Chapter 1117

All the doctors who came to this operation were directors, not even deputy chief doctors.

For one thing, it's because I'm old and my gossip heart is not so strong. Who doesn't know a few little stars, the chief physician of the Affiliated Hospital of Peking University?

At this point, they will not be as curious as young people.

Second, the technology is excellent!

Director Zhang Xuan glanced at Yao Lekang and was helpless. In fact, he wanted to follow director Xiao for surgery. After all, Xiao Zhehai, as the leader of the top major vascular surgery in China, has a lot to learn.

Being able to perform auxiliary surgery for Xiao Zhehai can inspire and improve them.

They will not be allowed to watch the operation video for this operation. If it is not to prevent the future operation from going to the evidence court, the camera in the operating room will not be turned on.

So, this operation, they don't have a chance to go back and forth and watch the video.

In fact, Xiao Zhehai is also helpless. You know, compared with others, his inner curiosity is stronger.

Chen Cang's abdominal aorta intima stripping treatment made Xiao Zhehai itch at this time.

After anesthesia, the abdominal incision began to establish.

The scope of incision selection is relatively large, so it is convenient for the two surgeries to participate together!

Before the operation, Xiao Zhehai looked at the crowd and said, "everyone be careful!"

This time, everyone wore double gloves and masks.

Although many people feel that double-layer gloves are useless and affect the flexibility of surgery, this is not the case. Research shows that the probability of injury of double-layer gloves is only one-fifth of that of single-layer gloves.

Because whether it's a scalpel or a suture needle... These sharp tools are so sharp that they scratch when you're not careful.

Maybe the function of double gloves is to strengthen everyone's Preventive Psychology and safety awareness.

Chen Cang is the main knife. He is responsible for the laparotomy, while Yao Lekang opposite helps him as an assistant.

The so-called expert knows whether there is one!

There is no fixed opening in this operation.

The chief surgeon needs to make his own judgment according to the impact results.

This is the first test of the master knife!

However, because of the existence of the four-dimensional model map, Chen Cang knows the patient's abdominal cavity like the back of his hand!

How to choose an appropriate surgical incision becomes particularly important.

As we all know, the larger the opening, the more difficult it is to recover, and the greater the risk of infection.

At this time, Chen Cang stopped from the tip of the 12th left rib to the midline 5 ~ 7cm below the umbilicus!

This incision is very different from ordinary large vessel replacement surgery.

Will this work?

For a time, the eyes of everyone looking at Chen Cang were full of questions.

However, when Chen Cang cut the external oblique abdominal muscle, internal oblique abdominal muscle and transverse abdominal muscle layer by layer to expose the peritoneum, and then began to free the intestine layer by layer, the two large blood vessels were clearly exposed soon!

"Towing hitch!"

"Omnidirectional retractor!"

When the omni-directional retractor separates the tissue, the operation field is exposed instantly!

Compared with conventional openings, such openings not only increase the operation field and operation space on both sides, but also effectively make use of the skin contractility of the abdomen and reduce the abdominal wound.

This operation, at the beginning, brightened the eyes of all directors!

However, when you think about it carefully, you can't help but sigh that you are a big man in the field of general surgery after all.

When the big blood vessels were exposed, Chen Cang and Xiao Zhehai looked at each other, nodded and said, "start the operation!"

In the limited space, two hand speeds, one left and one right, must be carried out at the same time!

This is very demanding for the two chief surgeons!

At the same time, there are also very precise requirements for auxiliary directors.

Yao Lekang was full of curiosity and expectation about Chen Cang's operation at this time!

He wants to see how Chen Cang's so-called stripping operation is handled!

How should this 8 cm long hemangioma be treated?

Because time is limited, Chen Cang and Xiao Zhehai dare not delay.

When Chen Cang carefully dissociated the abdominal aorta and common iliac arteries on both sides, external iliac artery and internal iliac artery!

The whole process is very fine, which is 2 ~ 3cm beyond the lesion range.

At the same time, the middle sacral artery and the corresponding plane lumbar artery should be dissociated and controlled.

At the same time, the hemostasis work needs to be carried out simultaneously with Xiao Zhehai to do a good job in their coordination.

Surgery starts in 6 minutes!

Xiao Zhehai and Chen Cang said at the same time: "successful separation! Prepare hemostatic forceps!"

The doctor here who assisted Xiao Zhehai was stunned!

They didn't expect Chen Cang to be so fast!

Xiao Zhehai's "fast" is the top in the industry. He once set a record for aortic arch replacement, which took only 18 minutes.

Unexpectedly, Chen Cang is no inferior to Xiao Zhehai!

However, the vibration in the hearts of Yao Lekang and Zhang Xuan who helped Chen Cang's operation was even more intense!

Because they know, in fact... Chen canggang is actually faster than Xiao Zhehai!

Because Chen Cang cleaned and separated the surrounding tissues after treatment, making vascular surgery more convenient!

They were shocked at this moment!

So fast!

If Tao MI and Xia Gaofeng or other people who are familiar with Chen Cang are present, they may lightly say: "basic exercises"!

After all, President Chen is famous for "fast"!

Here, Chen Cang felt the pulsation brought by the huge aortic dissection hemangioma with his hands, and began to feel it in his heart, so as to facilitate the surgical incision of blood vessels in a while.

However, at the same time, the situation of large blood vessels also entered Chen Cang's mind!

[abdominal aortic dissection pseudoaneurysm: lv88, Lord level, infection with Leptospira pallidum caused damage to part of the intima of the vascular wall, resulting in the destruction of the intima of the aorta, forming a pseudoaneurysm.]

Level 88 Lord monster!

Regular.

After all, Chen Cang is a big man who has been seen by level 99 conjoined babies. Naturally, this level 88 Lord has no fear.

At this time, the hemostatic forceps are in place!

Chen Cang turned to the scalpel and began his next operation: aneurysm Bi incision!

Holding an electric knife, Chen Cang carefully cut the adventitia and mediastinum longitudinally along the midline. At this time, the upper end just stopped at the junction between the tumor and the normal artery. Then the knife was changed into a transverse incision to make it T-shaped!

In this way, the crosscut accounts for about 40% of the circumferential diameter, which is the best processing diameter!

At this time, the tumor needs to be carefully cleaned with a knife handle, and the stripping plane can be between the middle and intima.

Because here, there are organic thrombus and other substances adhered to the intima. Once these things enter the blood circulation, they are troublesome.

"Probe!"

"Scrape the spoon!"

"Normal saline!"

"Attract!"

Yao Lekang kept following Chen Cang's instructions with both hands at this time.

At this moment, Yao Lekang suddenly found something!

He can't keep up with Chen Cang's rhythm