Chapter 1001： : Another way

However, after this operation is over!

The directors tickled.

They found that they finally found a tutor, how could they let it go so casually?

When they reach the point where they are improved, the difficulty will be greater. Many places need expert advice to make breakthroughs!

So, one by one director took turns in battle!

At this time, Lu Chao actually wanted to be ridiculous. With such a rare opportunity, with Dr. Chen and Oster all present, how many pertinent suggestions can I get?

unfortunately!

Seeing the directors around him eager to try, Lu Chao had to give way.

"The next operation is laparoscopic gastrectomy, and Dr. Chen also hopes to give me pointers!" Director Li on the side looked at Chen Cang.

Chen Cang nodded and smiled: "Learn from each other."

In fact, Chen Cang whispered another thing in his heart now!

Why hasn't the stealing skills been triggered yet?

Helpless!

The operation continued, and Chen Cang's understanding of major gastric resection is still in place, especially gastrointestinal anastomosis.

Although it seems that Director Li is undergoing surgery, but everyone sees it, this is just a puppet!

To put it bluntly refers to where to fight!

Chen Cang's cavity mirror turned into a baton at this moment.

But Director Li, who is immersed in it, can be said to be extremely excited. Every one of Chen Cang's dials, although speaking directly, can reach the essence directly through the surface!

This made him feel deeply!

As a result, the well-regarded Director Li did this operation very slowly, and basically asked every doubt.

From the location of major gastrectomy to anastomosis ...

After the operation, Chen Cang felt a little dry.

Everyone around naturally saw Director Li's "crime" and decided to follow suit!

Lu Chao regretted it!

He did a little too fast, or a simple operation. He wanted to show his hand in front of Dr. Chen, but he didn't expect ... hey ...

【Ding! Successfully steal the teacher and get master biliary repair. 】

After hearing the voice, Chen Cang was very happy!

Biliary repair surgery?

Although it is not the most desirable [Cholecystostomy] Chen Cang wants, but the repair of the biliary tract is not bad, it is still a master.

You ca n’t be too greedy!

Chen Cang looked at the people with satisfaction, and said with a smile: "Who is next?"

...

...

Chen Cang didn't take a cup when he came, but he hadn't spoken yet, only to see a director running in with a glass of water.

"Dr. Chen drinks water!"

Suddenly, the other directors reacted suddenly.

Yes, Dr. Chen's thirst is a bad thing for himself. In case Dr. Chen doesn't like to talk anymore, wouldn't it be blind?

then!

The operation was performed with pleasure.

Chen Cang's treatment is very good, the meal at noon is very rich, and the director's bill is rich, everyone must be delicious and entertained.

At more than three o'clock in the afternoon, Chen Cang finally handed over several of the arranged endoscope use skills.

When I was leaving, several directors persevered, and my heart was more firm. I need to do a good job of drawing the book.

Chen Cang sat in the car with some emotion!

Today I finally learned Oster's skills.

But it was still not an anastomosis, which made Chen Cang wonder.

It is a quasi-perfect biliary repair surgery.

This made Chen Cang a little depressed.

I have successfully stolen a teacher twice this afternoon, what a high success rate, but unfortunately it was a skill.

Let Chen Cang feel some emotion.

Oster's business is also very insightful, early back to the hotel.

After returning to the hospital, Chen Cang returned to the duty room.

Lying on the bed with eyes closed, I directly learned the two acquired skills.

but!

After Chen Cang learned all the two skills, Chen Cang suddenly froze!

He was not shocked by Oster's idea!

It's rather dumbfounded by Director Li's idea ...

Although it is only a master-level repair of the biliary tract, Chen Cang has benefited a lot!

At this time, I have to say the magic of stealing teacher skills.

After stealing the teacher, the stolen person often can also get the thoughts and feelings of the operation.

This is amazing.

Now when Chen Cang looked back to see the mirror technique, he was suddenly more excited.

I have to express my heartfelt emotion, this is a good thing!

What does Director Li think?

Bile duct repair surgery means a natural pathway that still maintains bile circulation to restore physiological function.

Only the better preservation of bile duct integrity can make bile enter the duodenum through natural pathways.

In addition, it can maintain and exert the function of the sphincter at the end of the bile pancreatic duct. In addition to physiological adjustment, it can especially avoid the various hazards caused by the reflux of intestinal fluid into the biliary tract.

The normal structure and function of the distal bile duct and sphincter are another basic element.

However, if the natural bile ducts are destroyed, biliary-enteric anastomosis is performed, in any case, it is not as good as its own natural bile duct anastomosis.

So, the question is coming!

Since there are so many problems with gallbladder anastomosis surgery!

So, can we find another way to repair the damaged bile ducts as much as possible and restore the function of the biliary tract itself, so as not to go for anastomosis?

When Chen Cang saw this concept, he woke up instantly.

correct!

In fact, there is nothing perfect about surgery!

As long as it is surgery, it is necessary to destroy the original structure and rebuild a new structure.

The human body can actually form such an organization and form today, and it has already matured itself.

Both the gallbladder and the appendix have an irreplaceable role.

The anastomosis of the bile duct and jejunum itself has some hidden dangers!

Common complications after biliary-enteric anastomosis include bleeding, biliary fistula, and obstruction at the site of anastomosis.

In the long term, there may be recurrence of stones in the biliary tract, retrograde infections and biliary tract infections. Patients have repeated fevers, and even cholangitis and jaundice.

The existence of these problems makes the difficulty of matching up again.

To reconstruct the digestive tract, anastomosis of the gallbladder and intestine and anastomosis of the pancreas and intestine become very important.

If it is rebuilt, UU will read the book www.uukanshu. Com has more complications, so where is the significance?

Chen Cang suddenly felt that Director Li's idea directly benefited him!

If the bile duct can be used, can the bile duct repair surgery be used instead of the biliary-enteric anastomosis without destroying the natural bile duct end?

The same is true for the pancreas!

Thinking of this, Chen Cang couldn't hold back his inner thoughts any more, got up anxiously and started to take out the paper, draw a graph of biliary tract on it, and then began to analyze it.

He feels that this kind of thinking is feasible!

Another way is to solve the loophole of bile-gut anastomosis in disguise.

However, he quickly discovered a problem!

That is, he doesn't know enough about gallbladder anastomosis.

Only if you understand the anastomosis of the gallbladder and intestine can you conceive a new idea!