Doctor Started a Plug-in

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After Chen Cang was ready, Ford and the others also arrived in the Operation Theatre.

Several doctors and assistants came, but stood in the distance and looked at the operating table without talking.

Ford looked at the Operation Theatre and suddenly caught Chen Cang’s gaze, suddenly stunned.

What does this look mean?

Kind of like… encouragement?

Ford was a little bit confused. It seemed that he had just entered Hospital at the time. Teacher looked at him comfortably and said, “Learn hard!”

At this point, Ford’s nurses took the equipment in, and it seemed… ready to take over the operation at any time.

Although pancreatectomy is a more effective treatment for tumors such as pancreatic cancer, its efficacy is still not satisfactory.

Especially pancreatic head cancer is the worst!

Several other types of cancer are slightly better, but the total surgical resection rate is only 30%, and the surgical mortality and 5-year cure rate after resection are only about 10%.

Therefore, this requires a high degree of precision of the operation, and every link should be done well.

Similarly, this is also the confidence of Ford and the others, who have enough clinical experience and coping strategies!

Even in the field of gastrointestinal reconstruction, there has been considerable development.

Ford looked at Chen Cang and saw that he looked calm and calm, which made him a little more curious.

This youngster doesn’t seem to be nervous at all, does he not know the difficulty of pancreatectomy?

Maybe…ignorance is a bliss!

Ford believes that he can discover many of Chen Cang’s deficiencies and errors during the operation, and even he will write a special paper published in the journal of the American Medical Association.

Surgery is about to start!

Anaesthetist is the director of the Department of Anesthesiology, and has had enough communication before to perform laparotomy.

The choice is continuous epidural anesthesia, which maintains for a long time, the response is small, the abdominal muscles relax well, and it is easy to reveal.

Seeing this scene, Ford almost couldn’t help but laugh: Could it be…are you going to have an abdominal surgery for a pancreatic head 2 1 fingerectomy?

Now this operation, Mayo is basically all endoscopic surgery!

Ford suddenly felt a sense of dimensionality reduction…

“Dr. Chen, are you going to have an abdomen?” Ford still asked.

Chen Cang did not look back, but looked at the nurse on the side and said, “scalpel!”

Seeing this, Ford blushed suddenly.

Chen Cang had already discussed this with Anaesthetist. Choosing laparotomy is a necessary step to decide whether it can be removed!

Because the Old Master is very early, there is not even much transfer, so Chen Cang at first’s plan is to retain some tissue and remove some tissue.

This is also a surgical plan he has been researching and exploring recently.

If you use the traditional pancreatectomy, according to the physical fitness of the elderly, plus long-term diabetes, Chen Cang can guarantee that the survival period will not be too long.

Even the perfect pancreas 2 finger resection is useless!

This is a flaw in the operation itself.

This is also the reason why Chen Cang is fighting for surgery, because he knows that if Ford does it, it must be completely removed. This is not much different from ordinary person. The only difference is that Ford can do when the digestive tract is reconstructed. It is relatively better.

This is the gap between Ford and Chen Cang.

When Chen Cang’s pancreas ten 2 finger resection was perfect, combined with those quasi-perfect biliary and intestinal anastomosis…Perfection Level gastrointestinal anastomosis, etc., this made Chen Cang aware of one thing.

That is the incompleteness of the operation itself.

The more in-depth research, the more Chen Cang found the incompleteness of surgery.

There is no perfect surgery, but it is the dwarf who pulls the general. When it is absolutely necessary, he can perform better surgery, and the relative chance of complications is a little lower. That’s all.

Therefore, Chen Cang didn’t pay any attention to Ford, and then needed a surgery.

After taking the scalpel, Chen Cang made an incision in the middle of the old man’s right upper abdomen.

The incision is not large, but this position is just convenient for up, down, and extension, revealing the entire digestive tract.

When the abdominal cavity was exposed, Chen Cang started to check it.

The size of the gallbladder is normal, which is a good thing. The cancer of the head of the pancreas does not oppress the bile duct and cause gallbladder lesions.

When Chen Cang touched the pancreas head with both hands, he clearly felt a burst of information.

[Pancreatic head cancer: very early, it is recommended to remove! 】

After feeling the mass of the pancreatic head, the next thing Chen Cang had to do was to incise the ten-two finger intestine to clearly identify the development of pancreatic head cancer.

This operation is dangerous, it is easy to spread tumors or intestinal bacteria into the abdominal cavity, and it should be avoided if not necessary.

Sun Guangyu looked at Chen Cang nervously, and the atmosphere dared not sip.

Although he had talked about the operation plan, he was still a little nervous.

Ford is also dumbfounded!

Chen Cang This is dancing on the tip of the needle!

After seeing the internal structure clearly, it was finally relaxed.

The next thing to decide is whether to remove it, which can be radically removed.

Check whether the cancer itself has crossed the gland and invaded the portal vein, superior mesenteric arteriovenous, abdominal aorta, inferior vena cava and other important blood vessels.

At this time, Chen Cang directly cut the posterior peritoneum on the outside of the ten-two digits, turning the head of the ten-digit digits and pancreas inward!

Subsequently, cautiously explored the gap between the dorsal side of the head of the pancreas and the ventral side of the aorta and inferior vena cava with his left finger.

It is easy to extend the finger into this gap, indicating that the cancer is still confined to the pancreas and has not metastasized.

Luckily, there is no transfer!

This process requires 3 steps to check, but Chen Cang did a dozen steps, he took all the places he can consider into account.

This… is something endoscopic surgery can never do.

Refinement and precision.

Time went by one minute and one second, and Chen Cang checked it carefully.

Finally, the inspection is finished!

Chen Cang looked at the abdominal cavity, and the 4D model diagram began to be continuously simulated. After two minutes, Chen Cang started to move!

Next, fully separate the organs to be removed.

And in such a key link, Chen Cang suddenly did not separate the stomach body, but began to free up the biliary tract!

Then… under Hemostatic Forceps, he took the lead in cutting the Y-shape under the common bile duct and the pancreas with a knife.

Then a clever separation was carried out, at this time, the pancreas was suddenly free!

This unfathomable mystery operation dumbfounded everyone!

At this time, the head of the pancreas cannot be touched, and no matter whether it is the operation of the ten fingers, the stomach, or even the bile duct, it needs to be ligated before it is removed to prevent the spread of tumor cells.

But Chen Cang now separates the bile duct directly from the pancreas, so that the bile ducts are free!

This operation directly dumbfounded Ford behind him!

How is this going?

Chen Cang took a deep breath, just this step, he is cautiously, afraid of causing undesirable consequences, his eyes stared open long ago!

Put yourself into it!

All he has to do is not to remove the bile duct, but to skillfully use the separation to achieve a resection effect.

At present, the effect is good!

At least for a while, the anastomosis of the gall bladder is less difficult.