Chen Cang didn''t expect that this seemingly secret little action was discovered by Zhou Hongguang!


    He coughed: "it''s all right. Prepare for liver implantation."


    He Zhiqian couldn''t help laughing: "after Mr. Chen''s operation, he always leaves a personalized treatment at the habitual end."


    "When you see this sign after surgery, don''t think about it. This is Mr. Chen''s signature!"


    Chen Cang blushed even more when he heard this!


    Many top international surgical leaders have some hobbies!


    Chen Cang, this is just a very difficult "Chen Cang knot" at the end of the line.


    Ordinary people can''t learn this at all!


    In the eyes of he Zhiqian, this is Chen Cang''s soul operation.


    Equivalent to seal!


    Hearing what he Zhiqian said, everyone was stunned at first, and then couldn''t help laughing and laughing.


    Fortunately, Chen Cang''s hobby is not engraving in the liver.


    Otherwise, write "Da Chu Xing, Chen Sheng Wang" on it, which will cause much controversy!


    Chen Cang saw that his careful thinking was exposed. Naturally, he was a little angry and took a fierce look at he Zhiqian.


    "Use standard orthotopic liver implantation!"


    Chen Cang took the needle holder to the nurse while talking.


    Now is the time to really test your strength.


    If you want to transplant the liver perfectly, the most important link is the reperfusion of the liver after implantation.


    The key to reperfusion lies in the suture of blood vessels!


    Simply put, it is how to resuscitate the function of the transplanted liver.


    This is crucial!


    Chen Cang now made it clear that he decided to do this link by himself.


    For vascular anastomosis, Chen Cang is still very professional.


    First, the anastomosis of superior and inferior vena cava of the liver was performed after the implantation of the liver bed.


    Everyone looked down!


    Chen Cang understands that if you want to do a good job of perfect perfusion, you can''t damage blood vessels, let alone form stenosis.


    In this way, how to sew?


    The blood vessel diameters of the superior and inferior vena cava of the two livers are different. How to solve such a problem?


    Chen Cang thought for a moment and picked up the needle holder.


    Then try to make the superior and inferior vena cava of the donor liver close to the superior and inferior vena cava of the recipient liver!


    Then, first sew a fixed line with 3-0 non-invasive suture on the left and right sides of the two blood vessels, gently pull it symmetrically to the outside, and then sew a pull wire at the midpoint of the front wall of the two blood vessels, which is conducive to the exposure and suture of the rear wall!


    This work made Zhou Hongguang''s eyes shrink and he was stunned.


    Why deal with it like this?


    At this time, Chen Cang did not stop. He began to suture the posterior wall directly from one end. The suture needle entered the blood vessel from outside the blood vessel, and the U-shaped mattress valgus was sutured continuously!


    At this moment, Zhou Hongguang suddenly understood!


    pretty


    It''s a classic vascular suture.


    In this way, the advantages are very obvious, which can make the vascular wall eversion and the vascular intima close to the intima, especially for the vascular anastomosis with mismatched diameters of the superior and inferior vena cava of the donor and recipient.


    classic!


    That''s fucking brilliant.


    Zhou Hongguang felt that he had made a lot of money this trip today.


    Because Chen Cang is not shy of them!


    This ingenious vascular anastomosis method to solve the mismatch between the caliber of the donor and recipient''s hepatic superior and inferior vena cava really achieves excellence!


    Zhou Hongguang clenched his fist more and more.


    Chen Cang looked at the crowd quietly: "have you learned?"


    Everyone was stunned!


    So


    Is Professor Chen teaching them?


    Thinking of this, Zhou Hongguang expressed his gratitude to Chen Cang.


    Generally speaking, no one is willing to disclose this core operation.


    But Chen Cang didn''t, he was very calm!


    Calm to a point where people feel that this technology is insignificant!


    In fact, it''s very difficult!


    Zhou Hongguang suddenly thought of something


    If you can complete your liver transplantation, you will become the best liver transplantation expert in China and even in the world!


    Academicians of the two academies are not a problem?!


    After all, in the face of absolute strength, any conspiracy doesn''t matter.


    Zhou Hongguang can be stuck because he is not good enough!


    Thinking of this, Zhou Hongguang felt that if he learned Chen Cang''s blood vessel anastomosis liver perfusion technique, it would certainly improve a level!


    Chen Cang saw Zhou Hongguang and smiled quietly.


    Children can be taught!


    Compared with the anastomosis of superior and inferior hepatic vena cava, the diameter of portal vein is thicker, and the suture is also relatively simple.


    At this time, Chen Cang finally showed his coincidence speed.


    Really dazzling!


    you bet.


    Compared with the anastomosis of those micro vessels and small vessels in the spleen, the anastomosis of the liver is really small for him.


    He even felt that if the hepatobiliary surgeon was sent to cardiovascular surgery for exercise for a period of time, his vascular anastomosis skills would be greatly improved when he came back.


    Medicine, after all, is a relatively comprehensive discipline.


    Chen Cang also feels more and more that the surgical skills of other departments he has learned will complement each other. After cooperation, he will be much better than those specialists!


    For example, it is consistent with the blood vessels of cardiovascular science, with the reconstruction of general foreign studies, and with the stability of shennei exercise methods


    Every department can exercise a doctor''s special ability!


    And Chen Cang, these abilities seem to have been a perfect play!


    After the repair of the portal vein, Chen Cang quickly said to Gao ronghua, "restore the blood supply of the transplanted liver!"


    Gao ronghua nodded and immediately opened the blocking of portal vein to restore the blood supply of transplanted liver.


    However, at this time, Chen Cang did not loosen the hemostatic forceps of the superior and inferior vena cava, but carefully released 250ml of the high potassium preservation solution in the transplanted liver and the blood containing acid metabolites in the lower body through the inferior vena cava of the donor liver!


    Then the inferior vena cava of the donor liver was blocked again with vascular blocking forceps.


    This step seems simple, but it is very critical.


    "Methylprednisolone 1000mg!"


    "Intravenous cyclosporine!"


    ……


    When the order is issued.


    With the return of venous blood, the liver finally recovered blood.


    But it''s just a vein!


    The next thing to do is to anastomose the hepatic artery!


    This is also the most important step in liver transplantation.


    If the anastomosis of hepatic vein belongs to anastomosis, then the anastomosis of hepatic artery is reconstruction!


    All we have to do is complete the reconstruction of hepatic arteries.


    Successful arterial reconstruction, good liver blood perfusion and liver recovery!


    But at this time, Wang Dong''s artery had a variation of the hepatic artery due to the operation some time ago, resulting in the inability to use the common hepatic artery.


    At this moment, everyone''s eyes looked at Chen Cang!


    If Chen Cang handles this step well, the success rate of surgery will be much higher.


    When Chen Cang saw the crowd, he just smiled faintly and said:


    "Here comes the knife!"


    ……


    PS: Thank you for the 20000 reward disguised as your boss. There will be two chapters later. Please wait a moment, thank you.