He inserted the endoscope to display the location of the cyst. He chose an appropriate puncture point, and used a colored blood flow map to display the neighboring blood vessel structure.
The shape was ideal. The position and the image performance were exactly as professor yang had imagined. There was almost no deviation.
He knew that his skill level was constantly increasing. Every time he came into contact with and learned a new surgical method, there would be a process that made him extremely excited. This was also what professor yang liked the most.
Growth, joy, it was really intoxicating.
He retracted the puncture needle into the outer sheath and inserted it into the ultrasonic endoscopies. Then, professor yang sent the puncture needle into the stomach. He carefully extended the needle tip so that it would not end up poking a hole in the stomach wall before the surgery was performed.
Although the hole was a bit sensational and the stomach wall recovered very easily, professor yang still paid attention to every step of the operation.
He then identified the position of the needle tip on the ultrasound image and pierced the needle into the cyst cavity under the guidance of the ultrasound image.
When there was an obvious feeling of emptiness, it indicated that the needle had entered the cyst. Professor yang calmed down. The wall of the capsule didn’t cause him any trouble. If the puncture was difficult, the puncture needle would be connected to high-frequency electroincision with pure electroincision current. If that was the case, it would be troublesome.
He was quite lucky today. During the preoperative assessment, professor yang already had the thought that the cystic wall penetration did not go smoothly.
Everything was going so well that he almost hummed a light-hearted song.
The 19 g needle successfully pierced the capsule wall and inserted a 0.035 inch guide wire. After using a 4mm and 6mm dianers to expand the puncture holes, a 24mm double-chamber metal stent was successfully inserted through the guidance of a guide wire.
The surgery was basically over. Professor yang carefully observed the pancreatic pseudo-cysts with the ultrasound probe. He found that it had begun to shrink, which meant that the liquid accumulated in the cysts had been led to the stomach and then into the intestines.
It was very smooth! The corners of professor Yang’s mouth curled up slightly under his mask.
The patient in this surgery was almost the largest pancreatic pseudo cyst he had ever seen and had. If it was a laparoscopic surgery, it was difficult to guarantee that there would be no complications.
However, there would not be many complications when using endoscopies to perform ducking. It was only an internal drainage, so what complications could there be? Professor yang believed that the biggest risk was in the puncture step. Who knew if there would be bleeding when there were no blood vessels in the B-scan?
If that was the case, then he would be screwed.
People in the medical field were very cautious, and professor yang was considered a moderate person.
If it was when he had just started working, pseudo pancreatic cysts were a serious disease. The surgical levels were very high, and the risk after the surgery was extremely high. After laparoscopy was introduced, the surgical procedure and postoperative complications of this kind of surgery were reduced accordingly.
However, now, surgery was like “playing.” Professor yang was a doctor Who had personally experienced these stages, so he had a deep impression of it.
“Professor yang, the surgery is over.” The anesthetist asked with a smile.
“Yes, it’s almost time.” Professor yang was not in a hurry. He observed for a few more minutes to make sure that the pseudo cyst of the pancreas had become smaller. He chuckled and said, “I’m done. “
“Professor yang, can we do this for pseudo cysts in the future?” The anesthetist asked.
“How could it be!” Professor yang was in high spirits after the surgery. He said casually,”The pseudo-cysts are close to the walls of the gastorian Dao, and there are no large blood vessels blocking them. It would be more ideal if the cysts in the digestive tract were compressed and bulged, and the mucous membranes had obvious color changes. This was a necessary condition now. Boss Zheng had to be at his level to use minimally invasive surgery in any situation. Me? I don’t even want to in my next life. “
“You’re too humble. ” The anesthetist said with a smile.
“It’s important to have self-awareness. ” “I’m not being humble,”professor yang said seriously,”it’s the truth.” I don’t want to think about how awesome boss Zheng is. “
“Hey,” No one knew what the anesthetist was thinking, but he chuckled.
“Don’t doubt me. Let’s talk about this surgery. Whether the stent was blocked or not after the surgery would depend on interventional angiography. I’m just lucky that I’m good at screening patients. If we were to do it in large quantities, I’d have to trouble boss Zheng sooner or later. ” Professor yang said.
Professor yang had done a detailed analysis of the indications for using endoscopies to perform pseudo-cyst drainage and how to treat it after an accident. When they were in Japan, they had also consulted their mentors.
There was a reason why the surgery was so smooth and looked simple.
Professor yang firmly believed that no success came out of nowhere. When he saw that the cyst had shrunk, he began to pull out the guide wire.
While pulling the wire, he said kindly,””Don’t tell anyone about what you just said, boss Zheng …”
Professor yang paused for a moment.
The guide wire … Could not be pulled! Normally, at this moment, the patient should be holding a guide wire in his hand, and the needle should be smoothly removed.
He couldn’t pull it, what the hell was this!
Where was it stuck? The guide wire was thin and slippery. How could it be stuck?
What kind of complications were these? What kind of unexpected situation was this? Professor yang was dumbfounded.
He had made sufficient preparations, but he did not expect that an accident would occur when the surgery had “ended.”
Professor yang panicked.
He immediately used an ultrasound to take a look, but B-scans had their own advantages and disadvantages. It was useless at this time.
“Professor yang, what are you planning to do?” The anesthetist asked curiously.
“…” Professor yang felt like crying.
He really couldn’t f * cking show off at all. He had just shown off a little, and now something happened.
The most important thing was that he didn’t even show off. The anesthetist only praised him a little, and he even spoke to him earnestly.
The anesthetist realized that something was wrong. He stopped what he was doing and did not push the medicine for the patient. If the patient woke up and something went wrong during the surgery, it would be hard to explain.
He looked into professor Yang’s eyes, waiting for him to explain the situation.
“I … I think the wires are stuck.”
The anesthetist laughed.
“Professor yang, please don’t joke with me.” The anesthetist said,”a guide wire is nothing else. I might believe you if you say that the stent is stuck. The wires were stuck? How is that possible?”
Professor yang cursed in his heart. F ** K, I don’t believe it either.
He tried again, but he still could not pull the guide wire.
“It’s really stuck, I’m not joking. ” Professor yang calmed himself down and immediately said,””Is there anyone in the mongrel operating theater?”
“There’s an orthopedic surgery, and the other operating table is empty. Please wait a moment, I’ll go take a look. ” After the anesthetist finished speaking, he quickly ran out.
Professor yang stood on the operating table and wanted to cry but had no tears.
What exactly had happened? he was also dumbfounded. Was he not careful enough? Was there a mistake? It was …
None of them!
He had no idea what was going on.
……
……
[Note: cited from the United Kingdom society of gastronomic science, gastrointestinal endoscope, September 27,2015.]
