Chapter 142 The King-Level Appendix Monster Who Can only Be Seen Once in a Lifetime! (The Fifth Request Is to Subscribe!)

Duan Bo was stunned when he saw this scene.

But Duan Bo and Guo Cheng are two completely different people.

When Guo Cheng asked Chen Cang for surgery, it was basically Chen Cang doing it.

Duan Bo was different. This man had a great idea. He paid Chen Cang 2,000 for an appendectomy, and he took care of it.

Duan Bo is responsible and has ideas. Now he is young and strong, and all he wants to do now is to make the general surgery department of Lanxian People's Hospital a model department and make a name for himself.

After encountering things at this time, Duan Bo did not panic, but was very calm.

He began to carefully look for the cecum through the tissue forceps, but at this time, there was a piece of adhesion in the abdominal cavity, and nothing could be seen at all.

Duan Bo hesitated: "Expert Xiao Chen, in this situation, can the small incision be handled?"

Chen Cang was stunned for a moment, then walked over after hesitating for a while, and the scene in front of him made him hesitate.

The intra-abdominal condition is more serious. At this time, the operation will be more difficult, and the most important thing is that the appendix has not been found!

what's going on?

Is it an ectopic appendix?

Seeing this, Duan Bo said, "Why don't you open your belly?"

Chen Cang is not entangled in small incision surgery. After all, patient safety is more important than anything else. Even if Chen Cang does not earn this kind of money, he has to ensure the safety of patients!

Of course, Chen Cang can also insist on small incision surgery. According to Chen Cang's technique, it shouldn't be a problem.

Even a dazzling operation may be finished with a wave of emotion and shock.

But Chen Cang didn't want to pass on this adventurous impulse to these doctors.

They don't know much about small incisions. If they encounter some unexpected situations, don't make a big problem!

Therefore, Chen Cang nodded decisively: "Open surgery! Let me do it? The patient's situation is a bit special, and I don't think this operation is normal."

Duan Bo nodded and took the initiative to move away. Chen Cang took the tissue forceps and suddenly frowned. Why is there so much pus in the abdominal cavity?

The perfect appendectomy allowed Chen Cang to know enough about the environment of the appendix in the abdominal cavity and the surrounding conditions.

At this time, he thought of a very difficult appendectomy!

Chen Cang said to Duan Bo, "Help me pull the hook!"

Duan Bo hurriedly nodded and took it.

Chen Cang continued to say to the doctor beside him: "Doctor Yang, suction fluid."

The other party also started quickly.

After the liquid was sucked away, Chen Cang picked up the tissue forceps and started the operation.

Finally, the cecum was found in the upper right abdomen!

Duan Bo was stunned: "Why did you run there?"

The little doctor on the side also nodded: "Different position won't go anywhere, right?"

Chen Cang turned to the nurse and said, "Scalpel!"

The nurse thought that Chen Cang was going to have an abdominal opening, so she quickly handed over the knife!

Chen Cang did not continue to expand the incision in the original place, but opened a 5cm opening in the gallbladder area of ​​the right upper abdomen!

This Duan Bo was dumbfounded...

"Expert Xiao Chen... Are you?"

Not only did Chen Cang not expand the wound at the original site, but after the suction test, he decided to change the place to open his mouth. Could this make everyone curious?

Chen Cang did not look up, but said while making the incision: "This should be a very rare case, maybe once in a lifetime, the patient itself has an ectopic appendix, and it can be found through the cecum, but it cannot be operated, because the appendix is ​​connected to the ectopic appendix. It may be seriously adhered to the gallbladder triangle, liver, peritoneum, and omentum, and if the force is too strong, it is likely to damage the liver!"

After that, the incision appears!

After opening the mouth, the scene in front of them made everyone take a deep breath.

Chen Cang explained: "The patient should have undergone cholecystectomy, which caused complications after surgery, delayed healing, and led to chronic adhesions, but the patient itself had an ectopic appendix. During a series of reactions, the omentum, The peritoneum, appendix system and triangle of the gallbladder, and liver adhere during this process."

After speaking, Chen Cang carefully peeled off!

Chen Cang said and did: "If you guessed correctly, the root of the appendix of the patient should have formed gangrene, and there is an abscess around the appendix!"

The vast majority of periappendiceal abscesses are surrounded by surrounding tissues such as the greater omentum, lateral peritoneum, and small intestine after perforated appendiceal gangrene.

The scene in front of me is a mess, how is the surgery?

After Duan Bo saw this scene, his scalp felt numb.

But Chen Cang received a system prompt!

【Ding! Variant gangrenous perforated appendix with surrounding abscess, lv40, king-level appendix monster! Features: Strong adhesions make the appendix system closely connect with the triangle of the gallbladder and the liver...]

After seeing the prompt, Chen Cang couldn't help but be astonished for a while!

King class?

This may be the most difficult appendix surgery, right?

Thinking of this, Chen Cang's eyes lit up!

What kind of equipment will he have?

Artifact?

still……

This is the first time Chen Cang has encountered this level of disease.

Thinking of this, Chen Cang was eager to try it!

"Separation pliers!"

"gauze!"

"Tissue forceps!"

"tweezers……"

...

The whole separation work is very complicated, involving too many factors, damage to the gallbladder and bile duct, which may lead to serious abdominal infection that may be more troublesome, and damage to the liver is even more troublesome!

This means that the difficulty of this operation has increased exponentially!

However, Chen Cang's hand is very steady, meticulous and precise!

Every step is careful.

And Chen Cang is very patient.

Take your time, millimeter by millimeter.

The people around me were nervous and didn't dare to take a sip!

Time passed minute by minute.

Chen Cang gradually became exhausted.

It has been over an hour since the operation.

Such a high-intensity and high-precision operation is really exhausting.

Not to mention Chen Cang, even Director Duan, who was pulling the hook on the side, felt a sore back and wanted to stretch, but he was worried that he would affect Chen Cang's operation.

Just gritted his teeth and continued to persevere.

This is a physical contest.

It is also a battle of patience and care.

No gunpowder, no shouting.

The quietness on the operating table can make everyone feel their heartbeat.

At this time, the patient took a deep breath: "Doctor, I... feel a little bit of pain..."

Chen Cang frowned suddenly!

The anesthesia is over!

Generally, appendectomy with such an open incision is performed under local anesthesia, using spinal anesthesia. If it is laparoscopic surgery, it must be general anesthesia.

General anesthesia is the safest and most reliable, and is completely unconscious and very comfortable. But the cost is much higher.

The anesthesiologist's face changed: "The anesthesia may be almost over... Do you want to continue the anesthesia?"

It is definitely not realistic to continue anesthesia at this time, just a little bit.

Chen Cang shook his head: "No need!"

Boost!

At this time, Chen Cang's hands were moving steadily and flexibly, and Doctor Yang, who was watching, was a little stunned. This hand is not ordinary...