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

He coughed: "It's okay, prepare to implant your liver."

He Zhiqian couldn't help laughing: "After Teacher Chen's surgery, he always habitually left a personalized treatment at the end."

"In the future, you will see this sign after you start the surgery, so don't think too much. This is Teacher Chen's signature!"

When Chen Cang heard this, he blushed even more!

Many top international surgery tycoons have some small hobbies!

Chen Cang is just a very difficult "Chen Cang Kill" when closing the line at the end.

This is something that ordinary people can't learn!

In the eyes of He Zhiqian and others, this is Chen Cang's soul operation.

It's equivalent to stamping!

When everyone heard He Zhiqian's words, they were stunned at first, and then they couldn't help laughing and crying.

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

Otherwise, how much controversy would it cause to write "Great Chu Xing, King Chen Sheng" on it!

When Chen Cang saw that his little thoughts were exposed, he was naturally a little angry and looked at He Zhiqian fiercely.

“Use standard in situ liver implantation!”

While Chen Cang spoke, he took the needle-holding forceps to the nurse.

The operation has only now been the time to truly test our strength.

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

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

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

This is very important!

Chen Cang now clearly decided to do this part by himself.

Chen Cang is still very professional in vascular anastomosis.

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

Everyone looked down!

Chen Cang understood that if you want to do a perfect perfusion, you cannot damage the blood vessels, and you must not form stenosis.

How to stitch it in this way?

The diameters of the blood vessels in the superior and inferior vena cava of the two livers are different. How to solve this problem?

Chen Cang pondered for a moment, then picked up the needle holder.

Then try to get the upper and lower vena cava of the donor liver and the upper and lower vena cava of the recipient!

Then, first use 3-0 non-damage sutures and fixing lines on the left and right sides of the two blood vessels, gently pull them symmetrically to the outside, and then pull them at each seam at the midpoint of the anterior wall of the two blood vessels, which is conducive to the exposure and suture operation of the posterior wall!

This matching work made Zhou Hongguang's eyes shrink and he couldn't help but be stunned.

Why do we need to deal with this?

At this time, Chen Cang did not pause and began to suture the posterior wall directly from one end. The stitches entered the blood vessel from the outside of the blood vessel, and the u-shaped cushion-like valgus continuously sutured!

At this moment, Zhou Hongguang instantly understood!

pretty!

Too classic vascular stitching.

In this way, the advantages are very obvious, which can cause the blood vessel wall to volute, and the blood vessel endometrium is tight and firm, especially for vascular anastomosis that does not match the diameter of the upper and inferior hepatic vena cava of the donor.

classic!

It's so fuckingly eye-catching.

Zhou Hongguang felt that this trip was a big profit.

Because Chen Cang is not shy about them!

This vascular anastomosis method that cleverly solves the mismatch between the upper and lower vena cava of the liver of the recipient, really achieves the excellence!

The more Zhou Hongguang looked, the more he clenched his fists.

Chen Cang looked at everyone calmly: "Have you learned it?"

Everyone was stunned for a moment!

turn out to be……

Is Professor Chen teaching them?

Thinking of this, Zhou Hongguang and his friends were so grateful to Chen Cang that they were beyond words.

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

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

I'm so calm that I feel that this technology is insignificant!

Actually, this is very difficult!

Zhou Hongguang suddenly thought of something...

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

Academicians of both academies are not a problem, right?!

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

Zhou Hongguang was stuck because he was not outstanding enough!

Thinking of this, Zhou Hongguang felt that if Chen Cang's blood vessels were anastomotic to the liver perfusion technique he had learned, this would definitely improve one level!

When Chen Cang saw Zhou Hongguang, he smiled calmly.

It’s a child who can teach you!

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

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

It's really dazzling!

indeed.

Compared with the anastomosis of the microvascular and small blood vessels in the spleen, the anastomosis of the liver is really a slight connotation for him.

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

Medicine is a relatively comprehensive subject after all.

Chen Cang also felt more and more: that is, the surgical skills of other departments he learned will complement each other. After they cooperate, they will be much better than those specialists!

For example, it is consistent with cardiovascular blood vessels, reconstruction of general foreign learning pipelines, and stable exercise techniques with the internal medicine...

Every department can exercise a doctor's special ability!

And Chen Cang seems to have all these abilities perfectly exerted!

After the portal vein was repaired, Chen Cang hurriedly said to Gao Ronghua: "Restore blood supply for transplanted liver!"

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

However, at this time, Chen Cang did not release the hemostasis forceps of the superior and inferior vena cava of the liver, but carefully released 250ml of the high potassium preservative solution in the liver and the lower body of the acidic metabolites contained in the lower body through the donor of the liver and the lower vena cava!

Then, vascular blocking forceps were used to block the inferior vena cava of the donor liver.

This step seems simple, but it is very critical.

“Methylprednisolone 1000mg!”

“Intravenous cyclosporine!”

...

After the doctor's 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 anastomosis of the hepatic artery!

This is also the most important step in liver transplantation.

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

All we have to do is to complete the reconstruction of the hepatic artery blood vessels.

The artery reconstruction is successful, the liver blood perfusion is good, and the liver is recovered!

But at this time, Wang Dong's artery had undergone mutated due to surgery some time ago, which made the common hepatic artery unable to use.

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

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

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

"Come on the knife!"

...
Chapter completed!