Chapter 944 The Style of This Knife
【Ding! Congratulations, your pancreatoduodenectomy has been upgraded to perfection! 】
After receiving the system prompt tone!
Chen Cang once again experienced a reincarnation time in the simulation space.
That's right!
This time, the time is longer than before, after all, pancreatic anastomosis has always been difficult.
At this moment, when Chen Cang thought again, his thoughts suddenly diverged.
In his mind, gastrojejunostomy, pancreaticoduodenectomy, pancreatic anastomosis, etc.
A sort of……
two...
...
How many methods are constantly excluded in Chen Cang's simulation.
Sun Guangyu and Shi Wenyan are still thinking and arguing.
Seeing Chen Cang being silent, Shi Wenyan looked at Chen Cang: "Doctor Chen, what do you think?"
Chen Cang glanced at the abdominal cavity, slashed his stomach with his hand, and said:
"Do you think it would be good if you cut your stomach again?"
In a word, everyone was stunned!
"what?"
"Stomach cut again?"
"Doesn't this significantly increase the difficulty of surgery?"
"It's not suitable!"
But!
Seeing Chen Cang's movements, Shi Wenyan and Sun Guangyu looked at each other, and saw horror and shock in each other's eyes!
He stared carefully at the line that Chen Cang had just drawn, his brows furrowed, and he kept thinking about things.
It seems that Chen Cang suddenly lit up their thinking.
Yup!
Shi Wenyan thought about it carefully and looked at it hard.
suddenly!
He sees it!
The moment he understood, Shi Wenyan exclaimed, "Genius!"
Thinking of Chen Cang's thoughts just now, he felt a tingling in his scalp.
How did you come up with this idea?
Sun Guangyu swallowed and did not speak.
He was not less shocked than Shi Wenyan, but even more shocked.
indeed!
As everyone said.
As a result, the patient's injury will be aggravated.
After all, it is not a good thing to cut a knife on a healthy stomach, and it will even increase the difficulty of the operation!
But how can this be?
Compared with the postoperative effect, what does this damage count?
even……
Sun Guangyu blushed a little...
Mr. Bu's original gastric cancer radical operation was done by him!
Now he suddenly felt how immature his original surgical techniques and digestive tract reconstruction work were?
Instead of keeping it, it is better to rebuild it!
"it is good!"
Several directors around were stunned.
Looking at Sun Guangyu and Shi Wenyan's words, they were a little stunned.
What did Chen Cang do?
Chen Cang glanced at the two and said, "I'll take the lead."
Shi Wenyan and Sun Guangyu nodded quickly.
Where is there more to say.
Shi Wenyan is also really convinced by Chen Cang now.
This random knife really solved too many problems.
This is like a work of art. When everyone didn't know how to be good, Chen Cang's finishing touch directly surprised everyone.
At this time, the other directors did not react because they were too far away just now.
Now they are staring at the operating table one by one, to find out!
Chen Cang did not talk nonsense as usual, and after a quick preparation, he started the operation.
It was originally on the operating table, so I couldn't waste too much time.
Moreover, Mr. Bu is old, and the operation for too long is obviously a bit risky.
As for Bu Hanyu?
Chen Cang didn't know him at all.
It's not a field after all.
Moreover, to put it piercingly, even such a top scientist is not as well-known to the common people as a little star.
However, in Chen Cang's eyes, there really doesn't seem to be much difference in who is lying here.
If you know it's a boss, you might be a little nervous.
Here, Chen Cang took a deep breath and took the separation forceps.
He glanced at the two of them: "Remember to clean the abdominal cavity."
"Pour a plate of warm saline!"
Shi Wenyan was very sincere, poured a pot of water into it, and cleaned it up.
Then came the antibiotics...
"Aspirate!"
After finishing, Chen Cang raised his hand and decided to start separation.
It still starts from the small intestine.
Chen Cang directly touched the intestine with his left hand, and then carefully peeled off the forceps.
To be honest, Chen Cang feels that his hands are much easier to use than before!
He seems to be ready to control his strength!
how big...
How small……
light weight...
These have stabilized a lot at this moment.
Moreover, with the touch of his left hand, Chen Cang can even judge how much force is appropriate for him, and how to separate it more safely.
This is a little too amazing, right?
This should be the effect of the purple strengthening potion, right?
