Chapter 906

Hearing that Chen Cang had improved subtotal gastrectomy, everyone in the room was quiet!

He Zhiqian looked at Chen Cang with a serious face: "Doctor Chen, be careful. Everyone is from the hospital. You can bear it if you say it."

"But you can't talk nonsense when you go out. It's up to people."

He Zhiqian is telling the truth and caring about Chen Cang.

For his youth's sake, remind him that the improvement of operation can't be nonsense. Without enough clinical analysis, it can't be said to be improvement.

How do you know that your improvement will be better than the original?

As soon as Chen Cang heard this, he nodded and smiled with embarrassment: "sorry, Mr. He, I'm a little excited."

He Zhiqian nodded: "it's all right. You can introduce it to everyone."

Chen Cang nodded.

Last night, he used a modified operation, modified subtotal gastrectomy.

After the improvement, Chen Cang naohai improved bi-1 and bi-2 to varying degrees, and even appeared a variety of matching methods suitable for different scenes.

When Chen Cang reacted, he was surprised to find:

This perfection directly promoted Chen Cang's subtotal gastrectomy to the perfect level.

It surprised him!

I didn't expect that the rewards last time were so rich.

After Chen Cang started to go up, he began to introduce.

"Che zhehua's gastric mucosa is seriously damaged. Even where there is no ulcer under gastroscope, there are different degrees of damage. Even after the observation in the past two days, there is still the possibility of reflux esophagitis."

"Once the upper end of the abdominal esophagus is removed, reflux esophagitis will be serious!"

"In this way, once the gastric acid secretion is too high, it will aggravate the disease, so the surgical method of reducing acid and accelerating gastric emptying needs to be adopted, which is also a more thorough treatment method!

Resection of the lower esophagus and most of the stomach was performed, followed by gastrojejunostomy. "

Hearing Chen Cang's words, everyone nodded slightly. It's really such a truth.

Reducing the secretion of gastric acid and pepsin can effectively promote the rapid emptying of contents, reduce reflux, and reduce the damage to esophageal and gastric mucosa.

At this moment, he Zhiqian suddenly brightened his eyes:

"Dr. Chen, do you mean Roux-en-Y jejunostomy?"

When hearing Roux-en-Y jejunostomy, the eyes of several gastrointestinal surgeons present brightened up.

This is a treatment for severe reflux esophagitis and gastric acid. Surgery for excessive pepsin secretion.

However, it is really such a good way to apply it to such a patient at this time.

We all have a bright spot. Indeed, compared with bi-1 and bi-2, Roux-en-Y jejunostomy is the best way.

But

At this time, a director hesitated and finally said:

"It is still the problem of anastomotic leakage. If Roux-en-Y jejunostomy is used, the feasibility of anastomotic leakage will be greatly improved."

"If anastomotic leakage occurs, it will require secondary surgery, or even reconstruction of the digestive tract, and the difficulty of surgery will increase again!"

Indeed, one of the complications of Roux-en-Y jejunostomy is anastomotic leakage. If this can not be handled properly, it is obvious that patients will have some trouble.

Chen Cang was obviously prepared: "in fact, what I have to do is to change some details based on Roux-en-Y jejunostomy."

"That is, we don't need jejunotomy! Don't cut off the jejunum in Roux-en-Y jejunostomy. In this way, the possibility of postoperative complications and anastomotic leakage will be greatly reduced!"

While talking, Chen Cang began to describe quickly on the demonstration board.

Chen Cang knew the whole process well, so he drew it quickly.

Chen Cang quickly drew the whole operation process with several simple sketches.

After painting, everyone stared at the drawing board and began to meditate.

Not cutting off the jejunum?

Seems like a good idea.

Several directors whispered, including director he Zhiqian, who also closed his eyes and meditated.

A surgeon with rich clinical experience and experience will have a detailed understanding of the operation in his heart, and even form a variety of ideas according to the picture.

Time has become worthless at this moment.

A minute or two goes by.

Everyone is thinking.

The old horse was in a daze.

Lao Yu glanced at the old horse. When the old horse was busy, he kept frowning.

Chen Cang vowed that this was the worst acting he had ever seen.

When you frown, don't grin.

The saliva is flowing out.

But everyone can see what you are YY doing.

You think... Think a ghost.

Chen Cang is helpless.

Indeed, Ma really doesn't know much about Roux-en-Y jejunostomy, but he thinks Chen canggang's forced appearance is very much like himself in his dream.

This kind of high spirited!

How cool

After half an hour, after a long discussion, everyone nodded one after another. After careful thinking and discussion, this idea was feasible!

But the effect is hard to say!

After all, this is only theoretically feasible, and the effect needs further observation.

We can't think of a good way. It's better to do so.

So, after a few minutes.

He Zhiqian looked at Chen Cang: "Dr. Chen, after our discussion, we think this idea is very feasible."

Chen Cang nodded and said thank you!

He didn't mean to force this time, otherwise he wouldn't use the skill improvement card.

He really wants to help Che zhehua do something.

He doesn't have enough fans and influence to help him expose and publicize, and he doesn't have enough ability to punish evil and promote good.

In the final analysis, he is just a doctor.

He can only do something sharp within his ability to help Che zhehua.

For example

Give him a healthy body.

At this time, Zhang Chahai, the chief director of thoracic surgery, took a look at Chen Cang: "Dr. Chen, I don't know how your thoracic surgery is doing. Can you do today's surgery well?"

Chen Cang looked up in surprise: "yes!"

He thought he was an assistant at most. Unexpectedly, director Zhang took the initiative to give himself C places to carry!

Zhang Chahai nodded and smiled, "OK, let's have an esophageal operation!"

Chen Cang nodded his head and exchanged it directly for esophageal colonic interposition!

This is the skill of thoracic surgery. At first, Chen Cang felt that if he didn't have surgery, he wouldn't exchange it. Now it seems that Chen Cang directly chose to exchange it.

Zhang Chahai nodded, smiled and encouraged: "do it well! Let me see how your lung tissue flap esophageal repair is done."

When Chen Cang heard this, he smiled: "sure!"