Chapter 1251 The Medical Treatment Is Not Perfect!
In fact, there are two most difficult and most important elements in liver resection!
The first key point is: as long as the necrotic liver tissue is not completely debridement, it will definitely cause abdominal infection.
Combined with the situation of patient Wang Dong at this time:
Shock + infection + hepatic coma = mortality rate is as high as 95%!
Similarly, the second element: to retain as much safe liver tissue as possible, if there are too many liver resections at this time, the patient's liver will not be able to complete the normal basal metabolism.
It will induce liver failure again and cause the death of the patient!
This is a dilemma of multiple choice.
How to find a balance among them is the top priority.
Obviously, Chen Cang's choice is the best in Gao Huarong's view.
Final finishing work!
It is necessary to deal with the hepatic ducts and blind ducts in the liver, and then anastomose the liver and place a drainage tube.
The hepatic duct is an important way for the liver to secrete bile.
This step is not handled well, and once it flows into the abdominal cavity or enters the liver, it is also prone to problems.
but……
However, Gao Ronghua found that the people around were not worried at all!
This made Gao Ronghua a little more uneasy.
When he was about to remind, the old horse seemed to see Gao Ronghua's thoughts and said with a smile:
"Director Gao, it seems that you really don't understand President Chen's strength!"
Gao Ronghua was stunned for a moment!
Haven't had time to react yet.
At this time, Chen Cang had already started his own surgery, or performance.
Chen's Digestive Tract Reconstruction Technique.
Treatment of the hepatic duct!
Hepatobiliary anastomosis!
Reconstruction of the blind pipe...
This set of operations made Gao Ronghua stunned and his scalp numb!
This……
This is too great, right?
Originally, Gao Ronghua was worried that these hepatic ducts could not be handled properly, causing bile to flow into the abdominal cavity or causing stasis infection in the liver...
Now it seems that it is simply unfounded!
Think too much!
He found that as long as Chen Cang was there, it would be difficult for these bile to enter the abdominal cavity!
Chen Cang's treatment of the hepatobiliary duct really shocked Gao Huarong!
Is this the true strength of the president of the World Society of Gastrointestinal Surgery?
Really too strong!
Because, as long as the small bile duct leaks in the liver section, the bile duct ligature falls off, or is caused by bile duct injury not found during the operation, once the abdomen is closed, peritonitis can occur.
And Chen Cang can be said to be comprehensive, taking into account every point!
Every detail is handled very well.
And Chen Cang's treatment of the hepatobiliary duct may be the so-called digestive tract reconstruction, right?
so amazing!
In this way, complications will be reduced to a minimum!
Gao Huarong can guarantee that whether it is Zhou Hongguang of 301 or Lu Bin of Xiehe, even half of Chen Cang can't do it.
The last is the anastomosis of the liver.
Time passed by minute by minute.
Finally scratched a happy ending.
But... at this time, Chen Cang didn't close his belly.
He and Gao Ronghua began to seriously evaluate the remaining liver function after the operation.
Can this liver hold up and take on the metabolism of an adult's liver?
this is a problem!
The patient has alcoholic liver. Long-term drinking, although not serious, still causes some damage to liver cells.
After Chen Cang checked, he glanced at Gao Ronghua.
"Director Gao, what 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 the liver may still not be able to undertake the patient's metabolism. It is no problem with the support of drugs in a short period of 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 a liver transplant."
"Some people don't even have the chance to get a liver transplant!"
"Your operation has been very successful. It is the most successful liver operation I have ever seen."
"Also, you bought the patient time for a liver transplant, at least three months!"
"This has been impossible for others!"
Chen Cang nodded when he heard Gao Ronghua's words.
Gao Ronghua looked at Chen Cang: "Actually, not all operations can be successful!"
Chen Cang nodded, smiled, and shook his head, thinking about it no more.
"Well, Director Gao, should the patient go to the ICU of the Hepatology Department?"
Many of the patients in hepatobiliary surgery are seriously ill, and they have their own intensive care unit with eight hospital beds, which are handled by members of their own department.
In fact, the construction of intensive care wards in such departments is becoming more and more common, but it has become a trend.
Of course……
This also has a lot to do with the arrogance and domineering temper of the ICU in many hospitals.
Many directors dislike each other's faces, and directly use department funds to build them.
Of course, the price is a lot of investment, and each department member deducts a part of the bonus for a relatively long period of time.
Gao Huarong nodded: "Don't worry!"
The surgery is over!
Everyone breathed a sigh of relief.
Wang Dong survived entirely thanks to Chen Cang.
This is his credit!
And Chen Cang also wanted to understand.
What kind of perfect surgery is there?
The purpose of medical treatment may not be a cure.
For example, tumor surgery, such as many intractable diseases, is nothing more than prolonging the survival period.
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 a liver donor.
Maybe this is medical treatment.
It's never perfect.
After the surgery, everyone was in a good mood.
After all, they did a miracle again this time.
Saved dying patients.
At this moment, the system prompt sounded:
【Ding! Congratulations, you succeeded in stealing a teacher and acquired the skill: Liver Hemostasis! (Perfect level!)]
Chen Cang was stunned for a moment.
I go……
This harvest is pretty awesome.
Directly stole a perfection-level skill?
Is this an explosion of accumulated character?
Chen Cang glanced at Gao Ronghua with hot eyes.
This is a male silver with perfect skills!
【Ding! Congratulations, you successfully rescued the patient and obtained: Wu's knife technique! 】
Chen Cang turned to look at the patient, still in a coma at this time, and couldn't help but sigh.
I saved you, and you also made me.
Come on, brother!
Your wife and children are still waiting for you.
After the operation, Wang Dong was directly transferred to the Hepatobiliary Surgery Department. Now he is in a very dangerous condition and needs to be monitored and cannot be visited.
Although Gao Ronghua may have some shortcomings in his progress, he is very good at ensuring the safety of patients!
When Chen Cang opened the door of the operating room and went out.
be proud!
The door of the operating room is a questioning 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 extremely important!
...
ps: Thanks for the 10,000 rewards of "Sakura, Xiaoying" and "guoming", thank you big guy!