Thinking of this, Chen Cang was a little surprised.
If this kind of stability is used in open-circuit surgery to open the brain, it must be a pair of hands that are so stable that it is frightening!
At this time, the surrounding directors saw Chen Cang separating the intestine and freeing the appendix... when they were working.
Also stunned!
So light and so simple!
That's right, that's how Chen Cang feels to them.
"What a solid basic skill! What a steady and dexterous hands!"
"Really a born surgeon!"
This is what everyone has in mind.
It didn't take much time to separate the work.
At this time, the anesthesiologist suddenly said, "It may be necessary to add anesthesia."
After Chen Cang heard this, he pondered for a moment.
Mr. Bu's situation, will adding anesthesia now have any effect?
The crowd pondered.
After the separation, Chen Cang took the scalpel directly. He felt that the operation time should be speeded up, and then said to Sun Guangyu, "You will do colon surgery, and I will do pancreatoduodenectomy!"
After speaking, Chen Cang raised his head and glanced at Shi Wenyan: "You...you help me lift this stomach!"
Shi Wenyan smiled and saw Chen Cang's embarrassment: "My name is Shi Wenyan."
Chen Cang nodded: "Well, take it!"
Separating the omentum...
free stomach...
After doing everything, Chen Cang slashed directly on the stomach, and the directors behind him were stunned!
Why cut like this?
Everyone frowned!
However, the next operation of Chen Cang made them unforgettable in their lifetime.
Pancreaticoduodenectomy was performed skillfully, and a section of the stomach was also taken away.
Chen Cang glanced at his stomach and wanted to ease the embarrassment with Shi Wenyan, so he said, "The patient may have had the surgery in the countryside at the time, and the conditions were limited. If you look at the match, it is actually a failure."
"If I were the chief knife, I wouldn't do this..."
Hearing Chen Cang's words, the colon in Sun Guangyu's hand suddenly became fragrant!
Shi Wenyan nodded: "Well, Dr. Chen, you said that, I also think that the other party has some problems!"
The knife in Sun Guangyu's hand is more stable!
Chen Cang criticized it, Sun Guangyu can accept it.
But what are you doing, Shi Wenyan?
After the excision, the most important anastomosis comes.
Chen Cang used PG pancreaticogastric anastomosis at this moment!
traditional technique.
In fact, in order to ensure the quality of anastomosis, clinicians should still use their most familiar anastomosis methods, rather than simply pursuing new anastomosis techniques.
You should even fully recognize the advantages and disadvantages of each anastomosis method!
Pancreatogastric anastomosis is actually the oldest and most used anastomosis.
The advantages of this technique are obvious!
The first is that the anatomical parts of the stomach and the pancreas are adjacent, so the tension of the pancreaticogastric anastomosis is small, so that it is not easy to form an anastomotic leakage.
Secondly, trypsinogen is not activated in the acidic environment of gastric juice, which better preserves the digestive function!
This is the most important consideration for the reconstruction of the digestive tract, that is, the function of the digestive tract must not be damaged!
Just when Chen Cang performed gastrojejunostomy!
The jejunum is free, which is very convenient for position fixation. At this time, Chen Cang only saw that the stomach, pancreas, and jejunum were formed into a clever incision and anastomosis.
Immediately!
Everyone was stunned!
Can you do this?
"No wonder the body of the stomach has to be cut with a knife. In this way, the biggest difficulty in pancreaticogastric anastomosis, the obstacle to gastric emptying, is solved!"
"That's right! Look, this is still the most critical, and the most critical is the reconstruction of digestive tract function!"
For a while, everyone was talking about it.
At this moment, everyone understood why they had to cut such a knife.
but!
It seems this is not over yet.
After the anastomosis was completed, when Chen Cang fixed the gastric body with the omentum, Chen Cang deliberately fixed the part of the jejunum!
In this way, just a good structure is formed.
Immediately!
Everyone was stunned.
Can it still be like this?
Shi Wenyan was also stunned for a moment.
I still underestimated the style of this knife.
In this knife, the jejunum is also counted.
Too strong!
How far can you think with one knife?
Shi Wenyan looked at the young man and took a deep breath.
This is too strong!
Chen Cang glanced at Shi Wenyan: "That... I'm sorry, what's your name? Come to the end!"
...