Gallbladder and intestinal sensation cooperation is an important part of the reconstruction of digestive tract function. Although it cannot be said that it is very difficult, it is definitely very important.

The most difficult surgery in digestive tract reconstruction is pancreatic and gastrointestinal anastomosis, and pancreatic duodenectomy is one of the most difficult procedures.

The difficulty in reconstructing the digestive tract actually revolves around the small intestine!

The difficulty is naturally in the treatment of the small intestine.

Small intestinal anastomosis seems the simplest, but as the central link, it is the most difficult.

Because it connects the stomach, bile tract, pancreas,

These three important digestive organs, plus the small intestine, have formed 90% of the digestive tract.

As for colorectal anastomosis, it seems that everyone has not paid much attention to it.

At first, Chen Cang thought that the digestive tract reconstruction was not difficult, but after in-depth understanding, he realized that the difficulty seemed to be much higher than he had imagined!

Otherwise, it would not have troubled the digestive surgery for hundreds of years, and there is no better solution yet.

At this time, when Chen Cang looked back, he suddenly realized that the pancreatic surgery skill expansion package he had obtained had really taken advantage of.

The most rare problem seems to be solved first.

After the operation began, Chen Cang meticulously held the mirror.

Laparoscopic gallbladder surgery is actually very testable.

For example, in this patient, the reason for bile duct stenosis was that during the cholecystectomy, the bile duct was accidentally damaged, resulting in cholestasis and jaundice.

Under laparoscopic surgery, damaging the bile duct seems to have become a very serious problem.

This is no longer a matter of one person, and it has even become an industry problem.

Thinking of this, Chen Cang no longer was anxious to think about how to steal the master or what to do. He hoped to use his mirror-holding skills to observe the gallbladder to see if it could reduce the chance of biliary tract damage!

Chen Cang simply calmed down and began to watch Oster's surgery.

After the bile duct is exposed laparoscopically, careful separation is required.

Because the blood vessels around the bile duct are dense and there are multiple blood vessels that need to be careful during the passage.

When Oster was in surgery, he did not relax his vigilance just because this was the surgery he was good at, but instead took extra attention.

At this time, Chen Cang suddenly said: "Professor Oster, what do you think is the main reason for bile duct damage during bile duct surgery and gallbladder surgery?"

This question made Oster suddenly silent!

Extrahepatic bile duct stenosis accounts for about 80% to 90% of the extrahepatic bile duct damage during surgery.

Secondly, perichogram inflammation, infection and ischemia account for only 10% to 20%.

So, why is the damage?

This is a very important question!

Since there is such a high damage rate, why not conquer it?

When Oster thought of this, he couldn't help but say, "This is a problem!"

With a word, Ma Yuehui couldn't help rolling his eyes!

I thought I could say something of good quality?

At this time, He Zhiqian, who acted as an assistant, also started to think.

The surgery to deal with damaging bile duct stenosis is a biliary surgery again, and some even reach more than 10 times, which is a very difficult operation.

It is definitely not a successful operation, including the patient at this time, who had already completed it once three years ago!

The four people thought at the same time.

After a moment, Oster said, "Maybe it was because of the art of martial arts?"

He Zhiqian also nodded: "Well, even if it is an open-abdominal surgery, when dealing with the gallbladder, due to liver, blood vessels and other reasons, the bile ducts are easily damaged."

When Oster was dealing with the common bile duct, Chen Cang suddenly said, "Wait a moment, I'll change your angle, and you'll deal with it!"

Just when he was separated and entered the omentum, Chen Cang took the lead in following the laparoscopy. At this time, Chen Cang turned the optical fiber, and soon, the thread knots left by previous operations and scar nodules at the stenosis of the bile duct appeared in the TV screen.

After seeing this narrowness, Chen Cang fell into deep thought.

Why damage here?

Thinking of this, he quickly said, "Let me see where the hole drilling was last time."

Suddenly, Oster's eyes lit up.

The marks left by several surgeries in the abdomen appeared.

Chen Cang looked at the marks, and Oster quickly identified which one was the operation hole and which one was the auxiliary.

Chen Cang stared at the four-dimensional picture and kept thinking...

At this time, he discovered the power of his four-dimensional map!

This is clearly a simulated structural diagram.

Through three holes, the surgery at that time was even simulated.

After a few minutes, Chen Cang had already thought of dozens of possibilities for damage.

This... is no different from not expecting it.

Dozens of surgeries are obviously not representative, and he needs to find a commonality of the injury!

Thinking of this, Chen Cang understood that this is no longer a problem that can be solved by a surgery, and more surgeries may be needed to verify it.

Chen Cang said casually: "Professor Oster, you come and deal with it, I will give you a vision!"

Osti, the question raised by Chen Cang, also made him fall into deep thought.

The operation passes minute by minute.

Chen Cang constantly uses laparoscopic skills, taking into account all structures and organizations as much as possible.

Oster's bile duct jejunal anastomosis was done very well!

This is the first time that Oster was personally supported by Chen Cang. In the true sense, I feel how powerful Chen Cang’s mirror holding technology is!

Chen Cang even thought of every step in advance.

Blood vessels, ligaments, liver, bile ducts... Chen Cang will use laparoscopic techniques in advance to illuminate the field of vision and then provide a warning!

The laparoscopy is like the eyes of the surgeon, and as the mirror holder, Chen Cang turned the surgeon's eyes into a 360-degree camera without dead angles!

So that Oster's next surgery went very smoothly!

Oster also felt that the operation of today was unprecedentedly smooth, and every detail could be grasped in place.

All of this is naturally attributed to Dr. Chen.

For a moment, Oster had a premonition that Chen Cang might have performed this kind of surgery more powerful than himself?

Thinking of this, Oster looked up at Chen Cang, and saw that his eyebrows were tight and he didn't know what he was thinking!

Suddenly, Oster suddenly felt a slap in his heart, and there was a little more worry in his eyes.

Could it be...Did Dr. Chen feel dissatisfied with his own surgery?

Thinking of this, Oster suddenly felt uneasy and the operation became more and more rigorous and serious!

The operation is over soon!
Chapter completed!