Chapter 910: : Can I swear?

When the esophageal surgery is successfully completed.
Everyone looked up and found that it was 9 o'clock in the evening.
A reconstruction of the esophagus took almost two hours.
接下来 The next major gastrectomy will take more than two hours.
The whole operation is not only difficult but also heavy.
四 The precision operation of up to four or five hours is a test for a surgeon.
After the esophageal surgery was successfully completed, Zhang Chahai also breathed a sigh of relief, moved his neck, and clicked, as a surgeon, which one has no cervical spondylosis?
Without rest, start the following operation directly.
Improved Roux-Y anastomosis after gastric resection!
Bian He Zhiqian had been looking forward to it for a long time. He has been watching the water dispenser for more than two hours.
Hands are already hunger and thirsty!
At this time, Chen Cang said, "Left quarter ribs are backed up by 20 °."
句话 This sentence immediately made everyone stunned.
But the two men's nurses nodded quickly and began to help.
Everyone was bewildered, and startled by Chen Cang.
But He Zhiqian was a little guilty.
I won't cause any trouble to Dr. Chen?
He thought of this, He Zhiqian couldn't help sighing, and he was afraid to act lightly.
"Director He, you can strap it and lift the lower end of the esophagus."
Although He Zhiqian did not know what Chen Cang was going to do, he could still understand the command.
Here, Chen Cang also started the surgery!
No matter what I knew, He Zhiqian found that he had lifted the esophagus for an hour and a half in the next time!
For He Zhiqian, who has been a director for more than ten years, it is ... a big deal!
Lao He is also very guilty!
Zhang Chahai, at least, helped the operation, and became a tool man himself, the "esophageal lifter" for surgery?
However, when he looked at the old horse with his hands still on the colon, he suddenly felt much happier.
Old horse glanced at Chen Cang: "Little Chen, I ... can't match?"
沧 Cang Cang shook his head: "Took it up, don't move."
When the old horse heard it, he nodded helplessly, and gave an envious glance at Lao He.
After all, they are carrying a free esophagus. They carry two large intestines in their hands, just like a large intestine.
Without contrast, there is no harm.
After seeing Ma Yan, the "intestinal messenger", He Zhiqian also felt that Dr. Chen was also good to himself.
Surgery continued, and Chen proficiently underwent a major gastric resection near the pylorus.
He Zhiqian's hands were bound, but his eyes were freed. He was acutely aware that Chen Cang's major gastrectomy seemed a little different from his own!
This made He Zhiqian frown suddenly!
This cut is strange?
Why cut it out like this?
Wu Mingming can retain more stomach tissue, why should Chen Cang remove it?
This is in stark contrast to the esophageal resection that was just stabbed!
Why?
He Zhiqian became more and more confused.
I began to look at the operation with doubt.
Here, Chen Cang has completed two layers of the duodenum stump closed and left open.
Then immediately cut off the right gastric and right gastric omentum arteries, closed with double suture on the small curved side, and kept 6cm in diameter on the large curved side!
6cm diameter, how is this possible?
This way, there is no way to perform gastrojejunostomy.
Once the tension is too high, anastomotic fistula will definitely appear, which not only does not alleviate, but will increase!
保留 This reserved stomach structure obviously makes He Zhiqian frown.
Why is this?
He can't understand!
This makes He Zhiqian uncomfortable. If the left quarter of the ribs at the beginning was raised by 20 °, he just frowned.
Then the major resection of the stomach has made him curious.
陈 Is Chen Cang's level limited?
Definitely not!
He Zhiqian shook his head instinctively. If the level is limited, it cannot be the rhythm.
What the is it?
Cang Cang is getting more and more happy now. With basketball, the hands are getting hotter and hotter.
Yes!
Then, according to the Roux-en-y anastomosis of the stomach and jejunum, the jejunum was cut 20 cm away from the Treitz ligament, but Chen Cang did not cut it!
He made a longitudinal incision directly on the side of the jejunum, and made a longitudinal incision to match the large curvature of the stomach.
After seeing this scene, He Zhiqian immediately hesitated.
Pouting slowly spit out my Cao.
He got it!
He knew everything, he knew why Chen Cang did it.
This way, it is a reconstruction of the gastrointestinal tract!
The length of the small intestine is sufficient. Chen Cang took advantage of the spatial freedom of the jejunum. Instead of choosing the duodenum, he directly formed the side of the jejunum and the stomach into a structural "stomach-like" structure!
In this way, it coincides with the first scene of Chen Cang's presentation in the office.
He Zhizhi shook his head and shook his head, even feeling that his back was cold and sweat was seeping out. This was exciting and a surprise after he realized it.
He thought that Chen Cang had changed his surgical plan when he changed.
It doesn't look like that now!
He was wrong because he understood Chen Cang's previous operation.
Genius!
The cliff is a genius!
UxRoux-en-y gastrojejunostomy is designed to prevent reflux esophagitis and accelerate gastric emptying to build such a rapid emptying structure.
In the case of the patient, the gastric mucosa is damaged, similar to the effect of gastroesophageal reflux, and Chen Cang directly discards the duodenum and uses the intact and healthy duodenum to make the fundus. A "stomach-like" structure!
This is a genius idea!
At this moment, He Zhiqian was really excited.
He never thought that Chen Cang could think so much.
He originally thought that the improved Roux-en-y gastrojejunostomy did not cut off the colon, but he didn't expect that ... he did not cut off.
Yak!
This operation can definitely open up a new field of gastrointestinal surgery.
"Stomach-like" surgery!
He Zhiqian couldn't help but smile a bitterly ~ EbookFREE.me ~ said a little bit excitedly: "Dr. Chen, you really convince me!"
好 "A good modified gastrectomy! You have reconstructed a stomach!"
Chen Cang smiled: "Keep watching, don't worry!"
He Zhiqian hesitated, is there anything mysterious?
At this time, Chen Cang was also a little excited. This operation opened Chen Cang's new vision and new ideas for gastrointestinal surgery.
He suddenly felt that gastrointestinal reconstruction was not as difficult as he imagined!
Quickly, the esophagus and the stomach end anastomosis ... the ends of the colon anastomosis!
所有 After all the work was completed, Chen Cang linked the greater omentum to the stomach, fixed the stomach slightly on the upper body, and after the descending colon Chen Cang anastomosis, he also moved a bit ...
Cooperate with the operation of raising the left quarter costal back by 20 °!
The entire esophagus, stomach, small intestine, large intestine ... At this moment, the reconstruction of the digestive tract is successful!
Everyone saw this scene, suddenly widened their eyes, full of shock!
"Can I swear?"
"Grass!"
牛 "Bull ... too bull!"
"Dr. Chen, you are a genius!"