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“I saw you receiving the red envelope!” Old Ma sneered. “You share me, I will not report you!”

Chen Cang quickly squeezed his pockets: “I receive red envelopes with my strength, why should I divide you!”

Old Ma smiled and said: “What a lovely girl! Divide one for me, just one.”

Chen Cang cautiously picked it and gave the cheapest fruit flavor to Old Ma, and the big white rabbit kept it for himself.

Old Ma Mei zi zi directly disassembled and stuffed into the mouth, sweet taste hit, very thick and cheap but also very precious taste aftertaste in the mouth.

Eating sugar, Old Ma and Chen Cang went together to the Operation Theatre.

As soon as he arrived at the Operation Theatre, Old Ma’s big mouth told Chen Cang about the red envelopes to several directors!

Chen Cang was suddenly speechless, am I…

Divide sugar!

At this point, Chen Cang has 3 big white rabbits left in his hand. He quickly put one in his mouth and left 2 big white rabbits for Little Fan Qin.

Old Ma said with a smile: “The red envelopes are all collected, but you have to work hard.”

Zhang Chahai nodded with a smile: “It’s easy to talk.”

Brushing his hands, chatting about the details of the operation, the entire group moved towards Operation Theatre went.

Zhou He is Anaesthetist. After the analysis, he also began to prepare intensively.

The difficulty of this operation is huge!

Chen Cang looked up at the time, at 7:20 in the evening.

The operation officially started.

The entire operation requires separation and repair of neck tissue, thoracotomy, gastrectomy, and esophagocolon placement, so there are many places that require an opening.

The operation of neck esophagus separation started, and Zhang Chahai looked at Chen Cang’s skillful operation. If he didn’t look at his face, he thought he was an old director in his 50s.

Fortunately, the mucosa has not yet been perforated, but the difference is not that great.

The whole process is even more difficult than the damaged and perforated, because it requires the evaluation and removal of damaged tissue.

This undoubtedly adds a surgical procedure, and it is a very troublesome operation to open a knife in a place where there are so many nerves, blood vessels, thyroid and other tissues in the neck.

It took more than 20 minutes for Chen Cang to successfully separate.

At the same time, a prompt tone sounded in Chen Cang’s ear!

[Ding! The digestive tract was burned by sulfuric acid. The comprehensive judgment of the disease is that the level is: king-level boss. The operation is quite difficult. It is recommended to proceed carefully. 】

King level!

However, the difficulty of such an operation cannot be overstated.

Chen Cang didn’t have much mood swings, he held the scalpel steady, looked at the wall of the esophagus, and began to make a slow knife.

This is a delicate process!

How to effectively peel off the undamaged tissue and effectively retain the healthy tissue is a job that requires extreme patience.

Chen Cang’s eyes are extremely accurate in judging the damaged part of red.

When the knife is cut, it is also very decisive.

The operation process is not as good as you think. The blood will continue to flow out, and the damaged scar tissue and the inner wall of the ulcer will look very unbearable.

But everyone is used to it.

Watching Chen Cang bury his head in operation, Zhang Chahai freed and stabilized the esophagus as much as possible.

As time passes by one minute and one second, Chen Cang hopes to retain as much normal tissue as possible, as well as the peristalsis and related functions of the digestive tract.

Digestive tract reconstruction technology is a technology that the world has been trying to research.

Including the Mayo Gastrointestinal Digestive Function Peak Forum is not an exaggeration. The goal they pursue is how to achieve the maximum recovery of gastrointestinal function after digestive tract reconstruction.

This is an international problem!

There are many issues to be considered. The digestive system is by no means only the digestive tract, but also the liver, gallbladder and pancreas… and other digestive organs participate together.

Next is to open the chest and cut the lungs.

Zhang Chahai watched this process with great care.

Chen Cang did not reserve.

In fact, Chen Cang has never reserved these surgical techniques. Even during the last operation, he also focused on explaining the principle and surgical procedure to Ma Yuehui.

But Old Ma…not to mention, speaking of which is sad.

Looking at Chen Cang, who was not surprised, Zhang Chahai was a little distracted for a while, because this temperament and calmness, to be honest, it was really unusual.

Ligate and cut the bronchus of the middle lobe of the right lung without damaging any arteries and veins of the lungs, retain the tissue valves, make the valve of the lung tissue, repair the lung tissue…

The whole process looks familiar, it seems to have made a few 100 sets.

The next step is the anastomosis process.

After Chen Cang covered the lung tissue flap with the defect, an incredible scene appeared!

Zhang Chahai instantly widened his eyes and looked at Chen Cang in disbelief.

so smart?

The leisurely operation like Xianyunsanhe just now…

Is it?

That’s right!

Zhang Chahai was keenly aware that Chen Cang’s operation was not about to run fast, but to deliberately reduce the surgical speed in order to improve the accuracy of the expert operation, thereby ensuring the maximum surgical effect.

From the most suitable lung tissue, making the smallest lung tissue flap can meet the needs of the entire esophagus. What is the level?

Thinking of this, Zhang Chahai is inevitably more dignified.

Esophageal cross-section anastomosis, Chen Cang started continuous suture with 3-0 absorbable line, plus a layer of suture similar to serous muscle layer.

Suture’s speed and rhythm are as precise as the machine, which made several directors feel 10000 1000 with emotion.

“Little Chen’s basic skills are really solid. This set of operations and operations is like an old director in his 50s.”

“Great!”

Several directors praised it frequently, and Chen Cang did not say a word.

The Old Ma on the side laughed slightly: “Basic operation!”

This sentence froze everyone around him. Even Chen Cang stared at the horse, suddenly felt that there was potential for development!

After the neck repair is completed, Chen Cang directly repairs the esophagus of the chest. At this time, a section of the colon needs to be opened for surgery.

Chen Cang looked at Old Ma and felt that he should be commended: “Leader Ma, you only need 5cm to cut the colon.”

Old Ma nodded, picked his eyes, and seeing it, Little Chen still couldn’t do without me!

Old Ma is also very professional, and there is no blind choice for open incision.

After all, Gastrectomy is not necessary if you cut two mouths. It is best to do two things in one mouth.

This basic exercise is not a big problem for the team leader.

When Chen Cang repaired this area almost, he directly removed the most damaged and narrowest areas that could not be repaired.

The Old Ma operation was successful here, and the pedicled colon was prepared.

The cut colon was end-to-end anastomosis using 2-Layer intermittent Suture method.

Using only empty colon surgery on the chest can effectively reduce the adverse reactions of the compressed trachea.

Chen Cang made a small incision directly on the right side of the diaphragm and esophageal hiatus, and then passed the colon and its blood vessels pedicle, and passed the colon through the chest cavity behind the hilum.

The whole process seems simple, but each step needs to be cautious, because once the colonic pedicle has tension in the space behind the displaced spleen and in front of the kidney, it will affect blood flow and even cause the operation to fail.


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