Chapter 907: : I'm the main knife

I heard Chen Cang's improved gastrectomy, and everyone in the room was quiet!
He Zhiqian looked at Chen Cang with a serious face: "Dr. Chen, be careful. Everyone is a hospital. You can take it when you say it."
"However, you can't utter this sentence when you go out to improve it. This is to get off the mark."
He Zhiqian is telling the truth and is also concerned about Chen Cang.
For the sake of his youth, I reminded him that the technical improvement can not be talked about arbitrarily, without sufficient clinical analysis, it cannot be said to be improvement.
怎么 How do you know that after improvement, you will be better than the original?
When Chen Cang heard it, he suddenly nodded embarrassedly and smiled, "Sorry, Teacher He, I'm a little excited."
He Zhiqian nodded: "It's okay, you can introduce it to everyone."
Chen Cang nodded.
Last night, he used a modified technique to improve a major gastric resection.
After the improvement, Chen Cang's mind has improved Bi 1 and Bi 2 to varying degrees, and even a variety of anastomosis methods suitable for different scenarios have appeared.
When Chen Cang responded, he was surprised to find:
完善 This perfection allowed Chen Cang's major gastric resection to be directly upgraded to the perfect level.
It surprises him!
I did not expect that the rewards of the last time were so rich.
Chen Cang started to introduce after he went up.
"Che Zhehua's gastric mucosal damage is very serious. Even in those places without ulcers shown by gastroscopy, there are actually different degrees of damage. Even after two days of observation, reflux esophagitis may exist."
"Once the patient has removed the upper part of the abdominal esophagus, reflux esophagitis will definitely be serious!"
这样 "In this way, once the gastric acid secretion is too high, the disease will be aggravated, so you need to use surgical methods to reduce acid and accelerate gastric emptying, which is also a more thorough treatment!
Resection of the lower part of the esophagus and the stomach, followed by gastric jejunostomy. "
I heard Chen Cang's words, and everyone nodded slightly, which is indeed such a truth.
Reducing the secretion of gastric acid and pepsin can indeed effectively promote the rapid emptying of the contents, reduce reflux, and reduce damage to the esophagus and gastric mucosa.
He said at this time, He Zhiqian suddenly opened his eyes:
医生 "Dr. Chen, do you mean using Roux-en-y jejunostomy?"
When I heard Roux-en-y jejunal anastomosis, several people in the gastrointestinal surgery who were present all had their eyes lit up.
This is a treatment for severe reflux esophagitis and gastric acid. Surgery with excessive pepsin secretion.
However, it is really a good way to apply to such a patient at this time.
The big guys are all in front of them. Indeed, compared to Bi 1 and Bi 2, the method of using Roux-en-y jejunal anastomosis is indeed the best.
But ...
At this time, a director did not speak, and finally said:
"Still anastomotic fistula. If Roux-en-y jejunostomy is used, the feasibility of anastomotic fistula will be greatly improved."
"If an anastomotic fistula occurs, a second operation is needed, and even the digestive tract needs to be reconstructed, the operation difficulty will increase again!"
It is true that one of the complications of Roux-en-y jejunal anastomosis is an anastomotic fistula. If this is not handled properly, it is obvious that the patient will have some troubles.
沧 Cang Cang is very clear and well prepared: "Actually, all I have to do is change some details based on Roux-en-y jejunal anastomosis."
那就 "That is, we do not need to perform a jejunotomy! Do not cut off the jejunum during Roux-en-y jejunostomy, so that the possibility of postoperative complications anastomotic fistula will be greatly reduced!"
When I was talking, Chen Cang began to describe quickly on the demo board.
沧 The whole process of Chen Cang is already clear in the chest, so it is very fast when drawing.
Cang Cang quickly sketched out the entire procedure with a few simple sketches.
After I finished painting, everyone stared at the drawing board and began to meditate.
Do not cut off the jejunum?
Seems to be a good idea.
Several directors whispered, including Director He Zhiqian, with closed eyes and thought.
A surgeon with extensive clinical experience and a battle-hardened surgeon, he will have a detailed understanding of the operation, and even form various ideas based on the picture.
Time is worthless at this moment.
One point and two points continue to flow.
Everyone is thinking.
The old horse was in a daze.
Lao Yu glanced at the old horse, and the old horse immediately frowned and kept frowning.
Chen Cang swears that this is the worst acting skill he has ever seen.
Can you grin when you frown.
Sahla came out.
Any individual can see what you are doing.
You think ... think a ghost.
Chen Cang helpless.
It's true that the old horse didn't really understand Roux-en-y jejunal anastomosis, but he felt that Chen Cang just pretended to look like himself in his dream.
This kind of spirit!
It's so cool ...
After half an hour, everyone nodded after a long discussion. This idea was feasible after everyone's careful thinking and discussion!
But how effective it is, it's hard to say!
After all, this is only feasible in the theoretical sense ~ EbookFREE.me ~ The effect needs further observation.
Everyone can't think of a good way, it might as well be like this.
Alas, after a few minutes.
He Zhiqian looked at Chen Cang: "Dr. Chen, after we discussed it, we thought this idea was feasible."
Cang Cang nodded and said thank you!
He didn't pretend to be aggressive this time, otherwise he wouldn't use the spell improvement card.
He really wants to help Che Zhehua do something.
He doesn't have enough fans and influence to help him expose the publicity, and he doesn't have enough ability to punish evil and do good.
After all, he is just a doctor.
He can only do things that are good for his ability to help Che Zhehua within his ability.
For example ...
I returned him a healthy body.
At this time, Zhang Chahai, the chief director of thoracic surgery, glanced at Chen Cang: "Dr. Chen, I don't know how your thoracic surgery is done. Can you do it today?"
沧 Cang Cang suddenly looked up in surprise: "Yes!"
He thought he was assisting at most, but he didn't expect this director to give himself c to carry himself!
Zhang Chahai nodded and smiled: "Okay, then you have esophageal surgery!"
Cang Cang nodded with joy, and directly exchanged [esophageal colon surgery]!
This is a skill in thoracic surgery. At first Chen Cang felt that if he didn't go to surgery, he shouldn't exchange it. Now it seems that Chen Cang chose to exchange it directly.
察 Zhang Chahai nodded and encouraged, "Do it well! Let me see how your lung tissue flap esophageal repair works."
After Chen Cang heard it, he smiled, "Sure!"