Chapter 1250 The Mother-in-Law Looks at the Son-in-Law!
In the operating room, hope is rekindled.
Faced with this kind of operation, everyone hopes to do everything possible to save the patient.
Although the truth may backfire.
But at this time, Chen Cang turned everyone's ideas into reality.
Gao Huarong looked at Chen Cang's operation and couldn't help showing joy.
Because he found that Chen Cang was too familiar with the anatomical structure of the blood vessels in the liver, and it was no exaggeration to know it like the palm of his hand.
The middle hepatic lobe is the heart of the liver, and many complex hepatic ducts, blind ducts, and blood vessels run through it.
How to avoid or remove in an orderly manner is particularly important.
Chen Cang was really merciless, and he looked at Gao Huarong a little uneasy when he cut it decisively.
For fear that Chen Cang cut too much will lead to liver failure.
However, every time Chen Cang cut it off, he was always surprised to find that these livers might have been necrotic.
What kind of experience is this, so that Chen Cang can have accurate judgment?
This made Gao Huarong have to think about a question: How many livers did Professor Chen cut?
Looking at Chen Cang's knife, Gao Huarong couldn't help but feel a little scalp numb, what kind of knife is this?
Time goes by slowly...
What should be cut, Chen Cang has already cut it off.
Seeing that there may be less than half of the liver left, everyone is a little worried.
But Chen Cang always makes quick and precise choices at critical moments.
Excision or Repair?
this is a problem!
But in Chen Cang's eyes, these are not problems.
The red necrotic tissue is completely removed, and none of it will be retained.
If the yellow or light-colored tissue has a chance to be repaired, Chen Cang will perform anastomosis on the blood vessels.
The anastomosis of blood vessels is still very difficult, because the irregular shape of the liver makes the angle of blood vessel anastomosis very special!
Among them, although the proximal hepatic vein is not damaged, many strange angles of anastomosis of small blood vessels make it difficult for ordinary people to start.
Gao Huarong's collaboration is required to control blood flow.
Moreover, these blood vessels all come from the blood supply of large blood vessels, and the suture needs to directly block the blood flow.
"Professor Chen, the maximum time is 5 minutes!" Gao Huarong glanced at Chen Cang, a little worried.
The tricky angle and the tortuous running of the blood vessels make the suture more difficult.
However, if the anastomosis is unsuccessful, these already ischemic tissues will definitely not recover.
If removed, the remaining liver tissue cannot maintain the body's metabolism.
This doesn't seem to be a multiple choice question.
It's a big finale!
After pondering for a moment, Chen Cang nodded and said.
"almost."
This made Gao Huarong stunned for a moment.
Really?
But this isn't the time to wrestle with it.
"If you say start, I will block the blood vessels." After speaking, Gao Ronghua glanced at Chen Cang worriedly: "This... Come on!"
He thought about it for a long time and really didn't know what to say.
Although I have seen Chen Cang repairing blood vessels, but...
The blood vessels of these middle lobes are located in a special position, which is very difficult to repair and requires coordinated operation of the left and right hands.
Chen Cang nodded and gave Gao Ronghua a reassuring look: "Let's start!"
Gao Huarong was taken aback, don't you need to prepare?
After Chen Cang finished speaking, he took the needle pliers and glanced at the old horse.
The old horse is also familiar with the road, and he has been with Chen Cang for a long time, and even Chen Cang's eyes can be read.
after all……
Everyone in the operating room wears masks, and their eyes are exposed. After a long time, one look can understand everything.
At the moment when the blood vessel was clamped by the vascular clamp, Chen Cang quickly started the vascular anastomosis work he was best at!
Tricky angle?
nonexistent!
At the beginning, Chen Cang shocked Director Gao!
Not used to the left hand?
Do not!
Chen Cang's left hand is more flexible than his right hand!
The right hand is more flexible than the old horse's brain...
Is this a liver vascular anastomosis?
There are essential differences between large vessel anastomosis and small vessel anastomosis.
Strict requirements for large blood vessels!
Small blood vessels require less damage!
Because the liver blood vessels are out of shape, the liver anastomosis needs to be resected and anastomosed for a while, which requires other issues to be considered.
However, Chen Cang is very proficient in the shape of blood vessels, the familiarity of blood vessels, and the anastomosis of blood vessels!
So that everyone was stunned, of course, except for the old horse!
Gao Ronghua couldn't help but sigh with emotion: "I'm darling, how can I be so fast?"
To be honest, it was the first time everyone saw Chen Cang having liver surgery, and they were really pleasantly surprised.
Yu Yong just looked at Chen Cang the same way his mother-in-law looked at her son-in-law.
It was prejudiced in the beginning, and the prejudice is deep!
but……
Slowly I found that this son-in-law is really excellent.
So now, basically, the more I look at it, the more happy I am, and it has risen to the point where I am not marrying a daughter, but I can't wait to marry my son-in-law more than 20 years younger...
Um!
Kind of messed up.
But Yu Yonggang felt that it didn't matter.
After all, such an excellent young man can just mess around, it doesn't matter.
You say excellent or not!
Therefore, in the entire operating room, Lao Ma is the one who is fresh and refined.
The old horse was also accustomed to Chen's habitual routine of pretending to be forceful, but instead he seemed light-hearted.
Even when Chen Cang matched, he would say: "This... it's a bit slower than last time!"
One sentence made Gao Huarong look sideways, a little surprised.
"Is this slow?"
The old horse sighed, shook his head, and said nothing.
This act of pretense made the little nurse on the side a little stunned. Isn't this...Isn't this Professor Chen's usual routine?
Chen Cang frowned.
never mind.
Thinking of the meal tickets for the next six months, Chen Cang felt forbearance, after all... eating people is soft-hearted.
The operation is proceeding steadily.
Soon, the vascular anastomosis is completed!
In less than 3 minutes, when the anastomosis was successful and the blood vessels were loosened, Chen Cang quickly changed his left hand glove to the sensing glove.
Then carefully touch the liver.
The ischemia and hypoxia tissues regained blood supply after a brief loss of blood supply. Chen Cang gently sensed the feedback from the liver.
Maybe these organizations have a chance to survive...
The completion of the vascular anastomosis and the resection of the liver made the operation 80% complete.
The timely operation, so that the patient's vital signs are now without too many problems.
However, liver failure and kidney failure are the second leading cause of death from surgery.
Because the reasons for the kidneys were considered in advance at the beginning, and the effect of strengthening perfusion and drugs, the problems of the kidneys may not be large.
But now the liver...
It's really up to fate to recover what the situation is.
Let's take a step by step.
If it weren't for Chen Cang, the patient wouldn't even be able to keep his current liver.
Gao Huarong looked at Chen Cang and said with admiration to tell the truth, "That's it, we've done our best, and we can't control the specific recovery situation."
To be honest, Gao Huarong really did not expect the patient to survive.
real!
This operation seems to be smooth, but... only an expert can see the danger.