【Ding! Congratulations, your pancreaticoduodenectomy has been upgraded to perfection! 】
After receiving the system tone!
Cang Cang once again experienced a cycle in simulation space.
Yes!
This time is longer than before, after all, pancreatic anastomosis has always been difficult.
At this moment, when Chen Cang was thinking again, his thoughts suddenly diverged.
He kept performing gastrojejunostomy, pancreaticoduodenectomy, pancreatic anastomosis, etc ...
A kind of ...
Two ...
Uh ...
How many methods are constantly excluded in Chen Cang's simulation.
Sun Guangyu and Shi Wenyan are still thinking and arguing.
He looked at Chen Cang's silence, Shi Wenyan looked at Chen Cang: "Doctor Chen, what do you think?"
Cang Cang glanced at the abdominal cavity, and patted his hand on the stomach, saying:
"Do you think if you cut your stomach again, okay?"
In a word, stop everyone!
"what?"
"Cut the stomach again?"
"Isn't this significantly increasing the difficulty of the operation?"
"Not right!"
But!
I saw Chen Cang's action and Shi Wenyan and Sun Guangyu looked at each other, and saw horror and shock from each other's eyes!
I carefully stared at the line that Chen Cang had just drawn, frowning, and constantly thinking about things.
It seems that Chen Cang suddenly lighted their thinking.
correct!
Shi Wenyan thought carefully and looked hard.
Suddenly!
He sees it!
As soon as I saw it, Shi Wenyan exclaimed suddenly: "Genius!"
想到 When he thought about Chen Cang's thought, he felt scalp tingling.
How did you come up with this idea?
Sun Guangyu swallowed and did not speak.
No less shock than Shi Wenyan, but even more shock.
indeed!
As everyone said.
In this way, the patient's injury will be aggravated.
After all, cutting a knife on a healthy stomach is not a good thing, and it will even increase the difficulty of the operation!
But what can this do?
Compared to the effect of surgery, what is the point of this injury?
Even ...
Sun Guangyu blushed a little ...
He did the original radical gastric cancer surgery!
Now he suddenly feels how immature his original surgical technique and digestive tract reconstruction were.
It is better to rebuild than to keep it!
"it is good!"
Several directors around him froze.
I looked at the words of Sun Guangyu and Shi Wenyan, and they were a bit frightened.
What did Chen Cang do?
Cang Cang glanced at them and said, "Let me come to the sword."
Shi Shiyan and Sun Guangyu quickly nodded.
Where is the extra word.
Shi Wenyan is also convinced that Chen Cang is taking it orally.
随意 This random knife really solved too many problems.
This is like art, when everyone doesn't know what to do, Chen Cang's finishing touch makes everyone impressed.
At this time, the other directors did not respond because they were too far away.
Now staring at the operating table one by one, look at it!
Cang Cang is not the same as usual. He talks nonsense. After a quick preparation, he starts the operation.
I was originally on the operating table and couldn't delay too much time.
Moreover, Mr. Bu Lao is very old, and surgery that is too long is obviously a little dangerous.
As for Bu Hanyu?
Cang Cang didn't know it at all.
After all, it is not a field.
And, to be honest, even such a top scientist is not as well known to ordinary people as a little star.
However, in the eyes of Chen Cang, it doesn't seem to make much difference who is lying here.
If you know it is a big brother, maybe you will still be nervous.
Here, Chen Cang took a deep breath and took the separation forceps.
He glanced at the two of them: "Remember to clean the abdominal cavity."
"Pour a plate of warm saline!"
Shi Shiyan was very solid, poured a solid basin of water into it, and cleaned it up.
Then came antibiotics ...
"Aspirate!"
After I finished, Chen Cang raised his hand and decided to start separating.
Still starts from the small intestine.
Chen Cang touched the intestine directly with his left hand, and then carefully peeled off with a forceps.
To be honest, Chen Cang feels that his hands are really much better than he used to be!
似乎 He seems ready to control his strength!
How old ...
How small……
Weightlessness ...
These have stabilized a lot at this moment.
Moreover, with the touch of his left hand, Chen Cang can even judge how much effort he can give, and how to separate is safer.
Is this a bit too amazing?
This should be the effect of the purple potion?
