Chapter 1250

In fact, liver resection has two most difficult and important elements!

The first key point is that as long as the necrotic liver tissue is not completely debridement, it will inevitably cause abdominal infection.

Combined with the situation of patient Wang Dong at this time:

Shock + infection + hepatic coma = mortality rate as high as 95%!

Similarly, the second element: keep as much safe liver tissue as possible. If more liver is removed at this time, the patient's liver can't even complete the daily basic metabolism.

It will induce liver failure again and cause the death of the patient!

This is a dilemma.

How to find a balance point is the top priority.

Obviously, Chen Cang's choice is the best in Gao Huarong's view.

The final finishing work!

It is necessary to deal with the hepatic duct and blind tube in the liver, then anastomose the liver and place the drainage tube.

These hepatic ducts are important ways for the liver to secrete bile.

This step is not handled well. Once it flows into the abdominal cavity or into the liver, it is also easy to have problems.

But

Gao ronghua found that the people around him were not worried at all!

This made Gao ronghuadun a little more uneasy.

When he was about to remind him, Ma seemed to see Gao ronghua's mind and said with a smile:

"Director Gao, it seems that you really don't understand President Chen's strength!"

Gao rongwharton was stunned!

I haven't had time to react.

At this time, Chen Cang has started his own operation, or performance.

Chen's digestive tract reconstruction technique.

Treatment of hepatic duct!

Hepatobiliary anastomosis!

Reconstruction of blind tube

This set of operation directly stunned Gao ronghua and numbed his scalp!

This

That's great, isn't it?

Originally, Gao ronghua was worried that these hepatic ducts were not handled well, causing bile to flow into the abdominal cavity or causing intrahepatic siltation and infection

Now it seems that it is groundless!

Think too much!

He found that as long as Chen Cang was there, it was difficult for these bile to enter the abdominal cavity!

Chen Cang really shocked Gao Huarong in the treatment of hepatobiliary duct!

Is this the real strength of the president of the world society of digestive surgery?

It's really too strong!

Because, as long as the liver section is small, bile duct leakage, bile duct ligation line falling off, or bile duct injury not found during operation, once the abdomen is closed, peritonitis can occur.

And Chen Cang can be said to be comprehensive, taking into account every point!

Every detail was handled very well.

Chen Cang's treatment of hepatobiliary duct may be the so-called digestive tract reconstruction?

It's too awesome!

With this treatment, complications will be minimized!

Gao Huarong can guarantee that neither Zhou Hongguang of 301 nor Lu Bin of Xiehe can do even half of Chen Cang.

Finally, the liver anastomosis.

Time passed minute by minute.

Finally scratched a perfect full stop.

But... At this time, Chen Cang didn't close his stomach.

He and Gao ronghua began to carefully evaluate the residual liver function after operation.

Can this liver hold on and bear the metabolism of an adult's liver.

This is a problem!

The patient has alcoholic liver. Drinking for a long time is not serious, but it still causes some damage to hepatocytes.

After some inspection, Chen Cang took a look at Gao ronghua.

"Director Gao, do you think..."

Gao ronghua glanced at Chen Cang and interrupted his thoughts: "enough, already very good!"

Chen Cang sighed.

Because after careful evaluation, they found that the liver may still not be able to bear the patient's metabolism. There is no problem with the support of drugs in a short time, but it will not work for a long time!

Gao ronghua glanced at Chen Cang and said seriously, "at least you gave him a chance of liver transplantation."

"Some people don't even have the chance of liver transplantation!"

"Your operation has been very successful. It's the most successful liver operation I've ever seen."

"Moreover, you bought the patient the time for liver transplantation, at least three months!"

"This has done what others can't!"

Chen Cang heard Gao ronghua's words and nodded.

Gao ronghua looked at Chen Cang: "in fact, not all operations can succeed!"

Chen Cang nodded, smiled and shook his head. He didn't think so much.

"Well, director Gao, can the patient go to the intensive care unit of the liver disease department?"

Many patients in hepatobiliary surgery are seriously ill. They have their own intensive care unit with eight beds, which are in the charge of their own department members.

In fact, the construction of intensive care units in such departments is becoming more and more common, but it has become a trend.

Of course

This also has a lot to do with the arrogance and domineering temper of ICUs in many hospitals.

Many directors can't stand each other's face and directly use their own department funds to build.

Of course, the price is a lot of investment. Each department member will deduct part of the bonus for a long time.

Gao Huarong nodded, "don't worry!"

The operation is over!

Everyone was relieved.

Wang Dong owes his survival to Chen Cang.

This is his credit!

And Chen Cang also wants to understand.

What's the perfect operation?

The purpose of medical treatment may not be radical cure.

For example, tumor surgery, such as many difficult and miscellaneous diseases, is nothing more than prolonging the survival time.

And as Gao ronghua said.

He has handled the operation well. It is not easy for the patient to reach this point.

He gave Wang Dong time to find a liver donor.

Maybe this is medical treatment.

Never perfect.

After the operation, everyone was in a good mood.

After all, they worked miracles again this time.

Saved the dying patient.

At this time, the system prompts the sound:

[Ding! Congratulations on your success. You have acquired the skill: liver hemostasis! (perfect level!)]

Chen Cang was stunned.

I'll go

This harvest is a little powerful.

Stole a perfect skill directly?

Is this an explosion of character?

Chen Cang glanced at Gao ronghua and his eyes were hot.

This is a man with perfect skills!

[Ding! Congratulations on successfully rescuing the patient and obtaining: Wu's Sabre technique!]

Chen Cang turned and looked at the patient. At this time, he was still in a coma and couldn't help sighing.

I saved you, and you made me.

Come on, brother!

Your wife and children are still waiting for you.

After the operation, Wang Dong was directly transferred to hepatobiliary surgery. Now he is in a very dangerous situation and needs to be monitored and cannot be visited.

Although Gao ronghua may have some shortcomings in being enterprising, he has a set of skills to ensure the safety of patients!

When Chen Cang opened the door of the operating room and went out.

I'm proud!

The door of the operating room is a heart stone in the eyes of doctors.

When the operation is successful, you will be happy to see this door and look forward to passing on the good news to your family.

But

When the operation fails, this door is very important!

……

PS: Thank you for the 10000 reward of "Sakura ah, Sakura ah" and "Guoming". Thank you!