Chapter 10

Today's operation is a subtotal gastrectomy. Chen Bingsheng didn't do it alone, but invited Zhang Zhixin, the attending physician of general surgery.

Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they came to the second provincial hospital together, but one went to general surgery and the other stayed in emergency.

However, this does not affect their cooperation. They often invite each other to attend surgery.

One reason is that emergency surgery is complicated and does everything, but surgery in the general surgery system is difficult to complete by one person, so doctors from other departments must be invited to cooperate.

That's what this operation is today.

Today's operation is subtotal gastrectomy, also known as subtotal gastrectomy.

In fact, subtotal gastrectomy is not as simple as appendectomy, which is very different from appendectomy.

There are three main steps!

The first is the large and small curvature of the free stomach.

The second is to cut off the duodenum and then the stomach.

The last is gastrointestinal reconstruction.

Of course, it must be much more difficult to do than to say.

Chen Cang's main work as a vegetable chicken is also very clear!

Draw the hook to knot and suck the liquid to stop bleeding;

Flatter and clean the equipment.

Yo! It rhymes.

Alas... I must be a poet delayed by medicine.

After all, countless vivid examples such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin and Chekov tell us that if we can't learn medicine, we can change to literature.

After all, the old ancestors also said: scholars learn medicine and catch chickens in cages!

The reverse should be almost the same.

I really have limited talent. Otherwise, I must go to Luo Dayou, Fei Xiang, Wang Leehom, Mao Buyi and others now. These are the advanced representatives who abandoned medicine and started art after graduating from medical school.

Hey

It seems that those who study medicine are geniuses.

Zhang Zhixin studied as a general foreigner, but he became a monk halfway and got a beauty doctor's certificate. It is said that he has opened a plastic surgery studio with others outside. Usually, he mainly pricks his eyelids, tattooed eyebrows, opens the corners of his eyes and hits hyaluronic acid. It is said that he is making progress every day!

The operation is about to begin.

Chen Cang didn't quite understand this kind of operation, so he could only learn silently.

The heart is staring at Zhang Zhixin with sparkling and talking eyes!

Not because of anything else!

Just want to rub some skills

[newcomers in the operating room: there is a 1% chance to learn the skills of others!]

Chen Cang feels that he should have a good relationship with Zhang thigh, learn some medical and aesthetic techniques, and don't do anything else. In the future, he can cut his girlfriend's double eyelids without spending money!

The operation has begun!

At this time, the first thing to do is open exploration!

Cut along the midline of the upper abdomen, Chen Bingsheng is the main knife.

After layer by layer incision, open the peritoneum and start exploration!

Chen Bingsheng watched carefully, while Zhang Zhixin helped.

Chen Bingsheng: "no ascites, no abnormality in liver, gallbladder, pancreas, spleen, small intestine and colon!"

"The gastric wall is smooth, slightly edematous, the gastric body is obviously enlarged, the lymph nodes around the stomach are not enlarged, there is a 2 × 1 × 0.5cm ulcer near the pylorus, the texture is slightly hard, slightly adhered to the gallbladder, local scar formation, traction and contracture cause pyloric stenosis, the inner diameter of the pyloric tube is about 0.5cm, the narrow segment is 2cm long, involving the duodenum, and it is clearly diagnosed as pyloric incomplete stem caused by pyloric ulcer during operation Obstruction, it is planned to perform subtotal gastrectomy and complete type II anastomosis! "

Zhang Zhixin nodded: "good!"

Chen Cang: "boss Chen is a cow!"

Nurse Qin Lele:

Nurse B:

Chen Bingsheng's professionalism is still very strong. This kind of surgery is often done, so there will not be too much pressure.

But he still stared at Chen Cang: "next time I won't call Dr. Zhang. You'll do it for me. You can watch it this time."

Zhang Zhixin sighed: "don't you think I'm paying money? Oh! Man!"

In fact, the operating room is really not as serious as expected, and some jokes often flow out from time to time.

Moreover, as a closed environment, the operating room is always a gathering place for gossip news!

The gynecological operating room is known as the king of gossip in the hospital!

It's not clear who the child is, who the doctor and nurse are, or even so and so leaders and so and so and so employees.

…………

Chen canggang really regrets that boss Chen niucha's, and a series of professional terms come out of his mouth, forcing Ge Gao more than a little!

But

In Chen Cang's eyes, it's another state. If Chen Cang said just now, it might be like this:

"[liver], [gallbladder], [pancreas], [spleen] and [small intestine] are green without abnormalities. The [stomach] is a red name monster. The reason for the red name is found in the lower part of the great curvature of the stomach! [pylorus incomplete obstruction caused by pylorus ulcer: lv39 pylorus ulcer obstruction monster, ordinary monster, features: slight adhesion between ulcer and gallbladder, local scar formation, traction and contracture, resulting in pylorus stenosis, reduction of inner diameter of pylorus tube, involving duodenum! Suggestion: resection!] "

Tut Tut, seeing the level 39 wild monsters active there, Chen Cang's eyes are full of excitement. After all, this is a high-level monster with rich experience!

Unfortunately, I can only see.

However, Chen Cang looks very seriously. Every operation is an opportunity to learn. Chen Cang will not give up such a good opportunity to learn.

The first is separation.

The stomach is not hanging in the stomach like a light bulb.

There are all kinds of mesangium, ligaments, blood vessels and autonomic nerves around him. In this way, the stomach is fixed in the abdominal cavity. Otherwise, if you take a few steps after eating, your stomach will sag.

The first thing to do is to separate work, which is also the most technical and patient work.

Chen Bingsheng carefully lifted the stomach, cut the gastrocolonic ligament in the slightly left non vascular area of the great bend, and then dissociated to the left along the great bend in the vascular arch to cut the gastrocolonic ligament

The operation was smooth, and the collocation with Zhang Zhixin was more skillful.

……

After the operation, the instrument was cleaned and the abdomen was closed.

Chen Bingsheng got up directly and gave Chen Cang a look: "suture."

Chen Cang sneered: mortal, it's time to witness miracles!

Let me show you my progress today.

Chen Cang picked up the suture needle and had been threaded by the nurse. Chen Cang picked up the needle and thread and was much more skilled than yesterday. Moreover, the abdominal skin was flat and there were not so many twists and turns. The suture needle in his hand was like wearing a flower butterfly and kept coming and going back on his stomach.

Indeed, after Chen Cang felt sharp + 1, there was an obvious difference.

It didn't take long to finish the suture.

After Chen Bingsheng took a look, he was stunned and stared at Chen Cang curiously: "yes."

Zhang Zhixin smiled: "Xiao Chen, your hand is suitable for surgery! The suture is very good, but... It's almost hot. There's talent, that's almost technology."

Suddenly, Zhang Zhixin turned and asked, "Xiao Chen, will you go to work tomorrow and the day after tomorrow?"

Chen Cang turned and saw that the arrows on Zhang Zhixin's head were converging into a question mark!

Mission?!

[Ding! Your stitching has attracted the attention of intermediate NPCs. You may get a task after detailed chat.]