Chapter 931： : No 3, how dare you go to Liangshan!

Nurse has fixed time at 20 minutes!

The countdown officially begins!

Tong Hourong and the other two team members looked at Chen Cang and, to be honest, they were both worried.

At this time, no one will think about envy, envy, hate, or dissatisfaction, all thinking about how to do this surgery.

If you want to do near hepatic vein repair, the first question you choose is intracaval shunt!

The operation of iliac vena cava shunt is complicated, time-consuming and difficult!

Cang Cang has prepared a 34Fr silicone tube to connect the flow pump.

Subsequently, the inferior vena cava in the pericardial cavity and the inferior vena cava above the renal vein were quickly lapped.

This is the preparation work, and the hepatic hilum can be controlled after it is done, and then the vein injury is repaired.

After doing all this work, Chen Cang needs to start repairing the near hepatic vein, and at this time, the particularity of the angle and the difficulty factor of the anatomical structure are immediately revealed.

Chen Hourong glanced nervously at Chen Cang. From the perihepatic vascular isolation and shunting of the vena cava, he had already determined that Chen Cang's near hepatic vein injury repair operation was very good.

However, the most critical suture repair is the most difficult.

沧 Cang Cang held the needle-holding forceps in his left hand, the fingers of his right hand passed directly through the liver area, and then the fingers of his right hand were gently clamped!

"Shiatsu!"

One of the team members beside him couldn't help saying a word, the other was suddenly realized.

But here, it is very difficult to enter the needle ...

I saw that at this time, Chen Cang left the needle to quickly start suture repair. The whole process was fast and accurate. Hou Rong, who was dumb, was speechless!

This ... can I sew with my left hand?

Even the team members on the side are a little surprised. Is this left hand too flexible?

"No! You see where the liver is!"

At this time, did he only see that when Chen Cang had several fingers on his right hand and the **** and index finger were operated by shiatsu, the thumb gently pulled the liver apart, and the ring finger and little finger pressed wonderfully into the abdominal cavity, which gave sufficient operation space.

This provides enough time for Chen Cang's left hand repair suture!

Fast!

Cang Cang did not take too long and the operation was successfully completed!

此时 At this point, time has not passed.

Most of these operations require right-handed operation and take some time to deal with complex anatomy.

At this time, the patient's liver had been comminuted and ruptured, and Chen Cang simply came up with such a method.

At this time of surgery, Chen Cang did not relax at all!

He quickly cleared the blood in the abdominal cavity, completely cleared the clot and inactivated liver tissue at the cleft!

The surgical blade is like an ingenious tool, which continuously removes some dead tissue!

下 Under the shadowless light, the blades refracted bursts of light, a little dazzling.

I even made Hou Rong feel like a sword and sword.

Next, Chen Cang has no time to think about so many things. He now needs to repair and suture too many small blood vessels of the liver, and then, after the blood supply is restored, the liver is repaired!

"Three minutes left!"

沧 Chen Cang's small blood vessel repair speed has reached its limit.

沧 This operation, Chen Cang cannot guarantee the best, but he needs to ensure that it takes the least time.

Because now, time is the life of liver cells.

The next ligation will take 5 minutes, but at that time, what is the case is still unknown!

Not enough!

not enough!

There is still a lot to be desired!

How to do?

Cang Cang suddenly had an idea and turned on "gazing"!

Instantly!

Chen Cang flashed a light in his eyes. At this time, he clearly saw the walking veins of small blood vessels, and clearly saw the damage of small blood vessels.

沧 Cang Cang at this time, stitched his hands, threaded the needle like a sword sword, speed is fast!

Everyone on the sidelines has been watching!

They didn't expect that the blood vessel suture would be so fast!

Chen Cang has no reservations, because time does not allow him to reserve.

Time ticking, monitor dripping, intertwined, just like a symphony of life!

The note of life is the suture in Chen Cang's hand.

Eye of precision.

This is Chen Cang's first use, but the effect is so obvious that he is shocked.

Quick, time is up!

The nurse reminded: "Time is up!"

沧 Cang Cang quickly knotted and cut the thread.

Hou Rong quickly released the hemostat here.

The blood was successfully reperfused in an instant, and Chen Cang's eyes could clearly see the traces of blood flowing through.

Success!

He succeeded!

Chen Cang knew that he had succeeded.

Alas, the effect of "gazing" is not over at this time.

修补 Repairing the liver at this time is obviously not a wise choice.

There is still time to use "gaze", and Chen Cang decides to sew the tiny blood vessels of the spleen.

The spleen is not inferior to the effect of the liver.

He is the largest forestry organ of the human body and an important part of the human immune system. He plays an important role in humoral and cellular immunity.

Previously, the first choice for the treatment of splenic rupture was total splenectomy, and many textbooks also advocate that total splenectomy is indicated regardless of the degree of splenic laceration.

However, with the increase in the proportion of postoperative infections and a significant decline in immunity after total splenectomy, more and more scholars now advocate repairing the spleen and using partial splenectomy.

After all, partial resection is more difficult than full resection, and it is necessary to ensure that the remaining tissue has sufficient blood supply to survive, otherwise, everything done will be futile!

At this time, Chen Cang suddenly turned from the liver to the spleen. UU reading surprised Hou Rong!

"Dr. Chen, you ... you are ..."

怎么 "Why did you suddenly ignore the liver and repair the spleen?"

沧 Chen Cang can't say that I have the skills. It's almost time to do something.

I can only say: "While your hands are hot now, repair the small blood vessels in the spleen!"

Saying a hot hand made Hou Rong stunned!

Hand heat ...

Are you behind?

手 There is also the term hot hand in the surgical circle? But ... he has never heard of it ...

When I thought of it, he glanced at his team members and looked at everyone with a doubt.

I saw two people are also aggressive!

They feel like they are a few steps behind Chen Cang.

It's not a thing to play with.

Everyone else feels the operation?

Cang Cang doesn't care so much.

为什么 Why is the spleen difficult?

Because there are too many small blood vessels in the body, it is too tedious. Repairing this is purely looking for abuse!

If you are not careful, you may even need to remove the spleen by a second operation.

I'm not worth the money!

So, there are no two or three, where can you dare to go to Liangshan!

The moment Chen Cang picked up the suture needle.

Hou Rong quickly called out and said, "Cang Cang, what are you doing!"

At this moment, he suddenly understood what happened to Chen Cang's hot hands.

He will repair the blood vessels of the spleen by the suture of the liver blood vessels just now.

how can that be?