After Chang Xiong finished speaking, there was another silence around him!


    Chang Xiong continued: "in fact, combined with the patient''s situation..."


    "Three years after operation, the patient''s recovery is general, and I don''t think the survival time will be very long."


    "If the platysma myocutaneous flap is used to reconstruct and repair the cervical esophagus, it is still very feasible."


    "But... In this way, even if the patient recovers well from gastric cancer, he will need surgery again because of esophageal problems. At that time, I estimate that the success rate of surgery will be very low."


    This sentence is very euphemistic, but it is also very realistic.


    In other words, even if the patient does not die of gastric cancer, he will die of esophageal problems.


    At this time, there was another silence around!


    What the hell?


    The operation of this patient is really a difficult operation!


    The patient''s condition is too complex and there are too many basic diseases. It is too difficult to find the best treatment scheme.


    Yu Yonggang suddenly said, "go find the patient''s family members to sign, tell him about the relevant operation, and let them choose for themselves."


    Indeed, perhaps now the choice is not in the doctor, but in the patient''s family.


    After all, any kind has obvious complications. Sometimes, doctors can''t make choices for patients.


    When the nurse here was ready to leave, Chen cangmei''s heart was locked!


    He suddenly said, "director Yu, I have an idea!"


    As soon as Chen Cang''s voice came out, he immediately attracted the attention of the people around him.


    We all know this trainee in Corey, but to be honest, we don''t care too much.


    Because an insignificant trainee is too insignificant for the whole six emergency departments.


    Yu Yonggang looked at Chen Cang: "Oh, Xiao Chen, what do you think?"


    Chen cangruo walked forward thoughtfully: "look, the damaged mouth of the esophagus is relatively low, and the damaged mouth is very irregular. There are great restrictions on whether to choose the autologous colon to replace it or the platysma myocutaneous flap mentioned by director Yu!"


    Everyone nodded.


    We all know that this is the truth.


    Chen Cang continued: "in fact, I was thinking that this position can actually choose to use a special repair material!"


    "That''s lung tissue!"


    As soon as he said this, the people around him were quiet.


    It was the first time they had heard of using lung tissue to repair the esophagus.


    But Chang Xiong was suddenly stunned!


    This very creative idea is definitely not utopian, but supported by papers. He remembers seeing such a record in the lancet.


    Chen Cang continued: "I mean to use lung tissue flap to repair the irregular damage of intrathoracic esophagus!"


    "First of all, because of the repair materials, the repair materials for large-area esophageal defects are easy to meet because the lung tissue is easy to obtain!"


    "The second and most important point is that the blood supply of lung tissue valve is rich, which is better than other repair tissues and materials."


    "Third, even if a part of lung tissue is removed, there will not be much damage to lung function!"


    "Finally, the lung tissue flap is soft and closed. The surface of lung tissue is covered with pleural epithelium. Therefore, the inner wall of lumen is smooth, food is not easy to adhere, and it is not easy to cause infection, which is conducive to re epithelization of the inner wall!"


    After Chen Cang''s words, the whole operating room fell into silence!


    Who can think of removing part of the lung tissue flap as the material for esophageal wall repair!


    Although what Chen Cang said is very reasonable, many people still have a skeptical attitude!


    However, after hearing Chen Cang''s analysis, Chang Xiong couldn''t help blurting out: "good idea! I think it''s feasible! In this way, the operation will not be very difficult! There are fewer postoperative complications! This may be the best choice!"


    Yu Yonggang also kept thinking and nodded slowly: "feasible!"


    Hearing director Chang Xiong and director Yu''s firm affirmation, everyone was surprised.


    Is it really feasible?


    Yu Yong just hesitated and looked at Chen Cang: "Xiao Chen, can you do it?"


    Chen Cang nodded: "yes!"


    Chang Xiong couldn''t help laughing: "people who can think of such genius and creativity should have no problem doing this operation!"


    Yu Yonggang nodded, stared at Chen Cang and said, "OK, you do it!"


    As soon as he said this, he was surprised all around.


    Let Chen Cang do such a difficult operation?


    Director... Is it too hasty?


    Chen Cang stepped forward, picked up the scalpel and opened his chest directly!


    Without the slightest determination and hesitation!


    At this time, everyone around turned their attention to Chen Cang.


    He was not nervous at all. He cut open the chest wall with a knife, and there was little bleeding.


    Yu Yonggang nodded and had some strength!


    After thoracotomy, the tissue of the lung is also exposed, and at this time, the lung continues to relax and contract


    Chang Xiong suddenly asked, "do you want an artificial lung?"


    Chen Cang shook his head. He not only didn''t need it, but also needed to use the tension when the lung tissue relaxed!


    I saw him pressing his hands on his lungs, looking at the whole lung in his eyes, constantly thinking about how to cut it!


    There are pulmonary arteries and veins in the lung tissue. The operation needs to avoid the arteries and veins and carefully cut while preserving the blood supply.


    Moreover, the capillaries in the lung tissue flap should be protected, which is the key to the success of the operation.


    Only by maintaining good blood supply and intact capillaries can we enhance the anti infection ability of lung tissue valve and speed up wound anastomosis.


    Chen Cang looked at the nurse: "microscope! 4 times."


    To be on the safe side, Chen Cang decided to cut it with a microscope.


    The whole process of removing lung tissue is the key to the success of the operation. So be careful and be careful!


    Just as everyone stared at Chen Cang''s scalpel, Chen Cang gently pressed his right hand. With the relaxation of lung tissue, the light of the knife flashed! A moderately sized flap was cut off!


    This scene immediately surprised everyone!


    Chang Xiong stared: "so fast!"


    Yu Yonggang is also a little stunned. Isn''t this boy from cardiac surgery? Why... This operation is so good!


    Yes, Chen Cang''s knife is very persuasive!


    Seemingly simple, in fact, experts know the difficulty!


    It can be said that the style of this knife!


    Very shocking!


    During lung relaxation, skillfully observe the movement of the lung, and then quickly cut off the lung tissue valve, and retain the complete tissue and blood vessels!


    The operation continues!


    At this moment, no one dared to underestimate Chen Cang.


    Nothing else, just that knife!


    You can go directly to level 999!


    Yu Yonggang looked at Chen Cang and was more and more surprised. Maybe... He really underestimated the young man!


    After the operation, let Chen Cang officially join the sharp knife group!


    ……


    ……


    PS: sorry, I have a headache. I write slowly, so now, forgive me... Try to keep it updated. Come on!