Chapter 1318: :I do not have time!

　　The operation has not yet begun, but the knife in Chen Cang's hand has become the focus.
　　 Everyone stared at this seemingly ordinary scalpel.
　　I don't know why, today's knife is even dazzling!
　　The core operation with the most difficult liver transplantation has two main steps.
　　Resection of the recipient's disease liver is one of the most technically difficult parts of the liver transplant operation.
Because most patients who require liver transplantation often have severe cirrhosis and portal hypertension, they have had a history of abdominal surgery for various reasons, including cholecystectomy, splenectomy, and portal shunt, resulting in extensive intra-abdominal adhesions , Often mixed with abundant collateral circulation, making the removal of diseased liver more difficult.
　　Most of the liver that Wang Dong's operation has removed, and the gallbladder naturally cannot be retained, but this shows the skill of the doctor.
　　That is whether the abdominal adhesions are serious!
　　After the patient's abdomen was cut, the abdominal organs were exposed.
　　Everyone looked at Wang Dong's abdominal cavity and couldn't help but sigh with emotion.
　　 "What a clean abdominal cavity!"
　　Zhou Hongguang looked at Chen Cang: "Have you done it?"
　　Chen Cang nodded.
　　Zhou Hongguang couldn't help raising his thumb: "It's amazing!"
　　 "Would you like to be an academician, I won't do it, how?"
　　 Chen Cang glanced at Zhou Hongguang and smiled: "I don't have time."
　　 seems to be a joke, but everyone can't hear the meaning of the joke, but thinks...Chen Cang will not be serious, right?
　　He Zhiqian thinks it is possible!
　　Because Chen Cang is really busy, was there a time when the academician was selected? Isn't the Lasker Medical Award bad? Really not. Isn't the Wu Jieping Medical Award uncomfortable?
　　 Of course, a big man like Mr. Chen doesn't care about fame and fortune. It is estimated that when there is time, a new technique can be created?
Hey……
　　He is too busy!
　　 While Zhou Hongguang saw this, there was some embarrassing smile, but his heart was also touched.
　　 And Liao Jia shook her head, she felt that Chen Cang was bragging.
　　Who doesn’t want to be an academician?
　　Lifetime Honor, Academic Hall of Fame, who doesn’t want to go in.
　　 However, Chen Cang didn't pay attention to the academician or the academician.
　　 The most important thing now is to complete such a surgery.
　　 No adhesion to the abdominal cavity does not mean that the operation is very simple!
　　Most of Wang Dong’s liver disappeared, his liver function was abnormal, and the coagulation mechanism was also disordered.
　　 Therefore, it is likely to face a problem: increased bleeding in the book!
　　 Therefore, there should be a sufficient estimate of intraoperative bleeding, all blood vessels encountered should be properly ligated, and hemostasis should be carefully stopped.
　　Evaluation and emergency response are very demanding for the surgeon!
　　 At this time, everyone remembered that Chen Cang had warmed up the blood before.
　　Chen Cang has already calculated it before it arrives?
　　 This moment, everyone was stunned!
　　The operation has not yet started, but Chen Cang has already given a shock.
　　Details!
　　 is full of details!
　　 Liao Jia still can't feel it.
　　 But Zhou Hongguang couldn't help feeling emotion.
　　 has reached a high depth, and it's all kung fu.
　　Large operations such as liver transplantation must start from the details.
　　 "Establish vein-venous circulation!"
　　When everyone thought, Chen Cang said to Zhou Hongguang.
　　Venous-venous circulation is very important. Chen Cang cannot take care of it. There must be someone who works at the same level or higher than him.
　　 This is also the purpose he invited Zhou Hongguang to come.
　　It is difficult to train an assistant!
　　 And to be honest, no one in this society really wants to be an assistant all the time.
　　 So cooperation is the best form.
　　This is why Chen Cang has not formed a team.
　　 Brother is not willing to come.
　　 It is too difficult to train new people.
　　The general director's thinking is qualitative, and others are safe.
　　 Rather than doing this, it is better to find some comrade-in-chief directors who are caught in dangerous surgery.
During liver transplantation, the portal vein and inferior vena cava need to be blocked, so that the blood of the gastrointestinal tract and lower body cannot return to the heart at all. When it is blocked, the amount of blood returned to the heart is less than half.
　　As a result, patients with severe liver congestion during the absence of liver, increased portal hypertension.
　　 The consequence is an increase in venous pressure, which is already in the abdominal cavity of coagulation disorder. Once bleeding, the consequences are unimaginable!
　　Even after liver transplantation of metabolites accumulated during the absence of liver, these toxic metabolites will enter the circulation, leading to metabolic acidosis!
　　 Fatality rate has increased dramatically!
　　 So we must deal with this step.
　　 Choose three veins for extracorporeal circulation, saphenous vein, portal vein and vena cava.
　　During the treatment, Liao Jia suddenly found that these intrahepatic blood vessels did not seem to be sutured!
　　 But... the liver's cutting marks are very obvious.
　　 Liao Jia suddenly exclaimed:
　　 "How is this done?"
　　 Even Liao Jia can find out, not to mention Zhou Hongguang.
　　He has discovered these traces long ago!
　　Because of this, Zhou Hongguang couldn't help being silent.
　　To tell the truth, today the operation was originally to make friends with Chen Cang and give him personal feelings.
　　 But...
　　 Until now, what Zhou Hongguang saw was all shocked.
　　He was shocked by Chen Cang's technical methods.
Amazing!
　　Liao Jia's words no one responded, causing her to blush.
　　Cang Cang glanced at the young doctor who did not understand the rules.
　　 But did not say anything.
　　 After all, yelling at the operating table is a taboo thing, especially if you are still a bystander.
　　Liao Jia saw it, and suddenly blushed, very ashamed.
　　 For a time, I was embarrassed to stay and left the operating room in embarrassment.
After 　　 came out, Liao Jia's face was blue and red, and he was extremely blamed!
　　Leave the operating room before the operation.
so awkward!
　　 But Chen Cang and He Zhiqian did not drive her out of courtesy, but she couldn't stay cheeky~EbookFREE.me~ However, she could not control herself when she saw that scene.
　　 And at this time, in the operating room.
　　 Chen Cang and Zhou Hongguang cooperated quite well.
　　 Completed the intubation soon!
　　Chen Cang turned and said, "Connect the diverting system with a special anti-coagulation tube."
　　After all the venous pipelines are connected, the venous bypass system can start to operate!
　　At this moment, everyone was relieved.
　　 The first step was finally completed.
　　 And the next free and removal work was originally the most difficult.
　　Because of the normal operation, the patient's abdominal adhesion must be serious. Once it begins to separate, it will inevitably cause major bleeding.
　　 And abnormal coagulation constitution will increase bleeding, which is the main reason for intraoperative death!
　　 But...
　　Where is there any adhesion in the patient's abdominal cavity?
　　 The entire abdominal cavity is extremely clean!
　　Zhou Hongguang has done so many years of surgery, this is the first time he has seen a liver transplant operation with such a clean abdominal cavity!
　　 For a time, Zhou Hongguang's inner impact was really unparalleled.
　　
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