Doctor Started a Plug-in

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After successful completion of esophageal surgery.

Everyone looked up and found that it was 9 o’clock in the evening.

An esophageal reconstruction took almost 2 hours.

The next Gastrectomy will be more than 2 hours of operation.

The entire operation is not only difficult but also heavy.

The precise operation of up to 4-5 hours is a test for a surgeon.

After the esophageal surgery was successfully completed, Zhang Chahai also relaxed and moved his neck, and ka ka ka rang. As a surgeon, which one does not have cervical spondylosis?

Without rest, start the following surgery directly.

Modified Roux-Y anastomosis after most gastrectomy!

He Zhiqian had been looking forward to it for a long time. He had been watching this water dispenser for more than 2 hours.

Hands are already hungry and unbearable!

At this time, Chen Cang said: “The back of the left quarter is 20° higher.”

This sentence made everyone stunned for a moment.

However, 2 male nurses quickly nodded and began to help.

Everyone was blank, and was taken aback by Chen Cang’s open gun.

Instead, He Zhiqian is somewhat guilty.

I won’t cause any trouble to Dr. Chen?

Thinking of this, He Zhiqian was unable to bear sighed, and he would not dare to act blindly without thinking.

“Director He, you come with a harness and lift the lower end of the esophagus.”

Although He Zhiqian didn’t know what Chen Cang was doing, he still understood the command.

Here, Chen Cang also started a swift operation!

What knows is that He Zhiqian found that he raised the esophagus for an hour and a half in the next time!

For He Zhiqian, who has been a director for more than ten years, this is simply… Overkill!

Old He is also very stubborn!

Zhang Chahai has at least helped to operate it, and he has become a tool man. Is it the “elevator of the esophagus” for surgery?

However, when he looked at Old Ma with his hands still on the colon, he suddenly felt much happier.

Old Ma glanced at Chen Cang: “Little Chen, I…can’t match?”

Chen Cang shook his head: “I’ve made it, don’t move it.”

Old Ma heard it, helplessly nodded, and looked at Old He enviously.

After all, people carry a free esophagus, and they carry two large intestines in their hands, just like the ones who sell large intestines.

Without comparison, there is no harm.

After seeing Ma Hanhan, the “breeder of the intestines,” He Zhiqian also felt that Dr. Chen was not bad for himself.

The operation continued, and Chen was skilled at Gastroectomy near the pylorus.

He Zhiqian’s hands were bound, but his eyes were liberated. He keenly discovered that Chen Cang’s Gasstrectomy and his own seem to be a little different!

This made He Zhiqian frown immediately!

This incision is strange?

Why cut it off like this?

Obviously more stomach tissue can be retained, why should Chen Cang remove it?

This is in stark contrast to cutting off the esophagus just now!

why?

The more he thought, the more he couldn’t figure it out.

Started to look at the surgery with doubt.

Here, Chen Cang has completed 2 layers of 2 finger stump closure and open.

Then, the right gastric artery and the right gastric omentum artery were directly cut off. The double curved suture was closed on the small curved side, and the diameter of 6 cm was retained on the large curved side!

6cm diameter, how is this possible?

As a result, there is no way to perform anastomosis of the stomach and jejunum.

Once the tension is too large, anastomotic leakage will definitely occur, which not only does not reduce, but will increase!

This preserved stomach structure obviously made He Zhiqian’s eyebrows tight.

Why is it like this?

He can’t understand it!

This makes He Zhiqian very uncomfortable, if at first’s left quarter rib back is raised 20° to make him just frown.

So now the gastrectomy has made him curious.

Is Chen Cang limited in level?

Absolutely not!

He Zhiqian shook his head instinctively, if the level is limited, impossible is such a rhythm.

What is it because?

Chen Cang is getting a little bit happier now. In basketball, the hand is getting hotter and hotter, and it feels great!

That’s right!

Then, according to the Roux-en-y anastomosis of the stomach and jejunum, the jejunum was cut 20 cm away from the Treitz ligament, but Chen Cang did not cut it!

He made a longitudinal incision directly on the side of the jejunum, anastomosing the longitudinal incision with the stomach bend.

After seeing this scene, He Zhiqian froze for a moment.

Slowly spit out a fuck me in his mouth.

He understands!

He all understood, he knew why Chen Cang did this.

In this way, it belongs to the reconstruction of the gastrointestinal tract!

The length of the small intestine is sufficient. Chen Cang took advantage of the spatial freedom of the jejunum. Instead of choosing ten fingers, he directly formed the side of the jejunum and the stomach into a structural “stomach-like” structure!

In this way, it coincides with the picture presented by at first Chen Cang in the office.

Unable to bear shook the head, He Zhiqian even felt that his spine was cold and cold sweat oozed out, which was exciting and a surprise after he suddenly realized.

He also thought that Chen Cang’s surgery plan was about to change.

This does not seem to be the case now!

He misunderstood Chen Cang’s previous operation.

Genius!

The cliff is a genius!

Roux-en-y gastrojejunostomy is to prevent reflux esophagitis and accelerate gastric emptying to build such a rapid emptying structure.

In the case of Patient, the gastric mucosa is damaged, similar to the effect of gastroesophageal reflux, and Chen Cang directly discards the 2 1 finger intestine and uses a complete and healthy finger intestine as the fundus, which is formed by the remaining stomach body and the side of the jejunum. A “stomach-like” structure!

This damn thing is a genius idea!

At this moment, He Zhiqian was really excited.

He never thought Chen Cang could think so much.

He originally thought that the improved Roux-en-y gastrojejunostomy just didn’t cut the colon, didn’t expect… he didn’t cut it like this.

Awesome!

This operation can definitely open up a new field of gastrointestinal surgery.

“Stomach-like” surgery!

He Zhiqian was unable to bear with a bitter smile, and said with some excitement: “Dr. Chen, you really convinced me!”

“What a modified gastrectomy procedure! You just rebuilt a stomach!”

Chen Cang laughed: “Continue watching, don’t worry!”

He Zhiqian froze, is there any mysterious place?

At this time, Chen Cang was also a little excited. This operation opened up Chen Cang’s new vision and new ideas for gastrointestinal surgery.

Suddenly he felt that gastrointestinal reconstruction is not as difficult as he imagined!

Soon, the esophagus and the stomach end are anastomosed…The 2 ends of the colon are anastomosed!

When all the work was completed, Chen Cang linked the omentum to the stomach and fixed the stomach slightly to the upper body, and after the anastomosis of the descending colon Chen Cang, it also moved a little…

Cooperate with the operation of the back of the left quarter rib back up 20°!

The entire esophagus, stomach, small intestine, large intestine…at this moment the digestive tract is successfully reconstructed!

When everyone saw this scene, they suddenly opened their eyes and were shocked!

“Can I swear?”

“Hold the grass!”

“Bull…very awesome!”

“Dr. Chen, you are a genius!”

……

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