Chapter 743: 【743】The problem has appeared
Chapter 743 [743] The problem has appeared
The reason for is based on the fact that the bile duct stones found are all very small, and the findings of choledochoscopy or b-ultrasound are consistent. Small stones do not cause severe cholestasis leading to systemic jaundice.
The choledochoscopy continued to penetrate into the hepatic duct to further confirm whether He Guangyou and their conclusion were correct.
The light source rotates and illuminates the right hepatic duct in the patient's body in multiple directions. The gallstones are shocking to look at. They are densely distributed in the hepatic duct, and the bile cavity is stuffed into airtight. How can bile continue to enter such a duct. Flows smoothly.
Scare! Everyone should not be surprised to see such an actual scene.
"It seems that it may be caused by gallstones." When He Guangyou and He Jiuliang admitted this, they were very emotional. It can only be said that the human body is too mysterious, and exceptions often appear to overturn the original cognition of doctors. Now, the usual definition of jaundice caused by large stones is to be broken by the special case of Zhao Zhaowei. It is entirely possible for small stones to become life-threatening killers.
"Why are all stones small and not large?"
"If the bile composition is abnormal, or the dietary intake is a problem, it is unlikely to be all small stones without one large stone, which is too strange."
"Are there any roundworm eggs? I don't think I found them?"
"The strangest thing is that the large stones block the bile duct horizontally, so they may not move, but the small stones are not. The mouth of the hepatic duct opens downward, and the small stones should fall down due to gravity, so why are they stuck together?"
"Didn't Xiao Song say something about the angle?"
A group of people remembered what Song Xuelin said before, which seemed to make sense.
The angle between the right hepatic duct and the left hepatic duct is wrong, which leads to the reflux of bile, so even if the stone is small, the reflux of bile can only go back. Appear.
"How do you see the included angle?"
When someone asked this question, everyone suddenly realized that this was the hardest problem to solve.
The human body is three-dimensional, all the organs and tissues in it are all three-dimensional, and the connections with each other are all three-dimensional. If a doctor wants to think, he can only think of a three-dimensional structure, and it is impossible to think of a two-dimensional structure. Therefore, the angle problem Song Xuelin talked about must be the angle in the three-dimensional world.
is equivalent to doing one of the most complex geometric math problems.
The surgeon stared at the screen in a daze. Some touched their foreheads, wishing to make their minds go faster.
The anesthesiologist and the nurse glanced in the direction of the surgery department and turned back: It's too hard to think about not joining in the fun.
The expressions of everyone at the scene showed that most doctors could only surrender to this move. Don't blame the doctor, this kind of problem can only be imagined in a short period of time by a mathematician. Therefore, various things that assist doctors in their work are often invented because of actual needs.
Laposcope like choledochoscope belongs to the category of medical devices, which is equivalent to the doctor's hand. The 3D modeling software that Cao Yong taught her before can be considered as another brain that assists the doctor's thinking, and plays a crucial role in the planning of the surgical path that the doctor performs for the patient.
It’s just an aid, it’s just an aid, and ultimately it’s up to the doctor himself. Instruments may not work, and 3D modeling may go wrong.
Now the biggest problem is not to not give clear, but to find out why the patient has so many small stones, otherwise it is clear that patients with stones will continue to recur in the future, and the operation will be boring.
When everyone was thinking hard, they saw that it was because the choledochoscope stopped moving after entering the intrahepatic bile duct.
Thank you for your support! ! ! Good night dears~
(end of this chapter)
