Chapter 414 What a Good Child!

Did Chen Cang find it?

To be precise, of course not just now!

Otherwise, he wouldn't pretend to say something was missing!

Because even he couldn't figure out what was missing, he just wanted to investigate and see if he could find some clues.

But now I know that when he saw blood appearing from the drainage tube, he suddenly thought of a special kind of patient when he was specially trained in the virtual space.

Thinking of this, Chen Cang hurriedly looked at everyone!

He shouted, "Don't stop the bleeding!"

In a word, everyone was stunned!

Everyone was stunned for a moment!

Not bleeding?

Although the blood flow is not very fast, but... what is the situation of non-stop bleeding?

Chen Cang said to the nurse, "Give me the separation forceps!"

"Scalpel!"

Chen Cang couldn't care about explaining too much, saying too much is nonsense, it's better to be honest.

Moreover, at this time, the most fear is blind hemostasis.

Because the patient has portal hypertension, the presence of thick varicose veins in the hepatoduodenal ligament can easily lead to intraoperative hemorrhage. At this time, panic and hemostasis can easily injure the hepatic artery, portal vein and bile duct, and even make it difficult to walk and ride a tiger during the operation. embarrassing situation.

Therefore, at this time, Chen Cang must stabilize his battle!

Chen Cang carefully arrived at the gallbladder triangle area. What he had to do was not to separate the gallbladder, but to search for the hepatic duct in the area of ​​the liver.

He wants to test his ideas!

Don't be afraid of bleeding, there is a drainage tube, everything is convenient, and the most important thing is to find the core of the problem.

Soon, after Chen Cang separated, a series of red names appeared in Chen Cang's field of vision!

【Variation of bile duct】

Not only Chen Cang, but everyone's expressions changed when they saw this scene!

Zhou Hongguang was immediately shocked!

He finally knew what was going on!

Zhou Hongguang suddenly realized when he saw the junction of the hepatic duct and the bile duct.

Cholecystitis with bile duct variation!

No wonder the bleeding...

At this time, Qian Liang, Zhang Youfu, Li Baoshan, all three of them found out.

Acute inflammation of the gallbladder combined with bile duct variation!

Four days after the onset of acute inflammation of the gallbladder, tissue damage has long been caused. At this time, the cystic duct opens in the right hepatic duct, the bifurcation of the left and right hepatic ducts is low, and the right accessory hepatic duct exists. At this time, the variability of the hepatic duct and the bile duct Cross, easily overlooked!

Once this kind of variability and crossover occurs, a little carelessness during surgery, even if only a drainage tube is implanted, may cause damage.

And the patient is very special because of the original situation!

Cholecystectomy was not planned in the first place, and isolating the gallbladder would definitely damage the hepatic duct.

Acute gallbladder inflammation combined with bile duct variation can easily lead to intraoperative bleeding and bile duct injury. At this time, when the patient has portal hypertension, varicose veins are likely to cause intraoperative bleeding.

Heavy bleeding is almost fatal for this operation, but if you stop the bleeding in a panic, in case the hepatic artery, portal vein and bile duct are accidentally injured, it can be said that the patient is really finished!

This is no exaggeration at all!

When seeing this scene, all the directors have lingering fears!

Didn't they find it?

Where are they going to find out?

Who has the ability to predict the future?

And variant hepatic ducts are so rare that, if they do, most of the time they are harmless.

If Chen Cang hadn't seen the [mutated leader monster], to be honest, he wouldn't have thought it would be like this.

But at this time, the operation has entered a stalemate.

At this point, it is necessary to investigate the cause, find the bleeding point, and then stop the bleeding.

But this process is very delicate, and there is no accident at all.

Zhou Hongguang wanted to get started, but... seeing Chen Cang's appearance, he suddenly stopped his movements.

To be honest, in this process of checking for bleeding, you must be careful and careful, and the key point is that you must be able to find the bleeding point.

Although the gallbladder does not need to be removed, but... it is precisely because of the inability to make a big effort that the difficulty of the operation has increased.

Chen Cang's eyes were fixed on the hepatic duct, bile duct, gallbladder, accessory hepatic duct...

Suddenly, Chen Cang saw that there seemed to be adhesive damage between the crossed accessory hepatic duct and bile duct where the gallbladder was staggered!

Chen Cang's eyes lit up!

The truth is revealed!

There is an abscess already, and it is easy to damage the hepatic duct. At this time, the appearance of adhesions aggravates the damage. During the operation, even a small operation will cause some damage to the human tissue. After all, this is a surgery. !

this moment!

Chen Cang has done a great job!

Zhou Hongguang stared excitedly at the crossed liver and bile ducts, his face was excited, and a feeling of the rest of his life suddenly appeared.

Thankfully I found it!

Otherwise, open the abdomen again, it will definitely cause serious injury again. At that time, it may be the massive bleeding from the abdominal varices.

At that time, the patient could not be saved even if he wanted to.

Zhou Hongguang suddenly felt extremely lucky!

Not only him, but also Qian Liang and Zhang Youfu and others on the side were short of breath, feeling a little incredible.

Excited, apprehensive, disturbed, complicated, fortunate...

All kinds of emotions can't be dissipated in everyone's heart for a long time.

This is how surgery is done. As a surgeon, you must have eagle eyes, keenly control the overall situation, and discover the key!

In an operation, you must not look for any problems, because the human body is a whole after all, and it must be studied in coordination.

The attack of acute cholecystitis is very serious, but it is also very serious with this crossed bile duct variation.

At this moment, Chen Cang suddenly got up, handed the scalpel and separation forceps to the nurse, and looked at Zhou Hongguang: "Director Zhou, come on."

In a word, everyone was dumbfounded again!

Zhou Hongguang was puzzled: ? ? ?

It's all... this time, don't you do it yourself? Give me the fruits of victory?

indeed!

If Chen Cang's operation spread out, it would definitely be a blockbuster existence.

After all, it was discovered that Academician Zhou Hongguang's surgery was omitted, and then the cause was found to turn the tide.

This kind of operation... is really 666!

Even a few directors around were eyelids jumping.

At this time, Chen Cang couldn't care about other things, and could only tell the truth: "Director Zhou, I... I'm not very good at repairing liver ducts, come on!"

In a word, Zhou Hongguang almost burst into tears when he saw it!

What a child!

What an honest man!

At this time, Zhou Hongguang cherishes feathers very much. If something goes wrong, it will be a stumbling block for his academician selection.

You must not think this is a small thing. You know, the selection of academicians is not as simple as you think.

To put it simply, the positions are limited, and those who are capable can fill them up.

This ability, the test is the comprehensive strength.

In the sloppy eyes of this key point, the elder of the district was killed by himself.

But Chen Cang helped him find the problem, for which Zhou Hongguang was very grateful.

but!

At this critical time, Chen Cang gave Zhou Hongguang the dominance of the operation, saying "I'm not good at bile duct surgery"...

This sentence, let Zhou Hongguang tell the truth is very grateful.

What a wonderful child, who can perform such complicated operations and find such difficult problems. A small bile duct counts as a ball?

Hey……