Chapter 922: : The core meaning of auxiliary

Colon cancer surgery, usually to choose 15cm distal to the tumor.
Therefore, the whole operation has to be removed a lot!
The terminal iliac ileum, appendix, cecum, ascending colon, and one third of the transverse colon.
At the same time, the corresponding mesentery and omentum and the lymph nodes around the blood vessels must be removed.
Tumor surgery has always been the focus of current gastrointestinal surgery!
Sun Guangyu glanced at Chen Cang and said, "Is it possible to approach from the inside?"
Cang Cang nodded!
The medial approach is a lot more difficult than the lateral approach, but it is in line with the principle of non-contact for tumor radical treatment, and it has high requirements on the mirror-holder.
之前 Before the operation, Chen Cang started to deal with the lens.
First soak in hot water at 60-70 degrees, and let the staff prepare a portion of warm water.
Suddenly let Zhuang Yueming give a stun: "Dr. Chen is very professional?"
Cang Cang nodded: "Well, often help, come up with a set of theories."
As soon as he spoke, Chen Cang began to wipe.
Sun Guangyu took a curious look at Chen Cang: "What were you doing just now?"
沧 Cang Chen smiled: "After soaking in hot water, the visual effect is clearest, and warm water is prepared during the operation, which can keep the lens from fogging."
广 Sun Guangyu rarely played support, and really didn't know about holding a mirror.
I heard Chen Cang's words, and immediately felt very reasonable: "Very professional!"
Chen Cang smiled, and started wiping with soft sterile gauze.
Cleaning the mirror is also very skillful.
气 After the pneumoperitoneum is established here, the laparoscope enters.
沧 Cang Cang deliberately chose a special angle.
Different angles make the field of view in the lens different. The field of view provided by the laparoscope base at this time is just like an open abdomen, which is in line with the operator's observation angle habits.
Sun Guangyu glanced at Chen Cang and was really a little curious!
"This view is really comfortable!" Sun Guangyu sighed, telling the truth.
This is not flattering to Chen Cang, but the words in my heart!
indeed!
好的 A good mirror-holder is like a good photographer, showing the surgeon a beautiful and harmonious picture.
Chen Cang did a good job at this time. He displayed the ratio of a golden section point on the display, and the observer's target was placed on this golden section point. This operation was very accurate!
The ultrasonic knife used by Sun Guangyu is very sharp!
沧 Cang Cang has always maintained the base of the laparoscope and constantly adjusted the surgical field!
Because the precision of the operation is quite high, there are many blood vessels to be processed.
Including gastric and colon vein trunks, gastric omentum veins, middle colon veins ... anterior pancreaticoduodenal veins and so on ...
Therefore, the field of vision of the surgery needs to be constantly enlarged and reduced.
Change the height and distance of the field of vision and adjust the field of operation.
Laparoscopy has the function of a magnifying glass. The clever use of the surgical field to process blood vessels is a great advantage of laparoscopy.
广 Sun Guangyu here feels that the operation is very easy today!
It seems that this lens can be completely moved according to his own mind, it seems that he can understand his own mind!
Oh no ...
镜头 This lens is better than what you want!
With many small lens treatments, Sun Guangyu had no idea.
But Chen Cang can always keep up, make changes, and give the most comfortable view!
Even, Sun Guangyu has an illusion that the mirror-handler knows this operation better than himself!
Thought of this, Sun Guangyu took a deep look at Chen Cang!
This is the first time in his history that he feels that a mirror holder needs superb skills!
It's true that Chen Cang didn't expect his assistant to play so well.
Just like playing a game to make a tower knife, this assistant makes you too comfortable. Part-time job is even more understandable than you!
Yes!
沧 Cang Cang does not understand this radical colonectomy, but he understands the surgical field of vision, when to provide what kind of lens, when, and what angle does not affect your operation.
Quickly, it was time to free the colonic hepatic flexure and separate the lateral peritoneum.
The gap between Toldt and Gerota fascia is separated. At this time, the endoscope can easily cause insufficient three-dimensional field of vision, affect the operation, and affect the accuracy of the operation!
But ...
广 Sun Guangyu was surprised to find that the angle given by Chen Cang's mirror was rotated through the optical fiber, which cleverly provided an ideal observation field!
This is really amazing!
This kind of rotating optical fiber realizes stereoscopic observation of the target, which allows better operation space and observation field for gastrointestinal surgery.
Sun Guangyu is even more powerful with such assistance.
With Chen Cang's "direction behind, double-sided encirclement, frontal convergence" stereoscopic observation of the colon, accurate completion was achieved.
The laparoscope holder always serves the main knife, the eye of the main knife. There can only be one core command on the operating table, that is the main knife!
So the mirror holder must follow the main knife, think what the main knife thinks, where the main knife thinks, and where the fingers are!
But!
This operation, Sun Guangyu felt like he was being assisted with flying ...
I really do!
Chen Cang has basically made every step of the operation clear, telling you what needs to be done here.
He is like ...
Correct!
哪 Where he points, where do you fight!
Even, this mirror-holding hand directly reduces the difficulty of the operation, making such a laparoscopic operation more comfortable than open surgery!
The more Sun Guangyu is doing, the more he feels happy and happy!
I even have a faint feeling of breaking through myself.
Correct!
There is also a feeling of conscience in the mountains and waters.
关系 The relationship between the main knife and the mirror holder is really so weird ...
The operation was quickly removed and the anastomosis was reached.
Compared with Chen Cang's anastomosis, Sun Guangyu chose an anastomat to complete the operation. For the elderly, using a special anastomosis material metal does not easily cause a surgical stress response, and the effect is the best.
Fast!
Surgery is complete!
After Sun Guangyu withdrew the instrument, he looked at Chen Cang, and he was surprised, speechless for a long time.
Nowadays!
才 Only then did he feel what is called God-level assistance.
With an assistant, you can take the main knife super god.
Zhuang Yue, who was aside, was dumbfounded tomorrow morning.
He looked at today's surgery ~ EbookFREE.me ~ I am embarrassed to tell Director Sun that he feels ... Director Sun is lying and winning today!
Much credit goes to Chen Cang.
He was a help, he clearly felt the convenience of the visual field brought by laparoscopy.
He feels that he can do the same!
You don't have to be sent by Director Sun.
Thinking of this, Zhuang Yueming looked at Sun Guangyu, and even felt envious ...
Surgery is done!
Sun Guangyu finally said: "It's better than not knowing that the original mirror-handler has so much attention!"
"I feel like Dr. Chen is gone in the future, I don't want to do this laparoscopic surgery!"
After I said this, no one laughed.
Because this is the truth!
Also, the anesthesiologist on the side watching the operation on the TV and said to himself, "This is the most successful operation record I have ever seen, none of them!"
Cang Cang listened to the praises of the crowd, and could not help but smile: "Director Sun is polite. Everyone ... so polite."
Sun Guangyu could not help but sigh: "You know, Dr. Chen, I'm really not polite."
Chen Cang, at this time, he suddenly heard the system prompts:
【Ding! Congratulations, you learned Sun Guangyu's: Colorectal Anastomosis (quasi-perfect level)]
Cang Cang immediately rejoiced and made a lot of money!
He now understands: the core meaning of the auxiliary is to make the main knife comfortable, and then hand over the skill book honestly!
Uh ...
Uh ...
Ps: At the end of the month, I'm asking for a ticket ~
You vote, I vote, Chen Cang will debut soon!