Chapter 910: Can I Swear? (for hushengayi3)(1/2)
After the esophageal surgery is completed successfully.
Everyone looked up and found that it was already 9 o'clock in the evening.
A esophageal reconstruction took nearly two hours.
The next major gastrectomy will take more than two hours.
The entire operation is not only difficult, but also heavy.
The precise operation of four or five hours is a test for a surgeon.
After the esophageal surgery was successfully completed, Zhang Chahai breathed a sigh of relief, moved his neck, and it started to sound. Who is the surgeon who does not have cervical spondylosis?
Without rest, the following surgery was started directly.
Modified roux-y type anastomosis after most gastrectomy!
He Zhiqian has been looking forward to it for a long time. He has been watching the water dispenser for more than two hours.
My hands are already hungry and thirsty!
At this time, Chen Cang said: "The back of the left rib is raised by 20°."
This sentence immediately stunned everyone.
However, the two male guards nodded quickly and began to help.
Everyone looked confused and was startled by Chen Cang, who opened the door.
He Zhiqian felt a little guilty.
I won’t cause any trouble to Dr. Chen, right?
Thinking of this, He Zhiqian couldn't help but sigh. He was about to get started and didn't dare to act rashly.
"Director He, you can take a leash and lift the lower end of the esophagus."
Although He Zhiqian didn't know what Chen Cang was going to do, he could still understand the command.
Here, Chen Cang also started a quick operation!
Who knew that He Zhiqian discovered that he had lifted his esophagus for an hour and a half in the next time!
This is simply...a useless for He Zhiqian, who has been the director for more than ten years!
Lao He was also very frustrated!
Zhang Chahai at least helped with the operation, and he became a tool man and the "esophageal emissary" for the operation?
However, when he looked at Lao Ma with his hands still on his colon, he suddenly felt much happier.
Lao Ma glanced at Chen Cang: "Xiao Chen, I... can't match it?"
Chen Cang shook his head: "You have to carry it, don't move around."
When Lao Ma heard this, he nodded helplessly and glanced at Lao He with envy.
After all, he was carrying a free esophagus and holding two large intestines in his hands, just like a large intestine seller.
Without comparison, there is no harm.
After seeing the "intestine-lifting messenger" Ma Hanhan, He Zhiqian still felt that Dr. Chen was good to him.
The operation continued, and Chen skillfully performed the major gastrectomy in the near-pyloric endgastric.
He Zhiqian's hands were bound, but his eyes were liberated. He keenly discovered that Chen Cang's majority gastrectomy seemed a little different from his!
This made He Zhiqian frown immediately!
Is this incision strange?
Why cut it off like this?
Why did Chen Cang remove it if he could retain more stomach tissue?
This is in sharp contrast to the stingy removal of the esophagus just now!
Why?
The more He Zhiqian thought about it, the more he couldn't figure it out.
I started to look at the surgery with questions.
On this side, Chen Cang has completed the two layers of closed and open spaces of the duodenal stump.
Then the right gastric and right gastrooptic artery was directly cut off, the double suture on the small curve was closed, and the diameter of 6m was retained on the large curve!
6m diameter, how is this possible?
In this case, there is no way to perform gastrojejunal anastomosis.
Once the tension is too high, anastomotic fistula will definitely occur. This will not only not relieve it, but will aggravate it!
This retained stomach structure obviously made He Zhiqian's eyebrows tight.
Why do you need this?
He can't understand it anymore!
This made He Zhiqian feel uncomfortable. If the 20° height of the back of the left Jili at the beginning made him frown.
Then the majority of stomach removal now made him curious.
Could it be that Chen Cang has limited level?
Absolutely not!
He Zhiqian instinctively shook his head. If his level was limited, it would not be like this rhythm.
What exactly is it?
Chen Cang is getting happier and happier now. In terms of basketball, his hands are getting hotter and hotter now, and they feel very touching!
That's right!
Next, the jejunum was cut off 20m from the treitz ligament according to the gastrojejunum roux-en-y anastomosis procedure, but Chen Cang did not cut it off!
He made a longitudinal incision directly on the side of the jejunum, and made the longitudinal incision anastomosis with the large stomach bend.
After seeing this scene, He Zhiqian was stunned for a moment.
I slowly spit out a word from my mouth.
He understood!
He understood everything, and he knew why Chen Cang did this.
In this way, it is a rebuilding of the gastrointestinal tract!
The length of the small intestine is sufficient. Chen Cang used the spatial freedom of the jejunum to choose the duodenum, but directly formed a structural "stomach-like" structure with the side of the jejunum and the stomach!
This coincides with the scene that Chen Cang demonstrated in the office at the beginning.
He Zhiqian couldn't help but shake his head, and even felt a chill on his spine and cold sweat oozing out. This was excitement, a surprise after a sudden realization.
He thought Chen Cang had changed the surgical plan during the battle.
It seems that's not the case now!
He misunderstood Chen Cang's previous operation.
Genius!
Cliff is a genius!
Roux-en-y gastrojejunal anastomosis is to prevent reflux esophagitis and accelerate gastric emptying to build such a rapid emptying structure.
The patient's condition is that the gastric mucosa is damaged, which is similar to the effect of gastroesophageal reflux. Chen Cang directly abandoned the duodenum and used a complete and healthy dental as the stomach fund, forming a "stomach-like" structure through the remaining gastric body and the sides of the jejunum!
This is a genius idea!
At this moment, He Zhiqian was really excited.
He never thought Chen Cang could think of so much.
He originally thought that the modified roux-en-y gastrojejunal anastomosis would not cut off the colon, but he did not expect... he did not cut off like this.
Awesome!
This procedure can definitely open up a new field of gastrointestinal surgery.
"Stomach-like" surgery!
He Zhiqian couldn't help but smile bitterly and said excitedly: "Doctor Chen, you really convinced me!"
"What a modified gastrectomy! You have reconstructed a stomach!"
Chen Cang smiled and said, "Continue to watch, don't worry!"
He Zhiqian was stunned. Is there any mysterious place?
At this time, Chen Cang was also a little excited. This operation opened up Chen Cang's new horizons and new ideas for gastrointestinal surgery.
He suddenly felt that gastrointestinal reconstruction was not as difficult as he imagined!
To be continued...