"I saw you take the red envelope!" the old horse smiled. "You divide me, I won''t report you!"
Chen Cang clenched his pocket: "I accept the red envelope by strength. Why should I divide you!"
Old Ma Shan smiled: "what a lovely girl! Give me one, just one."
Chen Cang carefully selected and gave the cheapest fruit flavor to the old horse, and the big white rabbit kept it for himself.
The old horse opened it and stuffed it into his mouth. The sweet taste came. It was very thick, cheap but also precious. It was aftertaste in his mouth.
Eating sugar, old ma and Chen Cang went to the operating room together.
As soon as he got to the operating room, old Ma''s big mouth told several directors about Chen Cang''s collection of red envelopes!
Chen Cang was speechless immediately. Should I help him
Share the sugar!
At this point, Chen Cang had only three big white rabbits left in his hand. He quickly stuffed one into his mouth and licked the remaining two white rabbits to Qin Xiao.
The old horse said with a smile, "I''ve received all the red envelopes, but I have to work hard."
Zhang Chahai nodded and smiled, "it''s easy to say."
After brushing their hands and chatting about the details of the operation, they walked towards the operating room.
Zhou he was an anesthesiologist. After the analysis, he began to prepare nervously.
This operation is very difficult!
Chen Cang looked up at the time, 7:20 p.m.
The operation officially began.
The whole operation requires neck tissue separation and repair, thoracotomy, subtotal gastrectomy and esophageal colonic interposition, so there are many openings.
At the beginning of the neck esophageal separation operation, Zhang Chahai looked at Chen Cang''s skilled and steady operation. If he didn''t look at his face, he thought he was an old director in his fifties.
Fortunately, the mucosa has not been perforated, but the difference is not great.
The whole process is even more difficult than being damaged and perforated, because it requires the evaluation and removal of damaged tissue.
This undoubtedly adds an operation process, and it is a very troublesome thing to operate in such a dense place with so many nerves, blood vessels, thyroid and other tissues in the neck.
It took more than 20 minutes for Chen Cang to separate successfully.
At the same time, the prompt sound sounded in Chen Cang''s ear!
[Ding! The disease of digestive tract burned by sulfuric acid is comprehensively determined as king boss. The operation is very difficult. It is recommended to be carried out carefully.]
King!
However, the difficulty of such surgery is not too much to say King level.
Chen Cang didn''t have too many mood swings. He held the scalpel firmly, looked at the esophageal wall and began to cut slowly.
This is a fine process!
How to effectively peel off undamaged tissue and effectively retain healthy tissue is a task that requires great patience.
Chen Cang''s eyes are extremely accurate in judging the damaged parts of red.
When cutting, he was also very decisive.
In fact, the operation process is not as beautiful as expected. The blood will flow out continuously, and the damaged scar tissue and the inner wall of the ulcer look ferocious.
But people are used to it.
Watching Chen Cang immerse himself in the operation, Zhang Chahai made the esophagus as free and stable as possible.
As time goes by, Chen Cang hopes to retain as much normal tissue as possible and the peristalsis and related functions of the digestive tract.
Digestive tract reconstruction technology is a technology that the world has been trying to study.
It''s not too much to include this Mayo gastrointestinal digestive function Summit Forum. Their goal is how to achieve the maximum recovery of gastrointestinal function after gastrointestinal reconstruction.
This is an international problem!
There are many problems to be considered. The digestive system is not only the digestive tract, but also the liver, gallbladder, pancreas and other digestive organs.
The next step is thoracotomy.
Zhang Chahai looked at this process very carefully.
Chen Cang did not reserve either.
In fact, Chen Cang never retained these surgical techniques. Even during the last operation, he focused on explaining the principle and surgical process to Ma Yuehui.
But old ma... It''s sad not to talk about it.
Looking at the calm Chen Cang, Zhang Chahai was a little distracted for a while, because of his bearing and calmness. To tell the truth, it''s really unusual.
Ligate and cut off the middle lobe bronchus of the right lung, do not damage any pulmonary arteries and veins, retain the tissue valve, make the lung tissue valve, and repair the lung tissue
The whole process looks familiar. It seems that hundreds of sets have been made.
Next, it''s the coincidence process.
After Chen Cang covered the defect with the lung tissue flap, an incredible scene appeared!
Zhang Chahai stared at Chen Cang in disbelief.
So good?
Just now, the leisurely operation like idle clouds and scattered cranes unexpectedly
Do you?
you ''re right!
Zhang Chahai is acutely aware that Chen Cang''s operation is not fast, but deliberately reduces the operation speed in order to improve the operation accuracy, so as to ensure the maximum operation effect.
From the most suitable lung tissue, making the smallest lung tissue valve can meet the needs of the whole esophagus. What is the level?
Thinking of this, Zhang Chahai was a little more dignified.
The transection of esophagus was anastomosed. Chen Cang started continuous suture with 3-0 absorbable suture and added a layer of suture similar to plasma muscle layer.
The speed and rhythm of sewing are as precise as machines, which makes several directors feel thousands of feelings.
"Xiao Chen''s basic skills are really solid. This set of operations and operations are like an old director in his fifties."
"Awesome!"
Several directors praised him frequently, and Chen Cang said nothing.
The old horse on one side smiled faintly: "basic operation!"
This sentence stunned the people around him. Even Chen Cang looked at the horse and suddenly felt that there was potential for development!
After the neck repair, Chen Cang directly repaired the esophagus of the chest. At this time, he needs to resect a section of colon by laparotomy for standby.
Chen Cang looked at the old horse and felt that he should be commended: "team leader Ma, you need only 5cm to cut the colon."
The old horse nodded and picked his eyes. See, Xiao Chen still can''t live without me!
The old horse is also very professional, and the open incision is not blindly selected.
After all, after a while, subtotal gastrectomy is completely unnecessary if you cut two holes. It''s best to do two things with one hole.
This kind of basic operation is not a big problem for team leader Ma.
When Chen Cang repaired almost the same here, he directly cut off the most severely damaged and narrow places that could not be repaired.
The old horse here has a successful operation and is ready to have a pedicled colon.
The severed colon was anastomosed end to end by two-layer discontinuous suture.
The use of colon empty surgery in the chest can effectively reduce the adverse reactions of tracheal compression.
Chen Cang made a small incision directly on the right side of the diaphragm foot and esophageal hiatus, and then passed the colon and its vascular pedicle to pass the colon through the chest behind the hilar.
The whole process seems simple, but every step needs to be careful, because once the colonic pedicle has tension in the space behind the displaced spleen and in front of the kidney, it will affect the blood supply and even lead to the failure of the operation.