Chapter 1000 Find Another Way (Add 6 for the Leader Qingyan Xiaoguan)

However, after this operation is over!

One by one the directors were itching.

They found that they had finally found an instructor, how could they let it go so casually?

When they get to this point, if they improve it, it will be more difficult, and many places need expert guidance, so that they can break through!

So, one director took turns to go into battle!

At this time, Lu Chao actually wanted to cheat. With such a rare opportunity, with Dr. Chen and Oster all present, how much pertinent advice can he get?

pity!

Seeing that the directors around him were eager to try, Lu Chao had to give up his seat.

"The next operation is laparoscopic subtotal gastrectomy. Dr. Chen, I would like to give more pointers!" Director Li on the side looked at Chen Cang.

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

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

Why hasn't the stealing skill been triggered yet?

have no choice!

The operation continued, and Chen Cang had a good understanding of subtotal gastrectomy, especially gastrointestinal anastomosis.

Although it seems that Director Li is operating, but... everyone can see that this is just a puppet!

To put it bluntly, it means where to fight!

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

But Director Li, who is immersed in it, can be said to be very excited. Every call from Chen Cang, although he speaks directly, can go directly to the essence through the surface!

It touched him deeply!

Therefore, the wily Director Li performed this operation very slowly, and basically every doubt had to be asked again.

From subtotal gastrectomy location selection to anastomosis technique...

After the operation, Chen Cang felt a little dry mouth.

The people around naturally saw Director Li's "treachery" and decided to follow suit!

But Lu Chao regretted it!

He did it a little too fast, and it was still a simple operation. He originally wanted to show his hand in front of Dr. Chen, but he didn't expect... hey... he failed!

【Ding! Steal the teacher successfully, get the master-level biliary repair. 】

After hearing the voice, Chen Cang was instantly overjoyed!

Biliary repair surgery?

Although it was not the [biliary-enteric anastomosis] that Chen Cang wanted the most, the repair of the biliary tract was not bad, and it was still a master.

Don't be too greedy!

Chen Cang looked at everyone with satisfaction, and said with a smile, "Who's next?"

...

...

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

"Dr. Chen drink water!"

The other directors were stunned for a moment, and suddenly reacted.

That's right, Dr. Chen's thirst is a bad thing for him. If Dr. Chen doesn't like talking anymore, wouldn't he be blind?

then!

The surgery was performed gracefully.

Chen Cang's treatment is very good, the lunch is very rich, even more rich than Director Lu's, everyone must eat and drink to entertain.

It was after three o'clock in the afternoon that Chen Cang finally handed over the skills of using the endoscopes he had arranged.

Before leaving, several directors were reluctant to give up, and their hearts were even more determined to do a good job of drawing pictures for this book.

Chen Cang sat in the car with some emotion!

I finally learned Oster's skills today.

But it was still not biliary anastomosis, which made Chen Cang puzzled.

It is a quasi-perfect biliary repair surgery.

This made Chen Cang a little depressed.

This afternoon, I succeeded in stealing teachers twice, what a high success rate, but unfortunately it was a skill that was stolen.

It made Chen Cang feel a little emotional.

Oster's line is also very sentimental, and he returned to the hotel early.

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

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

but!

Just after Chen Cang had learned all the two skills, Chen Cang was suddenly stunned!

He wasn't shocked by Oster's idea!

But I was a little dumbfounded by Director Li's idea...

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

At this time, I have to talk about the magic of stealing the skill.

After stealing a teacher, you can often get the thoughts and insights of the stolen teacher about the operation.

This is amazing.

Now, when Chen Cang looked back at the mirror-handling technique, he suddenly became a little more excited.

I have to sincerely sigh, this is a good thing!

What is Director Li's idea?

Bile duct repair surgery means maintaining the natural pathway for bile flow to restore physiological function.

The integrity of the bile duct can only be better preserved, so that bile can enter the duodenum according to the natural pathway.

In addition, it can maintain and exert the function of the terminal sphincter of the bile and pancreatic duct, in addition to physiological regulation, it can especially avoid various hazards caused by the reflux of intestinal fluid into the bile duct.

The normal structure and function of the distal bile duct and sphincter is another essential element.

However, if the natural bile duct is destroyed, cholangioenterostomy is not as good as the natural bile duct anastomosis.

Well, here comes the question!

Since there are so many problems with cholangioenterostomy!

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

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

Yup!

In fact, there is no such thing as perfect surgery!

As long as it is an operation, it must destroy the original structure and rebuild a new structure.

In fact, the human body can form the organization and shape it is today, and it has already matured.

Both the gallbladder and the appendix have irreplaceable roles.

The biliary jejunal anastomosis itself has some hidden dangers!

Common complications after cholangioenterostomy include bleeding, biliary fistula, and re-obstruction of the anastomotic site.

In the long-term, there may be recurrence of stones in the biliary tract, retrograde infection and the formation of biliary tract infection. The patient has repeated fever, and even cholangitis and jaundice.

The existence of these problems increases the difficulty of matching again.

To reconstruct the digestive tract, cholangioenterostomy and pancreaticojejunostomy become very important.

If there are more complications after reconstruction, what is the point?

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

If the bile duct can be used and the natural end of the bile intestine does not need to be destroyed, can bile duct repair surgery be used instead of cholangioenterostomy?

Including the pancreas too!

Thinking of this, Chen Cang couldn't hold back his inner thoughts any longer. He got up in a hurry and started to take out the paper, draw the graph of the bile duct on it, and then began to analyze it.

He thinks that this kind of thinking is feasible!

Another way, disguised to solve the loopholes in biliary anastomosis.

However, he soon discovered a problem!

That's because he doesn't know enough about cholangioenterostomy.

Only by knowing enough about biliary anastomosis can a new idea be better conceived!