Chapter 140: : A king-level appendix that can only be seen once in a lifetime!

When Duan Bo saw this scene, he suddenly hesitated.
But Duan Bo and Guo Cheng are completely different people.
When Guo Cheng went to Chen Cang for surgery, Chen Cang was basically doing it.
But Duan Bo is not the same. This person has a lot of ideas. An appendectomy costs Chen Cang 2000 an expert fee, and he takes over and sends him warm hospitality, hoping to learn Chen Cang's technique.
Duan Bo, who has the responsibility and the idea, is very young. What he wants now is to make the General Surgery of Lanxian People's Hospital into a pacesetter department and make a name for himself.
遇到 After encountering something at this time, Duan Bo didn't panic, but was very calm.
开始 He began to look carefully through the tissue forceps to find the cecum, but at this time, there was an adhesion in the abdominal cavity, and he could not see anything at all.
Wu Duanbo hesitated: "Expert Xiaochen, can this small incision be dealt with in this case?"
Chen Cang hesitated, he hesitated, then walked over, the scene immediately made him hesitant.
情况 The situation in the abdominal cavity is more serious. At this time, the difficulty will increase, and most importantly, the appendix has not been found!
what's going on?
Is it an ectopic appendix?
Kuan Duanbo saw this: "Or else, open belly?"
Cang Cang is not entangled in small incision surgery. After all, patient safety is more important than anything. Even if Cang Chen does not earn this money, he must ensure the safety of the patient! New 81 Chinese website updates the fastest mobile terminal: https: /
Of course, Chen Cang can also insist on small incision surgery. According to Chen Cang's technique, it should not be a problem.
Even after the general operation of Xuan Ji is finished, it may still harvest a wave of emotion and shock.
But Chen Cang didn't want to pass on this kind of risky impulse to these doctors.
They don't know much about small incisions. In case of some unexpected situations, don't have a big problem!
Therefore, Chen Cang nodded decisively: "Open surgery! Let me? The patient's condition is special, I think this operation is not so ordinary."
Duan Bo nodded and took the initiative to give way. Chen Cang took the tissue forceps and suddenly frowned. How could there be so much pus in the abdominal cavity?
The perfect grade of appendectomy allowed Chen Cang to know enough about the intra-abdominal appendix environment and surrounding conditions.
He thought of a very difficult appendectomy at this time!
Chen Chen Cang said to Duan Bo, "Hook me!"
Duan Bo quickly nodded to take over.
Cang Cang continued to say to the doctor on the side: "Doctor Yang, liquid."
The other party also started quickly.
After the liquid was aspirated, Chen Cang picked up the tissue forceps and began to operate.
Finally, found the cecum in the right upper quadrant!
Duan Bo suddenly hesitated: "How did you run there?"
The doctor next to him also nodded: "Where isn't he going?"
Cang Cang turned to the nurse and said, "Scalpel!"
Nurse thought that Chen Cang was going to open his belly and quickly handed the knife over!
Chen Cang did not continue to expand the incision in the original place, but opened 5cm in the right upper abdominal gallbladder area!
The dumbfounded look of Duan Bo ...
"Expert Xiao Chen ... are you?"
Not only did Chen Cang not enlarge the wound in the original part, but he decided to change the place to open the mouth after the aspiration test. Can this not make everyone curious?
Chen Cang did not look up, but said while incision: "This should be a very rare case, maybe once in a lifetime, the patient is an ectopic appendix, and can be found by touching the cecum with the cecum, but cannot be operated because the appendix system May be severely adhered to the triangle of the gallbladder, liver, peritoneum, and omentum. Once the intensity is too great, it is likely to damage the liver! "First https: // https: //
完 After speaking, the incision appears!
After opening his mouth, the scene in front of him let everyone take a breath.
Chen Cang explained: "Patients should have had a cholecystectomy, which caused complications after surgery, which did not heal, leading to chronic adhesions, and the patient was an ectopic appendix. During a series of reactions, the omentum, The peritoneum, the appendix, the triangle of the gallbladder, and the liver are stuck in the process. "
After speaking, Chen Cang peeled off carefully!
沧 Cang Chen said while doing: "If there is no mistake, the patient's appendix root should have formed gangrene, and there is an abscess around the appendix!"
Most of the appendix abscesses are wrapped by the surrounding tissues such as the omentum, lateral peritoneum, and small intestine after perforating gangrene.
The scene in front of me was a mess. How did the operation happen?
After Duan Bo saw this scene, some scalp became numb.
However, Chen Cang received a system prompt!
【Ding! Variant gangrene perforated appendix with surrounding abscess, lv40, king-level appendix! Characteristics: The strong adhesion allows the appendix to be tightly connected to the triangle of the gallbladder and the liver ...]
After seeing the prompt, Chen Cang couldn't help wrong for a while!
King level?
This is probably the most rare appendix surgery, right?
Thought of this, Chen Cang's eyes brightened!
I cut what equipment he will have?
Artifact?
still is……
This is the first time Chen Cang has encountered this kind of disease.
Thinking of this, Chen Cang is eager to try!
"Separation pliers!"
"Gauze!"
"Tissue forceps!"
"Tweezers ..."
Uh ...
The whole separation work is very complicated, involving too many factors, damaging the gallbladder and bile ducts, bringing about a more troublesome abdominal infection, and damaging the liver.
This means that the difficulty of this operation has increased geometrically!
But Chen Cang's hand is very stable, very detailed and very accurate!
Every step is careful.
And Chen Cang is very patient.
Take a millimeter by millimeter slowly.
The people around me are nervous and dare not to spit it out!
Time passes by every minute.
Chen Cang gradually began to run out of energy ~ EbookFREE.me ~ The operation has passed for more than an hour.
Such a high-intensity, high-precision operation is really exhausting.
Don't talk about Chen Cang, even the Duan Director who is pulling the hook aside feels backache and wants to stretch, but he is worried that he will affect Chen Cang's operation.
I simply gritted my teeth and continued.
This is a contest of physical strength.
He is also a patient and careful battlefield.
No smoke, no shouts.
安静 The quiet on the operating table makes everyone feel their heartbeat.
At this time, the patient took a breath of cold air: "Doctor, I ... I feel a little painful ..."
Cang Cang frowned instantly!
Ramie drugs are over!
Appendectomy with an open incision like this is usually local anesthesia, and spinal canal anesthesia is used, which is a generalized local anesthesia. There will be consciousness during surgery, and there may be some discomfort or pain. If it is an endoscopic surgery, it must be general anesthesia.
General anesthesia is the safest and most reliable, completely unconscious and comfortable. But the cost is much higher.
The anesthesiologist's face changed: "The anesthetic may be passing ... Do you want to continue anesthesia?"
继续 It is definitely unrealistic to continue anesthesia at this time, just a little bit.
Chen Cang shook his head: "No need!"
Boost!
At this moment, Chen Cang's hands moved steadily and flexibly, and Doctor Yang who looked aside was a bit stunned. This hand is not ordinary ...