After successful esophageal surgery.
The crowd looked up and found that it was 9 o''clock in the evening.
An esophageal reconstruction took nearly two hours.
The next subtotal gastrectomy will take more than two hours.
The whole operation is not only difficult, but also heavy.
Four or five hours of precision operation is a test for a surgeon.
After the successful completion of esophageal surgery, Zhang Chahai also breathed a sigh of relief and moved his neck. It rattled. As a surgeon, who doesn''t have cervical spondylosis?
No rest, just start the next operation.
Modified Roux-Y anastomosis after subtotal gastrectomy!
He Zhiqian has been looking forward to it for a long time. He has been watching the water dispenser for more than two hours.
My hands are already hungry!
At this time, Chen Cang said, "the back of the left quarter rib is padded 20 °
This sentence immediately stunned everyone.
But the two male nurses quickly nodded and began to help.
And everyone was dazed and startled by Chen Cang''s open door gun.
He Zhiqian was a little guilty.
I won''t cause any trouble to Dr. Chen, will I?
Thinking of this, he Zhiqian couldn''t help sighing. He didn''t dare to act rashly when he was ready to start.
"Director he, you take the belt and lift up the lower end of the esophagus."
Although he Zhiqian didn''t know what Chen Cang was going to do, he could still understand the command.
Here, Chen Cang also started a quick operation!
Who knows, he Zhiqian found that he raised his esophagus for an hour and a half in the next time!
He Zhiqian, who has been a director for more than ten years, is... Overqualified!
Lao he is also oppressed!
Zhang Chahai has at least helped with the operation. He has become a tool man and the "esophageal messenger" of the operation?
However, when he looked at the old horse with his hands still on his colon, he suddenly felt much happier.
The old horse glanced at Chen Cang: "Xiao Chen, i... can''t match?"
Chen Cang shook his head: "well, don''t move."
The old horse nodded helplessly and looked at Lao he with envy.
After all, people carry a free esophagus and two large intestines in their hands, just like a man who sells large intestines.
Without comparison, there is no harm.
After seeing the "intestinal messenger" Ma Hanhan, he Zhiqian still felt that Dr. Chen was good for himself.
The operation continued, and Chen skillfully performed subtotal gastrectomy near the pyloric end.
He Zhiqian''s hands were bound, but his eyes were liberated. He keenly found that Chen Cang''s subtotal gastrectomy seemed a little different from his own!
This made he Zhiqian frown immediately!
Is this incision strange?
Why cut it off like this?
Obviously, more gastric tissue can be preserved. Why should Chen Cang be removed?
This is in sharp contrast to the stingy resection of the esophagus just now!
Why?
The more he Zhiqian thought about it, the more he couldn''t figure it out.
He began to see the operation with doubt.
Here, Chen Cang has completed the two-layer closed and open placement of duodenal stump.
Then directly cut off the right gastric artery and the right gastroepiploic artery, close the small curved side with double-layer suture, and keep the large curved side with a diameter of 6cm!
6cm diameter, how is this possible?
In this way, there is no way for gastrojejunal anastomosis.
Once the tension is too large, anastomotic leakage will certainly occur, which will not reduce, but aggravate!
This reserved stomach structure obviously makes he Zhiqian frown.
Why do you want to do this?
He can''t understand!
This made he Zhiqian very uncomfortable. If he just frowned at the beginning when his left quarter rib back was padded 20 °.
So now the subtotal gastrectomy has made him curious.
Is Chen Cang''s level limited?
Absolutely not!
He Zhiqian instinctively shook his head. If the level is limited, it can''t be such a rhythm.
What the hell is it?
Chen Cang is more and more happy now. In the words of playing basketball, his hands are getting hotter and hotter now. He has a good feel!
you ''re right!
Next, according to the Roux-en-Y gastrojejunostomy, the jejunum was cut 20cm away from the Treitz ligament, but Chen Cang didn''t cut it!
He made a longitudinal incision directly on the side of the jejunum and anastomosed the longitudinal incision with the greater curvature of the stomach.
After seeing this scene, he Zhiqian was stunned.
Slowly spit out a sentence of my Cao.
He understands!
He understood everything. He knew why Chen Cang did it.
In this way, it belongs to the reconstruction of the gastrointestinal tract!
The length of the small intestine is sufficient. Chen Cangli uses the spatial freedom of the jejunum and does not choose the duodenum, but directly forms a structural "stomach like" structure between the side of the jejunum and the stomach!
In this way, it coincided with the picture Chen Cang demonstrated in the office at the beginning.
He Zhiqian couldn''t help shaking his head. He even felt his back cold and cold sweat exuding. This was exciting and a surprise after he suddenly realized it.
He thought that when Chen Cang was about to change his surgical plan.
It doesn''t seem so now!
He misunderstood Chen Cang''s previous operation.
Genius!
Cliffs are genius!
Roux-en-Y gastrojejunostomy is to prevent reflux esophagitis and accelerate gastric emptying.
The patient''s condition is that the gastric mucosa is damaged, which is similar to the effect of gastroesophageal reflux. Chen Cang directly abandons the duodenum and uses a complete and healthy finger intestine as the gastric bottom to form a "stomach like" structure through the remaining gastric body and jejunum!
This is a fucking genius idea!
At this moment, he Zhiqian was really excited.
He never thought Chen Cang could think of so much.
He thought that the modified Roux-en-Y gastrojejunostomy just didn''t cut off the colon. Unexpectedly... He didn''t cut off like this.
Cow!
This operation can definitely open up a new field of gastrointestinal surgery.
"Stomach like" surgery!
He Zhiqian couldn''t help smiling bitterly and said excitedly, "Dr. Chen, you really convinced me!"
"What a modified subtotal gastrectomy! You''ve rebuilt a stomach!"
Chen Cang smiled: "keep looking, don''t worry!"
He Zhiqian was stunned. Is there any mysterious place?
At this time, Chen Cang was also a little excited. This operation simply opened Chen Cang''s new vision and new ideas of gastrointestinal surgery.
He suddenly felt that gastrointestinal reconstruction was not as difficult as he thought!
Soon, the esophagus and stomach anastomoses... The colon anastomoses!
When all the work was finished, Chen Cang linked the greater omentum to the stomach, fixed the stomach slightly to the upper body, and moved the descending colon as a whole after Chen Cang anastomosis
Cooperate with the previous operation of raising the back of the left quarter rib by 20 °!
The whole esophagus, stomach, small intestine and large intestine... The reconstruction of the digestive tract is successful at this moment!
When everyone saw this scene, they immediately opened their eyes and were shocked!
"Can I swear?"
"Hold the grass!"
"Cow... What a cow!"
"Dr. Chen, you are a genius!"
……
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