Chapter 910 Can I Swear? (Add 3 for Hushengayi)

after successful esophageal surgery.

Everyone looked up and found that it was 9 o'clock in the evening.

An esophagus reconstruction took nearly two hours.

The next subtotal gastrectomy will take more than two hours.

The entire operation is not only difficult, but also heavy.

Four or five hours of precise operation is a test for a surgeon.

When the esophagus operation was successfully completed, Zhang Chahai also breathed a sigh of relief, moved his neck, and there was a rattling sound. As a surgeon, who doesn't have cervical spondylosis?

Without rest, directly start the following surgery.

Modified Roux-Y anastomosis after subtotal gastrectomy!

He Zhiqian has been looking forward to it for a long time. He has been watching the water dispenser for more than two hours.

My hands are already hungry and thirsty!

At this time, Chen Cang said, "The left rib is raised 20° on the back."

This sentence immediately made everyone stunned.

However, the two male guards nodded quickly and began to help.

And everyone was blank, startled by Chen Cang's open door.

He Zhiqian was a little guilty.

I won't cause any trouble for Dr. Chen, will I?

Thinking of this, He Zhiqian couldn't help sighing, and he didn't dare to act rashly when he was about to get started.

"Director He, put on the belt and lift the lower end of the esophagus."

Although He Zhiqian didn't know what Chen Cang was going to do, he could still understand the command.

Here, Chen Cang also started a quick operation!

Little did he know that He Zhiqian found that he had lifted his esophagus for an hour and a half in the next time!

For He Zhiqian, who has been the director for more than ten years, this is simply... overkill!

Old He is also very aggrieved in his heart!

Zhang Chahai has at least helped with the operation, and he has become a tool person, the "emissary for lifting the esophagus" for the operation?

However, when he looked at the old horse with his hands still on his colon, he suddenly felt much happier.

The old horse glanced at Chen Cang: "Xiao Chen, I... can't match?"

Chen Cang shook his head: "Alright, don't move."

When Lao Ma heard this, he nodded helplessly, and glanced at Lao He enviously.

After all, people carry a free esophagus, and they carry two large intestines in their hands, just like a large intestine seller.

Without contrast, there is no harm.

After seeing Ma Hanhan, the "intestine-lifting messenger", He Zhiqian also felt that Dr. Chen treated him well.

The operation continued, and Chen skillfully performed a subtotal gastrectomy near the pylorus.

He Zhiqian's hands were bound, but his eyes were freed. He keenly discovered that Chen Cang's subtotal gastrectomy seemed a little different from his own!

This made He Zhiqian frown immediately!

Is this cut weird?

Why cut it like this?

Obviously more stomach tissue can be preserved, why did Chen Cang remove it?

This is in stark contrast to the stingy removal of the esophagus just now!

Why?

The more He Zhiqian thought about it, the more he couldn't figure it out.

With doubts, he began to look at the operation.

Here, Chen Cang has completed the two-layer sealing of the duodenal stump.

Afterwards, the right gastric artery and the right gastroepiploic artery were directly cut off, and the lesser curvature side was closed with double-layer suture, and the greater curvature side was kept 6cm in diameter!

6cm diameter, how is this possible?

In this case, there is no way to perform gastrojejunostomy at all.

Once the tension is too large, anastomotic leakage will definitely occur, which not only does not relieve, but aggravates!

This preserved stomach structure obviously made He Zhiqian frown.

Why do this?

He can't understand it!

This made He Zhiqian very uncomfortable, if he was only slightly frowning at the beginning when the left quarter rib was raised 20° on his back.

So now the subtotal gastrectomy has made him full of curiosity.

Could it be that Chen Cang has a limited level?

Absolutely not!

He Zhiqian instinctively shook his head. If his level was limited, it would not be possible to have such a rhythm.

What is the reason?

Chen Cang is getting more and more happy now. In the words of playing basketball, his hands are getting hotter and hotter, and he feels very good!

That's right!

Next, according to the Roux-en-y anastomosis of the gastrojejunum, the jejunum was cut 20cm away from the ligament of Treitz, but Chen Cang did not cut it!

He made a longitudinal incision directly on the side of the jejunum, and anastomosed the longitudinal incision with the greater curvature of the stomach.

After seeing this scene, He Zhiqian was stunned for a moment.

I slowly spit out a sentence from my mouth.

He got it!

He understood everything, he knew why Chen Cang did this.

In this case, it belongs to the reconstruction of the gastrointestinal tract!

The length of the small intestine is sufficient. Chen Cang took advantage of the spatial freedom of the jejunum and did not choose the duodenum, but directly formed a structural "stomach-like" structure between the side of the jejunum and the stomach!

In this way, it overlapped with the scene of Chen Cang's demonstration in the office at the beginning.

He Zhiqian couldn't help shaking his head. He even felt a chill down his spine and cold sweat oozing out. This was exciting, and it was a surprise after he suddenly realized it.

He thought that when Chen Cang was about to change his surgical plan.

It doesn't seem to be the case now!

It was he who misunderstood Chen Cang's previous operation.

Genius!

Absolutely genius!

Roux-en-y gastrojejunostomy is to prevent reflux esophagitis and accelerate gastric emptying to build such a rapid emptying structure.

The patient's condition is that the gastric mucosa is damaged, similar to the effect of gastroesophageal reflux. Chen Cang directly abandoned the duodenum and used the intact and healthy duodenum as the fundus, which formed through the remaining gastric body and the side of the jejunum. A "stomach-like" structure!

This fucking is a genius idea!

At this moment, He Zhiqian was really excited.

He never thought that Chen Cang could think so much.

He originally thought that the modified Roux-en-y gastrojejunostomy just didn't cut off the colon, but he didn't expect...he didn't cut it like this.

Cow!

This procedure can definitely open up a new field of gastrointestinal surgery.

"Stomach-like" surgery!

He Zhiqian couldn't help laughing bitterly, and said a little aggressively: "Doctor Chen, you really convinced me!"

"What a modified form of subtotal gastrectomy! You have literally reconstructed a stomach!"

Chen Cang smiled: "Keep watching, don't worry!"

He Zhiqian was stunned, is there any mystery?

At this time, Chen Cang was also a little excited. This operation simply opened up Chen Cang's new horizons and ideas for gastrointestinal surgery.

He suddenly felt that gastrointestinal reconstruction was not as difficult as he thought!

Soon, the esophagus and the stomach are anastomosed...the colon is anastomosed at both ends!

After all the work was completed, Chen Cang connected the omentum to the stomach, fixed the stomach slightly to the upper body, and moved the descending colon after Chen Cang anastomosis...

Cooperate with the previous operation of raising the left quarter rib back by 20°!

The entire esophagus, stomach, small intestine, large intestine... At this moment, the digestive tract is successfully reconstructed!

When everyone saw this scene, their eyes widened and they were full of shock!

"Can I speak dirty?"

"Hold the grass!"

"Cow... it's too good!"

"Doctor Chen, you are a genius!"

...

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