Chapter 10: : Trigger Intermediate Task

Today, this operation is a major gastrectomy, not Chen Bingsheng alone, but Zhang Zhixin, the attending physician of general surgery.
Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they came to the Provincial Second Hospital together, but one went to general surgery, and the other stayed in the emergency department.
However, this does not affect the cooperation between the two, often invite each other to participate in surgery.
At first it was because the emergency surgery was relatively complicated and everything was done, but the surgery of the general system was difficult to complete by one person, so we had to invite doctors from other departments to complete it.
就是 This is the case today.
Today's surgery is a major gastrectomy, also called a subtotal gastrectomy.
A major gastric resection is not just a simple resection. It is very different from an appendectomy.
There are three main steps!
The first is the large and small curvature of the free stomach.
Second is to cut off the duodenum, and then cut off the stomach.
The last is gastrointestinal reconstruction.
Of course, it must be much more difficult than speaking.
Chen Cang's main work as a chicken is also very clear!
Hook knots, fluid to stop bleeding;
You must pat your horse and clean up the equipment.
Yo! Rhyme.
Hey ... the husband must be a poet who has been delayed by medicine.
After all, countless live examples, such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin, Chekov, tell us that if you fail to study medicine, you can change to follow the text.
After all, the ancestor also said a word: Xiucai learns medicine, catches chickens in a cage!
In turn, it should be almost the same.
I have limited talents, otherwise I would definitely go to Luo Dayou, Fei Xiang, Wang Lihong, Mao Yiyi, etc. These are all advanced representatives who have abandoned medical practice after graduating from medical school.
Hey……
He seems to be a genius in medicine.
Zhang Zhixin is a general student, but he went to a half-way home to take a cosmetic doctor certificate. It is said that he opened a plastic surgery studio in partnership with others. He usually double-folds his eyelids, lines his eyebrows, opens his eyes, and hits hyaluronic acid. It is said that Rijin Dou Jin!
Surgery is about to begin.
Chen Cang didn't understand this operation very well, so he could only learn silently.
And inside is staring at Zhang Zhixin with glittering talking eyes!
Not because of others!
I just want to learn some skills ...
[Rookie in the operating room: there is a 1% chance that you will learn the skills of others! 】
沧 Cang Cang feels that he should have a good relationship with Zhang's thighs, learn some medical beauty techniques, for nothing else, you can cut the eyelids of his girlfriend without spending money!
The surgery has begun!
The first thing to do at this time is to open your belly!
Chen Bingsheng opened his mouth along the midline of the upper abdomen.
层 After cutting in layers, open the peritoneum and start exploring!
Chen Bingsheng watched carefully, while Zhang Zhixin helped.
Chen Bingsheng: "No ascites, no abnormalities in the liver, gallbladder, pancreas, spleen, small intestine and colon!"
"The stomach wall is smooth, mildly edematous, the stomach body is significantly enlarged, and the gastric lymph nodes are not enlarged. There is a ulcer with a size of 2 by 1 by 0.5 cm near the pylorus of the stomach, the texture is slightly hard, and it is slightly adhered to the gallbladder. Pyloric stenosis due to traction and contracture. The inner diameter of the pyloric duct is about 0.5 cm, the stenosis is 2 cm long, and the duodenum is involved. The pyloric insufficiency caused by pyloric ulcer was clearly diagnosed during the operation. ! "
Zhang Zhixin nodded: "Okay!"
Cang Cang: "Boss Chen is awesome!"
Nurse Qin Lele: ...
Nurse B: ...
炳 Chen Bingsheng's professionalism is still very good. This kind of surgery is often done, and naturally there will not be too much pressure.
I still glanced at Baiji: "I will not be Doctor Zhang next time, you give me a shot, this time you can be optimistic."
志 Zhang Zhixin sighed: "I think I have split the money, right? Oh! Man!"
In fact, the operating room is really not as serious as imagined, and often there are some sections flowing out from time to time.
Moreover, as a closed environment, the operating room will always be a gathering place for gossip news!
And the gynecological operating room is known as the king of gossip in the hospital!
It is not clear who the doctors and nurses go to, and who the children are, and even the leaders and employees are not clear.
Uh ...
沧 Cang Cang just said that Chen Daodao Niucha was really impressed. A series of professional terms were spoken from his mouth, forcing him to be more than a little higher!
I can't ...
I am in a different state in Chen Cang's eyes. If Chen Cang was saying just now, it might look like this:
"[Liver], [Galbladder], [Pancreas], [Spleen], [Small Intestine] No abnormal green color, [Stomach] is a strange name, and the cause of the red name was found in the lower part of the large curvature of the stomach! [Pyloric ulcer caused pyloric incomplete obstruction: lv39 grade pyloric ulcer obstruction, common monster, characteristics: slight adhesion of ulcer and gallbladder, local scar formation and traction, contracture caused by pyloric stenosis narrowing the inner diameter of the pyloric duct, involving the duodenum! Recommendation: Resection!] "
Alas, seeing Level 39 monsters active there, Chen Cang's eyes are full of excitement. After all, this is a high-level monster and rich experience!
Unfortunately, I can only look at it.
However, Chen Cang took it very seriously. Every operation was an opportunity to learn. Chen Cang would not give up such a good opportunity to learn.
First is separation.
Stomaching is not just hanging in the stomach like a light bulb.
He is surrounded by various mesangium, ligaments, blood vessels, and autonomic nerves. This way, the stomach is fixed in the abdominal cavity. Otherwise, if you take a few steps after eating, the stomach will sag. UU reading books www. uukanshu.com
The first thing to do is separation work, which is also the most technical and patient work.
Chen Bingsheng carefully lifted the stomach, cut the gastrocolonic ligament in the left avascular zone in the big curve, and then freed along the big curve to the left in the vascular arch to cut the gastrocolonic ligament ...
The operation was very smooth, and the combination with Zhang Zhixin was more adept.
Uh ...
之后 After the operation is complete, clean the instrument and close the abdomen.
炳 Chen Bingsheng stood up and gave Chen Cang a look: "stitch."
Cang Cang sneered: Mortal, it's time to witness the miracle!
Let me show you the progress of my husband today.
Chen Cang picked up the suture needle, which was already threaded by the nurse. Chen Cang picked the needle thread a lot more skilled than yesterday, and the abdominal skin was originally flat and there were not so many twists and turns, the suture needle in his hand was like wearing The flowers are butterfly-like, and they keep coming and going on the stomach.
Indeed, after Cang felt sharp +1, there was a clear difference.
It didn't take long before the suture was completed.
After looking at Chen Bingsheng, he could not help but stare at Chen Cang with curiosity: "Yes."
Zhang Zhixin smiled: "Xiao Chen, your hand is suitable for surgery! This suture is very good, but ... it's still a little ill, the talent is there, almost the technology."
Suddenly, Zhang Zhixin turned and asked, "Xiao Chen, are you going to work tomorrow or tomorrow?"
Cang Cang turned and saw the arrows on Zhang Zhixin's head were converging into a question mark!
Do you have a mission? !!
【Ding! Your stitching attracts the attention of an intermediate NPC, and you may get a task after a detailed chat. 】