Sun Guangyu glanced at the nurse: "Call Chen Cang and see where you saw it."

The nurse nodded, picked up her cell phone, and called Chen Cang over.

Not long after, the phone was answered: "Director Sun, I just parked the car and came over immediately!"

When Sun Guangyu heard this, he immediately looked happy: "Okay!"

After the arc was hung, Sun Guangyu looked at the directors around him and couldn't help but say:

"Everyone waits for a while, Dr. Chen has a lot of ideas about digestive tract reconstruction! We have no idea now, one more person, and one more strength."

"We have seen Mr. Bu's current situation. Not to mention the difficulty of the operation, the most important thing is that it is difficult to restore digestive function after the operation."

"I think we should do our best to preserve Mr. Bu's digestive function and improve his quality of life as much as possible."

Sun Guangyu’s words are very reasonable, and how to improve the quality of life of the elderly is the most important thing.

At the age of 93, no one can guarantee how long he can live with so many underlying diseases.

Everyone looked at Sun Guangyu like this, nodded, and said nothing.

After all, Sun Guangyu is the surgeon, so he still needs to listen to him in the end.

In fact, on the operating room table, they were like reinforcements, and the general in the army was still Sun Guangyu, and the final decision-making power was still his.

After thinking of Chen Cang, Sun Guangyu breathed a sigh of relief: "Actually, the esophageal reconstruction surgery that I showed you last time was done by Chen Cang!"

When everyone heard Sun Guangyu's words, they were stunned for a moment.

"Is it that modified gastric anastomosis surgery? Which stomach-like type formed?" Shi Wenyan from the Military Region General Hospital asked directly!

Sun Guangyu nodded: "That's right, it was that surgery that made me officially meet Chen Cang."

For a moment, everyone's eyes lit up and they all had a little more anticipation.

A surgery can reveal a surgeon's clinical thinking and surgical level.

In their opinion, that operation is Chen Cang's signature surgery, which is enough to show a lot of things.

However, Mr. Bu’s situation at this time really made everyone a little worried.

At the age of 90, he has obtained such a troublesome disease.

Intestinal obstruction caused by Crohn's disease.

What is Crohn's disease?

Crohn's disease is an unknown gastrointestinal granulomatous inflammatory disease.

It is hard to understand this. In fact, Crohn's disease and ulcerative colitis can be collectively called inflammatory bowel disease, which is an inflammatory disease of the intestine.

It's just that the cause is unknown...

However, the treatment method is mainly to solve the current symptoms.

Besides, Mr. Bu is in his 90s this year and cannot withstand too much trouble.

Fortunately, Crohn's symptoms were not obvious, and Mr. Bu's symptoms were intestinal obstruction.

What is the main purpose of the surgery now?

First: Treat intestinal obstruction!

Second: Clean up the pancreas!

Third: Clean up the gastrointestinal tract and pancreatic tissue with obvious adhesions in the abdominal cavity.

Fourth: Reconstruction of the digestive tract.

Each step seems not difficult, but after being combined, the reconstruction of the digestive tract becomes even more difficult.

The biliary tract needs to be treated, colon obstruction needs to be removed, and although the pancreas does not need to be completely removed, pancreatic and intestinal anastomosis is also required after cleaning.

Everyone stared at the abdomen with frown on their foreheads and thought.

Not long after, Chen Cang entered the operating room.

Seeing Chen Cang coming, Sun Guangyu looked happy: "Here you come!"

The nurse had been waiting for a long time. After putting on Chen Cang's surgical gown, Chen Cang came over.

After seeing the condition of his abdomen, his eyes widened.

this……

Somewhat bad.

Chen Cang couldn't help but say, "Crohn's intestinal obstruction?"

Chen Cang's blurt out made everyone appreciate it a little more and have a little more skill.

But after reading it, Chen Cang began to frown.

Because the system told him that the patient's abdominal cavity is a boss's nest, which is very difficult to mess with!

[Ding! The complex abdominal cavity is comprehensively determined to be a lv88-level king-level boss. The patient is an elderly male, with many underlying diseases, and Crohn's intestinal obstruction... Please repair the abdominal cavity and rebuild the digestive tract!]

Chen Cang sighed and comprehensively judged as the 88th-level king boss.

This is really difficult!

This is the highest-level boss that Chen Cang has encountered so far. If this is in the game, he will definitely be a person who dies in the light.

To be precise, it was death from unknown aoe!

Looking at the adhesions in the abdominal cavity, Chen Cang understood.

Colonal obstruction is mainly caused by abscess. The pus also causes pus adhesions in the abdominal cavity, pancreatic edema and inflammation, and most of the stomach are removed. How to rebuild the digestive tract?

What should be done now!

Sun Guangyu glanced at the attending doctor: "Introduce the medical record."

Chen Cang listened to the case and looked down at the abdominal cavity. A four-dimensional model diagram began to appear. How should the surgery be performed after a while after simulated.

After a while.

"Tsk!"

Chen Cang became instinctively worried.

It is very difficult to clean the abdominal cavity of adhesions, and it needs to be separated, and after colosis is performed, it is really a headache.

Is the pancreas removed?

It's troublesome to cut, but it's even more troublesome not to cut.

After a while, Chen Cang looked at Sun Guangyu beside him: "Director Sun, what do you think?"

Sun Guangyu frowned: "We didn't expect this scene before opening the abdomen. We originally wanted to do laparoscopic surgery, but just after we got out of the mirror, we saw the bad situation in the abdomen and quickly began to turn to opening the abdomen."

"In fact, the most difficult thing now is the digestive tract reconstruction. How to choose the pancreas after the colon is removed?"

"The pancreatic duodenectomy must be done, but the key now is that the gastroduodenal surgery has to be re-choosed. How should we rebuild the digestive tract!"

Shi Wenyan nodded and said, "My idea is to directly remove the pancreatic duodenum, rebuild the digestive tract to the stomach, jejunum, and pancreas."

Speaking of this, Shi Wenyan glanced at Chen Cang: "Doctor Chen, look, can we form a gastric arc here? Then, we will do pancreatic duodenectomy, and then pancreatic intestinal anastomosis or pancreatic gastric anastomosis."

Sun Guangyu shook his head directly: "No! After the gastric arc is formed, it is not conducive to stomach emptying. After the pancreas and stomach anastomosis, the biggest adverse reaction is gastric emptying disorder. This will undoubtedly aggravate and it is very difficult for later recovery."

Chen Cang understood that now it was a comprehensive question.

That is how the stomach, pancreas, and jejunum form a good anastomosis and rebuild the digestive tract!

The Crohn disease I think is not the most important one.

Colonal obstruction resection will not affect the patient's recovery.

Thinking of this, Chen Cang took a look at the reward he had just won:

【Advance a skill to perfect level!】
Chapter completed!