Chapter 907

Hearing that Chen Cang had improved the subtotal gastrectomy, everyone in the room suddenly became quiet!

He Zhiqian looked at Chen Cang with a serious face: "Dr. Chen, be careful, everyone is from the hospital, you can take care of it if you say it."

"But you can't talk nonsense about the word improvement of the technique. It's going to get people talking."

He Zhiqian is telling the truth, and he is also concerned about Chen Cang.

For the sake of his youth, remind him that the improvement of the surgical technique cannot be said nonsense, and without sufficient clinical analysis, it cannot be said to be an improvement.

How do you know that after you improve it, it will be better than the original?

When Chen Cang heard it, he immediately nodded and smiled embarrassedly: "I'm sorry, Teacher He, I'm a little excited."

He Zhiqian nodded: "It's okay, let me introduce you to everyone."

Chen Cang nodded.

Last night, he used a modified procedure, a modified subtotal gastrectomy.

After the improvement, Chen Cang has improved the Bi 1 and Bi 2 styles to varying degrees in his mind, and even appeared many various matching methods suitable for different scenarios.

When Chen Cang reacted, he was surprised to find:

This improvement has directly improved Chen Cang's subtotal gastrectomy to the perfect level.

It surprised him!

I didn't expect those rewards last time to be so rich.

After Chen Cang started to go up, he started to introduce.

"Che Zhehua's gastric mucosal damage is very serious. Even those places without ulcers shown by gastroscope actually have different degrees of damage. Even in the past two days of observation, there is still the possibility of reflux esophagitis."

"Once the upper part of the abdominal esophagus is removed after surgery, the reflux esophagitis will definitely be serious!"

"In this way, once the gastric acid secretion is too high, the condition will be aggravated, so it is necessary to adopt the surgical method of reducing acid and speeding up gastric emptying, which is also a more thorough treatment method!

Lower esophagus and subtotal gastrectomy were performed, followed by gastrojejunostomy. "

Hearing Chen Cang's words, everyone nodded slightly, this is indeed the truth.

Reducing the secretion of gastric acid and pepsin can indeed effectively promote the rapid emptying of the contents, reduce reflux, and reduce damage to the esophagus and gastric mucosa.

Speaking of this time, He Zhiqian's eyes suddenly lit up:

"Doctor Chen, do you mean to use Roux-en-y jejunostomy?"

When they heard the Roux-en-y jejunostomy, the eyes of several gastrointestinal surgeons present lit up.

This is a treatment for severe reflux esophagitis and stomach acid. Surgery for pepsin hypersecretion.

However, at this time, it is really such a good way to apply to such a patient.

Everyone's eyes are bright. Indeed, compared with Bi 1 and Bi 2, the Roux-en-y jejunostomy is indeed the best way.

but……

At this time, a director did not speak for a long time, and finally said:

"It is still the problem of anastomotic leakage. If Roux-en-y jejunostomy is used, the feasibility of anastomotic leakage in patients will be greatly improved."

"If an anastomotic leak occurs, a second operation or even reconstruction of the digestive tract is required, and the difficulty of the operation will increase again!"

It is true that one of the complications of Roux-en-y jejunostomy is anastomotic leakage, and if this is not managed, it is clear that something is going to happen to the patient.

Chen Cang was obviously prepared: "Actually, what I have to do is to change some details based on Roux-en-y jejunostomy."

"That is, we don't have to perform a jejunotomy! Do not cut the jejunum during Roux-en-y jejunostomy, so that the possibility of postoperative complications of anastomotic leakage will be greatly reduced!"

While speaking, Chen Cang started to describe quickly on the demo board.

Chen Cang already knew the whole process, so he was very quick in drawing.

Chen Cang quickly drew the entire procedure with a few simple sketches.

After the drawing, everyone stared at the drawing board and began to meditate.

Without cutting the jejunum?

Seems like a good idea.

Several directors talked in a low voice, including director He Zhiqian, who closed his eyes and pondered.

A surgeon with rich clinical experience and battles, he will have a detailed understanding of the operation in his heart, and even form various ideas according to the picture.

Time is now worthless.

One minute and two points kept passing.

Everyone is thinking.

The old horse was in a daze.

Lao Yu glanced at Lao Ma, who immediately frowned and frowned.

Chen Cang swears that this is the worst acting he has ever seen.

When you frown, don't grin.

All the harass came out.

But anyone can see what you are doing.

You think... think about a ghost.

Chen Cang was helpless.

It's true that Lao Ma really didn't know much about Roux-en-y jejunostomy, but he felt that Chen Cang's act of pretense just now looked like the self in his dream.

Such high spirits!

so cool...

After half an hour, after a long discussion, everyone nodded their heads. After everyone's serious thinking and discussion, this idea is feasible!

But it's hard to say what the effect will be!

After all, this is only feasible in a theoretical sense, and the effect needs further observation.

Everyone can't think of a good way to do it, but it's not as good as this.

So, a few minutes passed.

He Zhiqian looked at Chen Cang: "Dr. Chen, after we discussed it, we think this idea is feasible."

Chen Cang nodded and said thank you!

He didn't mean to pretend this time, or else he wouldn't use that spell improvement card.

He really wanted to help Che Zhehua do something.

He does not have enough fans and influence to help him expose publicity, nor enough ability to punish evil and promote good.

After all, he was just a doctor.

He can only do what he can to help Che Zhehua within his ability.

for example……

Give him a healthy body.

At this time, Zhang Chahai, the chief director of the thoracic surgery department, glanced at Chen Cang: "Dr. Chen, I don't know how your thoracic surgery went. Can you do it well today?"

Chen Cang suddenly raised his head in surprise: "Yes!"

He thought that he was an assistant at most, but he didn't expect Director Zhang to take the initiative to give him position C to carry him!

Zhang Chahai nodded and smiled: "Okay, then let's do esophageal surgery!"

Chen Cang nodded with joy, and directly exchanged for [esophagocolon interposition]!

This is the skill of thoracic surgery. At first, Chen Cang felt that if he did not undergo surgery, he would not exchange it. Now it seems that Chen Cang directly chose to exchange.

Zhang Chahai nodded with a smile and encouraged: "Do it well! Let me see how your esophagus repair with lung tissue flap is done."

After Chen Cang heard it, he smiled: "Definitely!"