Chapter 909

"I saw that you received a red envelope!" The old horse sneered, "You give me some points, I won't report you!"

Chen Cang hurriedly clenched his pocket: "I receive red envelopes based on my strength, why should I divide it with you!"

The old horse smiled shyly: "What a cute girl! Give me one, just one."

Chen Cang carefully selected, and gave Lao Ma the cheapest fruit flavored one, while the white rabbit kept it for himself.

The old horse happily took it apart and put it in his mouth. The sweetness hit, and the strong, cheap but precious taste lingered in his mouth.

Eating candy, Lao Ma and Chen Cang walked to the operating room together.

As soon as he arrived in the operating room, Lao Ma's big mouth told several directors about Chen Cang's collection of red envelopes!

Chen Cang was speechless for a while, what am I...

Divide the sugar!

With such a score, Chen Cang only had three big white rabbits left in his hand, so he quickly put one in his mouth and left two big white rabbits for Qin Xiaoli.

The old horse said with a smile: "I have all received the red envelopes, so I have to work hard."

Zhang Chahai nodded and smiled: "It's easy to talk."

After brushing their hands and chatting about the details of the operation, the group walked towards the operating room.

Zhou He is an anesthesiologist. After the analysis, he also began to prepare nervously.

This surgery is very difficult!

Chen Cang looked up at the time, it was 7:20 pm.

The surgery officially begins.

The entire operation requires separation and repair of neck tissue, thoracotomy, subtotal gastrectomy, and esophagocolon interposition, so there are many openings.

When the neck and esophagus separation operation began, Zhang Chahai looked at Chen Cang's skillful and steady operation. If he hadn't looked at his face, he would have thought it was an old director in his fifties.

Fortunately, the mucosa has not been perforated, but the difference is not very big.

The entire process is even more difficult than already broken and perforated, as it requires assessment and removal of damaged tissue.

This undoubtedly adds a surgical procedure, and it is very troublesome to operate in the neck where there are so many nerves, blood vessels, thyroid and other dense tissues.

It took more than 20 minutes for Chen Cang to separate successfully.

At the same time, a prompt sounded in Chen Cang's ear!

【Ding! The digestive tract burned by sulfuric acid is comprehensively judged as the level of the disease: king-level boss, the operation is quite difficult, and it is recommended to be careful. 】

King class!

However, such an operation is difficult, and it is not an exaggeration to say that it is king.

Chen Cang didn't have too many mood swings, he held the scalpel steady, looked at the wall of the esophagus, and began to lower the knife slowly.

It's a delicate process!

How to effectively peel off the undamaged tissue and effectively retain the healthy tissue is a work that requires great patience.

Chen Cang's eyes were extremely accurate in judging the red damaged parts.

He was also very decisive when it came to the knife.

The procedure of the operation was not as good as I thought.

But everyone is used to it.

Watching Chen Cang bury his head in the operation, Zhang Chahai freed and held the esophagus as much as possible.

As time passed, Chen Cang hoped to preserve as much normal tissue as possible, and to preserve the peristalsis and related functions of the digestive tract.

Digestive tract reconstruction technology is a technology that the world has been trying to research.

Including this Mayo Gastrointestinal Digestive Function Summit Forum is not an exaggeration. The purpose they pursue is how to restore the function of the gastrointestinal tract to the greatest extent after the reconstruction of the digestive tract.

This is an international problem!

There are many issues to consider. The digestive system is not only the digestive tract, but also the liver, gallbladder, pancreas and other digestive organs.

Next is thoracotomy.

Zhang Chahai watched this process very carefully.

Chen Cang didn't hold back either.

In fact, Chen Cang has never reserved these surgical techniques, and even in the last surgery, he also explained the principles and surgical procedures to Ma Yuehui.

But the old horse... let alone talk about it, it sounds a little sad.

Looking at the calm Chen Cang, Zhang Chahai was a little distracted for a while, because of this bearing and calm, to be honest, it is really unusual.

The right middle lobe bronchus is ligated and severed, without damaging any lung arteries and veins, preserving the tissue valve, making it into a lung tissue valve, and repairing the lung tissue...

The whole process seems to be familiar, as if hundreds of them have been made.

Next, is the fitting process.

After Chen Cang covered the lung tissue flap over the defect, an incredible scene appeared!

Zhang Chahai instantly widened his eyes and looked at Chen Cang in disbelief.

so smart?

Just like the leisurely operation of Xianyun Sanhe just now...

Is it?

That's right!

Zhang Chahai was keenly aware that Chen Cang's operation was not fast, but deliberately slowed down the operation speed in order to improve the accuracy of the operation, so as to ensure the maximum operation effect.

From the most suitable lung tissue, the smallest lung tissue flap can be made, but it can meet the needs of the entire esophagus. What is this level?

Thinking of this, Zhang Chahai couldn't help but feel a little more dignified.

The esophagus section was anastomosed, and Chen Cang used 3-0 absorbable suture to start continuous suture, plus a layer of suture similar to the seromuscular layer.

The speed and rhythm of the stitching were as precise as a machine, and several directors were filled with emotion.

"Xiao Chen's basic skills are really solid. This set of operations and operations is done like an old director in his fifties."

"sharp!"

Several directors frequently praised him, but Chen Cang did not say a word.

The old horse on the side smiled faintly: "Basic operation!"

This sentence made the people around him stunned. Even Chen Cang looked sideways at this horse holding a horse, and suddenly felt that there was potential for development!

After the neck repair was completed, Chen Cang directly repaired the esophagus of the chest. At this time, a section of the colon needs to be removed by laparotomy for backup.

Chen Cang looked at the old horse and felt that he should be commended: "Leader Ma, you only need 5cm to cut the colon."

The old horse nodded and raised his eyes, seeing that, Xiao Chen still can't leave me!

The old horse is also very professional, and the incision is not blindly selected.

After all, after a subtotal gastrectomy, if two incisions are completely unnecessary, it is better to be able to do two things with one incision.

This kind of basic exercise is not a big problem for team leader Ma.

When Chen Cang repaired the area, he directly cut off the most severely damaged and narrowest areas that could not be repaired.

The old horse here has a successful operation and is ready to have a pedunculated colon.

The severed colon was anastomosed end-to-end with two-layer interrupted suture.

The use of colon-only emptying surgery in the chest can effectively reduce the adverse effects of tracheal compression.

Chen Cang made a small incision directly on the right side of the crura of the diaphragm and the esophageal hiatus, and then passed the colon and its vascular pedicle, and passed the colon through the thoracic cavity behind the hilum of the lung.

The whole process seems simple, but every step needs to be careful, because once the colonic pedicle has tension in the displaced space behind the spleen and in front of the kidney, it will affect the blood supply and even lead to the failure of the operation.