Insert ultrasound endoscopy to show the location of the cyst, select the appropriate puncture point, and use a colored blood flow diagram to display the adjacent blood vessel structure.

The shape is ideal, and this position and image performance are as Professor Yang imagined, with almost no deviation.

He knew that his level was growing. Every time he came into contact with and learned a brand new technique, there would be such an exciting process, which was also Professor Yang’s favorite.

Growth and joy are really intoxicating.

The puncture needle was retracted into the outer sheath and inserted into the ultrasonic endoscopic duct. Then Professor Yang sent the puncture needle into the stomach and carefully extended the needle tip to avoid being so happy that he was so sad that he poked a hole in the stomach wall before he could undergo the operation.

Although the hole is a bit sensational and the stomach wall is easy to recover, Professor Yang still pays attention to every step of the operation carefully.

Then, he identified the position of the needle tip on the ultrasound image and inserted the needle into the cyst cavity under the guidance of the ultrasound image.

When the feeling of obvious fainting, it indicates that the puncture needle has entered the cyst. Professor Yang's heart is stable, because the cyst wall has not caused trouble for himself. If puncture is difficult, the puncture needle must be connected to the high-frequency electric resection and the pure electric resection current must be passed. If that is the case, it will be troublesome.

Today, he was very lucky. Professor Yang had the idea that the cyst wall puncture was not going smoothly during the preoperative evaluation.

Everything went well, and he almost hummed a brisk song.

A 19g puncture needle successfully pierced the cyst wall and placed a 0.035 inh guidewire. After expanding the puncture channel with a 4mm and 6mm diameter dilators, a 24mm double-cavity juxtaposed metal bracket was successfully placed through the guidewire.

The operation was basically over here. Professor Yang carefully used a B-ultrasound probe to observe the pseudocyst of the pancreas. He found that it began to shrink, which meant that the liquid contained in the cyst was directed into the stomach and then entered the intestine.

Very smooth! The corners of Professor Yang's mouth under the mask were slightly raised.

The patient in this surgery was almost the largest pseudocyst of the pancreas that he had ever seen. With laparoscopic surgery, it would be difficult to ensure that there would be no complications.

However, there are not many complications of pseudocyst drainage surgery for pancreatic pseudocysts under endoscopic ultrasound guidance, but only an internal drainage, and what complications can be caused. Professor Yang believes that the biggest risk lies in the puncture step. God knows that B-ultrasound has no blood vessels, so will there be puncture bleeding.

If that's the case, it'll be fucked.

People who work in medical care are very cautious, and Professor Yang is the kind of person who is a little more moderate.

If it were just when I first started working, pseudocysts of the pancreas were a serious disease, with high surgery grades and extremely high postoperative risks. After laparoscopy, the course of this surgery and postoperative complications were reduced accordingly.

But now, surgery is like "playing". Professor Yang has personally experienced these stages of doctors, so his feelings are extremely profound.

"Professor Yang, the operation is over now." The anesthesiologist asked with a smile.

"Well, it's almost done." Professor Yang was not in a hurry. After observing for a few more minutes, he confirmed that the pseudocyst of the pancreas had become smaller. He smiled and said, "It's over."

"Professor Yang, can pseudocysts be able to do this in the future?" asked the anesthesiologist.

"How could it be!" Professor Yang's mood became higher after the operation. He said casually: "The pseudocyst is closely connected to the gastrointestinal wall, without major blood vessel blockage. The digestive tract is locally compressed by the cyst, and the mucosa has obvious color changes. This is a necessary condition now. You can do it with minimally invasiveness in any situation, and you can get the level of Boss Zheng. I? I won't want it in the next life."

"You are too modest." The anesthesiologist smiled.

"The most important thing for people is to have self-knowledge." Professor Yang said seriously: "This is not modesty, it is the truth. Boss Zheng is so awesome, I don't want to."

"Hey." The anesthesiologist didn't know what he was thinking, and he laughed muffled.

"Don't believe it, just say this surgery. If the stent is blocked after the operation, you need to intervene in an angiography. I am lucky. The patient screening is very good. If it is carried out in large quantities, I will definitely trouble Boss Zheng sooner or later." Professor Yang said.

Professor Yang has carefully analyzed the indications of pseudocyst drainage of pancreatic pseudocysts under endoscopic ultrasound and how to treat it after an accident. When he was in Dongyang, he also consulted his tutor.

There is a reason why the surgery can be smooth and seems simple and easy.

None of the successes could be achieved inexplicably, Professor Yang firmly believed this. When he saw the cyst shrink, he began to pull back the guidewire.

While pulling the guide wire, he said kindly: "Don't say that to others just now, Boss Zheng..."

Speaking of this, Professor Yang was stunned for a moment.

The guide wire... can't pull it! Normally, you should hold the guide wire in your hand and take it out smoothly.

Can't pull it, what the hell is this!

Where is it stuck? No, the guide wire is thin and slippery, how can it get stuck?

What complications is this? What is this unexpected situation? Professor Yang was stunned for a moment.

I was originally prepared, but I didn't expect an accident when the operation was "finished".

Professor Yang was panicked.

He immediately used B-super to see, but B-super has its own advantages and disadvantages. When it really happens, will it be used for P?

"Professor Yang, what are you going to do?" the anesthesiologist asked strangely.

"..." Professor Yang felt like he wanted to cry.

It's really fucking that I can't show off at all. I just showed off and something happened soon.

The most important thing is that he didn't show off, so the anesthesiologist praised him, and he even spoke to him earnestly.

The anesthesiologist realized something was wrong, so he stopped his hand and did not push the patient's medicine. However, the patient woke up, but something happened to the operation and there was no explanation.

He looked into Professor Yang's eyes and waited for him to explain the situation.

"Very... I want the wire guide to get stuck."

The anesthesiologist suddenly laughed.

"Professor Yang, don't joke with me." said the anesthesiologist. "The wire guide is not something else. If you say the bracket is stuck, I will believe it. How is the wire guide stuck?"

Professor Yang cursed in his heart, I don’t believe it even though I am a mp.

He tried again, but still couldn't pull the guide wire.

"It's really stuck, no joke." Professor Yang calmed down and said immediately: "Is there anyone in the hybrid operating room?"

"There is an orthopedic surgery, and the remaining operating table is empty. Please wait and I'll take a look." After the anesthesiologist said that, he ran out quickly.

Professor Yang stood on the operating table, crying without tears.

He was also confused as to what happened. Did he not be careful enough? Did he make any operational mistakes? Yes...

None of them!

At this moment, he had no idea what was going on.

...

...
Chapter completed!