Doctor Started a Plug-in

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Sun Guangyu glanced at the nurse: “Call Chen Cang to see where it is.”

The nurse was nodded, picked up the phone, and dialed Chen Cang.

It didn’t take long for the phone to connect: “Director Sun, I just stopped the car and passed it right away!”

When Sun Guangyu heard it, he immediately looked up with joy: “Okay!”

After the arc was hung, Sun Guangyu looked at several directors around him, and impossible to bear said:

“Let’s wait a little while, Dr. Chen is very thinking about the reconstruction of the digestive tract! We don’t have any clue now, one more person, one more strength.”

“Mr. Bu’s current situation has also been seen. The difficulty of surgery is not to mention, the most important thing is that it is difficult to restore digestive function after surgery.”

“I think we should still do our best to preserve the digestive function of Old Mister and improve its quality of life as much as possible.”

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

9 13 years old Old age, so many basic diseases, no one can guarantee how long you can live.

Everyone looked at Sun Guangyu like this, nodded, didn’t say much.

After all, Sun Guangyu is Doctor Chief Surgeon, and eventually he still needs to listen to him.

In fact, on the stage of Operation Theatre, they are like the reinforcements, and the General in the army is still Sun Guangyu, and the final decision-making power is still his.

After thinking of Chen Cang, Sun Guangyu relaxed: “Actually, the last operation of the stomach resection esophageal reconstruction surgery shown to you last time was done by Chen Cang!”

Hearing Sun Guangyu’s words, everyone was stunned for a moment.

“That’s the improved gastric anastomosis operation? What kind of stomach was formed?” Shi Wenyan of the Military Region General Hospital asked directly!

Sun Guangyu nodded: “Yes, that is the operation that made me formally know Chen Cang.”

For a while, everyone’s eyes shined, and they all looked forward to it a little bit more.

A surgery can see the clinical thinking and operation level of a surgeon.

And that operation, in their view, is Chen Cang’s iconic operation, which is enough to explain a lot.

However, the situation of Mr. Bu at this time is really worrying to everyone.

More than 90 years old, but got such a troublesome disease.

Intestinal obstruction caused by Crohn’s disease.

What is Crohn’s disease?

Crohn’s disease is an inflammatory disease of the gastrointestinal granuloma of unknown etiology.

It’s not easy to understand that. In fact, Crohn’s disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease, which is an inflammatory disease of the intestine.

It’s just that the cause is unknown…

But the treatment method is mainly to solve the current symptoms.

Besides, Bu Old Mister is over 90 years old this year and can’t stand much toss.

Fortunately, Crohn’s symptoms are not obvious, Mr. Bu’s performance is intestinal obstruction.

What is the main purpose of surgery now?

First: treat intestinal obstruction!

Step 2: Clean the pancreas!

Step 3: Clear the gastrointestinal tract and pancreatic tissue with obvious adhesion in the abdominal cavity.

Step 4: Reconstruction of the digestive tract.

Each step does not seem difficult, but when combined together, the reconstruction of the digestive tract becomes even more difficult.

Biliary tract needs to be treated, colonic obstruction needs to be removed, and although the pancreas does not need to be completely removed, pancreaticojejunostomy needs to be performed again after cleaning.

Everyone stared at the abdominal cavity with closed eyes, thinking.

It didn’t take long for Chen Cang to enter the Operation Theatre.

Seeing Chen Cang coming, Sun Guangyu looked at him with joy: “Come!”

The nurse had been waiting for a long time, and after wearing the surgical gown for Chen Cang, Chen Cang came over.

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

This……

It’s awful.

Chen Cang unable to bear said: “Crohn’s disease intestinal obstruction?”

Chen Cang blurted out, let everyone appreciate a little more, a bit level.

But after reading Chen Cang, he frowned.

Because, the system told him that Patient’s abdominal cavity is a boss nest, which is not to be trifled with!

[Ding! Complex abdominal cavity, comprehensively judged as lv8Level 8 king-level boss, Patient is an elderly male, there are many basic diseases, Crohn’s disease intestinal obstruction… Please repair the abdominal cavity, rebuild the digestive tract! 】

Chen Cang sighed, comprehensively judged as 8Level 8 king boss.

This is really difficult!

This is the highest-ranked boss that Chen Cang has encountered so far. If it is in the game, it is definitely a dead existence.

To be precise, it is due to unknown AOE!

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

Colonic obstruction is mainly caused by abscesses, which is caused by purulent adhesions in the abdominal cavity, pancreatic edema and inflammation, and most of the stomach is removed. How to rebuild the digestive tract?

What should I do now!

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

Chen Cang listened to the case and looked down into the abdominal cavity. A 4D model picture began to appear. What should be done after a simulation of the surgery for a while.

After a while.

“Hey!”

Chen Cang was instinctively worried.

The adhesion of the abdominal cavity is very difficult to clean up, and it needs to be separated. After a while, anastomosis of the colon is also required. It is really a headache.

Is the pancreas removed?

It is troublesome to cut it, but it is even more troublesome if it is not.

After a while, Chen Cang looked at Sun Guangyu on the side: “Director Sun, what do you think?”

Sun Guangyu frowned: “We didn’t expect this scene before the laparotomy. What I wanted to do was laparoscopic surgery, but just after looking in the mirror, I saw the bad situation in the abdominal cavity and quickly started to open the laparotomy. “

“In fact, the most difficult thing now is the reconstruction of the digestive tract. After the colon is removed, how do the pancreas choose?”

“Pancreatic ten finger resection must be done, but now the key is to have a new choice for gastric ten finger surgery, how do we rebuild the digestive tract!”

Shi Wenyan nodded said: “My idea is to directly excise the pancreas ten fingers to rebuild the digestive tract for the stomach, jejunum and pancreas.”

Speaking of this, Shi Wenyan glanced at Chen Cang: “Dr. Chen, look, is it possible to form a gastric arc, and then we will do pancreatectomy, and then perform pancreaticojejunostomy or pancreaticogastric anastomosis. “

Sun Guangyu shook his head directly: “No! After the formation of the gastric arc, it is not conducive to gastric emptying. After pancreaticogastric anastomosis, the biggest adverse reaction is gastric emptying obstacles. This will undoubtedly increase the difficulty, and it is very difficult for later recovery. .”

Chen Cang understands that it is now a comprehensive issue.

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

I think Crohn’s disease is not the most important thing.

Resection of the colonic obstruction does not affect the rehabilitation of the patient.

Thinking of this, Chen Cang glanced at the reward he just received:

[Raise a skill to Perfection Level! 】

Chen Cang smiled bitterly, brother, I must use you today!