Chapter 160: : Chen Cang Niubi! (Thanks to Bai Yin, the little friend who loves reading ...

Chen Cang just arrived in the operating room. The nurse had been waiting for a long time, and washed her hands in a hurry. The nurse had prepared clothes and stood at the door. Wait for Chen Cang to come in and change clothes quickly!
Everyone saw Chen Cang's arrival, and his eyes brightened!
"Xiao Chen, come soon, Director Zhang can't support it."
Cang Cang looked up and saw Zhang Youfu's upper limbs trembled trembling, and his sweat was soaked in the surgical cap and mask!
沧 Cang Cang stepped forward and saw the scene on the big screen!
The scene in front of Chen suddenly made Chen Cang's heart sink!
The adhesion of the intestinal wall must be separated, otherwise the duodenum affects the triangular area of ​​the gallbladder, and the hepatic artery will not be ruptured after the operation, and large-scale bleeding will definitely cause a big problem!
Compared to the postoperative period, there is at least some room for relief during the operation!
"Little Chen, suture the intestinal wall."
Cang Cang turned and took over the suture thread handed by Zhang Zhixin and was about to sew!
Chen Cang's intestinal suture technique is good, but in this case, I can't help but worry.
Take a deep breath, pick up the needle-holding pliers, and look at the message from the endoscope, Chen Cang finally finds out why Zhang Youfu dare not move!
Because the internal fistula with a length of 5-6cm is next to it, if Zhang Youfu is not blocked, the contents may leak out.
Clearing the contents is not terrible, but if in such a complicated internal environment, if cleaning the contents, it will cause a lot of serious things, which is the most terrible!
Zhang Youfu was aware of this, and then he held the equipment and did not dare to move.
Suture!
Chen Cang held his breath, carefully holding the needle pliers, shuttled back and forth between stitches, carefully sewing the trembling intestinal wall.
沧 Cang Cang's endoscopic suture technique is very good, whether it is intestinal suture or endoscopic vascular suture, this is the case!
Surgery proceeded slowly, and Chen Cang didn't dare to care.
沧 Cang Cang can already feel Zhang Youfu's arms trembling, but he still carefully controls them. This kind of movement is very labor-intensive. Someone must say why he can't change the person.
Because the operation under the endoscope was more troublesome at this time, a big problem occurred if carelessly changed hands. If Zhang Youfu could not wait to come to Chen Cang, he would definitely replace with a device and go to suture himself.
Chen Cang simply waited!
Every minute of the epidemic elapsed. Everyone stared at the screen carefully, and the atmosphere did not dare to sip!
Finally, after Chen Cang finished sewing, Zhang Youfu then withdrew the equipment carefully, and the whole person sat aside.
When Chen Cang saw this, Shen Sheng said, "Director Zhang, take a rest first, let me come!"
沧 Cang Cang has a master cholecystectomy, but in the face of this situation, he can't be careless. The only thing that he can rely on is the guidance of a famous teacher who has less than three hours left at this time.
Chen Cang suddenly changed his face after the endoscopy investigation!
[Icteric cholecystitis with adhesion intestinal obstruction, lv55, Wang-level monster! 】
King monster!
Chen Cang has mixed feelings.
I am glad that if I cut this gallbladder and successfully complete my transfer job, it may bring unexpected rewards, and the king-level monsters are very explosive. It is a very wonderful thing.
But this also means that the surgery is too difficult, can you complete it yourself?
take it easy!
Chen Cang took the separator and began to take over Zhang Youfu's work.
Although his experience is not as rich as Zhang Youfu, Chen Cang's technique is very delicate. He can't come more than once a few times, so the time passes by every minute.
沧 Cang Cang finally separated the duodenum from the triangle of the gallbladder, but the most serious thing at this time is that he can't bleed!
Anonymous guidance suggested that the hepatic arteries were stuck together, and certainly could not be separated. What needed to be done was ligation and intussusception.
Cang Cang looked up and said to Zhang Zhixin, "Teacher Zhang, help me ligate the hepatic artery."
Zhang Youfu stunned and got up quickly: "Xiao Chen, don't worry, the patient has portal hypertension, low blood coagulation, and bleeding is a big problem!"
沧 Cang Cang nodded: "Director Zhang, take a break first, give it to me here."
After saying this, everyone felt surprised.
After all, Chen Cang is a young doctor who is 27 or 8 years old, and which one is not more experienced than him!
However, this sentence from Chen Cang's mouth is very deterrent, so that everyone can not help but convince.
However, Duan Bo was very complicated at this time. He was far from thinking that Chen Cang, who was here at this critical juncture, was an emergency inpatient who had encouraged and laughed.
The current Duan Bo is already a deputy high, and is a person with a high level of general surgery skills. Under this scene, however, it is like a stake, and there is nothing to do there.
沧 Cang Cang just turned around and looked up at Duan Bo: "Let's make it."
Duan Bo froze, flushed, and quickly took a step back.
Zhang Youfu snapped, "Duan Bo, don't move away!"
After a while, Duan Bo almost felt complacent.
Everyone watched Chen Cang's operation on the TV screen.
沧 After being prepared, Chen Cang glanced at Zhang Zhixin: "Ligature!"
Zhang Zhixin nodded, and the hemostatic forceps stopped bleeding instantly!
时间 At this time, the time is urgent, because the patient has portal hypertension, and the ligation time is very limited!
沧 Cang Cang decisively acted, cut off the adhesion blood vessels, and then quickly nested suture!
Chen Cang's stitching speed can be said to have once again convinced every director and dean present.
At first, it was open suture, and everyone felt that it was acceptable.
But this type of endoscopic vascular suture is extremely demanding on the surgeon. There is no strong and powerful suture technique, and this kind of work cannot be done at all!
The No. 5 proline line is undulating, just like a butterfly passing through a blood vessel. In just two minutes, the stitching is complete!
Chen Cang said quickly: "Release!"
Zhang Zhixin already sweated with both hands, and quickly released the hemostatic forceps at both ends, and blood flow was normal again.
解决 Solving the problem of severe adhesion through vascular intussusception is a miracle idea of ​​genius!
Zhang Youfu also shines!
This operation is done ~ EbookFREE.me ~ It can be awarded at this year's annual meeting of liver and gallbladder surgery!
I thought of this, Zhang Youfu looked at Chen Cang, his face was full of appreciation!
After all, I can think of a way to solve adhesions, separate blood vessels, and free the triangle of the gallbladder. It requires not only genius ideas, but also based on genius operations!
Such as excellent separation technology!
Decisive and rapid endoscopic vascular intussusception suture technique!
Every one is indispensable!
This is a personal talent!
If you can come to general surgery, Zhang Youfu is willing to give him the deputy director!
Yes, Zhang Youfu is willing to be a 27-year-old resident doctor to be the deputy director.
Of course, he also knows that his relationship is useless, Tan Liguo would only do it.
After the separation, the surgery became clear!
Separate the triangle of the gallbladder, remove the gallbladder, and remove excess stones ...
The surgery is about to succeed!
When I think of the harvest, Chen Cang is so excited!
Ps: Update three chapters first, and five chapters tomorrow at 12 noon. (Because I have n’t finished writing, I have to work late tonight tonight ... hhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhahahah, so I owe it). I owe 3 chapters, 20 silver, 2 monthly passes, for a total of 25 chapters. Get started!)
The toilet was broken in the evening, the toilet was gone, and his face was aggressive.