In the operating room, hope ignites again.
Facing this kind of surgery, we all hope to do our best to save the patients.
Although the facts may backfire.
But at this time, Chen Cang is trying to turn everyone''s ideas into reality.
Gao Huarong looked at Chen Cang''s operation and couldn''t help showing joy.
Because he found that Chen Cang was so familiar with the anatomical structure of blood vessels in the liver that he knew it like the back of his hand.
The middle hepatic lobe is the heart of the liver, through which many complex hepatic ducts, blind ducts and blood vessels pass.
How to avoid or remove the obvious is particularly important.
Chen Cang is really a man who will never show mercy. He cuts off decisively. Looking at Gao Huarong, he is a little uneasy.
I''m afraid Chen Cang cut too much, leading to liver failure.
However, every time Chen Cang cut it off, he was always surprised to find that these livers may have been necrotic.
What kind of experience can Chen Cang have accurate judgment?
This makes Gao Huarong have to think about a question: how much liver did Professor Chen cut?
Looking at Chen Cang''s knife, Gao Huarong couldn''t help feeling numb. What kind of knife is this?
Time passes slowly
Chen Cang has already removed everything that should be cut.
Looking at the remaining liver, which may be less than half, everyone was worried.
But Chen Cang always makes fast and accurate choices at the critical time.
Excision or repair?
This is a problem!
But in Chen Cang''s eyes, these are not problems.
The red necrotic tissue is completely removed and will not be retained at all.
If yellow or light colored tissue has a chance to repair, Chen Cang will anastomose the blood vessels.
Vascular anastomosis is still very difficult, because the irregular shape of the liver makes the angle of vascular anastomosis very special!
Among them, although the proximal hepatic vein is not damaged, many strange small blood vessel anastomosis angles make it difficult for ordinary people to start.
Gao Huarong''s cooperation is needed to control blood flow.
Moreover, these blood vessels are supplied by large blood vessels, and suture needs to directly block the blood flow.
"Professor Chen, five minutes at most!" Gao Huarong glanced at Chen Cang and was worried.
The tricky angle and circuitous course of blood vessels make the suture more difficult.
However, if the anastomosis is not successful, these ischemic tissues will not recover.
If removed, the remaining liver tissue cannot maintain the metabolism of the human body.
This does not seem to be a multiple-choice question.
It''s a grand finale!
After weighing for a moment, Chen Cang nodded and said.
"Almost."
This made Gao Huarong obviously stunned.
Really?
But this is not the time to tangle about it.
"You said to start, I''ll block the blood vessels." after that, Gao ronghua looked at Chen Cang uneasily: "this... Come on!"
He thought for a long time and really didn''t know what to say.
Although I have seen Chen Cang repair blood vessels, but
The blood vessels of these middle hepatic lobes are located in a special position, which is very difficult to repair, and need to be operated with left and right hands.
Chen Cang nodded and gave Gao ronghua a reassuring look: "let''s start!"
Gao Huarong was stunned. Don''t you need to prepare?
Chen Cang finished, took the needle pliers and took a look at the old horse.
Old ma is also familiar with the road. He has been with Chen Cang for a long time. Even Chen Cang''s eyes can be read.
After all
Everyone in the operating room is wearing masks, which shows their eyes. For a long time, one look can understand everything.
When the vascular clamp closed the blood vessel, Chen Cang quickly began his best vascular anastomosis!
Angle tricky?
It doesn''t exist!
At the beginning, Chen Cang stunned director Gao!
Not used to the left hand?
no
Chen Cang''s left hand is more flexible than his right!
The right hand is more flexible than the old horse''s brain
Is this a hepatic vascular anastomosis?
There are essential differences between large vessel anastomosis and small vessel anastomosis.
Great blood vessels require strictness!
Small blood vessels require less damage!
The shape of liver blood vessels needs to be resected and anastomosed after a while, so other problems need to be considered.
However, Chen Cang is very proficient in the shape, familiarity and anastomosis of blood vessels!
So that everyone was stunned, of course, except the old horse!
Gao ronghua couldn''t help sighing: "can I drop a good boy so fast?"
To tell you the truth, it was the first time for everyone to see Chen Cang undergoing liver surgery. It was really a great surprise.
Yu Yonggang looked at Chen Cang the same way his mother-in-law looked at his son-in-law.
At first, I had prejudice, and the prejudice was very deep!
But
Slowly found that this son-in-law is really excellent.
So now, basically, the more you see, the more happy you are. It has risen to the point where you don''t want to marry your daughter, but want to marry your son-in-law in your twenties
Um!
It''s a little messy.
But Yu Yonggang felt no influence.
After all, such an excellent young man, just mess around, it doesn''t matter.
You say excellent or not!
Therefore, the old horse is a fresh and refined person in the whole operating room.
Old ma is also used to Chen''s habitual routine of pretending to be forced, but he seems to be light.
Even when Chen Cang matches, he will say, "this... Is a little slower than last time!"
In a word, Gao Huarong looked sideways and was a little surprised.
"Is that slow?"
The old horse sighed, shook his head and didn''t speak.
The little nurse on one side was stunned by this pretending technique. This... Is this professor Chen''s usual routine?
Chen Cang''s eyebrows jumped.
forget it.
Thinking of the meal tickets for the next six months, Chen Cang felt tolerant. After all... He was soft lipped.
The operation proceeded steadily.
Soon, the vascular anastomosis is over!
In less than 3 minutes, when the anastomosis was successful and the blood vessels were loosened, Chen Cang quickly changed his left glove into a sensing glove.
Then carefully touch the liver.
Those ischemic and hypoxic tissues recovered their blood supply again after a brief loss of blood supply. Chen Cang gently felt the information fed back by the liver.
Maybe these organizations have a chance to survive
The completion of vascular anastomosis and liver resection made the operation 80%,
The operation is timely, so that the patient''s vital signs do not have too many problems.
However, liver failure and renal failure are the second causes of surgical death.
Because the reason of kidney was considered in advance at the beginning, and the effect of perfusion and drugs was strengthened, the problem of kidney may not be big.
But now the liver
It''s really up to fate to recover.
Let''s go step by step.
If it were not for Chen Cang, the patient would not be able to retain his liver.
Gao Huarong looked at Chen Cang and said, "let''s do our best. We can''t manage the specific recovery."
To tell the truth, Gao Huarong really didn''t expect the patient to survive.
really
This operation seems smooth, but... Only an expert can see the danger.