Chapter 1248

Yes, of course!

Chen Cang also has no worries.

With Gao Huarong's guarantee, when Chen Cang cut here, he was also light and free!

Of course, this resection is not the more the better!

Moreover, in order to prevent liver failure caused by excessive resection of the liver, the necrotic liver tissue should be completely removed and the normal liver tissue should be retained as much as possible.

Follow the principle of "break there, cut there; inactivated resection, survival suture".

With the deepening of surgery, the importance of Gao Huarong is more and more reflected!

Different regions have different hemostatic methods. Even in the same region, the wounds removed by Chen Cang are different, and the hemostatic methods are also different!

At this time, Chen Cang really gained insight!

This is the first time he has seen so many hemostatic methods!

I'm really excited!

A large operation can't be completed by one person.

It requires the cooperation of a team.

Having a trusted teammate is more important than anything.

At this time, Chen Cang was really deeply aware of the importance of this point.

Looking at Gao Huarong, with the help of various methods to control bleeding, constantly reduce bleeding and control blood flow

These operations make Chen Cang call Da Shuang directly!

really

Press your hands!

Liver tourniquet!

Liver hemostatic forceps!

Hilar occlusion!

……

This move is absolutely not a small doctor can master.

If medicine is a sect, Gao Huarong has really done a lot in the field of hemostasis.

Chen Cang admitted that he underestimated the seemingly ordinary director Gao.

Gao Huarong looked at Chen Cang and stared at himself. He was shocked. He couldn't help smiling foolishly: "let go and do it. There are us!"

Chen Cang nodded!

At this moment, I really let go.

It's great to give your teammates behind you.

For a time, the scalpel became more and more flexible in Chen Cang's hand.

Gao Xingrong always controls the blood flow at the critical time.

Bleeding must be there!

But as long as the amount of bleeding is not too fast, all this can be made up.

Chen Cang is cutting off and Gao Huarong is hemostatic. The people around him are boiling with blood.

Perhaps this is the charm of cooperation?

In fact, not only Chen feels comfortable, but also Gao Huarong.

He has never been a radical director. Steadiness is his motto.

His character makes him develop well in this field, but it also limits a lot.

If hepatectomy is like attack.

So hemostasis and controlling blood flow is defense.

Gao Huarong also has a pleasant feeling of cooperation.

Watching this scene, Yu Yonggang couldn't help admiring it.

And old ma looked at Chen Cang and couldn't help sighing. You finally... Became someone else's swordsman!

Soon!

To the middle lobe!

The iron pipe is still there!

Chen Cang glanced at Yu Yonggang and said, "director Yu, you pull the iron pipe."

Yu Yong just nodded: "OK!"

At this moment, everyone's eyes were fixed on the iron pipe inserted into the liver.

Chen Cang carefully cleaned up the surroundings.

Then ligate the bile ducts and blood vessels on the liver wound, apply a new saline gauze on the liver wound after treatment, and carefully remove the distance between the wound and the iron pipe.

Gao Huarong has finished hemostasis.

At this time, Chen Cang said, "well, pull it out!"

While talking, the iron pipe began to leave the liver slowly.

Bit by bit!

The blood flows out again with the moment of pulling out!

Gao Huarong never stopped his movements.

Even if the blood occasionally ejects a little from the small artery to the face, it still doesn't move!

When the iron pipe changes and leaves the liver, success is getting closer and closer.

It's close!

Closer!

Yu Yonggang's hand was really stable. He slowly took the iron pipe out of his liver.

No anxiety, no hesitation!

This process lasted nearly 15 minutes!

Because every little bit comes out, it needs to be handled a lot.

With the iron tube coming out, a piece of liver was successfully isolated

Liver, a lot less!

However, at this time, the fragmentation of the middle hepatic lobe needs to be treated.

The injury and rupture of the center of the liver parenchyma is accompanied by the rupture of hepatic blood vessels and bile ducts.

Large intrahepatic hematoma and bile retention were found at this time, and * extensive necrosis was caused by compression tissue.

It must be cleaned carefully.

Place bile into the abdominal cavity.

At the same time... We have to clean up the necrotic liver tissue.

And the same!

It's best to keep some liver tissue to prevent liver failure!

Bile cleaning Chen Cang did it very crisp.

The decisive and sharp operation made the old horse envy.

A good knife!

But at this time, Chen Cang was suddenly stunned.

He found that too much liver tissue had been removed

However, how to choose the remaining central liver tissue?

This is a problem that we can't get around after all!

It is also a very serious problem!

But

Many of these are necrotic tissues, which can be clearly seen by Chen Cang's eyes.

Even many can be judged in the eyes of old horses.

These necrotic tissues cannot be left, otherwise they can only be damaged again.

But

Too many have been removed!

Chen Cang felt more and more frightened.

He began to waver.

If too much liver tissue is removed, liver failure is inevitable.

This needs to consider how to balance!

At this moment, Chen Cang slowed down his actions.

Gao Huarong also found this.

If all these necrotic tissues in the middle lobe of the liver are removed, it must be liver failure.

This is experience!

It's also a lesson!

How to weigh?

How to choose?

At this moment, all the burden fell on Chen Cang.

Everyone stared at Chen Cang.

If the eyes have quality, Chen Cang is definitely everyone's heavy hope!

Chen Cang, take a deep breath!

It is too difficult to operate in the center of the liver with hepatic lobe injury.

Even liver transplantation will take some time!

How much liver can be left, how much survival!

Chen Cang took a deep breath.

I know this "Wu's knife technique" is not so easy to get!

At this moment, everyone stared at Chen Cang, hoping he had a better way!

Chen Cang didn't speak.

However, the eyes instantly open and stare, carefully look for any liver tissue with hope of survival, and rescue as much as possible!

All necrotic tumors should be removed!

If there was any chance of rescue, Chen Cang took over the needle holding forceps and began to suture the small blood vessels!

Seeing this scene, Gao Huarong's eyebrows suddenly jumped. Good idea!

But

It's too difficult to sew, isn't it?

Can such a small blood vessel be anastomosed?

Soon, Chen Cang told him with action.

sure!

No matter how detailed I am, Chen and others have experienced it. What else is impossible?

Chen Cang's operation instantly let everyone see hope!

So Chen Cang cut and sewed

This can't help but cheer everyone up.

Maybe

Is this man really saved?

……

PS: emmm, it's okay. Sell cute