After the activation of the famous teacher's guidance, Chen Cang's eyes changed tremendously!

A lot of prompts began to appear in the transparent virtual screen in front of you!

Even a prompt sound rang in my ears!

"The teacher guidance mode is turned on! Detected: The patient has mirrizi syndrome!"

"The procedure is as follows: first cut the gallbladder in the gallbladder hartmann bag, suck the bile, and remove the incarcerated stones..."

"Does the action demonstration start?"

Chen Cang was stunned!

As the sound sounded, a virtual screen began to operate on the human body.

It's so magical?

This is [Guide to Famous Teachers]!

Too strong?

At this time, Zhou Xiaodong and Qin Yue around were staring at the abdomen gallbladder on the TV that was not sure how to start.

Because everyone has never seen this situation!

What is this?

Zhou Xiaodong looked helpless. Who knows how chronic cholecystitis will evolve into such a thing!

Qin Yue couldn't help asking: "Chen Cang, do you know...what patient is this? What disease is this?"

Chen Cang sighed and looked up at the two of them: "I'm afraid we're in trouble. This is a rare difficult gallbladder complication: called mirrizi syndrome. This patient cannot detect any abnormalities before the operation. It is not much different from the cholelithiasis of ordinary chronic cholecystitis, and even... it's not as obvious as those!"

As soon as these words came out, the two of them were stunned.

If you don’t say anything else, just talking about the English letters will make you feel a little awesome.

Zhou Xiaodong suddenly realized that he had heard of this thing: "Is this mirrizi syndrome?"

But Zhou Xiaodong only vaguely remembers that his mentor Qian Liang said when he was in school that this disease was one of the most difficult cholecystectomy!

Thinking of this, Zhou Xiaodong felt a little cold!

Qin Yue couldn't help asking, "What is this?"

Chen Cang nodded faintly: "This is a rare disease, an extremely rare complication in chronic cholecystitis and cholelithiasis, and a syndrome!"

"mirrizzi syndrome refers to a clinical syndrome characterized by cholangitis and obstruction of the gallbladder duct stones or neck stones in the gallbladder, which then compresses the common bile duct or common hepatic duct, causing stenosis of the common hepatic duct, causing cholangitis and obstructive jaundice."

"This disease is relatively rare in clinical practice, with pathological basis such as incision and inflammation of gallbladder or cervical stones, and patients often have a history of delay."

"Continuous incarceration and compression of larger stones in the abdomen and neck of the gallbladder can cause common hepatic duct stenosis or gallbladder cholangiosus fistula, as well as repeated cholecystitis and obstructive yelpsia."

As soon as Chen Cang finished speaking, Zhou Xiaodong nodded quickly: "That's right! The patient does have long-term and recurrent cholecystitis, and liver function shows that serum bilirubin is significantly increased, and even alt and alp are significantly increased!"

For a moment, Chen Cang's status in the minds of the two increased significantly, and even the equipment nurse was stunned.

This is a master!

Absolute master!

It’s clear at a glance, and you can tell what disease it is.

I can see it, can I do it?

Chen Cang had read the demonstration several times at this time, and was familiar with it. He said to the two of them: "Dr. Zhou, please help me with the mirror, I will take the surgery, let's start, the patient can't drag it like this!"

Zhou Xiaodong nodded quickly!

It would be great if Chen Cang could do it...

The despair just now was terrible.

but……

Will Chen Cang?

Zhou Xiaodong himself was a little scared: "Can you... do this?"

"This is mirrizzi syndrome!"

It’s not that he doesn’t believe in Chen Cang, but that this surgery is really dangerous and difficult!

It's definitely not that easy.

Chen Cang turned around and said, "Is there any other way?"

One sentence made Zhou Xiaodong stunned.

yes?

Is there any other way?

However, Zhou Xiaodong still reminded: "Can you do it? If you can't do it, you should find someone. If there is an accident, you...you can't afford it!"

Hearing Zhou Xiaodong say this, Chen Cang couldn't help but smile: "Don't worry, I can do it!"

Chen Cang looked at his complicated abdominal cavity. Without the guidance of [famous teacher], his hands would definitely be trembling and at a loss!

The first thing to do is to separate the bad gallbladder triangle. At this time, the calot triangular edema, tissue fibrosis, and thickening of the gallbladder duct and prone to bleeding when touched. In this case, ordinary people cannot dissect the boundary between the gallbladder duct, the gallbladder artery and the common bile duct at all.

This is also the main reason why Zhou Xiaodong is reluctant to take action!

In case of bleeding, this is a big problem.

Zhou Xiaodong asked carefully: "Can this gallbladder triangle be separated? No...I..."

Chen Cang shook his head and said directly: "Give me the electric hook!"

Zhou Xiaodong was nervous, a little suspicious, and also a little expectant. He struggled and handed the hook to Chen Cang.

Chen Cang took the electric hook and carefully opened the gallbladder serosa in the anterior and posterior triangles of the gallbladder, for fear of damaging the gallbladder duct.

"Give me the attractor!"

Chen Cang used a suction device to push and scrape. At this time, the gallbladder duct, gallbladder artery, and common liver duct were still very blurry and could not be seen clearly!

Chen Cang's operation is already very difficult. If you work hard for a long time, is there still no way?

Zhou Xiaodong's heart had already sunk to the bottom of the sea, while Qin Yue stared at the TV with his eyes tightly. He didn't say it, but he was secretly panicked. This gallbladder triangle is too bad, and it is not ordinary to separate!

Even the teachers who are affiliated with Xiangya may not be sure, right?

Is this Chen Cang too reckless?

You dare to take this kind of surgery stall!

Isn't this asking for trouble for yourself?

Chen Cang was not discouraged, but had a sudden inspiration, picked up the electric hook, started from the liver bed, and took the lead in freeing his gallbladder!

Then start dissection in the direction of the triangle area. After freeing the gallbladder from the liver bed, carefully treat the gallbladder duct and gallbladder artery in the triangle.

Zhou Xiaodong felt a little nervous at this time, and even his hands holding the mirror began to sweat!

Too dangerous...

Zhou Xiaodong couldn't help but turn around and look at Chen Cang, seeing that he seemed to be in a state of panic, calm and calm.

The movements are very light, pushing, pulling, condensed, and separated just right!

The technique is very clever.

Zhou Xiaodong was amazed at the sight...

finally!

It took nearly twenty minutes to successfully escape the gallbladder triangle!

Success!

After the gallbladder triangle is separated, the operation is actually half completed!

Too difficult!

Zhou Xiaodong looked up at Chen Cang, his eyes full of incredibleness.

Can this be separated?

Too strong!

Zhou Xiaodong stared at Chen Cang who was meticulously continuing to start the next surgery, and was a little wrong.

Because... at this time Chen Cang seemed to be the director, and whether it was a nurse, Zhou Xiaodong and even Qin Yue were all calm and composed by Chen Cang's demeanor!

Qin Yue blinked his big eyes, his eyes flashed with flashes and full of writing: Chen Cang is awesome (breaking sound)!

This process seems simple, but in fact it is extremely cumbersome. Chen Cang's movements at every step are very awkward. If it weren't for the system's continuous prompts, he wouldn't have done it at all.

This gallbladder is a level 45 lord monster. I am just a level 15 resident, so it is not that easy!

This is not a heavyweight at all. A little carelessness may lead to re-injury of the patient.

Mirrizi syndrome is generally not allowed to be treated by ordinary doctors in Grade A hospitals. At least they have to be treated by Zhang Youfu.
To be continued...