Chapter 905 I Have an Idea! (Add 2 for the Leader Hushengayi)

The participation of relevant departments has made a big thing even more noisy!

More and more people began to pay attention to the situation of Che Zhehua, the result of this incident, the situation of the logistics company, the hundreds of victims, and at the same time, they also began to care about the family of Che Zhehua. people!

Che Zhehua's medical expenses have been reimbursed by the relevant departments, but this does not seem to reduce his pain at all!

After ingesting sulfuric acid, the damage to the tissue has become more and more serious, and Che Zhehua still underestimated the pain!

What is excruciating pain, now pethidine is useful, but it can't be used all the time, right?

Now that more and more people are paying attention, the pressure on medical staff has suddenly increased.

The superior department required the Capital Emergency Center Hospital to do a good job in this rescue work, and do a good job in the recovery of Che Zhehua, and do not want this incident to cause too serious disturbance and consequences.

This is a good thing, but now all of a sudden the pressure is on the medical staff.

After all, everyone knows about Che Zhehua's physical condition. If you want to fully recover, the possibility is too small.

After two days of recovery, Che Zhehua's condition has basically stabilized. Although it hurts, it is not life-threatening. Because of the timely rescue and dialysis treatment, the patient has no serious complications, but there is one very important issue is on the agenda.

On Friday afternoon, in the case discussion room of the emergency department of the Capital Emergency Center Hospital, seven or eight directors of general surgery gathered together, plus Yu Yonggang, Ma Yuehui, Li Yue, and Chen Cang.

Yu Yonggang frowned and said, "Director He, what do you think?"

Looking at the endoscopic photos on the big screen, He Zhiqian really had a headache!

"Once the esophagus is restored, the stenosis will exceed 70% or even higher. This does not include the repair of the late perforations on the esophagus. Even if exogenous repair conditions are used, the esophagus can retain the chance. It's also very small! It's better to remove it all and replace it manually."

"But if this artificial replacement is used, there is also a problem, that is, the stomach and duodenum need to be replaced, so that only their structural functions can be retained, and their physiological functions cannot be satisfied."

As the director of Puwai University, He Zhiqian's words are still very authoritative.

"Look, here, the entire stomach wall will definitely be perforated within a few days. Now the secretion of gastric acid is inhibited. When the secretion of gastric acid increases, the serosa will definitely penetrate."

"The operation can't be postponed. It must be performed today, or even if it is postponed until tomorrow, it will be difficult for the gastrointestinal function to recover!"

Everyone sighed, this is a problem.

He Zhiqian looked at Zhang Chahai, the director of thoracic surgery: "Director Zhang, what do you think should be done with this esophagus?"

Zhang Chahai couldn't help but said: "I have a question now, that is, if I have a pedicle jejunum interposition, will you be able to successfully anastomose after the gastrectomy!"

As soon as this sentence came out, everyone in the room was stunned!

Zhang Chahai continued: "It is now very clear that dilation treatment for severe esophageal strictures is ineffective and can no longer be used. It must be cut, but I am worried that after the use of jejunum, the subsequent gastrectomy will not be easy to do."

As soon as these words came out, the room fell silent again.

This is no longer an operation, from the esophagus to the stomach, duodenum, and jejunum need to be taken into account.

More than just an esophagus to consider!

The esophagus must be done, but with so many ulcers in the gastric mucosa and obvious pyloric obstruction, a subtotal gastrectomy must be done.

How to effectively rebuild the digestive tract has become a big problem!

Everyone is thinking and discussing, both thoracic and general surgery are thinking.

Although the esophagus belongs to the digestive tract, most operations are performed by thoracic surgery, and general surgery is very general for esophageal surgery.

The thoracic surgery is also unable to take care of the general surgery operations.

Everyone has been discussing for two hours.

There is no clear idea now.

At this time, Chen Cang took the initiative to say, "Actually, I think esophago-colon interposition can be used."

Chen Cang's words broke the silence of this moment!

Everyone turned to look at the young man, full of doubts.

Everyone here is the director, what do you know as a young man?

We don't know about esophagocolon interposition yet?

The key is how productive the esophagus is? What you need after this excision is definitely not as simple as a stricture, you use the colon...

How long is the colon?

The effective length of the colon is limited, so people do not consider the colon, but the jejunum is the first thing that comes to mind.

The jejunum is the small intestine, and its length is much longer than that of the colon, even if it is used to replace the esophagus, there is no problem.

But do you have a colon?

Everyone glanced at Chen Cang and ignored it.

Continuing to look at the big screen and think, Yu Yong just saw this and said, "Chen Cang, what are your thoughts? Let me introduce to the directors."

When everyone heard the name of Chen Cang, they suddenly became spirited.

They are familiar with the name Chen Cang.

After all, Chen Cang has done so many things back and forth in the hospital. You haven't seen a real person, but if you haven't heard the name, you can't explain it.

At present, the Cardiac Surgery Department is in full swing to build a non-stop cardiac technology, and it is also building a new non-stop cardiac medical research center. Who doesn't envy this? Who is not jealous?

And the initiator of all this is Chen Cang.

For a while, everyone looked at each other.

Is this Chen Cang?

At this time, everyone also paid more attention.

That's how people are, people are soft-spoken, if you do anything, naturally others will look at you with admiration!

"What do you think of Dr. Chen?" Zhang Chahai from the Department of Thoracic Surgery was the first to ask. Since it was Chen Cang, no one thought he was aiming for nothing.

Chen Cang got up and walked forward: "This esophagus does not need to be completely removed. If it is completely removed, it will be a waste, and the reconstruction of the digestive tract will be a very troublesome thing. + Esophagocolon interposition."

That's right!

Chen Cang plans to complete the esophagus reconstruction with three surgeries.

"In this way, there is no need to interfere with the subtotal gastrectomy, nor does it interfere with the reconstruction of the esophagus."

He Zhiqian, the head of the gastroenterology department, asked directly, "How many colons do you plan to remove?"

Speaking of which, He Zhiqian has an opinion on Chen Cang!

Because Chen Cang also signed up to participate in the Digestive Function Summit held by the Mayo Clinic, the hospital would definitely not want to smear Chen Cang's face because of the face of the Cardiac Surgery Department.

But He Zhiqian thinks, what kind of gastrointestinal function meeting are you going to if you are engaged in emergency department and cardiac surgery?

Isn't this a typical example of occupying a hut and not pooping?