After Chen Cang saw the system prompt, he was a little more happy!
Because he hasn''t seen the boss for a long time and solved it independently
I''ve seen it recently, but... These Lord level bosses Chen Cang can''t solve it. Naturally, he won''t try foolishly. If the operation fails accidentally, not only his career will be scrapped, but also the patient''s life will be gone.
Thinking of this, Chen Cang naturally has a little more expectation.
Wait!
Let''s go.
Otherwise, team leader Ma is back. It''s not clear who the boss is. Of course, the most important thing is that the patient may not be able to wait long.
Thinking of this, Chen Cang glanced at he Zhengzhi: "are you a little nervous?"
He Zhengzhi is not nervous. He is in a panic!
After all... What does your stomach look like in such an operation? Can you do it well?
He Zhengzhi wants to cry without tears. You ask me if I''m nervous
"A little... Dr. Chen, let''s wait for team leader Ma. After all, the difficulty coefficient of the operation is a little too high. You see, the ulcer surface and serosal layer are damaged, and there are more than one perforation. Considering the size and scope of gastrectomy, we''d better wait for team leader Ma to discuss it!"
"Moreover, the patient is still a foreigner. It is said that he is still a celebrity. We make such trouble... I''m afraid something will happen."
Chen Cang nodded and smiled: "OK, let''s clean up the abdominal cavity first and wait for team leader Ma to have the operation. How about it?"
As soon as he Zhengzhi heard this, he burst into tears of gratitude. Nothing makes him happier than this sentence!
Dr. Chen is so talkative!
He Zhengzhi nodded hurriedly, "OK, I''ll help you!"
Cleaning the abdominal cavity is a very troublesome and careful work.
Therefore, when he Zhengzhi was nervous, Chen Cang felt that appeasement was the best strategy. After all, any factor should be taken into account.
Seeing that he didn''t panic at this time, Chen Cang began to clean up his abdominal cavity.
The contents of the stomach should be sucked and washed clean.
In fact, this process is not much different from washing your belly with hot pot.
Sometimes, I feel that the operation is fine, but sometimes I feel that what is the difference between people and animals?
If it weren''t for the gurgling blood mixed with a 36 degree temperature
"Warm saline gastric lavage."
He Zhengzhi nodded.
At this moment, Dr. he was not nervous. He thought Dr. Chen was a good person. He could listen to people''s suggestions. In fact, he was very good at communication and communication.
At this time, gastrointestinal peristalsis basically disappears due to intestinal paralysis, just like intestinal obstruction.
The duodenum is also stretched, bulging.
Digestive surgery is a tasteful department, which has a higher psychological test for doctors.
In Li Yue''s words, in fact, we are "dung boys".
It took them a long time to clean up their abdominal cavity.
Then use antibiotics to prevent the aggravation of the infection.
Because of the long operation time, the patient has used antibiotics.
After cleaning up the abdominal cavity, he Zhengzhi hesitated to look at Chen Cang: "team leader Ma hasn''t come yet?"
Chen Cang nodded: "Hmm!"
"Or... Let''s separate the curvature of the stomach first!"
He Zhengzhi was stunned and took a look at Chen Cang. He only felt that his eyes were clear: "don''t you wait for team leader Ma?"
Chen Cang smiled: "no, team leader Ma came and had a direct operation. We did a good job in the preliminary preparation, and he was relieved!"
He Zhengzhi looked at anesthesiologist Zhou He suspiciously, swallowed his saliva and looked at Chen Cang: "you are usually like this?"
Chen Cang nodded: "yes, team leader Ma and director Yu are the same. They can only do core operations. After all, they are so busy and have time there. If we don''t handle it well, they will be unhappy!"
He Zhengzhi thought what Chen Cang said was very reasonable.
I haven''t had an operation with a big man, but it should be the same reason. Dr. Chen is a good person and shouldn''t cheat myself.
Then... Go on!
Seeing this, Chen Cang smiled with relief. Children can be taught!
"Lift up your stomach!"
He Zhengzhi nodded. He often did this job. He was in charge of it when the director of their department was in charge of surgery.
But... He Zhengzhi remembers that the director said that separating the stomach and duodenum is a very test for the chief surgeon, not a test for one help?
However, then he watched Chen Cang directly separate a hole in the gastrocolonic ligament with hemostatic forceps!
Then, the slender index finger went deep into it and picked it slightly!
Suddenly, I lifted the gastrocolonic ligament!
At this moment, the group of little nurses were stunned!
They found that Dr. Chen''s fingers were so long and powerful!
Indeed, he Zhengzhi also has to envy. It turns out that the length of his fingers has an advantage!
Chen Cang then cut the ligament between the two clamped hemostatic forceps along the lower edge of the gastroepiploic vascular arch on the great bend side to the left, and ligated it with silk thread.
These flexible fingers shuttle among them. They are slender and flexible. If they are not wearing gloves, they are absolutely beautiful!
This group of little nurses were also stunned. After working as an instrument nurse for so long, they found that the original digestive surgery can be done so well for the first time!
In fact, everyone doesn''t like digestive surgery. After all, it''s too delicious. In case of intestinal obstruction, people can''t eat for three days.
But Dr. Chen''s operation has made you forget a lot of bad things. Only this fast free finger is left in your eyes, constantly interspersed between the gastric omentum... Separation
Chen Cang stopped when he separated to the junction of the left and right gastroepiploic arteries, because the patient did not need total gastrectomy, so it was enough to separate here!
Just as he was preparing for the next move, Chen Cang suddenly found a troublesome thing.
No wonder it can be called Lord level, I see!
On the right side of the lower edge of the great bend: the gastrocolonic ligament, the posterior wall of the stomach, the transverse colonic mesangium and the pancreatic head capsule are tightly stuck together at four key positions!
Here, you must not cut off with a large clamp like the left. If you are not careful, you will damage a lot of tissues.
At this time, he Zhengzhi and Zhou he also found it, and their faces suddenly changed!
They looked at Chen Cang and were worried.
The four places stick together. If the separation is not good, it may be four defeats and all injuries. At that time, it will be a big trouble!
Chen Cang took a deep breath and glanced at he Zhengzhi: "lift your stomach and don''t move."
Then, he carefully took the lead in cutting the anterior layer of the gastrocolic ligament!
Next, we need to separate the anterior and posterior layers of gastrocolonic ligament, but the separation forceps can''t get in because of the angle!
Sharp separation will certainly damage the middle colonic artery!
Because these have been tightly adhered together, how to deal with it?
This position is extremely embarrassing, and the degree of adhesion is very complex. If you want to deal with it, the difficulty coefficient is very high!
Chen Cang''s breath was also short for a few minutes. He carefully observed the distance... Chen Cang looked down at his index finger and middle finger!
All of a sudden!