Chapter 1118 Can't Keep up with the Rhythm...

This operation is all the director, not even the deputy chief physician.

First of all, because of the old age, the gossip heart is not so strong. The chief physician of Peking University Affiliated Hospital, who doesn't know a few little stars?

At this point, he won't be as curious as a young man.

Second, it is also technically strong!

Director Zhang Xuan glanced at Yao Lekang, feeling a little helpless. He actually wanted to follow Director Xiao for surgery. After all, Xiao Zhehai, as the top major vascular surgeon in China, has a lot to learn.

Being able to perform auxiliary surgery on Xiao Zhehai can inspire and improve for them.

This operation will not allow them to watch the video of the operation. If it is not to prevent future operations from being confronted with the court, the cameras in the operating room will not be turned on.

Therefore, in this operation, they have no chance to review the video back and forth.

In fact, Xiao Zhehai is also very helpless about this. You must know that compared with other people, his inner curiosity is stronger.

Chen Cang's abdominal aortic endarterectomy made Xiao Zhehai feel itchy at this time.

After anesthesia, an abdominal incision is made.

The range of incisions selected this time is relatively large, so it is convenient for the two operations to participate together!

Before the operation started, Xiao Zhehai glanced at everyone and said, "Everyone, be careful!"

This time, everyone was wearing double gloves and a face mask.

Although many people think that double-layer gloves are useless and affect surgical flexibility, this is not the case. Research shows that the probability of injury in double-layer gloves is only one-fifth of single-layer gloves.

Because whether it's a scalpel, a suture needle... These sharps are very sharp, and they can be cut inadvertently.

Maybe the role of double gloves is mainly to strengthen everyone's precautionary psychology and safety awareness.

Chen Cang was the main surgeon, he was in charge of the abdominal opening, and Yao Lekang, who was on the opposite side, was the assistant to help him.

As soon as the so-called expert makes a move, you will know if there is any!

There is no fixed opening for this operation.

The chief surgeon needs to make his own judgment based on the impact results.

This is the first test of the main knife!

However, because of the existence of the four-dimensional model diagram, Chen Cang knew the patient's abdominal cavity like the back of his hand!

How to choose a suitable surgical incision becomes particularly important.

It is well known that the larger the opening, the harder it is to recover and the greater the risk of infection.

At this time, Chen Cang stopped from the tip of the left 12th rib to the midline 5-7cm below the navel!

This incision is a far cry from ordinary large blood vessel replacement surgery.

Will this work?

For a time, everyone looked at Chen Cang with doubts in their eyes.

However, when Chen Cang incised the external oblique muscle, internal oblique muscle and transverse abdominis muscle layer by layer to expose the peritoneum, and then began to dissociate the intestine layer by layer, two large blood vessels were clearly exposed soon!

"The tow hook!"

"All-round pull hook!"

When the all-round retractor separates the tissue, the surgical field is instantly exposed!

Compared with conventional openings, such an opening not only increases the surgical field and operation space on both sides, but also effectively reduces abdominal wounds by effectively utilizing the skin contractility of the abdomen.

This operation, from the very beginning, made all directors shine!

But after thinking about it carefully, everyone couldn't help but sigh with emotion, after all, he is a big man in the field of general surgery.

When the large blood vessels were exposed, Chen Cang and Xiao Zhehai looked at each other, nodded, and said, "Start the operation!"

In a limited space, it is necessary to carry out two hand speeds, one left and one right, and start work at the same time!

This is extremely demanding for the two chief surgeons!

At the same time, there are also very precise requirements for the assistant director.

At this time, Yao Lekang was full of curiosity and expectation for Chen Cang's operation!

He wanted to see how Chen Cang's so-called stripping operation was handled!

How to deal with this 8 cm long hemangioma?

Due to the limited time, neither Chen Cang nor Xiao Zhehai dared to delay.

When Chen Cang carefully freed the abdominal aorta and both common iliac arteries, external iliac arteries and internal iliac arteries!

The whole process is very fine, exceeding the scope of the lesion by 2 to 3 cm.

Moreover, at the same time, the middle sacral artery and the lumbar artery in the corresponding plane should be freed and controlled.

And at the same time, the hemostasis work needs to be done at the same time as Xiao Zhehai, and the coordination of the two should be done well.

Surgery starts in 6 minutes!

Xiao Zhehai and Chen Cang said at the same time, "Successful separation! Prepare the hemostatic forceps!"

The doctor here who was assisting Xiao Zhehai was stunned for a moment!

They didn't expect Chen Cang to be so fast!

Xiao Zhehai's "fast" is the top in the industry. He once set a record that the aortic arch replacement surgery took only 18 minutes.

Unexpectedly, Chen Cang is not inferior to Xiao Zhehai!

However, Yao Lekang and Zhang Xuan, who helped Chen Cang's surgery, were even more shocked!

Because they know, in fact... Chen Cang was actually faster than Xiao Zhehai just now!

Because Chen Cang cleaned and separated the surrounding tissues after the treatment, which made the vascular surgery more convenient!

At this moment, the two of them were quite shocked!

So fast!

If Tao Mi and Xia Gaofeng or other people who are familiar with Chen Cang were present, they might say indifferently, "Basic!"

After all, our President Chen is notoriously "fast"!

Here, Chen Cang felt the pulsation brought by the huge aortic dissection hemangioma with his hand, and he began to feel it in his heart, so that it would be convenient to open the blood vessel for a while.

However, at the same time, the situation of the great blood vessels also entered Chen Cang's mind!

[Abdominal aortic dissection pseudoaneurysm: lv88, lord level, the infection of Treponema pallidum caused damage to the intima of the blood vessel wall, resulting in the destruction of the aortic intima and the formation of a pseudoaneurysm. 】

Level 88 Lord Monster!

Moderate.

After all, Chen Cang was a big guy who had seen level 99 conjoined babies, and such a level 88 lord was naturally fearless.

At this point, the hemostat is in place!

Chen Cang turned around and got the scalpel, and started his next operation: incision of the aneurysm wall!

Holding the electric knife, Chen Cang carefully incised the adventitia and media longitudinally along the midline. At this time, the upper end just stopped at the junction of the tumor and the normal artery, and then the knife was changed to a horizontal incision to form a T shape. !

As a result, this cross cut is about 40% of the circumference, which is the best caliber to handle!

At this time, it is necessary to carefully clean up the tumor with a knife handle, and the peeling plane can be between the medial and intima.

Because here, there are organic thrombus and other substances adhered to the intima. Once these things enter the blood circulation, they are troublesome.

"Probe!"

"Scraper!"

"Salt water!"

"absorb!"

At this time, Yao Lekang's hands constantly followed Chen Cang's instructions to perform various actions.

At this moment, Yao Lekang suddenly discovered something!

He couldn't keep up with Chen Cang's rhythm...