Chapter 123 Common bile duct stones, biliary tract infection?
Ten minutes later, Shen Bingbing completed the final steps.
ERAT surgery is a non-invasive surgery. After the pus is sucked out and the bezoars are removed, the abdominal pain is naturally relieved immediately. There is no need to use a knife and there are no problems with healing.
After getting off the operating table, Jiang Shu had recovered as before. She was naturally very excited, which meant that it would not affect her work tomorrow.
After getting his mobile phone, Jiang Shu immediately called Chai Shanshan and thanked her for the recommendation.
Chai Shanshan was a little unhappy when Jiang Shu asked Director Shen to perform the surgery without using Tanglou's surgeon at first. However, when she heard that Director Shen could no longer perform the operation, it was Tanglou who stepped forward and finally completed Jiang Shu's surgery. After the surgery, Chai Shanshan suddenly changed her hair.
The person I introduced is really reliable and beautiful!
After putting down the phone, Chai Shanshan was not satisfied and told the matter directly to Ma Shuya.
"Dr. Tang from our Hecheng No. 1 Hospital is really amazing. Today he performed another endoscopic retrograde appendicitis treatment ERAT. The patient was female star Jiang Shu. He was on the operating table not long ago and is now able to move freely. It's awesome! "
After a while, Ma Shuya's WeChat message came back: "No, endoscopic retrograde appendicitis treatment ERAT. I remember that Hecheng City No. 1 Hospital did not carry out this procedure. Even our Bauhinia Harbor Hospital only has the deputy chief physician. A technique that only I dare to try. Three surprised expressions!"
"Hehehehe, bow down to the boss of our city's No. 1 Hospital! Let you, a great doctor in Hangzhou, look down on our Hecheng Hospital. Three cool expressions."
"I admire it! I admire it! I told our Professor Liu in a moment that our hospital just held an academic conference on acute abdomen. Maybe Professor Liu can bring exchange experts to Hecheng No. 1 Hospital for inspection It’s time to visit! After all, the General Surgery Department of Hecheng City No. 1 Hospital has just completed a suspension gasless laparoscopic appendectomy, and now it has also performed the famous ERAT! I’m really looking forward to meeting Dr. Tang, who has superb skills!”
Ma Shuya sent a long WeChat message.
"Haha, do you admire Dr. Tang's skills? You just covet his good looks. Three evil smiles on his face."
Ma Yashu backhand: "Three shy expressions, and body."
Chai Shanshan: "Isn't it true that only Cantonese people can eat people? It's an expression that says I'm still young and I don't understand anything."
...
...
After Tang Lou came out of the operation, he received a WeChat message directly from Chai Shanshan: "Dr. Tang, you are so amazing! An expression that looks like you are handing tea to a boss."
Tanglou looked at it, smiled slightly, and put his cell phone in his pocket.
It is very satisfying to be able to successfully perform an endoscopic retrograde appendicitis treatment with ERAT.
Originally, Tanglou was resting today, but after finishing an operation, he felt energetic and rushed to the office.
As soon as he walked into the office, he saw Ma En looking at a medical record with a frown on his face.
Hearing the sound of footsteps, Ma En raised his head and said, "Tanglou, aren't you having a rest today?"
"Today I went to Yuehe with Cheng Sisi to participate in the recording of Lantai's "Run". I originally wanted to guest star as a passerby, but who knew that Jiang Shu suddenly encountered acute appendicitis, so I rushed back and performed an operation on her with Director Shen. .Jiang Shudu has been discharged from the hospital."
Let me describe the tenement building very plainly.
Ma En had mixed feelings after hearing this. He noticed Cheng Sisi at first, and his heart began to feel sour. After all, as a resident doctor, he was basically in the hospital 24 hours a day, so how could he find a partner.
And as a resident doctor, even if you have a partner, most of it belongs to someone else. How many doctors wear bright green hats during the residency stage, and almost everyone tacitly agrees.
However, what shocked Ma En even more was the second half of the sentence: "You said Jiang Shu can be discharged from the hospital after the operation?"
"Well, Jiang Shu has a magazine shoot tomorrow and the day after tomorrow, so after discussion, we finally decided on endoscopic retrograde appendicitis treatment ERAT."
Tanglou sat down in his seat and was about to type out this case. As the first endoscopic retrograde appendicitis treatment, ERAT is indeed worth writing about.
After hearing this, Ma En threw away the difficult cases in his hands, his eyes full of envy: "You said you followed Director Shen to get an endoscopic retrograde appendicitis treatment ERAT? The first endoscopic device developed by the first hospital in our city ERAT for Retrograde Appendicitis?”
Ma En and Qing Ping are mainly involved in appendicitis surgeries, but now he is still at the stage of laparoscopic appendectomy.
Endoscopic retrograde appendicitis treatment ERAT is a surgery that requires proficiency in endoscopic techniques. With his current level and experience, he can only look forward to it.
"How does it feel? Tell me!"
Ma En grabbed Tanglou excitedly and asked, with his mind ready to make up his mind.
"It means inserting the endoscope, inserting the catheter, and then inserting the zebra guidewire..."
Tanglou explained the entire operation process to Ma En in a very concise manner. Listening to Tanglou's vivid description, Ma En could feel the thrill. After all, for a surgeon, being able to perform a complex operation is really amazing. It is a supreme enjoyment.
Until Tanglou explained the whole process, Ma En was still immersed in the atmosphere of the entire operation. It felt like a dormitory, and the person next door was making a bowl of instant noodles. Although Ma En couldn't eat it, he could smell the aroma of instant noodles. , enjoy it more than those who eat it.
"Dr. Ma, I seemed to see you looking at a case file just now, with your brows furrowed."
Tanglou's words brought Ma En back from his intoxication.
Ma En walked directly to his seat and took the information on the table: "Here, a strange case. The initial diagnosis was acute abdomen. The specific cause was not found. It is now in the ward. Waiting for Qing Qing After the doctor completes the operation, we will discuss it together."
Tanglou took it over and looked at it, preliminary physical examination and patient information:
Patient: Liu Chunhua, female, 63 years old
He complained of pain in the right upper quadrant for 1 week, and the abdominal pain suddenly worsened with high fever for 1 day.
Vital signs: T38.8℃, P92 times/min, BP16/12kPa,
There was tenderness, rebound tenderness, and muscle guarding throughout the abdomen, mainly in the right upper quadrant. WBC16×109/L.
Preliminary diagnosis: acute abdomen, possibly gallbladder disease.
...
"Have you arranged a B-ultrasound examination?"
Tanglou recalled that the tender area may indeed be a gallbladder disease. If it is really a problem with the gallbladder or bile duct, Yan Ruoyun, who specializes in the field of hepatobiliary surgery, may have to take over.
"It's already being checked, and the results will probably be available soon."
Although Ma En has been a resident doctor for several years, there are really too many possibilities for acute abdomen. For many patients, it is really difficult to diagnose it until the moment of abdominal surgery.
Soon, the B-ultrasound showed it.
"B-ultrasound showed multiple stones in the common bile duct, and a 1.5cm × 1.5cm enhanced light group was seen outside and below the common bile duct cavity, with an acoustic shadow behind it."
Chapter completed!