Chapter 891 We Are Always Like This! Real!

After Chen Cang saw the system prompt, he was a little more happy!

Because he hasn't seen the boss for a long time and solved it independently...

I've seen it recently, but... these lord-level bosses, Chen Cang, can't solve it either. Naturally, he won't go up and try stupidly. If the surgery fails, not only his career will be scrapped, but more importantly, the patient's life will be lost. .

Thinking of this, Chen Cang naturally had a little more expectation.

Can't wait!

let's start.

Otherwise, Team Leader Ma will come back, who is the boss? Of course, the most important thing is that the patient may not be able to wait for a long time.

Thinking of this, Chen Cang glanced at He Zhengzhi: "Are you a little nervous?"

He Zhengzhi was not nervous, he was panicking!

After all... such an operation, look at what the stomach has become, can you do it well?

He Zhengzhi wanted to cry but had no tears. You asked me if I was nervous...

"It's a little... Dr. Chen, let's wait for Team Leader Ma. After all, the difficulty factor of this operation is a little too high. Look at the ulcer surface, the serosal layer has been destroyed, and there are more than one perforation. This considers a stomach As for the size and scope of the excision, let’s wait for the team leader Ma to discuss it!”

"Besides, this patient is still a foreigner. It is said that he is a famous person. We are so fiddly... I'm afraid something will happen."

Chen Cang nodded and smiled: "Okay, let's clean up the abdominal cavity first, and wait for the team leader Ma to come for the operation. How?"

When He Zhengzhi heard this, he was instantly grateful. Nothing could make him happier than this sentence!

It turns out that Dr. Chen is so good at talking!

He Zhengzhi nodded quickly: "Okay, I'll help you!"

Clearing the abdominal cavity is a very troublesome and must be done carefully.

Therefore, when he saw that He Zhengzhi was a little nervous, Chen Cang felt that appeasement was the best strategy, after all, any factor had to be taken into consideration.

Seeing that he didn't panic at this time, Chen Cang began to clean up his abdominal cavity.

Stomach contents should be drained and washed.

In fact, this process is not much different from eating hot pot and washing hairy belly.

Sometimes, I feel that the operation is delicate, and sometimes I feel that what is the difference between humans and animals?

If it weren't for the gushing blood mixed with the 36-degree body temperature...

"Stomach lavage with warm saline."

He Zhengzhi nodded.

At this moment, Dr. He is no longer nervous. He thinks that Dr. Chen is a good person. He can listen to people's suggestions and is actually very good at communicating.

At this time, the gastrointestinal motility basically disappeared due to intestinal paralysis, just like intestinal obstruction.

The duodenum was also stretched open and bulging.

Gastrointestinal surgery is a tasteful department, which puts a higher psychological test on doctors.

In Li Yue's words, we are actually "dung boys".

It took a long time for the two of them to clean up the abdominal cavity.

Antibiotics are then given to prevent the infection from getting worse.

Because of the lengthy operation time, the patient was already on antibiotics.

After cleaning the abdominal cavity, He Zhengzhi glanced at Chen Cang hesitantly: "Team Leader Ma hasn't come yet?"

Chen Cang nodded: "Yeah!"

"Or... let's separate the greater curvature of the stomach first!"

He Zhengzhi was stunned for a moment, then glanced at Chen Cang, only to feel that his eyes were clear: "Aren't you waiting for Team Leader Ma?"

Chen Cang smiled slightly: "No need, the team leader Ma will just do the surgery directly. We have done the preparatory work, and he can also worry about it!"

He Zhengzhi glanced at Zhou He, an anesthesiologist, suspiciously, then swallowed and looked at Chen Cang: "Do you usually do this?"

Chen Cang nodded: "Yes, Team Leader Ma and Director Yu too, they will only do core operations. After all, they are so busy and there is time there. If we can't handle it well, they will be unhappy!"

He Zhengzhi felt that what Chen Cang said was very reasonable.

I have never operated with a big boss, but it should be the same. Dr. Chen is a good person and should not lie to himself.

Then... go on!

Seeing this, Chen Cang smiled with relief, Ruzi can be taught!

"Pick up your stomach!"

He Zhengzhi nodded. He often does this work. When he was in their department, when the director had an operation, he was in charge of it.

But... He Zhengzhi remembered that the director said that separating the stomach and duodenum is a job that tests the chief surgeon very much, not a job that tests a helper?

However, he watched Chen Cang directly use a hemostat to open a hole in the gastrocolic ligament!

Then, the slender index finger went deep into it and picked it up slightly!

Suddenly, the gastrocolic ligament was lifted!

At this moment, the group of nurses was stunned for a moment!

They found that Dr. Chen's fingers are very long and powerful!

Indeed, He Zhengzhi had to be envious. It turns out that long fingers have an advantage!

Chen Cang then along the lower edge of the gastroepiploic vascular arch on the greater curvature, cut the ligament between the two clamped hemostatic forceps to the left in turn, and ligated it with silk thread.

These nimble fingers shuttle through it, slender and flexible, if not wearing gloves, it would be absolutely beautiful!

This group of little nurses was also stunned. They have been instrument nurses for so long, and it is the first time they have discovered that digestive surgery can be done so beautifully!

In fact, everyone doesn't like digestive surgery very much. After all, it's too delicious. When you encounter intestinal obstruction, you can't eat for three days.

But Dr. Chen's surgery has already made you forget a lot of those bad things, and all that is left in your eyes is this fast-moving finger constantly interspersed between the gastro-omentum...separation...

When the separation reached the junction of the left and right gastroepiploic arteries, Chen Cang stopped, because the patient did not need a total gastrectomy, and the separation was enough here!

Just as he was preparing for the next move, Chen Cang suddenly found a troublesome thing.

No wonder it can be called the lord level, so it is!

I saw the right side of the lower edge of the greater curvature: the gastrocolic ligament, the posterior gastric wall, the transverse mesocolon and the capsule of the head of the pancreas are tightly adhered together in four key positions!

Here, you must not cut off a large piece of clamp like the left side, and a lot of tissue will be damaged if you are not careful.

At this time, He Zhengzhi and Zhou He also found out, and their expressions suddenly changed!

They glanced at Chen Cang, a little worried.

The four places are glued together. If the separation is not good, it may be all losers, and then it will be a big trouble!

Chen Cang took a deep breath and glanced at He Zhengzhi: "Put your stomach up, don't move."

Then, he carefully cut the anterior layer of the gastrocolic ligament!

Next, it is necessary to separate the anterior and posterior layers of the gastrocolic ligament, but because of the angle, the separation forceps cannot get in!

And sharp separation will definitely cause damage to the middle colon artery!

Because these are already tightly glued together, how to deal with it?

This position is extremely awkward, and the degree of adhesion is very complicated. It is extremely difficult to deal with it!

Chen Cang's breathing was also a little short. He carefully observed it. At this distance... Chen Cang looked down at his index and middle fingers!

Suddenly it came to mind!