I thought of this, Chen Cang was a little surprised.
If this stability is used in open brain surgery to open the brain, it must be a pair of hands that are so scary!
At this time, the directors around him saw Chen Cang separating the intestinal free appendix ... at these times.
I also choked!
It's so light and simple!
Yes, Chen Cang feels like this.
"So solid basic skills! So calm, dexterous hands!"
"Really a natural surgeon!"
This is the thought of everyone.
Separation does not take much time.
这个 At this time, the anesthesiologist suddenly said: "Maybe add narcotics."
After Chen Cang heard it, he thought for a moment and shook his head, "No need to add!"
The anesthetist stunned!
Do you care too?
Sun Guangyu glanced at Chen Cang and said to the anesthesiologist, "Wait a minute, Director Yang."
After the separation, Chen Cang took the scalpel directly, and then said to the opposite Sun Guangyu: "You come for colon surgery, I will do pancreatoduodenectomy!"
After speaking, Chen Cang looked up at Shi Wenyan: "You ... you help me to lift this stomach!"
Shi Wenyan smiled and saw Chen Cang's embarrassment: "My name is Shi Wenyan."
Cang Cang nodded: "Well, get it!"
Isolate the omentum ...
Free stomach ...
After doing everything, Chen Cang made a stab at the stomach, and the directors behind him looked at them suddenly!
Why is it so cut?
Everyone frowns!
However, the next operation of Chen Cang made them hard to forget in this life.
The pancreaticoduodenectomy was performed exquisitely, and a part of the gastric body was also taken away incidentally.
沧 Cang Cang glanced at the stomach and wanted to ease the embarrassment with Shi Wenyan, so he said: "The patient may have been operated in the country at that time, and the conditions were limited. You looked at a match, but it failed."
"If I were the main knife, I wouldn't do this ..."
I heard Chen Cang's words, the colon in Sun Guangyu's hand suddenly ran out of fragrance!
Shi Wenyan nodded his head: "Well, Dr. Chen, you say that, I also think there is something wrong with the other party's level!"
The knife in Sun Guangyu's hand is more stable!
Chen Cang criticize, Sun Guangyu can accept.
But what fun do you have, Shi Wenyan?
After excision, the most important anastomosis came.
Cang Cang is using PG pancreaticogastric anastomosis at this moment!
Traditional operation.
In fact, in order to ensure the quality of the anastomosis, the clinician should still use the most familiar anastomosis method instead of simply pursuing new anastomosis techniques.
Even should fully realize the advantages and disadvantages of each anastomosis method!
Pancreatogastric anastomosis is actually the oldest and most used anastomosis.
的 The advantages of this technique are obvious!
First, the anatomy of the stomach and pancreas is adjacent, so the tension of the anastomosis of the pancreas and stomach is small, so that anastomotic fistula is not easy to form.
Secondly, trypsinogen is not activated in the acidic environment of gastric juice, which better preserves digestive function!
This is the most important consideration for the reconstruction of the digestive tract, that is, the function of the digestive tract must not be damaged!
在 Just when Chen Cang was performing gastrojejunostomy!
The jejunum is free, and it is very convenient to fix the position. At this time, I saw Chen Cang made an incision to fit the stomach, pancreas and jejunum.
Suddenly!
Everyone is shocked!
Can this still happen?
"No wonder you have to cut your stomach, so that the biggest difficulty of pancreaticogastric anastomosis is to solve the problem of gastric emptying!"
"Yes! You see, this is still the most critical, the most important is the reconstruction of digestive tract function!"
All of a sudden, everyone started talking.
At this moment, everyone understands why it is so cut.
But!
It seems that this is not over.
After the anastomosis was completed, Chen Cang deliberately fixed the part of the jejunum while the omentum fixed the stomach!
In this way, just formed a good structure.
Suddenly!
Everyone is holding on ~ www.novelhall.com ~ Can it still be like this?
Shi Wenyan this is a bit of a bit too.
I still underestimated the style of this knife.
With this knife, the jejunum was counted.
I'm too strong!
深 How far can you think of a knife?
Shi Shiwenyan looked at the young man and took a breath.
This is too strong!
沧 Cang Cang glanced at Shi Wenyan: "That ... Sorry, what's your name? Come on!"
Uh ...