In fact, the two most difficult and important elements of liver resection surgery!
The first key point is: as long as the necrotic liver tissue is not completely debrided, it will definitely cause abdominal infection.
And combined with the situation of patient Wang Dong at this time:
Shock + infection + liver coma = 95% mortality rate!
Similarly, the second element is to keep as much safe liver tissue as possible. If the liver is removed more than once, the patient ’s liver will not be able to complete the basal metabolism on weekdays.
Will cause liver failure again, causing the death of the patient!
This is a multiple choice question.
How to find a balance in it is the top priority.
Obviously, Chen Cang's choice is the best for Gao Huarong.
The finale is here!
It is necessary to deal with the liver tube and the blind tube in the liver, and then the liver is anastomosed and the drainage tube is placed.
The hepatic duct is an important way for the liver to secrete bile.
This step is not well handled, and once it flows into the abdominal cavity or into the liver, it is also prone to problems.
but……
Gao Ronghua found that the people around him were not worried at all!
This made Gao Ronghua a little more uneasy.
Just about to remind, Lao Ma seemed to see Gao Ronghua's thoughts and said with a smile:
"Director Gao, it seems that you really don't understand the strength of President Chen!"
Gao Ronghua was surprised for a moment!
It's too late to react.
At this time, Chen Cang had already started his own surgery, or performance.
Chen's digestive tract reconstruction technique.
Handling of liver ducts!
Hepatobiliary anastomosis!
Reconstruction of blind pipes ...
This set of operations directly made Gao Ronghua stunned and scalp numb!
This……
This is too powerful, right?
Gao Ronghua was originally worried that these hepatic ducts were not handled well, causing bile to flow into the abdominal cavity or causing intrahepatic stasis infection ...
Now it seems that it's simply unfounded!
Think too much!
He found that as long as Chen Cang was present, it was difficult for these bile to enter the abdominal cavity!
Chen Cang really shocked Gao Huarong in the treatment of hepatobiliary ducts!
Is this the true strength of the President of the World Society of Gastroenterology and Surgery?
It's really too strong!
Because, as long as the small bile duct in the liver section leaks, the bile duct ligation line falls off, or is caused by the bile duct injury not found during the operation, peritonitis can occur once the abdomen is closed.
And Chen Cang can be said to be everything, considering every point!
Every detail is handled very well.
And Chen Cang's treatment of hepatobiliary ducts may be the so-called digestive tract reconstruction, right?
so amazing!
With this treatment, complications will be reduced to a minimum!
Gao Huarong can assure that neither Zhou Hongguang at 301 or Lu Bin at Concord can even do half of Chen Cang.
Finally, the liver is anastomosed.
Time passes by one minute and one second.
Finally scratched a full stop.
But ... at this time, Chen Cang didn't close his stomach.
He and Gao Ronghua began to carefully evaluate the remaining liver function after surgery.
Can this liver hold on and bear the metabolism of an adult's liver?
this is a problem!
The patient has alcoholic liver and drinks alcohol for a long time. Although it is not serious, it still causes liver cell damage.
After some inspection, Chen Cang glanced at Gao Ronghua.
"Director Gao, do you think ..."
Gao Ronghua glanced at Chen Cang and interrupted his thoughts: "Enough is enough, it's already good!"
Chen Cang sighed.
Because after careful evaluation by the two, they found that this liver may still not be able to bear the metabolism of the patient. It is no problem with the support of drugs in a short time, but it will definitely not work for a long time!
Gao Ronghua glanced at Chen Cang and said seriously: "At least you gave him a chance for liver transplantation."
"Some people have no chance of liver transplantation!"
"Your operation has been very successful. It is the most successful case of liver surgery I have ever seen."
"Moreover, you have given the patient a time for liver transplantation, at least three months!"
"This has made it impossible for others!"
Chen Cang nodded when he heard Gao Ronghua's words.
Gao Ronghua looked at Chen Cang: "In fact, not all operations can be successful!"
Chen Cang nodded, smiled, and shook his head, not wanting so much.
"Well, Director Gao, will the patient go to the intensive care unit of the liver disease department?"
Many patients in hepatobiliary surgery are seriously ill patients. They have their own intensive care unit, which has eight beds, which are responsible for their own department members.
Intensive care wards built in such departments are now more and more common, but they have become a trend.
Of course……
This also has a lot to do with the arrogance and dominance of ICU in many hospitals.
Many directors are not accustomed to the other party's face, and directly use the department funds to build.
Of course, the price is to invest a lot, and each member of the department deducts part of the bonus for a relatively long period of time.
Gao Huarong nodded: "Relax!"
The operation is considered to be successfully completed!
Everyone was relieved.
Wang Dong was able to survive, thanks to Chen Cang.
This is his credit!
And Chen Cang also wanted to understand.
What perfect surgery?
The purpose of medical treatment may not be radical cure.
For example, tumor surgery, such as many incurable diseases, it is nothing more than prolonging survival.
And as Gao Ronghua said.
I have handled the surgery very well, and it is not easy for the patient to reach this point.
He gave Wang Dong time to find liver donors.
Perhaps this is medical treatment.
Never perfect.
After the operation, everyone is in a good mood.
After all, they made a miracle again this time.
Saved the life-threatening patients.
At this time, the system prompts the sound:
【Ding! Congratulations, you have succeeded in stealing a teacher, and acquired the skill: Liver Hemostasis! (Perfect level!)]
Chen Cang froze for a moment.
I go……
This harvest is a bit powerful.
Stolen the perfect skill directly?
Is this a big explosion of character?
Chen Cang glanced at Gao Ronghua, his eyes burning.
This is a male silver with perfect level skills!
【Ding! Congratulations, you have successfully rescued the patient and obtained: Wu's knife method! 】
Chen Cang turned to look at the patient, still in a comatose state at this time, could not help but sigh with emotion.
I saved you, and you made me.
Brothers, come on!
Your wife and children are still waiting for you.
After the operation, Wang Dong was directly transferred to Hepatobiliary Surgery. Now his situation is very dangerous ~ www.novelhall.com ~ needs to be monitored and not visited.
Although Gao Ronghua may be a little aggressive, but to ensure the safety of patients, there is a very good way!
When Chen Cang opened the door of the operating room and went out.
Be proud!
The door of the operating room is a heart stone in the eyes of the doctor.
When the operation is successful, you will be happy when you see this door and look forward to passing this good news to your family.
but……
When the operation fails, this door is very important!
...
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