Xie Wanying was thinking that the location of these puncture holes was a bit special, slightly different from the usual surgical puncture positioning. It showed that at least three puncture holes formed a straight line under the costal margin.
If her prediction was correct, could it be that the surgeon, Senior Brother Tao, made the puncture hole in this way to facilitate the conversion to laparotomy? When the time comes to convert to laparotomy, he can cut along this straight line.
Senior Brother Tao is very careful and takes precautions first, which shows that Senior Brother Tao is probably not very optimistic about Student Zhao's situation.
A look of severity flashed across her face.
When Yue Wentong was thinking about what she had seen, a doctor on the operating table spoke: "The color of the liver has changed."
I saw that He Guangyou, who was the first assistant, was giving advice to the chief surgeon.
The monitor screen shows the actual condition of the liver in the patient's abdominal cavity relatively clearly.
A normal liver has rich blood supply and is dark red to purple in color. Laparoscopy showed that the patient's liver actually became lighter in color. The area resembled partial cirrhosis, which was very different from the mild reversible fatty liver that everyone had previously inferred.
"Isn't it fatty liver?" Gong Xiangbin said in the ears of Qiu Ruiyun and the others.
"If not, what will happen?" Guo Yiping, who didn't like to talk, looked quite worried about the patient's condition.
"Liver abscess, there must be an infection." Qiu Ruiyun pinched his chin with his hand, "As for what kind of infection it is -"
A group of doctors could only blurt out the worst result. Someone had to be the "bad guy". So, He Jiuliang said loudly: "I think we may need to be mentally prepared. The patient may have intrahepatic cholestasis."
Type. With this disease, it cannot be ruled out that there is a problem with the patient’s liver cells themselves. Moreover, since it is chronic, the prognosis will be worse than anything we expected.”
The super big splash of ice water poured on everyone's heart.
Cholestasis is a syndrome with complex causes. So far, medical scientists have many difficult mysteries about this disease that they have not been able to solve.
There is a very special thing about this disease. Chronic disease is more difficult for doctors to deal with than acute disease.
The acute cause is relatively easy to trace, and as long as it is not caused by the liver cells themselves, it is considered relatively good.
If it is chronic, it is hidden and develops slowly. When the patient or the doctor notices it, the disease will easily turn into severe hepatitis and cirrhosis at a certain stage, and the prognosis is very poor. The cause is often defined as a metabolic problem of the liver cells themselves, for which there is basically no solution, and there is no cure.
It can be cured. The only solution may be: liver transplant.
"Fortunately, we did surgical exploration." A group of doctors now feel lucky. If it is delayed any longer, Zhao Zhaowei may suddenly deteriorate into acute liver failure and die. Therefore, sometimes CT and other auxiliary examinations cannot detect the disease.
If the cause of the disease is determined, it is best to perform surgery to explore the actual condition inside the patient's body.
Looking directly is better than blind guessing. This is the most important meaning of surgery.
"Do a biopsy. If it is confirmed that it is a liver cell problem, we need to discuss liver transplantation with the patient's family." He Guangyou said, as if he had changed from a slow senior to a brave and active senior, and he was eager to replace Mr. Zhao immediately.
Liver.
Is Mr. Zhao’s liver really dead?
Beep beep, beep beep, the patient's heart rate fluctuated slightly, as if he heard something.
Zhang Tinghai adjusted the anesthetic dose given to the patient.
During anesthesia, sedatives, muscle relaxants, and analgesics are commonly used by anesthesiologists.