Chapter 1318 Sword Coming!

Chen Cang didn't expect that Zhou Hongguang would discover this seemingly hidden little action!

He coughed: "It's alright, prepare the liver to implant."

He Zhiqian couldn't help laughing: "After Mr. Chen's surgery, he always leaves a personalized treatment at the end of the habit."

"In the future, when you see this sign after surgery, don't think about it, this is Teacher Chen's signature!"

When Chen Cang heard this, he blushed even more!

Many top international surgery bosses have some hobbies!

Chen Cang is just doing a very difficult "Chen Cang knot" at the end of the line.

The average person can't learn this at all!

In the eyes of He Zhiqian and the others, this is Chen Cang's soul operation.

Equivalent to stamping!

Hearing He Zhiqian's words, everyone was stunned for a moment, and then couldn't help but laugh and laugh.

Fortunately, Chen Cang's hobby is not lettering in the liver.

Otherwise, writing "Da Chuxing, Chen Shengwang" on it would cause such a controversy!

When Chen Cang saw that his own thoughts were exposed, he was naturally a little embarrassed, and gave He Zhiqian a vicious look.

"Using Standard Orthotopic Liver Implantation!"

As Chen Cang spoke, he took the needle forceps from the nurse.

Now that the surgery has come, it is time to truly test his strength.

The most important part of liver transplantation is the reperfusion of the liver after implantation.

The key to reperfusion lies in the suture of blood vessels!

Simply put, it is how to revive the function of the transplanted liver.

This is critical!

Chen Cang now made it clear that he decided to do this part himself.

For the anastomosis of blood vessels, Chen Cang is still very professional.

First, after the hepatic bed was implanted, the anastomosis of the superior and inferior vena cava of the liver was first performed.

Everyone looked down!

Chen Cang understands that if you want to do a perfect perfusion, you can't damage the blood vessels, let alone form stenosis.

So how to sew it?

The blood vessels of the superior and inferior vena cava of the two livers have different diameters. How to solve such a problem?

Chen Cang pondered for a moment, then picked up the needle-holding forceps.

Then try to make the donor liver superior and inferior vena cava close to the recipient superior and inferior vena cava!

Then, use 3-0 non-injury sutures to sew a fixed line on the left and right sides of the two blood vessels, and gently retract them to the outside symmetrically, and then sew a retractor line at the midpoint of the anterior wall of the two blood vessels, which is beneficial to Exposure and suture operation of the posterior wall!

This match made Zhou Hongguang's eyes shrink, and he couldn't help but be stunned for a moment.

Why deal with it this way?

At this time, Chen Cang did not stop, and started suturing the posterior wall directly from one end, the suture needle entered the blood vessel from outside the blood vessel, and the U-shaped mattress valgus was continuously sutured!

At this moment, Zhou Hongguang instantly understood!

pretty!

Too classic vascular suture.

In this way, the advantages are very obvious, which can make the vascular wall eversion and the vascular intima to be tight to the intima, especially for the vascular anastomosis that does not match the caliber of the superior and inferior vena cava of the donor and recipient.

classic!

Too damn bright.

Zhou Hongguang felt that today's trip made a lot of money.

Because Chen Cang did not shy away from them!

This vascular anastomosis method, which cleverly solves the mismatch of the calibers of the upper and lower vena cava in the liver of the donor and recipient, really achieves excellence!

Zhou Hongguang clenched his fists the more he looked.

Chen Cang glanced at everyone calmly: "Have you learned it?"

Everyone was stunned for a moment!

turn out to be……

Is Professor Chen teaching them?

Thinking of this, Zhou Hongguang's gratitude to Chen Cang was beyond words.

Generally speaking, no one wants to disclose this core operation.

But Chen Cang didn't, he was very calm!

Calm to a point where people feel that this technology is insignificant!

In fact, it is very difficult!

Zhou Hongguang suddenly thought of something...

If you can complete your own liver transplant surgery, you will become the best liver transplant specialist in China and even in the world!

Academicians of both academies are not a problem, right? !

After all, in the face of absolute strength, any conspiracy is irrelevant.

Zhou Hongguang can be stuck because he is not good enough!

Thinking of this, Zhou Hongguang felt that if he learned Chen Cang's vascular anastomosis liver perfusion technique, it would definitely raise a level!

Chen Cang smiled calmly when he saw Zhou Hongguang.

Children can be taught too!

Compared with the anastomosis of the superior and inferior vena cava, the diameter of the portal vein is thicker, and the suture is more convenient.

At this time, Chen Cang finally showed his matching speed.

Really dazzling!

indeed.

Compared with the anastomosis of the small blood vessels in the spleen, the anastomosis of the liver is really trivial for him.

He even felt that if he sent the hepatobiliary surgeon to cardiovascular surgery for a period of time, his vascular anastomosis skills would be greatly improved after he came back.

Medicine, after all, is a relatively comprehensive discipline.

Chen Cang also felt more and more that the surgical skills of other departments he had learned would complement each other, and after working together, he would be much stronger than those specialist doctors!

For example, anastomosis with cardiovascular blood vessels, reconstruction of pipelines with general external studies, and stabilization with internal exercises...

Every department can exercise a special ability of a doctor!

As for Chen Cang, these abilities seem to have been brought into full play!

After the portal vein was repaired, Chen Cang hurriedly said to Gao Ronghua, "Restore the blood supply of the transplanted liver!"

Gao Ronghua nodded and immediately opened the blocking of the portal vein to restore the blood supply to the transplanted liver.

However, at this time, Chen Cang did not loosen the hemostatic forceps on the superior and inferior vena cava, but carefully released the high potassium preservation solution in the transplanted liver and the blood containing acidic metabolites in the lower body through the inferior vena cava of the donor liver. 250ml!

The inferior vena cava of the donor liver was then blocked again with vascular blocking forceps.

This step may seem simple, but it is very important.

"Methylprednisolone 1000mg!"

"Intravenous cyclosporine!"

...

When the doctor's order is issued.

With the return of venous blood, the liver finally restores blood.

But it's just veins!

The next thing to do is the anastomosis of the hepatic artery!

This is also the most important step in liver transplantation.

If the anastomosis of the hepatic vein is an anastomosis, then the anastomosis of the hepatic artery is a reconstruction!

All that needs to be done is to complete the reconstruction of the liver arteries.

Arterial reconstruction is successful, liver blood perfusion is good, and liver recovery is good!

However, at this time, Wang Dong's artery had already had a mutation in the hepatic artery due to the operation some time ago, so the common hepatic artery could not be used.

At this moment, everyone's eyes turned to Chen Cang!

If Chen Cang handles this step well, the success rate of the operation will be much higher.

Seeing everyone, Chen Cang just smiled lightly and said:

"Come the knife!"

...

ps: Thank you for the 20,000 reward for pretending to be a boss. There are two chapters in a while, everyone wait a moment, thank you.