It was better to fool her.
Suddenly, his thoughts ran wild like a wild dog. If a woman had the System Shop, would there be a big sale on Double 11?
After putting the equipment on Zheng Ren, Chu Yanzhi said with interest, "Sis, if the surgery is successful, I think I can write an SCI paper."
"It should be possible, and the kind with an impact factor of more than 3." Chu Yanran sat beside the ventilator, holding the surgery record in her hand. She quietly observed the different data displayed on the ventilator and monitor, using it to adjust the dosage of the medication.
Only during the surgery did the Chu sisters behave differently.
Zheng Ren did not understand. Was this a rare way of identifying twins?
The image in Xinglin Garden's live broadcast room twisted and then switched to the fiberscope's field of view.
[Damn, it's an electronic fiberscope!]
[That's high-end. We use a size 5 urinary catheter to rinse, rinse, and rinse continuously to determine if there are any residual stones.]
[I have a professor who specializes in fiberscopy here, but he rarely uses it. Many people can't do it well, especially when it comes to removing residual stones with forceps. That kind of microscopic manipulation is comparable to neurosurgery.]
The camera zoomed in, and the scene that appeared made the atmosphere in the live broadcast room tense.
The bullet comments disappeared in a traditional fashion, and everyone stared in shock at the white threads attached to the wall of the common bile duct.
It was not gallstone, but a parasite!
These white threads were definitely not pus caused by inflammation, but slender parasites attached to the cystic duct.
Most of the stones that had been removed were the product of the parasites being wrapped in inflammation secreted by the body and organized.
[Can anyone tell me what to do when encountering parasites? I'm waiting online. It's urgent.]
A junior doctor in the live broadcast room was cheeky.
Under normal circumstances, as long as someone started it, someone else would follow suit. It was the same in the operating room. In the live broadcast room, not only was it the same, but it was also more presumptuous.
However, this time, the live broadcast room was extremely quiet. A lone bullet comment slid from the right side of the screen to the left side, and no one paid attention to it.
The junior doctor tactfully remained silent.
All the doctors watching the live broadcast had a bad feeling in their hearts. This surgery seemed to be about to fail.
Would the surgeon observe for a while, then symbolically move the parasites, find that the adhesion was strong, and remove them might damage the lining of the common bile duct, and then give up?
This possibility was extremely high!
However, everyone was satisfied to be able to see the densely packed white thread-like parasites with their own eyes.
Moreover, most people had a kind of blind trust in the surgeon in the live broadcast room. He was omnipotent! Since he dared to start a live broadcast, he would have expected this situation.
Thinking of the time when the surgery was halted, many doctors began to be stunned.
Could it be that the surgeon had diagnosed the patient with parasitic biliary obstruction and had already prepared the surgical instruments?
Even if they were prepared, there was no good way.
So far, the surgery to remove the parasites was only a preliminary attempt. After all, the probability of parasites appearing in the population of developed areas was very low. Most parasitic diseases occurred in Africa.
And it was basically impossible to expect a medical expert to specialize in the surgical removal of parasites …
Even if the doctors were willing, for the sake of boundless love and sincerity, those money-minded medical equipment companies would not be willing to design a separate set of equipment for the surgery.
Even if it was designed, Africa's spending power was very limited.
So far, this surgery had evolved from a 'simple' obstructive suppurative bile duct incision and drainage to an unknown surgical method.
What was the surgeon in the live broadcast room going to do to complete this surgery of unknown difficulty?
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