Today, this surgery was a major gastrectomy. Chen Bingsheng did it alone, but Zhang Zhixin, the attending physician of general surgery, was invited.

Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they came to the Second Provincial Hospital together, but one went to the general surgery department, while the other stayed in the emergency department.

However, this did not affect the cooperation between the two. They often invited each other to participate in surgery.

First of all, it is because emergency surgery is complicated and everything is done, but it is difficult for a single person to complete the general extracellular surgery system, so doctors from other departments have to cooperate.

This is what happened to this surgery today.

Today's surgery is a major gastrectomy, also known as subtotal gastrectomy.

Most gastrectomy is actually not as simple as resection, and it is very different from appendectomy.

There are three main steps!

The first is to have a large and small bends in the stomach.

The second is to cut off the duodenum first and then cut off the stomach.

The final is gastrointestinal reconstruction.

Of course, the difficulty factor is definitely much greater than that of saying.

Chen Cang’s main job as a croquette is also very clear!

Tighten the hook and knot, absorb liquid to stop bleeding;

Flattering and cleaning equipment.

Yo! Rhyme.

Alas... I must be a poet who has been delayed by medicine.

After all, countless vivid examples such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin, and Chekov tell us that if you fail to study medicine, you can change your career and follow the article.

After all, my ancestors also said: A scholar studied medicine and caught chickens in a cage!

On the other hand, it should be almost the same.

I am really talented, otherwise I would definitely go to Luo Dayou, Fei Xiang, Wang Leehom, Mao Buyi and others now. These are all advanced representatives who have abandoned medical skills after graduating from medical school.

Why……

It seems that all those who study medicine are geniuses.

Zhang Zhixin studied general foreign exchange, but he got a maternity exam for a cosmetic doctor exam halfway through. It is said that he opened a plastic surgery studio with others outside. He usually mainly had double eyelids, eyebrows, open the corners of his eyes, and treat hyaluronic acid. It is said that he has a daily gain of gold!

The operation is about to begin.

Chen Cang did not understand this kind of surgery very well, so he could only study silently from the side.

And inside, he stared at Zhang Zhixin with his glittering and talking eyes!

Not because of anything else!

I just want to use some skills...

[Newcomer in the operating room: There is a one-percent chance of learning other people's skills!]

Chen Cang felt that he should have a good relationship with Zhang Datou and learn some medical beauty techniques. For nothing else, he could have double eyelids on his girlfriend in the future without spending money!

The operation has begun!

The first thing to do at this time is to open your stomach and check!

Chen Bingsheng took the lead in the surgery along the opening that opened in the middle line of the upper abdomen.

After incision layer by layer, open the peritoneum and start exploring!

Chen Bingsheng looked carefully, while Zhang Zhixin helped.

Chen Bingsheng: "No abnormalities were found in the liver, gallbladder, pancreas, spleen, small intestine and colon!"

"The stomach wall is smooth, with mild edema, the stomach body is significantly enlarged, there is no enlarged perigastric lymph nodes, and there is a 2-by-1-by-0.5m ulcer near the pylorus, with a slightly hard texture, slightly adhesion to the gallbladder, local scar formation and pulling, contracture caused pyloric canal stenosis caused by pyloric canal pyloric canal stenosis, and the inner diameter of the pyloric canal is about 0.5m, and the stenosis section is 2m long, affecting the duodenum. During the operation, it was clearly diagnosed as pyloric canal ulcer caused by pyloric incomplete obstruction. It is planned to undergo the 2-type anastomosis surgery for most gastric resection!"

Zhang Zhixin nodded: "Okay!"

Chen Cang: "Boss Chen is awesome!"

Nurse Qin Lele:...

Nurse b:...

Chen Bingsheng is still very professional, and he often does this kind of surgery, so he will naturally not be under too much pressure.

However, he still glared at Chen Cang: "Next time I won't call Dr. Zhang. Please help me. You'll be careful this time."

Zhang Zhixin sighed: "I thought I had divided the money, right? Haha! Man!"

In fact, the operating room is not as serious as imagined, and some jokes often flow out from time to time.

Moreover, as a closed environment, the operating room is always a gathering place for gossip news!

And the gynecological operating room is even known as the gossip king of hospitals!

It is unclear who the child is, the doctors and nurses who go to whom the child are, and even the leader and employee are unclear.

…………

Chen Cang was really sad just now that Boss Chen was so awesome. A series of professional terms were spoken from his mouth, and his style was more than a little higher!

but……

In Chen Cang's eyes, there is another state. If Chen Cang was just saying it, it might be like this:

"【Liver】,【Gills】,【Pancreas】,【Spleen】,【Spleen】,【Small Intestine】There is no abnormality in green,【Stomach】The red name monster, the reason for the red name was found in the lower part of the stomach! [Pyricular tube ulcer causes pyloric incomplete obstruction: LV39-level pyloric ulcer obstruction monster, ordinary monster, characteristics: ulcer and gallbladder slightly adhere, local scar formation and pulling, contracture causes pyloric stenosis, shrinking the inner diameter of the pyloric duct, affecting the duodenum! Suggestion: Resection!]"

Tsk tsk, when Chen Cang saw the level 39 wild monster active there, his eyes were full of excitement. After all, this was a high-level monster, with rich experience!

Unfortunately, I can only see it.

However, Chen Cang looked at it very seriously. Every operation is an opportunity to learn. Chen Cang will not give up such a good opportunity to learn.

The first is separation.

The stomach doesn't hang in the stomach like a light bulb.

There are various mesangials, ligaments, blood vessels, autonomic nerves around it, so that the stomach is fixed in the abdominal cavity, otherwise you will have a stomach sagging after eating a few steps.

The first thing to do is to separate the work, which is also the work that most reflects technology and patience.

Chen Bingsheng carefully lifted his stomach, cut the appetizing colon ligament in the left abdomen area of ​​the big bend, and then freed the gastric colon ligament along the big bend to the left in the vascular arch, cutting off the gastric colon ligament...

The operation went smoothly, and the combination with Zhang Zhixin was more skillful.

...

After the operation, clean the instrument and then close the abdomen.

Chen Bingsheng stood up and gave Chen Cang a look: "Sew it."

Chen Cang sneered: Mortals, it’s time to witness miracles!

Today I will show you my progress.

Chen Cang picked up the suture needle and the nurse had already penetrated the thread. Chen Cang was much more skilled than yesterday. Moreover, the skin on his abdomen was flat and there were not so many twists and turns. The suture needle in his hand was like a butterfly, constantly going back and forth on his stomach.

Indeed, Chen Cang felt that there was a clear difference after sharp +1.

Not long after, the stitching was completed.

After taking a look, Chen Bingsheng couldn't help but be stunned for a moment, staring at Chen Cang curiously: "Yes."

But Zhang Zhixin smiled: "Xiao Chen, your hand is suitable for surgery! The suture is very good, but... it's almost time to get a fire, and he has talent, but he just has a little skill."

Suddenly, Zhang Zhixin turned around and asked, "Xiao Chen, will you go to work tomorrow or the next day?"

Chen Cang turned around and saw the arrows on Zhang Zhixin's head gathering into a question mark!

Have a mission?!
Chapter completed!