Chapter 413

Did Chen Cang find out?

To be exact, of course not just now!

Otherwise, he wouldn't say what he missed!

Because even he couldn't figure out what was missing, he just wanted to explore and see if he could find some clues.

But now I know that when he saw the blood emerging from the drainage tube, he suddenly thought of his special training in the virtual space, a special patient.

Thinking of this, Chen Cang quickly looked at the crowd!

Said loudly, "don't stop bleeding first!"

In a word, everyone was stunned!

Everyone was stunned!

No hemostasis?

Although the blood flow is not very fast, but... What is the situation without hemostasis?

Chen Cang said to the nurse, "give me the separating forceps!"

"Scalpel!"

Chen Cang doesn't care to explain too much. Talking too much is nonsense. It's better to be practical.

Moreover, at this time, the most fear is blind hemostasis.

Because the patient has portal hypertension, there are thick varicose veins in the hepatoduodenal ligament during portal hypertension, which is easy to cause massive bleeding during operation. At this time, panic hemostasis is easy to hurt the hepatic artery, portal vein and bile duct, and even cause the embarrassing situation of being unable to walk and riding a tiger during operation.

Therefore, Chen Cang must stabilize the formation at this time!

Chen Cang carefully went to the gallbladder triangle. What he had to do was not to separate the gallbladder, but to find the hepatic duct in the liver area.

He wants to test his ideas!

It's not afraid of bleeding. There is a drainage tube. Everything is convenient. The most important thing is to find the core of the problem.

Soon, after Chen Cang separated, a series of red names appeared in Chen Cang's vision!

[variant bile duct]

Not only Chen Cang, but also everyone's face changed when they saw this scene!

Zhou Hongguang was shocked!

He finally knows what's going on!

When he saw the junction of hepatic duct and bile duct, Zhou Hongguang suddenly realized.

Cholecystitis combined with bile duct variation!

No wonder it's bleeding

At this time, Qian Liang, Zhang Youfu and Li Baoshan all found out.

Acute inflammation of gallbladder with bile duct variation!

The gallbladder has long caused tissue damage because of acute inflammation for four days. At this time, the cystic duct opens in the right hepatic duct, the left and right hepatic ducts bifurcate low, and there is a right accessory hepatic duct. At this time, the variability of hepatic duct and bile duct intersects, which is easy to be ignored!

Once this variability cross occurs, a little carelessness during the operation, even if only the drainage tube is implanted, may cause damage.

And the patient because the original situation is very special!

Cholecystectomy was not planned at the beginning, and separating the gallbladder would certainly damage the hepatic duct.

Acute inflammation of gallbladder combined with biliary tract variation is very easy to cause intraoperative bleeding and bile duct injury. If at this time, combined with portal hypertension, varicose veins are easy to cause intraoperative bleeding.

Massive bleeding is almost fatal to this operation, but if you panic to stop bleeding, in case you accidentally hurt the hepatic artery, portal vein and bile duct, you can say that the patient is really finished!

This is no exaggeration!

When I saw this scene, everyone was terrified!

Didn't they find out?

Where did they find it?

Who has the ability to predict?

Moreover, variant hepatic duct is too rare. Even if it is, it is harmless most of the time.

If Chen Cang hadn't seen [mutant leader monster], to be honest, he wouldn't have thought it would be like this.

But at this time, the operation has entered a stalemate.

At this time, it is necessary to investigate the cause, find the bleeding point, and then stop bleeding.

But this process is so delicate that no accident can occur.

Zhou Hongguang wanted to get started, but... Seeing Chen Cang's appearance, he suddenly stopped the action on his hand.

To tell you the truth, you must be careful and careful in the process of troubleshooting bleeding, and the key is that you have to be able to find the bleeding point.

Although there is no need to remove the gallbladder, it is precisely because we can't make a big fight that the operation is more difficult.

Chen Cang stared at the hepatic duct, bile duct, gallbladder and accessory hepatic duct

Suddenly, Chen Cang saw that there seemed to be adhesive damage between the staggered gallbladder and the crossed accessory hepatic duct and bile duct!

Chen Cang's eyes lit up!

the case is entirely cleared!

There is an abscess and it is easy to damage the hepatic duct. At this time, the occurrence of adhesion aggravates the injury. During the operation, even the smallest operation will cause some damage to the human tissue. After all, it is an operation!

This moment!

Chen Cang has made great contributions!

Zhou Hongguang stared excitedly at the crossed hepatobiliary duct, his face was excited, and a feeling for the rest of his life suddenly appeared.

Luckily I found it!

Otherwise, opening the abdomen again will certainly cause serious injury again. At that time, it may be the massive bleeding of abdominal varices.

At that time, the patient could not be saved if he wanted to.

Zhou Hongguang suddenly felt extremely happy!

Not only him, but also Qian Liang and Zhang Youfu, who were on the side, were short of breath and felt incredible.

Excitement, fear, uneasiness, complexity, happiness

All kinds of feelings can't disperse in everyone's mind for a long time.

Surgery is like this. Surgeons must have eagle eyes, keenly control the overall situation and find the key!

In an operation, you must not find any problems, because the human body is a whole and must be studied together.

Acute cholecystitis attack is very serious, but with this cross bile duct variation, it is also very serious.

At this time, Chen Cang suddenly got up, handed the scalpel and separation forceps to the nurse, and then looked at Zhou Hongguang: "director Zhou, you come."

In a word, it makes everyone stupid again!

Zhou Hongguang looked puzzled:???

It's... This time. Don't you do it yourself? Give me the fruits of victory?

you bet!

If Chen Cang's operation is spread, it will definitely be a blockbuster.

After all, I found that academician Zhou Hongguang's surgery was missed, and then I found out the cause, turned the tide, and gave up the fruits of victory when I was successful?

This operation... Is actually 666!

Even a few directors around me have their eyelids jumping.

At this time, Chen Cang can only tell the truth: "director Zhou, I'm... Not very good at liver tube repair. Come on!"

In a word, Zhou Hongguang almost burst into tears!

What a good child!

What a sincere man!

Zhou Hongguang is extremely fond of feathers at this time. In case of any problem, it will be a stumbling block for the selection of his academicians.

Don't think it's small. You know, the selection of academicians is not as simple as you think.

Simply put, the position is limited, and those who can do it.

This can test the comprehensive strength.

In the careless eyes of this key point, the district head's father was killed by himself, which is easy to be left behind. You can say a thousand words, but a dead man is bigger.

But Chen Cang helped him find the problem. Zhou Hongguang is very grateful for this.

But!

At this critical time, Chen Cang gave the operation leadership to Zhou Hongguang, saying "I'm not good at bile duct surgery"

This sentence, let Zhou Hongguang tell the truth is very grateful.

What a good child, such a complex operation can be done, such a difficult problem can be found, a small bile duct, a ball?

Hey