第一百六十八章 一滴胆汁
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这一次的参观。
关系重大，
不过，在顾建军的强烈要求下，上元医院的领导层，没有一个人在手术前跑来吹捧，
他不想因为这些破坏了这台手术的纯净。
这就是一台参观学习的手术，
不掺杂其他。
皮得一行来的目的也是为了参观，
这是一台观赏性远大过实用性的手术，
能在现场进行感悟，比看视频得到的领悟，要强得多。
毕竟，
视频里只有镜下的情况，
而现实中，却可以看见术者的所有操作。
禹文星站主刀位，雷阵雨站助手位，
一切准备就绪之后，手术开始。
打孔、加气、进Trocar，进镜子。
禹文星对于这个步骤太熟了，
他当住院总的大半年，大部分都是这个步骤。
镜子进腹，依次探查。
胆囊处的情况在意料之中，
粘连的非常明显，
本应该是薄膜一般的胆囊三角，硬是粘连的如同一块石板一样。
一看见这情况，
参观团的众人已经开始指指点点了。
“粘连的很厉害，这种情况下解剖胆囊三角就有难度。”
“对，这种粘连，用操作杆来做风险太高了。”
“不过上次视频的胆囊三角粘连的程度也不清....”
.....
这种粘连的程度，
在众人的认知下，是极难处理的，
越是粘连的胆囊三角，手术的难度越就越高，
毕竟，
胆囊三角内一般有胆囊动脉在走形，
那是动脉，
一旦损伤，
后果难料。
这也是为何在做胆囊切除术解剖胆囊三角的时候，要把胆囊动脉暴露清楚，才能夹闭。
不过因为胆囊管和胆囊动脉的特殊解剖关系，一般是不需要去刻意暴露胆囊动脉的。
只需要逐渐暴露胆囊管，胆囊动脉一般都会被暴露出来，
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