But after this operation!


    Each director''s heart itched.


    They found that they finally found a tutor. How can they let go so casually?


    At their point, it will be more difficult to improve. Many places need expert advice in order to break through!


    So, directors took turns to fight!


    At this time, Lu Chao really wants to cheat. How many pertinent suggestions can he get if Dr. Chen and Auster are all present?


    What a pity!


    Looking at the directors around, Lu Chao had to give up his position.


    "The next operation is endoscopic subtotal gastrectomy. Dr. Chen, I hope you can give me more advice!" director Li looked at Chen Cang.


    Chen Cang nodded and smiled: "learn from each other."


    In fact, Chen Cang is now muttering another thing!


    Why hasn''t the skill of stealing teachers been triggered yet?


    but!


    The operation continued. Chen Cang still had a good understanding of subtotal gastrectomy, especially gastrointestinal anastomosis.


    Although it seems that director Li is operating, but... Everyone can see that this is just a puppet!


    To put it bluntly, it means playing wherever you want!


    Chen Cang''s mirror now incarnates into a baton.


    But director Li immersed in it can be said to be very excited. Although Chen Cang speaks directly, he can reach the essence directly through the surface!


    This made him feel deeply!


    Therefore, the wily director Li''s operation was very slow, and basically every doubt had to be asked again.


    From subtotal gastrectomy to anastomosis


    After the operation, Chen Cang felt a little thirsty.


    The people around naturally saw director Li''s "treachery" and decided to follow suit!


    But Lu Chao regretted it!


    He did it a little too fast. It was a simple operation. He wanted to show his hand in front of Dr. Chen, but he didn''t expect... Hey... He made a mistake!


    [Ding! You stole the teacher successfully and obtained master level biliary repair.]


    After hearing the sound, Chen Cang was immediately happy!


    Biliary repair?


    Although it is not the biliary intestinal anastomosis that Chen Cang wants most, the biliary repair is also good, which is still a master.


    Don''t be too greedy!


    Chen Cang looked at the crowd with satisfaction and said with a smile, "who''s next?"


    ……


    ……


    Chen Cang didn''t take the cup when he came, but before he spoke, he saw a director running in with a glass of water.


    "Dr. Chen, drink water!"


    The other directors were stunned and suddenly reacted.


    Yes, Dr. Chen''s thirst is a bad thing for himself. If Dr. Chen doesn''t like talking, won''t he be blind?


    therefore!


    The operation was carried out leisurely.


    Chen Cang''s treatment is very good. The lunch is very rich, which is better than director Lu''s. Everyone must eat and drink well.


    At more than three o''clock in the afternoon, Chen Cang finally handed over the arranged techniques for using the endoscope.


    Before leaving, several directors were reluctant to give up and became more determined to do a good job in the attached drawings of this book.


    Chen Cang sat in the car with some emotion!


    Today I finally learned Auster''s skills.


    But it was still not biliary intestinal anastomosis, which made Chen Cang wonder.


    It''s a quasi perfect biliary repair.


    This made Chen Cang a little depressed.


    This afternoon, I successfully stole teachers twice. What a high success rate. Unfortunately, I stole a skill.


    Let Chen Cang feel some emotion.


    Auster was also very perceptive in his business and returned to the hotel early.


    After Chen Cang returned to the hospital, he returned to the duty room.


    Lying in bed with eyes closed, I learned two acquired skills directly.


    But!


    Just after Chen Cang learned all the two skills, Chen Cang was suddenly stunned!


    He was not shocked by Auster''s idea!


    But I''m a little silly about director Li''s idea


    Although it is only a master biliary repair, Chen Cang has benefited a lot!


    At this time, we have to say the magic of stealing skills.


    After cheating, you can often get the thoughts and feelings of the cheated about the operation.


    That''s amazing.


    Now when Chen Cang turned back to see the mirror holding technique, he was suddenly a little more excited.


    I have to sigh heartily. This is a good thing!


    What does director Li think?


    Bile duct repair surgery means that the natural pathway of bile circulation is still maintained to restore physiological function.


    Only better preservation of the integrity of the bile duct can make the bile enter the duodenum according to the natural pathway.


    It can also maintain and give play to the function of the sphincter at the end of the biliary and pancreatic duct. In addition to physiological regulation, it can especially avoid various hazards caused by the reflux of intestinal fluid into the biliary tract.


    The normal structure and function of distal bile duct and sphincter is another basic element.


    However, if the natural bile duct is destroyed, cholangiojejunostomy is not as effective as its own natural bile duct anastomosis.


    So, here comes the problem!


    Since there are so many problems in biliary intestinal anastomosis operation!


    So, can we find another way to repair the damaged bile duct as much as possible and restore the function of the bile duct itself, so as not to go to the biliary intestinal anastomosis?


    When Chen Cang saw this idea, he suddenly woke up.


    Yes!


    In fact, there is nothing perfect about surgery!


    As long as it is surgery, it must destroy the original structure and rebuild a new structure.


    In fact, the human body can form such tissues and forms, and itself has become mature.


    Both gallbladder and appendix play an irreplaceable role.


    The biliary jejunal anastomosis itself has some hidden dangers!


    The common complications after cholangiojejunostomy include bleeding, biliary fistula, reoperation obstruction and so on.


    In the long term, there may be recurrence of stones in the biliary tract, retrograde infection and biliary tract infection, repeated fever, even cholangitis and jaundice.


    The existence of these problems makes the anastomosis more difficult.


    To reconstruct the digestive tract, biliary enterostomy and Pancreaticoenterostomy become very important.


    If there are more complications after reconstruction, what is the significance?


    Chen Cang suddenly felt that director Li''s idea directly benefited him a lot!


    If the bile duct can be used and the natural biliary intestinal end does not need to be damaged, can bile duct repair be used instead of choledochojejunostomy?


    Including the pancreas!


    Thinking of this, Chen Cang could no longer restrain his inner thoughts. He got up in a hurry and began to take out the paper, draw the figure of biliary tract on it, and then began to analyze it.


    He thinks that this idea is feasible!


    Another way was found to solve the loophole of biliary intestinal anastomosis in a disguised form.


    But he soon found a problem!


    That is, he doesn''t know enough about cholangiojejunostomy.


    Only with enough understanding of biliary intestinal anastomosis can we better conceive a new idea!