Wang Yang looked at the B-ultrasound and found that there was indeed a blockage at the distal end of the patient's bile duct. Wang Yang changed the lateral position and compared it with the positive position, he determined that the blockage was not a stone, but a food residue that was rotting and fermenting.

The blockage point also meets the postoperative complications of common bile duct duodenal anastomosis, and rule out several other possibilities related to the surgery.

The most important point is that the patient's bile duct dilation is very obvious, which is also the reason for the patient's obstructive jaundice. Gas accumulation can be seen in the bile tract and cystic wrapping can be seen in the liver. It is initially judged that it is a liver abscess. The patient can only use emergency surgery at present.

Wang Yang put the B-ultrasound probe back on the B-ultrasound doctor and asked the B-ultrasound doctor to wipe the coupling agent on the patient's body.

"sharp."

Doctor B Super has just read Wang Yang's skilled B Super Skills. If he hadn't known that Wang Yang was the hospitalized officer in the emergency department and often took the surgery, Doctor B Super Skills would have thought that Wang Yang majored in medical imaging in college.

Anyway, in the opinion of Doctor B, he could never do that at Wang Yang. Although he couldn't do it himself, it was still okay to understand it. After all, it was found in textbooks.

"Director Yu, let's explain to the patient's family. See if they agree with the surgery. If they agree, let's take the surgery now."

Wang Yangdao.

Director Yu nodded and his expression became serious.

Wang Yang walked out of the gastroenterology department and thought about what method to use for this surgery. There are currently two options, one is laparoscopic surgery and the other is open surgery.

If the laparoscopic surgery is performed, the patient will have little trauma, but Wang Yang cannot solve the complication problem. It is very likely that Wang Yang will perform the laparoscopy on the patient and the patient will be discharged from the hospital after the laparoscopy.

When complications occur, it will be a bad thing for the hospital and the patient's family.

If you have an abdomen, you are afraid that the patient's family will disagree. If you have an abdomen in this operation, Wang Yang will definitely solve the patient's complications by the way, and the opening will be very large. Generally speaking, the family members think that if you prescribe a big knife on the patient, they may die on the operating table. This contradiction often occurs in preoperative explanations.

This is what Wang Yang was confused about. After thinking about it, Wang Yang still read the pre-operative explanation to his family. If the family members do not agree to the operation, everything is useless.

Wang Yang and Meng Yue returned to the emergency department office. Today, Director Xiao arranged for Yang Ming to be on duty, and Lu Ming took Professor Swen to various wards.

However, Lu Ming discovered a phenomenon, that is, when Professor Swen appeared, the noise and garbage dumping in the ward became much less.

Wang Yang saw the emergency department in an orderly manner. After seeing the patients who needed surgery, they all had minor surgeries. There was no problem with appendicle surgery and gallbladder surgery being handed over to Lu Ming and Yang Ming.

Wang Yang stayed in the office for a while and received a call from Director Yu, saying that the patient's family agreed to the operation. Director Yu was arranging the patient to be transferred to the emergency department to prepare for the operation. Director Yu was doing preoperative preparations, and Wang Yang needed to make preoperative explanations later.

Wang Yang was going to do the preoperative explanation of this operation by himself, mainly because Lu Ming was not familiar with it, so Wang Yang was not good for Lu Ming to give Lu Ming a preoperative explanation. If something went wrong, it would be good for the patient and Wang Yang.

The patient's family quickly led by Director Yu to Wang Yang's office. They were middle-aged and middle-aged women. They looked kind-hearted, unlike the kind of face that looked petty.

Wang Yang first asked about the patient's previous situation. The patient's family members were confused. After all, they did not know some professional knowledge. They could only describe some general symptoms, and Wang Yang judged them based on the symptoms.

After understanding, Wang Yang probably understood the situation. It was not because the family members concealed their medical history, but maybe when the patient had the surgery, the family members were young and had no idea whether they had undergone similar surgery.

After understanding the situation, Wang Yang began to give preoperative explanations and explained to the patient's family the current situation. The patient must undergo surgery. If he does not undergo surgery, he will definitely die. There is a 20% chance that he will not be able to get off the operating table.

After Wang Yang finished speaking, the patient's family looked a little ugly, and he might not have expected the situation to be so serious.

"Doctor, is my father's illness so serious?"

The middle-aged man asked urgently.

"Well, if you agree to the surgery, just sign it here."

Wang Yang asked Li Ge to prepare a signing form, and Li Ge pushed the signing form in front of the families of two patients.

The patient's family is obviously in a state of confusion. If you don't have surgery, you will die, and you may die if you have surgery, which makes it difficult for the family to choose.

The middle-aged man negotiated with the middle-aged woman for a long time, and the two even quarreled. Finally, the middle-aged man signed the agreement to the operation silently. Wang Yang handed the signing form to Li Ge, his family to Yang Ming, and Lu Ming went to the operating room to change his clothes.

When Professor Siwen saw that Wang Yang was going to the operating room with Wang Yang to change clothes. Professor Siwen also did not forget to brainwash Wang Yang every day and told Wang Yang how good it is to go to Germany.

Wang Yang nodded and perfunctorily at Professor Swen's words, and now his attention is on the upcoming operation.

Wang Yang never did blind syndrome. He thought about it for a while and decided to use the designated method to study.

"Learn surgical procedures for blind syndrome."

[Consuming the specified surgical method x2, learning the oddi sphincteroplasty liver abscess drainage technique] Wang Yang found that there was a need for a blind syndrome surgery under his skills, two types, one is minimally invasive sphincterotomy biliary cleansing.

One is open surgery, sphinctoplasty, liver abscess drainage and biliary tract cleaning.

Because Wang Yang has master-level gallbladder surgery skills, Wang Yang knows the natural bile duct cleansing technique. He learned blind syndrome surgery after only two surgery.

At present, the surgery Wang Yang is no longer a single surgery, but basically a combination surgery. The skill of the Hundred Schools of the People's Republic of China also greatly helps Wang Yang.

When it comes to three surgeries, Wang Yang did not dare to perform directly, but instead consumed 500 skill points to train in the training room. Fortunately, the operation process was very smooth. Wang Yang had general surgery master level and master-level liver anatomy experience, so he still had a very deep understanding of the biliary tract.

In addition, the system gives away techniques, although they are only low-level techniques, the effects they exert with the blessing of Wang Yang's various skills can reach the expert level.

It’s like a cultivator who practices supreme skills in the Mahayana stage and learns attack spells as a first-level small spell. The power of this first-level small spell is no weaker than that of a fifth-level spell.

"Doctor Wang, how to anesthetize?"

the anesthesiologist asked.

Wang Yang had already withdrawn from the training room at this time, looked at the patient, and said, "General anesthesia."

The anesthesiologist nodded and began to inject general anesthesia into the patient. Meng Yue was preparing for the equipment that might be used in this surgical procedure for blind syndrome.

Wang Yang and Lu Ming carried the patient onto the operating table together. The anesthesiologist started to anesthetize. Professor Swen did not come forward to help, but just looked from afar. Wang Yang could understand the professor. After all, some people rushed to do these small things in the professor's surgery and didn't have to take action in person. Moreover, foreigners have one thing, that is, they would never do it. They think it's best to do their own jobs.
Chapter completed!