"Give me the knife!"

Yuanyuan looked at Chen Cang's hands that were stretching out, couldn't help but blush and nodded quickly.

As expected, they said, so big and slender, how many gloves do they have to wear?

And... is he really fast?

Thinking of this, Kong Yuanyuan was full of unlimited expectations for this operation.

Although he had the first time surgery with Chen Cang, the legend of this great god was circulating in the crowd.

You should know that the operating room is the fastest place where gossip news and news spread, while Chen Cang has been a hot topic in recent times.

He even became the target of young and middle-aged women in the operating room.

Especially during night shifts, in the late night without surgery, in order to drive away the gloomy fear brought by the operating room, these women always like to say that some masculine men can refresh their yang energy.

Anyone who has seen Chen Cang's operating room nurses will come over to gossip after they come back as a topic of conversation for sleeping at night.

"Chen Cang is so amazing. Once Zhou Xiaodong was unable to do it after the operation was performed. As a result, Chen Cang came in and solved it in a few seconds and made a quick and neat solution. It was really amazing!"

"What's this? You don't know. Once, there was an important operation in our operating room No. 3 that required rapid suture of blood vessels. You don't know Dr. Chen's hand speed. That would definitely not be able to do it if you were single for a hundred or eighty years!"

"That night, Chen Cang turned the tide and saved Dean Fang. To be honest, it was really amazing...!"

Kong Yuanyuan looked at Chen Cang, is she really that powerful?

...

...

After cutting these layers one by one.

Chen Cang entered the chest cavity and the surgery really began.

Although it took less than five or six hours at this time, there was already a little pleural effusion.

"Absorb!"

Wang Yong nodded, took the liquid rinser, and started the operation carefully.

Chen Cang's fingers are very slender and his movements are very light.

At this time, the esophagus was exposed to everyone. Liu Jian in the distance was a little worried and did not leave the operating room.

Since Liu Jian came in, he has been muttering in his heart.

Chen Cang will have an extrathoracic surgery for a long time?

Not to mention Chen Cang in the emergency department, even Director Li Baoshan has never engaged in surgery in the external chest field.

Chen Cang is half of Old Chen's apprentice, so Liu Jian has some understanding.

It is precisely because of my understanding that I am even more worried about something happening.

After the esophageal tube was exposed, Xiao He stood there: "Xiao Chen, right at the four intercostal spaces of the flat chest, about 2 o'clock behind."

Liu Jian couldn't help but remind: "Xiao Chen, be careful, the vagus nerve is too messy."

Chen Cang nodded without saying a word, carefully separated the esophagus.

Very smooth, no surprises.

After turning it over, the wound was exposed.

"Microtex"

"Scissors"

"Hemostatic Yarn"

"Normal saline"

Kong Yuanyuan nodded quickly and sent it one by one.

Chen Cang took the tweezers and scissors.

Put the muscle layer of the esophageal cleft towards the upper and lower ends, and extend the wound until the mucosa is exposed.

This operation made Xiao He swallow his saliva.

A little nervous...

He was about to say why Chen Cang expanded the wound, so that's it!

"No. 4 Silk Wire"

Next is the time to stitch.

Because the esophagus itself has mucosal damage, if you don’t pay attention, simply suturing the muscle layer will not be a wise choice.

To put it bluntly, it will not be stable after stitching!

Even in the later stage, the mucous membrane that had already broken will continue to be damaged, resulting in second-degree damage to the esophagus. At that time, it will be troublesome to treat it!

Others don’t understand these, but Xiao He himself has an endoscopic and has a very good understanding of the physiological structure and anatomical structure of the esophagus.

Chen Cang’s operation of cutting the wound just now is really eye-catching!

In this way, after the ulcerated esophagus is sutured, the wound area will not cause stenosis of the esophagus.

Thinking of this, Xiao He was immediately excited.

At this time, although the operation had just begun, he felt that it was half successful.

Next is the stitching.

The success rate of suture is directly related to the function of the later esophagus.

Chen Cang carefully picked up the No. 4 line. This suture is actually similar to the suture of intestinal fistula.

The threading between the needles is like a butterfly game, extremely light, but also embellished.

Chen Cang's suture is very clever. He chose the technique of sewing at the broken end and did not occupy too much esophagus.

In this way, it will be very convenient to recover the esophageal function later.

Liu Jian doesn’t know anything else, but he knows stitching!

Chen Cang's suture can be said to be cleverly making the available space of the esophagus larger, and the effect will be better after restoration.

Don't others know how to stitch it like this?

Of course not!

Everyone knows that stitching is good in this way?

But how many people are sure to sew it well like this.

The esophagus is different from other organs. It is a channel and must be kept unobstructed at all times.

Diet for patients with esophageal stenosis is a very troublesome thing.

Perhaps everyone can understand this when they are choked. When the esophageal tube is narrow, you will be choked even if you eat rice!

The patency of the esophageal tube is extremely important.

Why do patients with esophageal cancer feel esophageal obstruction first? Many of them don’t even hurt. Simple obstruction will make people feel upset.

Therefore, Liu Jian dared to bet that Chen Cang's suture skills and abilities is better than the experts who came to the Second Provincial Hospital to help with thoracic surgery!

Many things are very simple and obvious.

Everyone is a medical person and doesn't need to say anything.

After seeing this, Liu Jian couldn't help but say to Wang Yong: "Xiao Wang, take a good look at your teacher Cang's suture. The esophageal suture technique... is really amazing!"

Wang Yong nodded, staring at every detail of Chen Cang without blinking.

Chen Cang didn't speak because after all, it was the first surgery to do his best to complete it.

It took seven or eight minutes before Chen Cang completed the stitching.

This may be a bit sneering in others' eyes. It takes you seven or eight minutes to sew an esophagus, which is indeed a bit slow.

But this is not the time to measure technology by using speed and slowness.

Chen Cang got up quickly and didn’t know how fast he was!

Similarly, be stable... as stable as a dog!

Slow suture does not mean tight sutures. On the contrary, the reason for Chen Cang's slowness is that he sews the mucosal layer and the muscle layer separately.

At this time, Chen Cang said to Wang Yong: "Don't esophageal sutures are too dense, not too tight, and they should be moderately tight when tied."

Wang Yong didn't understand why, so he could only go down to search the book, but just remember it now.

Next, after the suture is completed, the repaired cleft needs to be covered with the pedicle pleural flap, just like the fetal repair, which is actually a safe function!

The operation has now ended.

Place a closed chest drainage tube to drain the flow, but you still need to wait for recovery.

Chen Cang gave the suture to Wang Yong, took off the gloves first, looked at Xiao He and said, "Director Xiao, let the patient be hospitalized. Don't get the nasogastric tube for the time being, and continue to decompress the pressure. Later, I was still worried about mediastinal infection, so I used some broad-spectrum antibiotics during this period."

"You can't eat or fast for these ten days. You can do an esophageal angiography after ten days, and then you will have a liquid diet."

"After all, saliva is toxic!"
Chapter completed!