The nurse has fixed the time at 20 minutes!


    The countdown officially begins!


    Hou Rong and two other team members looked at Chen Cang. To tell the truth, they were very worried.


    At this time, no one will think about envy, jealousy, hatred or unconventional. They all want to do a good job in this operation.


    If you want to do a good job in the repair of near hepatic vein, the first choice is vena cava shunt!


    The operation of vena cava shunt is complex, time-consuming and difficult!


    Chen Cang has prepared 34fr silicone hose to connect the diverter pump.


    Subsequently, the inferior vena cava in the pericardial cavity and the inferior vena cava above the renal vein were ligated quickly.


    This is the preparatory work. Only after it is done can we control the hepatic portal, and then repair the venous injury.


    After doing all this, Chen Cang needs to start repairing the proximal hepatic vein. At this time, the particularity of the angle and the difficulty coefficient of the anatomical structure are suddenly displayed.


    Hou Rong took a nervous look at Chen Cang. From the isolation of perihepatic blood vessels and internal vena cava shunt just now, he has determined that Chen Cang''s repair operation of near hepatic vein injury is very powerful.


    However, the next key suture repair is the most difficult.


    Chen Cang held a needle holding forceps in his left hand, his right finger directly passed through the liver area, and then gently clamped it with his right finger!


    "Finger pressure!"


    One of the team members on one side couldn''t help but say, and the other suddenly realized.


    But here, it''s hard to get a needle


    At this time, Chen Cang held the needle in his left hand and quickly began to sew and repair. The whole process was fast and accurate. Hou Rong was speechless!


    This... Can you sew your left hand?


    Even a few team members on one side were surprised. Is this left hand too flexible?


    "No! Look at the position of the liver!"


    At this time, he saw that when Chen Cang operated with finger pressure on his right finger, middle finger and index finger, his thumb gently pulled open the liver, and the ring finger and little finger magically pressed into the abdominal cavity, which gave enough operation space.


    This provides enough time for Chen Cang''s left hand repair and suture!


    Soon!


    Chen Cang didn''t spend too long. The operation was successfully completed!


    At this time, time has not gone long.


    Most of these operations, which require right-hand operation, take some time to deal with complex anatomy.


    At this time, the patient''s liver had been crushed and ruptured. Chen Cang simply came up with such a way.


    At this time of operation, Chen Cang did not relax at all!


    He quickly cleaned up the accumulated blood in the abdominal cavity and completely removed the clot and inactivated liver tissue at the crack!


    The surgical blade is like a clever tool, constantly cutting off some necrotic tissue!


    Under the shadowless lamp, the blade refracts bursts of light, which is dazzling.


    Even let Hou Rong feel like a sword.


    Next, Chen Cang has no time to think about so many things. Now he needs to repair and suture too many small blood vessels in the liver. Then, after restoring blood supply, he can repair the liver!


    "Three minutes left!"


    Chen Cang''s small blood vessel repair speed has been brought into full play.


    Chen Cang can''t guarantee that this operation is the best, but he needs to ensure that it takes the least time.


    Because now, time is the life of liver cells.


    The next ligation will take 5 minutes, and at that time, the situation is still unknown!


    Not enough!


    Not enough!


    There are still a lot of places not enough!


    What should I do?


    Chen Cang suddenly had an idea and opened the "gaze"!


    moment


    Chen Cang''s eyes flashed a ray of light. At this time, he clearly saw the walking context of small blood vessels and the damage of small blood vessels.


    At this time, Chen Cang sewed his hands and wore needles like a sword, with a fast speed!


    And everyone on one side has been stunned!


    They didn''t expect that the blood vessels would be sutured so fast!


    Chen Cang has no reservation, because time does not allow him to keep it.


    Time ticking, monitor ticking, intertwined, just like a symphony of life!


    The note of life is the suture in Chen Cang''s hand.


    Eyes of precision.


    This is Chen Cang''s first use, but the effect is obvious, which shocked him.


    Soon, it''s time!


    The nurse warned, "it''s time!"


    Chen Cang quickly knotted, pulled and cut.


    Hou Rong quickly loosened the hemostatic forceps.


    Instantly, the blood was perfused again successfully, and Chen Cang''s eyes could clearly see the traces of blood flowing through.


    succeed!


    He succeeded!


    Chen Cang knew he had succeeded.


    However, at this time, the effect of "gaze" is not over.


    At this time, repairing the liver is obviously not a wise choice.


    Taking advantage of the remaining time of "staring", Chen Cang decided to suture the fine blood vessels of the spleen.


    Compared with the function of the liver, the spleen is not inferior at all.


    It is the largest organ of the human body and an important part of the human immune system. It plays an important role in humoral and cellular immunity.


    In the past, it was considered that the first choice for the treatment of splenic rupture was total splenectomy. Many textbooks also advocated that total splenectomy was indicated regardless of the degree of splenic laceration.


    However, with the increase of postoperative infection and the significant decline of immunity after total splenectomy, more and more scholars advocate repairing the spleen and partial splenectomy.


    After all, compared with total resection, partial resection is very difficult, and it is necessary to ensure that the retained tissue has sufficient blood supply to survive. Otherwise, all the work will be in vain!


    At this time, Chen Cang suddenly moved from liver to spleen, which startled Hou Rong!


    "Dr. Chen, you... Are you..."


    "Why did you suddenly ignore the liver and repair the spleen?"


    Chen Cang naturally can''t say I have skills. The time is coming. Do something quickly.


    Can only say: "while the hand is hot now, repair the small blood vessels in the spleen!"


    Hou Rong was stunned by a hot hand!


    Hot hands


    Did you fall behind?


    There is also the saying of hand heat in the operating circle? But... He hasn''t heard of it at all


    Thinking of this, he glanced at his team members and looked at everyone suspiciously.


    I saw that they were also confused!


    They felt that they were several stages away from Chen Cang.


    It''s not a thing to play with.


    People already feel the operation?


    Chen Cang doesn''t care so much.


    Why is the spleen difficult?


    It''s because there are too many small blood vessels in the body. It''s too cumbersome. Repairing this is pure abuse!


    Accidentally, if the repair is not successful, even a second operation is needed to remove the spleen.


    It''s not worth the loss!


    So, without three or three, how dare you go to Liangshan!


    The moment Chen Cang picked up the suture needle.


    Hou Rong quickly shouted, "Chen Cang, what are you doing!"


    At this moment, he suddenly understood what was going on with Chen Cang''s hot hands.


    He wants to repair the blood vessels of the spleen by suturing the blood vessels of the liver just now.


    How is this... Possible?