The operation begins.

Chen Qi had a vague feeling that this patient was not as simple as reflux cholangitis. Perhaps this was the intuition of a previous hepatobiliary and pancreatic surgeon.

Unfortunately, given the lack of auxiliary examination methods, he had no evidence and could only tell Director Zhu his intuition:

"Mr. Zhu, I always feel something is wrong. The patient underwent surgery 8 months ago. I only knew that he had obstructive jaundice and the distal common bile duct was blocked. However, the entire medical record did not indicate the cause of the obstruction or which organ caused the obstruction.

Caused by disease."

Director Zhu asked in a calm voice: "What is your suspicion?"

"I wonder if there will be any space-occupying lesions in the liver or pancreas next to the common bile duct?"

Shen Zhemin next to him heard this and took a breath of air.

Chen Qi's point of view almost completely overturns the diagnosis he received from the county hospital 8 months ago.

At the same time, if this space-occupying diagnosis is true, then today's surgery may be overturned. It is simply not something that a regional hospital like Yuezhong can do.

Whether it's the liver or the pancreas, the average general surgeon really doesn't want to encounter it, because it means that the difficulty of the operation will increase exponentially, and a patient may die on the operating table if he is not careful.

Besides, he is still a deputy county magistrate, and when it comes to officials, we must pay more attention to it.

If it were Shen Zhemin's assistant or student, he would definitely get angry and call nonsense.

Zhu Huoyan just glanced at Chen Qi and asked in a cold voice as always:

"What's your suggestion?"

"The surgical incision is enlarged and the abdomen is explored. The target is not limited to the bile duct."

Shen Zhemin didn't dare to say a word and cursed in his heart.

Everyone in the operating room also looked at Director Zhu. Of course, everyone was thinking that this Chen Qi was going to take the lead. He made an exception and asked him to be an assistant and he was still so nagging.

Who knew that Zhu Huoyan took the scalpel and said to everyone in the operating room without raising his head:

"Then today we will conduct a thorough investigation to find the cause of the disease and avoid having to undergo a third surgery."

Hiss~~~~

Everyone in the operating room gasped again. When did this famous "cold-faced King of Hell" become so easy to talk to?

Now everyone looked at Chen Qi with sympathy. How unlucky is it to be sent to the "border" despite having such an awesome teacher?

Chen Qi himself didn't pay much attention to other people's eyes and opinions. During the operation, the doctor's brain had to be running very fast. At the same time, his hand speed had to keep up with his brain speed, so there was no time to think about anything else.

Director Zhu said nothing more and made a reverse L-shaped incision directly on the patient's right upper abdomen, and began to explore the patient's abdomen.

Shen Zhemin and Chen Qi quickly picked up the surgical instruments and performed assistive work. After a while, Shen Zhemin's voice was the only voice left in the operating room, allowing the assistant to record the surgical process with pen and paper.

"No ascites, no cancerous nodules found on the omentum..."

"The color of the liver is brownish-red, the surface is smooth, and there are no fish-like nodules, which excludes liver cancer..."

"The biliary-enteric anastomosis is strict, the outer diameter of the common bile duct is about 1.8cm, and the left and right edges of the hepatoduodenal ligament are swollen lymph nodes, hiss..."

Shen Zhemin's originally calm voice suddenly trembled, and he hissed as if he had a toothache. He looked at Chen Qi, who was sitting opposite as the second assistant, thinking that this boy's crow's mouth was really guessing.

At the same time, seeing these abnormally swollen lymph nodes, a cold light flashed in Director Zhu's eyes.

Abnormal lymphatic enlargement and lymphatic metastasis are one of the very common metastasis pathways of cancer.

Under normal circumstances, cancer cells can break off and invade into lymphatic vessels. With the lymph fluid, they can reach local lymph nodes and form metastatic canceration of lymph nodes.

If you see swollen and multiple lymph nodes, it indicates that there is a "malignant tumor" and it has metastasized. Once it metastasizes, it will almost always be in the middle or late stage.

This is the scene the doctor least wants to see.

Chen Qi was close, and young people have better eyesight. As soon as they saw so many swollen lymph nodes, which had even formed a mass, they knew that today's operation would not be successful.

The liver has been preliminarily checked just now and is fine. The gallbladder has been removed in the previous operation, so there is only one organ left that is most likely to get cancer.

Pancreas!

Pancreatic cancer, known as the "king of cancers"

In terms of survival rate, the 5-year survival rate of pancreatic cancer is only about 5%, which is the worst among all cancers. Even the 5-year survival rate of liver cancer, which everyone talks about, is still about 12%.

Shen Zhemin looked at Director Zhu, whose face was ashen, and swallowed:

"Director, do we still need to do this operation?"

At this time, Zhu Huoyan was already sweating profusely.

Chen Qi was still a little strange, thinking that Comrade Lao Zhu was usually quite calm and had the demeanor of a general who would remain unchanged despite the collapse of the mountain. Why was he suddenly nervous today?

If this really is pancreatic cancer, the responsibility does not lie with him. The person who had the problem was misdiagnosed and went to the county hospital, right?

Seeing that he didn't respond, everyone in the operating room looked over, and Chen Qi had to remind him in a low voice:

"Teacher Zhu?"

Zhu Huoyan said coldly at this time:

"First go and talk to the family members and tell them that the possibility of pancreatic cancer is very high, the operation is very difficult and the risk is very high. Ask them for their opinion, should we continue the operation or close the abdomen?"

When Shen Zhemin heard this, he nodded: "I'll tell you!"

Outside the operating room, all the family members of Deputy County Magistrate Ying were waiting. In addition to his wife, there were also a large number of sons, daughters-in-law, and daughters-in-law.

Shen Zhemin walked out of the operating room. As soon as the door opened, his family members quickly gathered around him, all of them with nervous expressions:

"Doctor, how is my old man doing? Why did the surgery happen so quickly?"

"Doctor, is my dad okay?"

Shen Zhemin pressed his hand to signal everyone to keep quiet, and then said:

"The patient's condition is not ideal. After laparotomy, we found a large number of swollen lymph nodes at the porta hepatis. The most likely possibility is that there is a tumor in the pancreas, and it is malignant.

Now we need to seek the opinions of your family members. Should we continue the operation? Although there is a certain chance of successful resection if the operation continues, the most likely possibility is that you will not be able to get off the operating table. This needs to be determined by your family members."

The old lady cried when she heard this: "We won't do it, we won't do it."

Suddenly the eldest son next to him shouted:

"Mom, we have to try. Next year I will have a critical moment as a deputy cadre. I can't do it without my dad's relationship!"

The second son also jumped out:

"That's right, Mom, my transfer to the regional finance bureau is still in the process of personnel relations. My younger sister's promotion to vice principal has not yet been confirmed. It can't be done without our dad!"
Chapter completed!