Doctor Started a Plug-in

You can search for “when the doctor opened the plug-in wonderful pen novel novel network (imiaobige.com)” in 100 degrees to find the latest chapter!

Biliary and intestinal kiss cooperation is an important part in the reconstruction of digestive tract function. Although it can not be said that it is very difficult, it is absolutely very important.

In the reconstruction of the digestive tract, the most difficult operation is pancreaticogastric anastomosis, and pancreatectomy is one of the most difficult operations.

The difficulty in the reconstruction of the digestive tract is actually 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 he connects the stomach, bile duct, pancreas,

These three important digestive organs, together with the small intestine, constitute 3/100 of the digestive tract.

And the colorectal anastomosis seems that everyone until now does not pay much attention.

Chen Cang at first originally thought that the reconstruction of the digestive tract was not difficult, but with the in-depth understanding, he became more and more aware that the difficulty seemed to be much higher than he thought!

Otherwise, it will not bother the digestive surgery for 100 years, so far there is no better solution.

At this time, when Chen Cang looked back, he suddenly realized that the Pancreas Surgical Skill Expansion Pack obtained at the beginning was really a big deal.

The most rare problem seemed to be solved first.

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

The operation of the gallbladder under endoscopic surgery is actually a test.

Just like this Patient at this time, the reason for the biliary stricture was that the Cholecystectomy accidentally damaged the bile duct, so that the bile duct narrowed, resulting in cholestasis and jaundice.

Under endoscopic surgery, damage to the bile duct seems to have become a very serious problem.

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

Thinking of this, Chen Cang is no longer anxious to think about stealing a teacher or doing anything. He hopes to observe the gallbladder with his lens holding skills to see if it can reduce the chance of biliary injury!

Chen Cang calmed down and began to watch Ørsted’s operation.

After the bile duct is exposed under Laparoscopy, it needs to be separated cautiously.

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

During Ørsted operation, not at all because of this is the operation that I am good at, I relax my vigilance and instead take it seriously.

At this time, Chen Cang suddenly said: “Professor Ørsted, what do you think is the most important reason for biliary tract surgery and gallbladder surgery to damage the bile duct?”

This problem made Ørsted silent suddenly!

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

However, inflammation, infection and ischemia secondary to bile ducts after surgery account for only 10% to 20%.

So why is it hurt?

This is a very important question!

Since such a high damage rate, why not go and conquer it?

Ørsted thinking of this, disable to bear said: “This is a problem!”

In a word, Ma Yuehui cannot to bear rolled the eyes!

What do you think you can say?

At this time, He Zhiqian, who was an assistant, also thought about it.

The operations to deal with traumatic biliary stenosis are all biliary tract operations, and some even more than 10 times. It is a very difficult operation.

It is definitely not a successful operation, including the Patient at this time, which has been completed 3 years ago!

4 people think at the same time.

After a while, Ørsted said, “Maybe it’s because of the problem of the operative field?”

He Zhiqian is also nodded: “Well, even with open surgery, when dealing with the gallbladder, because of the dense liver and blood vessels, it is easy to damage the bile duct when dealing with the 3 corner area of ​​the gallbladder.”

Ørsted When dealing with the common bile duct, Chen Cang suddenly said: “Wait a moment, I will give you another angle, and you will deal with it again!”

Just when separating and entering the small omentum hole, Chen Cang took the lead to follow the endoscope. At this time, Chen Cang turned the optical fiber. Soon, the wire nodules and scar nodules in the biliary stenosis left by the previous surgery appeared on the TV. In the picture.

After seeing this original narrowness, Chen Cang fell into contemplation.

Why is it hurting here?

Thinking of this, he quickly said quickly: “I look at the place where the last hole punching operation was.”

Suddenly, Ørsted is also eyes shined.

Imprints from several operations between the abdomen appear.

Chen Cang looked at several marks, and Ørsted quickly distinguished which one was the operation hole and which was the auxiliary.

Chen Cang’s eyes widened and he looked at the 4D picture, thinking continuously…

At this time, he discovered the power of his 4-dimensional picture!

This is clearly a simulation structure diagram.

Through the 3 holes, even began to simulate the operation at that time.

After a few minutes, Chen Cang had thought of dozens of possible injuries.

This… is no different from not expecting.

Dozens of operations are obviously not representative, he needs to find a commonality of injury!

Thinking of this, Chen Cang understands that this is no longer a problem that can be solved by one operation, and more operations may be required to verify.

Chen Cang simply said: “Professor Ørsted, you deal with it, I will give you vision!”

Ørsted nodded, the question raised by Chen Cang also made him fall into contemplation.

The operation lapsed one minute and one second.

Chen Cang continuously develops endoscopic techniques, taking into account all structures and organizations as much as possible.

Ørsted’s bile duct jejunum anastomosis was done smoothly!

This is the first time Ørsted has been supported by Chen Cang himself, and it is a real sense of how powerful Chen Cang’s lens-holding technology is!

Each step, Chen Cang can even think of it in advance.

Blood vessels, ligaments, liver, bile ducts… Any tissue that may be damaged, Chen Cang will use the endoscopic technique to illuminate the field of vision in advance, and then do a good job of warning!

The endoscope is like the eyes of Doctor Chief Surgeon, and Chen Cang as a lens holder, forcibly turns Doctor Surgeon’s eyes into a 360-degree camera with no dead angle!

So that Ørsted’s next operation was very smooth!

Ørsted also feels that his operation today is unprecedentedly smooth, and every detail can be grasped in place.

All of this is naturally due to Dr. Chen.

For a time, Ørsted had a hunch that Chen Cang might have performed such an operation better than himself?

Thinking of this, Ørsted looked up at Chen Cang and saw that his brow was tight and he didn’t know what he was thinking!

Suddenly, Ørsted suddenly had a chuckle in his heart, and his eyes were a bit worried.

Could it be that Dr. Chen is not satisfied with his performance of this operation?

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

The operation ends soon!

However, Chen Cang still said nothing, which made Ørsted restless even more!