Chapter 161 Chen Cang Is Awesome! (Thanks to the Friends Who Love Reading Books, the Silver League!)

As soon as Chen Cang arrived in the operating room, the nurse had been waiting for a long time and washed her hands in a hurry. The nurse had already prepared her clothes and stood at the door. Wait for Chen Cang to come in, and quickly change her clothes!

Everyone's eyes lit up when they saw Chen Cang's arrival!

"Xiao Chen, come quickly, Director Zhang can't hold it anymore."

Chen Cang raised his head and saw that Zhang Youfu's upper limbs were trembling, and the surgical cap and mask were soaked with sweat!

Chen Cang stepped forward quickly and saw the scene on the big screen!

The scene in front of him suddenly made Chen Cang's heart sink to the bottom!

The adhesion of the intestinal wall must be separated, otherwise the duodenum will affect the gallbladder triangle area, and the rupture of the hepatic artery should not be caused after the operation. At that time, large-scale bleeding will definitely cause a big problem!

Compared with postoperative, intraoperative bleeding at least has a little room for relief!

"Xiao Chen, suture the intestinal wall."

Chen Cang turned around, took the suture handed by Zhang Zhixin, and was about to sew it up!

Chen Cang's intestinal suture technique is good, but he is still a little worried in this situation.

Taking a deep breath, picking up the needle forceps, and looking at the information from the endoscope, Chen Cang finally found out why Zhang Youfu didn't dare to move!

Because the 5-6cm long internal fistula is right next to it, if Zhang Youfu is not blocked, the contents may leak out.

It is not terrible to clean up the contents, but in such a complex internal environment, if the contents are cleaned up, it will cause many serious things, and this is the most terrible!

Zhang Youfu realized this, so he held the equipment tightly and did not dare to move.

Stitch!

Chen Cang held his breath, holding needle forceps carefully, shuttled back and forth needle by needle, and carefully sutured the trembling intestinal wall.

Chen Cang's suturing skills under endoscopy are very good, whether it is intestinal suturing or vascular suturing under laparoscopy, it is the same!

The operation was carried out slowly, and Chen Cang did not dare to be careless.

Chen Cang could already feel Zhang Youfu's arms trembling, but he still carefully controlled it. This kind of action is very physically exhausting, and some people must say why they can't be replaced.

Because the operation under the laparoscope is quite troublesome, at this time, if you accidentally change hands, there will be a big problem. If Zhang Youfu can't wait for Chen Cang, he will definitely change someone to hold the instrument and go into battle to suture.

Fortunately! Waiting for Chen Cang!

Time passed by minute by minute, and everyone stared at the screen carefully, not daring to take a breath!

Finally, after Chen Cang was sutured, Zhang Youfu carefully pulled out the equipment and sat limply beside him.

Seeing this, Chen Cang said in a deep voice, "Director Zhang, take a rest first, I'll come!"

Chen Cang has a master-level cholecystectomy, but he can't be careless in the face of this situation. The only thing he can rely on is the guidance of a famous teacher who has less than three hours left.

After the endoscopy, Chen Cang's expression suddenly changed!

[jaundice cholecystitis with adhesive intestinal obstruction, lv55, king-level monster! 】

King monster!

Chen Cang was sad and happy.

The happy thing is that if you cut this gallbladder, your job transfer mission will be successfully completed, which may bring unexpected rewards, and the explosion of king-level monsters is a very wonderful thing.

But this also means that the operation is too difficult, can it be done by myself?

take it easy!

Chen Cang took the separator and began to take over Zhang Youfu's work.

Although the experience is not as rich as Zhang Youfu's, Chen Cang's technique is very delicate, and he can't come several times at a time, so time passes by minute by minute.

Chen Cang finally separated the duodenum and gallbladder triangle, but the most serious thing at this time was not to bleed!

The famous teacher's guidance suggested that the hepatic arteries cannot be separated if they are glued together. What needs to be done is ligation and invagination suture.

