Considering the patient''s diabetes for many years, the problem of wound healing may be a major problem in the later stage, or endoscopic surgery is chosen.

    Looking at Fang Yonglin after anesthesia, Zhang Youfu felt nervous. This fucking operation is not an ordinary operation!

    Zhang Youfu, come on!

    Thinking of this, Zhang Youfu couldn''t help clenching his fist.

    When he was in his forties, he was full of enthusiasm. When he met problems, he also wanted to try.

    But at this time, it still wavered.

    Surgeons are most afraid of two kinds of people on the operating table, one is close relatives and believers, and the other is people with high power and great influence!

    At this time, the person lying on the stage is the most influential person of the second Provincial People''s court!

    Duan Bo and Zhang Zhixin on one side were even more nervous, and Zhou Xiaodong simply came to play soy sauce to exercise his horizons.

    This operation depends on Zhang Youfu!

    No more ink, the operation begins!

    Zhang Youfu skillfully opened the well, and the pneumoperitoneum needle was inserted to form pneumoperitoneum.

    Qin Xiaoyuan, Li Jianwei and others stood aside and stared at the monitor like ordinary family members.

    After the laparotomy under the endoscope, Zhang Youfu sighed.

    Although the difficulty of the operation has been expected, the reality is always crueler than expected.

    The intestines in the abdominal cavity stick together, which may be incomprehensible. For example, although the normal intestines are in contact, it does not affect them. However, the adhesive intestines stick to the skin like cooked dumplings. At this time, don''t think it''s okay. After adhesion, it can be light or heavy. The serious result is adhesive intestinal obstruction, which is one of the surgical acute abdomen, Even fatal, impossible intestinal fistula, causing a large number of intra-abdominal infections and even more serious diseases.

    Because they stick together, the intestinal wall inflammation becomes more and more vulnerable under the inflammatory invasion. The contact place is likely to rupture due to intestinal peristalsis and human movement!

    This is a big deal!

    Before the operation, Zhang Youfu already knew that the patient''s condition was special, the gallbladder inflammation was serious, and there were obvious dry duodenal varicose veins. The adhesion of the right hepatic artery was also very close, which affected the whole body!

    The coagulation function of patients with portal hypertension is poor, and the hepatic artery adhesion is serious. Once the operation, we must consider how to do the bleeding!

    Surgery is like arranging troops. We must plan every step and be confident, so that we can be prepared for any emergencies during the operation!

    Looking at the messy operation, Zhang Youfu couldn''t help scolding: why is it so difficult!

    What are you doing first?

    There''s nothing to do!

    What should I do?

    If you want to cut off the gallbladder surgically, it must be separated at this time. At this time, the right hepatic artery runs in front of the common bile duct, and the Hartmann bag of the gallbladder adheres to the common hepatic duct. In order to separate the adhesion here, sometimes excessive traction of the gallbladder will damage the right branch of the portal vein behind the common hepatic duct, resulting in massive bleeding.

    The patient is also a patient with portal hypertension. He is too tired to breathe.

    Looking at this belly, Zhang Youfu feels like looking at a mess and can''t find his head.

    I can''t do it!

    Bile duct injury is troublesome at most, but it is caused by bleeding. It will die without any hanging chain. This is what Qian Liang said. The failure rate is as high as 100%!

    And: failure = death.

    Duan Bo and Zhang Zhixin said nothing, because at this moment, they have no idea at all.

    While Zhou Xiaodong watched TV, he suddenly found that this scene was so familiar

    It''s like going back to that night to face the patient with mirrizi syndrome.

    Zhang Youfu must be well prepared to prevent massive bleeding. Thinking of this, Zhang Youfu asked, "once bleeding occurs in a while, Duan Bo, you can quickly clamp the breach with non-destructive forceps to control the bleeding. Zhixin, can you use No. 5 proline suture to stop bleeding?"

    They were silent. What a skillful suture technique under endoscope!

    Suddenly, Zhang Youfu turned around and looked at Tao Mi: "director Tao, how about your suture technique under endoscope?"

    Tao Mi nodded. There should be no problem!

    Tao Mi took over Zhang Zhixin''s work.

    The operation continues. Zhang Youfu carefully separates the adhesion in the abdominal cavity and pushes it away bit by bit. More strength may cause problems.

    At this time, Tao mi