After Chen Cang was ready, Ford and others also arrived in the operating room.

Several doctors and assistants came, but they stood in the distance, looking at the operating table, and didn't speak.

Ford looked at the operating room and suddenly met Chen Cang's gaze, and was stunned for a moment.

What does this look mean?

A bit like...encouragement?

Ford was a little confused, as if he had just entered the hospital, the teacher looked at him with relief and said, "Study hard!"

At this time, Ford's nurses brought the equipment in, as if... they were ready to take over the operation at any time.

Although pancreatic head duodenectomy is a more effective treatment for tumors such as pancreatic cancer, its efficacy is still not satisfactory.

Especially pancreatic head cancer is the worst!

The other types of cancer are slightly better, but the total surgical resection rate is only 30%, and the surgical mortality rate and cure rate in the five-year period after resection are only about 10%.

Therefore, this requires that the surgery is very fine and that every link must be done well.

Similarly, this is also the confidence of Ford and others, who have sufficient clinical experience and coping strategies!

Even in the field of digestive tract reconstruction, there have been great progress.

Ford looked at Chen Cang and saw that he was happy and had no slight turmoil, which made him more curious.

The young man didn't seem to be nervous at all. Don't he know the difficulty of the pancreatic head duodenectomy?

Perhaps... the ignorant is fearless!

Ford believed that he could discover many of Chen Cang's shortcomings and mistakes during the operation, and he would even write a paper specifically published in the journal of the American Medical Association.

The operation is about to begin!

The anesthesiologist is the director of the Department of Anesthesiology and has conducted enough communication before for open surgery.

The choice is continuous epidural anesthesia, which lasts for a long time, has a smaller response, and has good abdominal muscle relaxation, making it easier to reveal.

When Ford saw this scene, he almost couldn't help laughing: Could it be... Are you ready to open your abdomen with a pancreatic head duodenectomy?

Now, Mayo has basically all had laparoscopic surgery!

Ford suddenly felt like dimensionality reduction...

"Doctor Chen, do you want to open your stomach?" Ford couldn't help asking.

Chen Cang did not look back, but looked at the nurse beside him and said, "Scalpel!"

Seeing this, Ford blushed.

Chen Cang had discussed this matter with the anesthesiologist for a long time. Choosing abdomen detection is a necessary step to decide whether to remove it!

Because the old man was very early and did not even have much transfer, Chen Cang's initial plan was to retain some tissues and remove some tissues.

This is also a surgical plan he has been studying and exploring recently.

If a traditional pancreatic head duodenectomy is used, according to the elderly's physical fitness and long-term diabetes, Chen Cang can guarantee that his survival will not be too long.

Even a perfect pancreatic duodenectomy is useless!

This is a flaw in the surgery itself.

This is also the reason why Chen Cang strives for surgery, because he knows that if Ford does it, it will definitely have to be removed. This is not much different from ordinary people. The only difference is that when the digestive tract is reconstructed, what Ford can do is relatively better.

This is the gap between Ford and Chen Cang.

When Chen Cang pancreatic duodenectomy reached perfection, combined with those quasi-perfect gallbladder and intestinal anastomosis...perfect gastrointestinal anastomosis, etc., Chen Cang realized something.

That is the incompleteness of the operation itself.

The more in-depth the study, the more Chen Cang discovered the incompleteness of the operation.

There is no perfect operation, it is just a short man who pulls the general. When it is necessary, he can perform better, and the complications are relatively lower.

Therefore, Chen Cang ignored Ford at all and needed a surgery next.

After taking the scalpel, Chen Cang made an incision next to the middle of the old man's right upper abdomen.

The incision is not large, but this position is just convenient for up, down, and extension, revealing the entire digestive tract.

After the abdominal cavity was exposed, Chen Cang began to check.

The gallbladder is normal in size, which is a good thing. Pancreatic head cancer will not compress the bile duct and cause the gallbladder lesions.

When Chen Cang touched his pancreatic head with both hands, he clearly felt a burst of information coming.

[Pancreatic head cancer: very early, it is recommended to resection!]

After feeling the lump in the pancreatic head, Chen Cang next had to do a duodenum examination to clearly identify the development of pancreatic head cancer.

This operation is dangerous and can easily cause tumors to spread or enteral bacteria to spread into the abdominal cavity. It should be avoided as much as possible if it is not necessary.

Sun Guangyu looked at Chen Cang with fear, not daring to let out a sigh.

Although he had already talked about the surgical plan, he was still a little nervous.

Ford was also stunned!

Chen Cang is dancing on the tip of the needle!

After seeing the internal structure clearly, I finally breathed a sigh of relief.

The next thing to decide is whether it can be removed, which can be curative.

Check whether the cancer itself is out of the gland and invades important blood vessels such as the portal vein, superior mesenteric artery and vein, abdominal aorta, inferior vena cava, etc.

At this time, Chen Cang directly incised the posterior peritoneum on the outer side of the duodenum and flipped the duodenum and pancreatic head inward!

Then, carefully use the left hand indicator to explore the gap between the dorsal side of the pancreas’ head, the aorta and the ventral side of the inferior vena cava.

It is easy to extend your fingers into this gap, indicating that the cancer is still limited to the pancreas and has no metastasis.

Luckily, no transfer!

This process requires three steps to check, but Chen Cang took more than ten steps, and he calculated everything he could consider.

This... is something that laparoscopic surgery can never do.

Refinement and precision.

Time passed by minute by minute, and Chen Cang checked it very carefully.

Finally, the inspection is completed!

Chen Cang looked at his abdominal cavity, and the four-dimensional model diagram began to simulate continuously. After two minutes, Chen Cang began to move!

Next, you must fully separate the organs that are ready for removal.

At this critical link, Chen Cang suddenly did not separate the stomach body, but began to wander the bile duct!

Then... under the hemostasis forceps, he took the lead incision of the y-shaped part of the common bile duct and the pancreas with one slash.

Then a clever separation was performed, and at this time, the pancreas suddenly wandered away!

This inexplicable operation shocked everyone!

At this time, the pancreatic head cannot be touched, and surgery for both the duodenum, the gastric body and even the bile duct requires ligation before removal to prevent the spread of tumor cells.

But Chen Cang now separates the bile duct from the pancreas, so that the bile duct will be free!

This operation shocked Ford behind him!

What's going on?

Chen Cang took a deep breath. He was cautious in this step just now, for fear of causing adverse consequences, and his eyes had already opened!

Devoted all your heart!

What he had to do was not to remove the bile duct, but to skillfully use separation to achieve the effect of resection.

It seems that the effect is good!
Chapter completed!