Chen Cang raised his head and said to Zhang Zhixin, "Mr. Zhang, help me ligate the hepatic artery."

Zhang Youfu was stunned for a moment, then got up quickly: "Xiao Chen, don't worry, the patient has portal hypertension, the blood coagulation is relatively low, and bleeding is a big problem!"

Chen Cang nodded: "Director Zhang, take a rest first, leave it to me here."

After saying this, everyone was surprised.

After all, Chen Cang is a young doctor of twenty-seven or eight-year-old, and no one present is more experienced than him!

However, the words that came out of Chen Cang's mouth were very shocking, and everyone couldn't help but be convinced.

At this time, Duan Bo was very complicated in his heart. He was far from expecting that the one who appeared here at this critical juncture was Chen Cang, an emergency resident who he had encouraged and teased.

The current Duan Bo is already a vice-high, a person with a relatively high level of general surgery skills, but under this scene, he is like a wooden stake, doing nothing there.

Chen Cang just turned around and looked up at Duan Bo: "Let me go."

Duan Bo was stunned, his face flushed, and he quickly took a step back.

And Zhang Youfu scolded: "Duan Bo, don't do it, stay away!"

After some words, Duan Bo was almost ashamed.

Everyone watched Chen Cang's operations on the TV screen.

After Chen Cang was ready, he glanced at Zhang Zhixin: "Ligation!"

Zhang Zhixin nodded, and the hemostatic forceps stopped the bleeding instantly!

At this time, the time is urgent, because the patient has portal hypertension, and the ligation time is very limited at this time!

Chen Cang acted decisively, cut off the adhering blood vessels, and then quickly invaginated and sutured!

It can be said that Chen Cang's sewing speed once again convinced every director and dean present.

At the beginning, it was an open suture, and everyone thought it was acceptable.

However, this kind of endoscopic vascular suturing is extremely demanding for the operator, and without strong and strong suturing technology, it is impossible to do this kind of work!

The No. 5 proline thread is ups and downs, and it shuttles around the blood vessels like a butterfly through a flower. In just two minutes, the suture is completed!

Chen Cang said quickly, "Release!"

Zhang Zhixin's hands were sweating, and he quickly released the hemostatic forceps at both ends, and the blood flow was normal again.

It is a miracle idea of ​​genius to solve the problem of serious adhesion through vascular intussusception suture!

Zhang Youfu is also a bright spot!

After this operation is done, you can get the awards at this year's annual meeting of hepatobiliary surgery!

Thinking of this, Zhang Youfu looked at Chen Cang with admiration on his face!

After all, the idea of ​​solving adhesions, separating blood vessels, and freeing the gallbladder triangle in this way requires not only a genius idea, but also a genius operation!

Such as excellent separation technology!

Decisive and fast endoscopic intussusception technique!

Each one is indispensable!

This is a talent!

If you can come to general surgery, Zhang Youfu is willing to give him the deputy director!

That's right, a 27-year-old resident doctor came to be the deputy director, and Zhang Youfu was willing.

Of course, he also knows that his love is useless, Tan Liguo is willing to do so.

After the separation, the surgery suddenly became clear!

Separation of the gallbladder triangle, removal of the gallbladder, removal of excess stones...

The surgery seems to be a success!

Thinking of the harvest, Chen Cang is very excited!

ps: Three chapters will be updated first, and there will be five more chapters at 12 noon tomorrow. (Because I haven’t finished writing yet, I stayed up all night to work overtime tonight... huh, I have to pay off the debt for the next days. Currently, I owe the leader 3 chapters, 20 silver chapters, 2 monthly tickets, a total of 25 chapters, and for the next few days, 8 chapters per day Get started!)

At night, the toilet was broken, so I went to repair the toilet. I was confused, and the more I repaired it, the worse it was, and it took a whole afternoon.