When colon cancer surgery is performed, it is generally necessary to select resection at the distal 15cm of the tumor.
Therefore, the whole operation needs to be removed a lot!
The terminal ileum, appendix, cecum, ascending colon, and one-third of the transverse colon.
At the same time, the corresponding mesentery, greater omentum and perivascular lymph nodes should be removed.
Tumor surgery has always been the focus of current gastrointestinal surgery!
Sun Guangyu glanced at Chen Cang and said, "the inner approach, is it OK?"
Chen Cang nodded!
The medial approach is much more difficult than the lateral approach, but it is in line with the non-contact principle of radical tumor treatment, and has high requirements for the hand holding the mirror.
Before the operation, Chen Cang took the lens and began to deal with it.
First soak it in 60-70 degrees hot water, and let the staff prepare a warm water.
Suddenly, Zhuang Yueming was stunned: "Dr. Chen is very professional?"
Chen Cang nodded: "well, often assisted, summed up a set of theories."
While talking, Chen Cang began to wipe.
Sun Guangyu took a curious look at Chen Cang: "what were you doing just now?"
Chen Cang smiled: "after soaking in hot water, the visual effect is the clearest, and warm water is prepared during the operation, which can keep the lens from atomization."
Sun Guangyu seldom gives assistance. He really doesn''t understand holding a mirror.
Hearing Chen Cang''s words, he immediately felt very reasonable: "very professional!"
Chen Cang smiled and began to wipe it with soft sterile gauze.
Cleaning the mirror is also very skillful.
After the pneumoperitoneum is established here, the laparoscope enters.
Chen Cang deliberately chose a special angle.
Different angles make the field of vision in the lens different. The field of vision provided by the laparoscopic base at this time is like laparotomy, which is very consistent with the observation angle habit of the operator.
Sun Guangyu glanced at Chen Cang and was really curious!
"This view is really comfortable!" Sun Guangyu sighed and told the truth.
This is not flattering Chen Cang at all, but the truth!
you bet!
A good mirror holder is like a good photographer, presenting a beautiful and harmonious picture to the operator.
Chen Cang did well at this time. He presented the ratio of a golden section point on the display, and the observer''s target was placed on the golden section point. This operation is very accurate!
The ultrasonic knife used by sun Guangyu is very sharp!
Chen Cang has always maintained the base level of the laparoscope and constantly adjusted the operation field!
Because the precision of the operation is still very high, there are many blood vessels to deal with.
Including gastrocolonic vein trunk, gastroepiploic vein, middle colonic vein... Anterior inferior pancreaticoduodenal vein, etc
Therefore, the surgical field of vision needs to be continuously enlarged and reduced.
Change the height and distance of visual field and adjust the operation field.
Laparoscopy has the function of a magnifying glass. Skillfully using the surgical field to deal with blood vessels is a major advantage of laparoscopy.
Here, sun Guangyu feels that today''s operation is very easy!
It seems that this lens can move completely according to your own mind. It seems that you can read your own mind!
No
This shot is better than you want!
Sun Guangyu couldn''t think of the handling of many small shots.
But Chen Cang can always keep up, make changes and give the most comfortable vision!
Even, sun Guangyu has an illusion that the mirror holder knows the operation better than himself!
Thinking of this, sun Guangyu took a deep look at Chen Cang!
This is the first time in his history that he feels that holding a mirror needs superb skills!
Indeed, Chen Cang didn''t expect to play so well.
Just like playing the game tower knife, this auxiliary makes you too comfortable. Part time job is better than you!
you ''re right!
Chen Cang doesn''t understand this radical colon cancer surgery, but he knows the surgical vision, when to provide what kind of lens, when and what angle do not affect your operation.
Soon, it was time to free the hepatic flexure of the colon and separate the lateral peritoneum.
When entering the gap between toldt and Gerota fascia, it is easy to cause insufficient stereoscopic field of vision, affecting the operation and the accuracy of the operation!
But
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 great!
This rotating optical fiber realizes the three-dimensional observation of the target, which provides a better operation space and observation field for gastrointestinal surgery.
With such assistance, sun Guangyu is even more powerful.
With Chen Cang''s "rear direction, bilateral encirclement, front meeting and" three-dimensional observation of colon, accurate completion is realized.
The laparoscopic hand always serves the main knife and is the eye of the main knife. There can only be one core command on the operating table, that is, the main knife!
Therefore, the mirror holder must follow the master knife, think what the master knife thinks, where the master knife thinks, where the mirror holder fingers!
But!
This operation, sun Guangyu felt that he was assisted with the feeling of flying
Really!
Basically, Chen Cang has clearly laid out every link of the operation and told you what to do here.
It''s like
yes!
Where he points, where you hit!
Even, the hand holding the mirror directly reduces the difficulty of the operation and forcibly makes such a laparoscopic operation more comfortable than an open operation!
The more sun Guangyu did, the more satisfied and relaxed he felt!
There is even a faint sense of self breakthrough.
yes!
There is also a feeling of looking for a bosom friend.
The relationship between the master knife and the mirror holder is really so strange
The operation was quickly removed and reached the stage of anastomosis.
Compared with Chen Cang''s anastomosis, sun Guangyu chose the stapler to complete this operation. For the elderly, the use of special anastomosis material metal is not easy to cause surgical stress response, but the effect is the best.
Soon!
The operation is complete!
After sun Guangyu pulled out the instrument, he looked at Chen Cang and was surprised. He couldn''t speak for a long time.
today!
He felt what divine assistance was.
An assistant can be supernatural with the main knife.
Zhuang Yueming, who is on the other side, has long been foolish.
He looked at today''s operation and was embarrassed to tell director Sun that he felt... Director Sun won today!
Chen Cang owes much of the credit.
He is a helper. He clearly feels the convenience of vision brought by laparoscopy.
He thinks he can do it!
You don''t have to be director Sun.
Thinking of this, Zhuang Yueming looked at Sun Guangyu and even envied
The operation is over!
Sun Guangyu finally said, "it''s no better than not knowing that there are so many stresses in holding the mirror!"
"I feel like I don''t want to do endoscopic surgery without Dr. Chen!"
After saying this, no one laughed.
Because it''s true!
Moreover, the anesthesiologist on one side looked at the operation on TV and said to himself, "this is the most successful operation record I''ve ever seen. There is no one!"
Chen Cang couldn''t help laughing when he listened to the praise: "director Sun is very polite. Everyone... Very polite."
Sun Guangyu couldn''t help sighing: "you know, Dr. Chen, I''m really not polite."
At this time, Chen Cang suddenly heard the system prompt sound:
[Ding! Congratulations on learning sun Guangyu''s: colorectal anastomosis (quasi perfect level)]
Chen Cang was overjoyed and made a lot of money!
He now understands that the core meaning of assistance is to make the master knife comfortable, and then hand over the skill book honestly!
……
……
PS: it''s the end of the month. I''m looking for a ticket~
You vote, I vote, Chen Cang will make his debut right away!