Chapter 1059

Chen Cang was speechless about the rebels' imminent defection.

In his impression, Jim Lawrence is an unqualified villain.

Compared with him, the image of "the new general foreigner of the world" is too plump. First: talk too much! In line with the most basic characteristics of villains! Second: no professional ethics, mercenary!

Chen Cang has no psychological burden on such a villain.

In contrast, Jim Lawrence, looking at his affectionate eyes, Chen Cang sighed helplessly, forget it

"I have done the reconstruction of the biliary pancreatic duct once, but the most important thing is the emergence of physiological curvature, which can not cause bile to flow back to the pancreas, so we should design our angle..."

Thinking of this, Chen Cang began his own operation.

The main pancreatic duct in the pancreatic head is not as thick as the main pancreatic duct outside. The overall feeling is like the pancreatic duct in a greenhouse, which retains the constitution of the pancreas and is relatively soft.

Therefore, it is more difficult to anastomose with the bile duct.

"Give me the microscope, 10 times."

After taking the microscope, the whole field of vision is much clearer, but also his own needle and thread are much thicker!

Feeling under the mirror is a very special skill, even a talent.

Chen Cang's sense of space under the mirror has not made much progress, which comes from director an Yanjun. At this time, the senior sense of space under the mirror is not enough.

But fortunately, Chen Cang's hand is very stable and he is good at repairing pancreatic duct.

First make a hole in the common bile duct, and then anastomose the pancreatic duct.

The seemingly simple work affects everyone's heart.

Including Chen Cang!

The operation proceeded slowly. Chen Cang also talked about some precautions while operating. This time, everyone listened quietly.

Jim Lawrence paid his bile duct carefully and didn't dare to fluctuate.

Hubert's face was full of gratitude. Speaking, he could do it, but if he wanted to keep improving with Chen Cang, he should not do it well.

There are many different operating techniques for the same operation.

Chen Cang's advantage is that he can turn many other people's ideas into reality.

Including Jim Lawrence's previous assumption of pancreatic duct free extension surgery.

Solid basic skills, exquisite operation techniques and the existence of these hardware can make the software feasible.

Pancreatic fistula is the most troublesome thing, and the design of pancreaticobiliary duct is also the most risky thing.

If you don't have enough assurance, it's even better to simply do Pancreaticoenterostomy.

But the effect is different.

Because the little girl as like as two peas is only four years old, her body is still growing and growing. Chen Cang believes that after a few years, the biliary duct and pancreatic duct designed by herself may be exactly the same as the human biliary pancreatic duct, and the separated head of the pancreas will also be restored to its original state.

For this suture, Chen canggen did not dare to use continuous suture, because continuous suture will certainly damage the pancreatic duct.

Intermittent suture requires a lot of work and more energy.

Just as Chen Cang was about to finish processing, he encountered a small problem!

This pancreatic duct is different from the exposed pancreatic duct. How can we prevent bile reflux?

Hamilton looked at Chen Cang's suture and couldn't help thinking.

He has a lot of research on anastomosis technology, but looking at Chen Cang's suture, he suddenly said, "Dr. Chen, have you considered triangular anastomosis?"

"It's an anastomotic form of stapler. Your suture is very tight, but I think if the triangular stapler is used, the whole biliary and pancreatic duct may form a natural barrier..."

At this time, Chen Cang was stunned!

He suddenly remembered his choice of stapler some time ago.

Looking down, his eyes lit up: "feasible!"

After that, he made a slight change on the basis of suture, and put the needle and thread into the bile duct a little deeper, which needs to simulate an effect.

Jim Lawrence also said, "yes, a physiological separation can be formed here. In this way, the possibility of bile reflux is greatly reduced!"

This is the role of experts. When you encounter problems, you can put forward constructive suggestions.

Chen Cang's subsequent handling was smooth and did not encounter any waves.

In everyone's anxiety, the pancreaticobiliary duct was successfully constructed and the operation was basically completed!

"Vital signs are normal!" the anesthesiologist heard a voice at this time!

Suddenly let everyone happy!

Separated!

Really separated!

It's almost the separation of the abdominal wall.

By this time, 90% of the operation has been completed!

Because of Chen Cang's participation, the separation operation of this conjoined baby is very smooth!

This is the real concept of Chen's digestive tract reconstruction. What is reconstruction? Reconstruction is to make the structure and function of the digestive tract look the same as the original!

The operation is about to succeed.

Everyone is very excited and excited.

Emotions are really contagious. At this time, Hubert felt the most in the operating room. He was really excited to see his two granddaughters leaving.

Speaking of, he can also succeed, but he estimates that he has too many operations on his relatives.

Moreover, such a large-scale operation at such an age is still very dangerous.

Hubert looked at Chen Cang and couldn't help saying, "thank you, Doctor Chen!"

In an instant, there was a warm applause on the scene!

This time, no one was stingy with their applause and appreciation.

Everyone looked at the picture on the big screen and stood up excitedly with applause.

The voice of "Chen Cang!" became the main melody of the venue.

Chen Cang saved the two little angels!

What is the doctor's mission?

Bring health and hope to patients.

At this time, Chen Cang really did this. He separated the two children with "Chen's magic".

Everyone is cheering!

At this time, the time has been fixed at more than 4 a.m.

But no sleep tonight!

Everyone is witnessing and celebrating this victory!

The only time when there was some disharmony, Qin Yue listened to the "husband" in her ear, which was very harsh!

Chen Cang completed more than 80% of this operation.

But he also knows that these professors are actually very powerful. Digestive tract reconstruction is the most difficult problem to solve in digestive surgery, but it is not the only problem.

For example, Professor Hamilton, who proposed the use of triangular stapler to create barrier at the critical time.

Abdominal surgery is over!

Soon, it was time to separate the abdominal wall and flap transplantation.

It is necessary to transplant the skin flap muscle in the patient's abdomen to form a natural protective wall.

This is why the expander was placed on one side of the abdominal wall before.

Hubert said to the nurse, "go and get the skin ready for the free muscle flap transplantation."

The nurse nodded, got up and hurried to contact.

Chen Cang hesitated at this time and couldn't help saying, "wait!"