This is a rare common bile duct malformation.
Usually, the common bile duct is about 10 centimeters long and merges with the pancreatic duct in the middle of the duodenum. In this patient's case, the common bile duct merged into the duodenum at the duodenal bulb.
There is no second case of this kind of deformity in Liu Miqiao’s knowledge base.
Then, the design of this surgery needs to be temporarily changed.
The bile duct cannot be extended.
It also cannot be anastomotic to the body of the stomach.
It can only greatly lift the jejunum. Lift the jejunum as close to the liver as possible.
This is very difficult.
The key is that if the jejunum is raised too high, the digestive function will be poor, and complications such as bile reflux, obstruction, and other discomforts will easily occur.
Another method slowly formed in Liu Miqiao's mind.
Use gallbladder diversion.
Yes, this is a relatively new technique.
Liu Muqiao said: "Bring over the CT film."
The circulating nurse placed the CT film under the shadowless light.
Liu Muqiao looked at it for a while and said, "Okay, I decided to use the gallbladder as a bile duct."
Hu Bolong was slightly surprised.
Is there any other way?
He won't question it.
In front of Liu Muqiao, there is really no need to question anything. His level is incredible.
Hu Bolong can't be the chief surgeon, and he can't bear it no matter what.
Nowadays, the difficulty of surgery has increased many times, and it is hard to say whether Hu Bolong can become a qualified first assistant.
"Should we invite Du Xiaoping over?" Hu Bolong suggested.
"That's okay. Du Xiaoping is not as good at pancreatic surgery as you are, but when it comes to pancreatic cancer, he is number one." Liu Muqiao said.
Hu Bolong laughed, "Yes, Yishu, he is the most qualified."
The circulating nurse called and came in and said, "He's coming."
Du Xiaoping had just finished changing the medical orders when he received a call for help from the Hepatobiliary and Pancreatic Surgery Department. He felt as if he had eaten a can of wild honey without any artificial ingredients.
Everyone wants their own value to be reflected.
Liu Muqiao, the operation that Hu Bolong came to power required me, Du Xiaoping, to participate, which explained a problem. They encountered a major problem.
This is not the key. The key is that at this time, the person they are thinking of is me, Du Xiaoping!
This is where the value of me, Du Xiaoping, lies.
Du Xiaoping trotted into the operating room.
A group of family members waiting outside looked at the furious Du Xiaoping in surprise, and their hearts skipped a beat. Something had happened, right?
There are dozens of family members waiting outside.
There are more than a dozen operating tables waiting.
They were all looking at each other with suspicion on their faces.
Du Xiaoping went in.
"What's going on?" he asked.
Hu Bolong said: "I need your help, the operation is a bit difficult."
When Du Xiaoping heard that he was asked to be a helper, he really wanted to sing a song "Sister, please go forward boldly".
"Lao Du, today I encountered a very difficult surgery for pancreatic head cancer. You and I are used to working together. If you come to help me, it might be faster." Liu Maqiao said.
"Try not to let you down." After saying that, he glanced at Hu Bolong.
"Lao Du, don't look at me like this, I won't be jealous! Let me tell you, I was the one who suggested you." Hu Bolong said.
Liu Muqiao told Du Xiaoping the operation situation, and also explained the operation design and main steps.
"Well, I understand, let's get started." Du Xiaoping was full of confidence.
Du Xiaoping is a conscientious person and knows how to operate the pancreas. He has three mountains above his head. To get ahead, he is not planning to build the fourth mountain, but wants to make a strange peak.
This Qifeng is to be Liu Miqiao's assistant and a first-class assistant.
Due to his hard work in this area, his first-aid skills soon improved by leaps and bounds, and Liu Muqiao admired him very much.
After the surgeon performed the surgery himself, and with Du Xiaoping's cooperation, the surgery progressed very quickly.
Hu Bolong glanced at the wall clock on the wall. It had only been two or two hours and he was already halfway through the operation.
The office nurse opened the door and said to Liu Miqiao: "Do you want to answer the phone? It's Professor Long's."
He asked while holding Liu Muqiao's mobile phone.
Liu Muqiao hesitated for a moment and said, "You put the speakerphone on, and I'll ask him what's wrong."
The circulating nurse walked to the door, took the phone, and turned on the speakerphone.
"Hello, Professor Long."
"What are you doing, brother?"
"Professor, I am doing a surgery for pancreatic head cancer with biliary malformation. It is very challenging."
"Talk about it."
"The common bile duct is very short and opens in the duodenal bulb."
"Hey! Good guy, I haven't seen an operation like this before you met me. How do you deal with it?"
"Use the gallbladder as the bile duct."
"Oh! What a good idea. Hey, if you had told me in advance, I could be your assistant. Now is Hu Bolong the first assistant?"
"No, it's Lao Du, Du Xiaoping."
"Oh, that short bald guy?"
As soon as he said this, everyone in the operating room became happy and couldn't help but burst into laughter.
Everyone knows that Du Xiaoping is very concerned about his own image. He is most afraid of people staring at his bald head, and he doesn’t like people saying he is short.
He is only 158 centimeters tall, but he has always announced that he is 162 centimeters.
Now that Professor Long said this, his whole face turned red.
It seemed that Professor Long also heard the problem, and quickly changed his mind and said: "Du Xiaoping is still pretty good, his eyes are particularly bright, wise, alert, sharp, and handsome. He will definitely be promising in the future."
These few sentences are very comfortable.
Du Xiaoping scanned the audience with his own eyes. He wanted to show his authority with his wise, alert and sharp eyes.
Well, this is a great professor, he can see the essence of people right away!
"Hello, Professor Long! I, Du Xiaoping, miss you!"
"Oh, Xiao Du, I was very impressed with you last time, aren't you angry?"
"How can I? When will I come to the capital to see you and bring you some porcelain."
"You're welcome. Your pancreatic surgery center will be unveiled soon. I think you will invite me, and I will definitely come to participate."
"Welcome welcome."
"Xiao Du, Hu Bolong didn't bully you, right? If he bullied you, just tell me."
"No, now, Director Hu Bolong and I are not in the same department. He is in the Department of Hepatobiliary and Pancreatic Surgery, and I am in the General Surgery Department."
The two chatted for a while, and Liu Miqiao took over the topic.
"Mu Qiao, you do the surgery first. After the surgery, give me a call." After saying that, Professor Long hung up the phone.
After doing it for a while, Liu Muqiao said: "Old Hu, please take out the gallbladder completely for me."
Hu Bolong was a little confused.
The gallbladder is located in the gallbladder fossa of the liver. It is very simple to separate. Can’t you just remove it? Why should I do it?
Liu Muqiao is very unfamiliar with the liver. Apart from hemostasis, the liver has not been involved in other aspects.
Although the gallbladder is on the surface of the liver and is not difficult to separate, he is not prepared to take risks and only does things that he is 100% sure of.
Fortunately, Hu Bolong was obedient and Liu Miqiao wanted him to separate, so he did.
The two of them didn't change seats. In ten minutes, Hu Bolong separated the gallbladder and gave it to Liu Miqiao.
The chief surgeon returned to Liu Miqiao's hands.
This chapter has been completed!