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However, after this operation is over!

each and everyone Director tickled.

They found that finally found a guide Teacher, how can I let it go so casually?

When they reach this point, it will be more difficult to improve. Many places need expert advice to break through!

So, the director of each and everyone took turns!

At this time, Lu Chao actually wanted to be ridiculous. In such a rare opportunity, with Dr. Chen and Ørsted all present, how many pertinent suggestions can I get?

unfortunately!

Looking at each and everyone’s director be eager to have a try, Lu Chao had to make room.

“The next operation is gastroscopy under endoscopic, Dr. Chen, also hope to give more advice!” Director Li on the side looked at Chen Cang.

Chen Cang nodded laughed: “Learn from each other.”

In fact, Chen Cang whispered another thing now!

Why hasn’t the stealing skills been triggered yet?

Helpless!

The operation continued, and Chen Cang’s understanding of major gastrectomy is still in place, especially gastrointestinal anastomosis.

Although it seems that Director Li is undergoing surgery, but everyone sees it, this is just a puppet!

To put it bluntly refers to where to fight!

Chen Cang’s endoscopic at this moment incarnation became baton.

But Director Li, who is immersed in it, can be said to be extremely excited. Every time Chen Cang dials, although he speaks directly, he can reach the essence directly through the surface!

This made him feel deeply!

As a result, Director Li, a rigorous schemes and deep foresight, performed very slowly, and basically asked every doubt.

From the location of major gastrectomy to anastomosis…

After the operation, Chen Cang felt a little dry.

Everyone around naturally saw Director Li’s “crime” and decided to follow suit!

Lu Chao regretted it!

He did a little too fast, or a simple operation, originally wanted to show his hand in front of Dr. Chen, didn’t expect… hey… I was wrong!

[Ding! Successfully stealing the teacher, get Master Level biliary repair. 】

After hearing the sound, Chen Cang was very happy!

Biliary repair surgery?

Although it is not the most desirable [Cholecystostomy] by Chen Cang, the repair of the biliary tract is not bad, it is still Master Level.

You can’t be too greedy!

Chen Cang looked at the people with satisfaction, and said with a smile: “Who is next?”

……

……

Chen Cang didn’t take a cup when he came, but he didn’t speak yet, only to see a director running in with a glass of water.

“Dr. Chen drinks water!”

Suddenly, the other directors reacted suddenly.

Yes, Dr. Chen’s thirst is a bad thing for himself. 10000 If Dr. Chen doesn’t like to talk anymore, isn’t this just blind?

then!

The operation was performed with pleasure.

Chen Cang is very well-paid, and the meals at noon are very rich, and the director’s meals are all rich. Everyone must be delicious and entertained.

At more than 3 pm, Chen Cang finally handed over several arranged endoscope use techniques.

When I was leaving, several directors persevered, and my heart was more firm. I need to do a good job in drawing the book.

Chen Cang sat in the car with some emotion!

Today I finally learned the skills of Ørsted.

But it was still not an anastomosis, which made Chen Cang wonder.

It is quasi-Perfection Level biliary repair surgery.

This made Chen Cang a little depressed.

I have successfully stolen the teacher twice this afternoon, what a high success rate, but unfortunately it was a skill.

Let Chen Cang feel some emotion.

Ørsted is also very insightful in this business, and returned to the hotel early.

After Chen Cang returned to Hospital, he returned to the duty room.

Lying on the bed with eyes closed, I directly learned 2 acquired skills.

but!

After Chen Cang learned all 2 skills, Chen Cang suddenly froze!

He was not shocked by Ørsted’s ideas!

It’s a bit dumbfounded by Director Li’s idea…

Although it is only Master Level’s biliary repair, Chen Cang has benefited a lot!

At this time, I have to say the magic of stealing teacher skills.

After stealing the teacher, the stolen person often can also get the thoughts and feelings of the operation.

This is amazing.

Now when Chen Cang looked back to see the lens-holding technique, he was suddenly more excited.

I have to express my heartfelt emotion, this is a good thing!

What is Director Li’s idea?

Bile duct repair surgery refers to the natural pathway that still maintains bile circulation to restore physiological function.

Only the better preservation of the integrity of the bile duct can make bile enter the ten fingers via a natural pathway.

In addition, it can maintain and exert the function of the sphincter at the end of the bile pancreatic duct. In addition to physiological adjustment, it can especially avoid the various harms caused by the reflux of intestinal fluid into the biliary tract.

The normal structure and function of the distal bile duct and sphincter are another basic element.

However, if the natural bile duct is destroyed, biliary-enteric anastomosis is performed, in any case, it is not as good as its natural bile duct anastomosis.

Well, the problem is coming!

Since the problem of gallbladder anastomosis surgery that many!

So, can we find another way to repair the damaged bile duct as much as possible and restore the function of the bile duct itself, so as not to go to the gallbladder and anastomosis?

When Chen Cang saw this idea, he instantly awakened.

correct!

In fact, there is nothing perfect about surgery!

As long as it is surgery, it is necessary to destroy the original structure and rebuild a new structure.

The human body can actually form the tissues and forms that it is today, and it has already matured itself.

Both the gallbladder and the appendix have an irreplaceable role.

The anastomosis of biliary jejunum itself has some hidden dangers!

Common complications after biliary-enteric anastomosis include bleeding, biliary fistula, and obstruction at the site of anastomosis.

In the long term, there can be recurrence of stones in the biliary tract, retrograde infection to form biliary tract infections, and patients with recurrent fever, even cholangitis, jaundice, etc.

The existence of these problems makes the difficulty of matching up again.

To reconstruct the digestive tract, anastomosis of the gallbladder and intestine and anastomosis of the pancreas and intestine become very important.

If there are more complications after reconstruction, what is the point?

Chen Cang suddenly felt that Director Li’s idea directly benefited him!

If the bile duct can be used, can the bile duct repair surgery be used instead of the bile intestinal anastomosis without destroying the natural end of the bile intestine?

The same is true for the pancreas!

Thinking of this, Chen Cang could no longer suppress his inner thoughts, anxiously got up and began to take out the paper, draw a graph of the biliary tract on it, and then began to analyze it.

He feels that this kind of thinking is feasible!

Another way is to solve the loophole of bile-gut anastomosis in disguise.

However, he quickly discovered a problem!

That is he didn’t know enough about gallbladder anastomosis.

Only by understanding gallbladder and intestinal anastomosis can we conceive a new way of thinking!


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