Chapter 942

Sun Guangyu glanced at the nurse: "call Chen Cang and see where you are."

The nurse nodded, picked up her cell phone and dialed Chen Cang.

Before long, the phone was connected: "director Sun, I just parked the car and went right away!"

As soon as sun Guangyu heard this, he immediately looked happy: "OK!"

After the arc was hung, sun Guangyu looked at several directors around him and couldn't help saying:

"Let's wait a moment. Dr. Chen has a lot of ideas about digestive tract reconstruction! We don't have a clue now. More people and more strength."

"We have seen Mr. Bu's current situation. The operation is very difficult. The most important thing is that it is difficult to restore digestive function after operation."

"I think we should try our best to keep Mr. Bu's digestive function and improve his quality of life as much as possible."

Sun Guangyu's words are very reasonable. How to improve the final quality of life of the elderly is the most important.

At the age of 93, with so many basic diseases, no one can guarantee how long they can live.

The crowd looked at Sun Guangyu and nodded without saying anything.

After all, sun Guangyu is the chief surgeon, and he still needs to listen to him in the end.

In fact, on the operating room stage, they are like reinforcements, and the general in the army is still sun Guangyu, and his final decision-making power is still his.

After thinking of Chen Cang, sun Guangyu was relieved: "in fact, Chen Cang did the most gastrectomy and esophageal reconstruction operation I showed you last time!"

Hearing sun Guangyu's words, everyone was stunned.

"Is that a modified gastric anastomosis? The kind of stomach formed?" Shi Wenyan of the General Hospital of the military region asked directly!

Sun Guangyu nodded: "yes, it was that operation that made me officially know Chen Cang."

For a moment, everyone's eyes lit up and they all looked forward to it.

One operation can show a surgeon's clinical thinking and surgical level.

And that operation, in their view, is Chen Cang's landmark operation, which is enough to explain a lot of things.

However, Mr. Bu's situation at this time really worries everyone.

In his nineties, he got such a troublesome disease.

Intestinal obstruction caused by Crohn's disease.

What is Crohn's disease?

Crohn's disease is a gastrointestinal granulomatous inflammatory disease with unknown etiology.

It's hard to understand. In fact, Crohn's disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease, which is an inflammatory disease of the intestine.

But the cause is unknown

However, the treatment is mainly to solve the current symptoms.

Besides, Mr. Bu is in his nineties and can't stand too much trouble.

Fortunately, Crohn's symptoms are not obvious. Mr. Bu's performance is intestinal obstruction.

What is the main purpose of surgery now?

First: treat intestinal obstruction!

Second: clean up the pancreas!

Third: clean up the gastrointestinal tract and pancreatic tissue with obvious adhesion in the abdominal cavity.

Fourth: digestive tract reconstruction.

Each step seems not difficult, but when combined, gastrointestinal reconstruction becomes even more difficult.

The biliary tract needs to be treated, the colonic obstruction needs to be removed, and the pancreas does not need to be completely removed, but Pancreaticoenterostomy needs to be performed again after cleaning.

Everyone stared at the abdominal cavity with locked eyebrows and thought.

Before long, Chen Cang entered the operating room.

Seeing Chen Cang coming, sun Guangyu looked happy: "coming!"

The nurse had been waiting for a long time. After putting Chen Cang on his surgical clothes, Chen Cang came over.

After seeing the abdominal condition, he immediately widened his eyes.

This

It's a little bad.

Chen Cang couldn't help saying, "Crohn's disease intestinal obstruction?"

Chen Cang's blurting out made everyone appreciate it a little more and have a little level.

But after reading it, Chen Cang began to frown.

Because the system told him that the patient's abdominal cavity is a boss's nest, which is very difficult to mess with!

[Ding! Complex abdominal cavity, comprehensively judged as lv88 king boss, the patient is an elderly male with many basic diseases, Crohn's disease and intestinal obstruction... Please repair the abdominal cavity and rebuild the digestive tract!]

Chen Cang sighed and was comprehensively judged as the king boss of level 88.

It's really difficult!

This is the highest ranking boss Chen Cang has encountered so far. If he is in the game, he will definitely see the existence of light death.

To be exact, died of unknown AOE!

Looking at the adhesion in the abdominal cavity, Chen cangming was white.

Colonic obstruction is mainly caused by abscess. What is caused by pus is pus adhesion in the abdominal cavity, pancreatic edema and inflammation. Most of the stomach has been removed. How to reconstruct the digestive tract?

What should I do now!

Sun Guangyu glanced at the attending doctor: "introduce the medical records."

Chen Cang listened to the case and looked down at the abdominal cavity. A four-dimensional model began to appear, simulating what the operation should do for a while.

After a while.

"Tut!"

Chen Cang instinctively worried.

It's very difficult to clean up the adhesive abdominal cavity. It has to be separated. Later, it has to be anastomosed after colon surgery. It's really a headache.

Pancreatectomy?

Cutting is troublesome, not cutting is more troublesome.

After a while, Chen Cang looked at Sun Guangyu: "director Sun, what do you think?"

Sun Guangyu frowned: "we didn't expect such a scene before the laparotomy. What we wanted to do was endoscopic surgery, but just after the mirror, we saw the bad situation in the abdominal cavity and quickly began to turn to laparotomy."

"In fact, the most difficult thing now is the reconstruction of the digestive tract. How to choose the pancreas after colon resection?"

"Pancreaticoduodenectomy must be done, but now the key is that gastroduodenal surgery has to be re selected. How should we rebuild the digestive tract!"

Shi Wenyan nodded and said, "my idea is to directly pancreaticoduodenectomy and reconstruct the digestive tract for the stomach, jejunum and pancreas."

Speaking of this, Shi Wenyan glanced at Chen Cang: "Dr. Chen, do you see if a gastric arc can be formed here, and then we will have pancreaticoduodenectomy, followed by Pancreaticoenterostomy or pancreaticogastric anastomosis."

Sun Guangyu shook his head directly: "no! After the formation of gastric arc, it is not conducive to gastric emptying. After pancreatogastric anastomosis, the biggest adverse reaction is gastric emptying disorder. In this way, it is undoubtedly aggravated. It is very difficult for later recovery."

Chen cangming is white. Now it is a comprehensive problem in front of him.

That is how the stomach, pancreas and jejunum form a good anastomosis and rebuild the digestive tract!

I think Crohn's disease is not the most important.

Resection of colonic obstruction does not affect the patient's recovery.

Thinking of this, Chen Cang glanced at the reward he had just won:

[upgrade a skill to perfection level!]

Chen Cang smiled bitterly. Brother, I have to use you today!