Chapter 922: The Core Profound Truth of Auxiliary

During colon cancer surgery, it is generally necessary to choose resection at the distal 15cm of the tumor.

Therefore, the whole operation needs to be removed a lot!

Terminal ileum, appendix, cecum, ascending colon, and one-third of the transverse colon.

At the same time, the corresponding mesentery and omentum and perivascular lymph nodes are also removed.

Tumor surgery has always been the focus of current gastrointestinal surgery!

Sun Guangyu glanced at Chen Cang and said, "Is it okay to enter the inside?"

Chen Cang nodded!

The medial approach is much more difficult than the lateral approach, but it complies with the principle of non-contact for radical tumor resection, and has high requirements for the lens holder.

Before the operation, Chen Cang took the camera and started to deal with it.

Soak in hot water of 60-70 degrees first, and ask the staff to prepare a warm water.

Suddenly, Zhuang Yueming was stunned: "Dr. Chen is very professional?"

Chen Cang nodded: "Well, often assisting, summed up a set of theories."

While speaking, Chen Cang began to wipe.

Sun Guangyu glanced at Chen Cang curiously: "What were you doing just now?"

Chen Cang smiled: "After soaking in hot water, the visual effect is the clearest, and warm water is prepared during the operation, which can keep the lens from fogging."

Sun Guangyu rarely plays support, and really doesn't know much about holding mirrors.

Hearing Chen Cang's words, he immediately felt very reasonable: "It's very professional!"

Chen Cang smiled and started wiping it with a soft sterile gauze.

Cleaning mirrors is also very skillful.

After the pneumoperitoneum is established here, the laparoscope enters.

Chen Cang deliberately chose a special angle.

Different angles make the field of view in the lens different. The field of view provided by the laparoscopic base at this time is just like an open abdomen, which is very in line with the surgeon's viewing angle habits.

Sun Guangyu glanced at Chen Cang, and felt a little more curious in his heart!

"This view is really comfortable!" Sun Guangyu sighed and told the truth.

This is not to flatter Chen Cang at all, but from the heart!

indeed!

A good lens holder is like a good photographer, presenting a beautiful and harmonious picture to the practitioner.

And Chen Cang did a good job at this time. He showed the monitor to a ratio of the golden section point, and the observer's target was placed on the golden section point. This operation is very accurate!

The ultrasonic knife used by Sun Guangyu is very sharp!

Here, Chen Cang has always maintained the base level of the laparoscope and constantly adjusted the surgical field!

Because the precision of the surgery is quite high, there are many blood vessels that need to be processed.

Including gastrocolic vein trunk, gastroepiploic vein, middle colic vein... anterior inferior pancreaticoduodenal vein, etc...

Therefore, the surgical field of view needs to be continuously zoomed in and out.

Change the height and distance of the field of vision, and adjust the surgical field.

The laparoscope has the function of a magnifying glass, and the clever use of the surgical field to deal with blood vessels is a major advantage of laparoscopy.

Here Sun Guangyu feels that today's operation is very smooth!

It seems that this lens can move completely according to your own mind, as if it can read your own mind!

wrong……

This lens is even better than I wanted!

Sun Guangyu couldn't think of the processing of many small shots.

But Chen Cang can always keep up, make changes, and give the most comfortable vision!

Even Sun Guangyu has an illusion that this mirror holder knows more about this operation than he does!

Thinking of this, Sun Guangyu gave Chen Cang a meaningful look!

This is the first time in his history that he feels that the lens holder needs superb skills!

Indeed, Chen Cang didn't expect his assist to play so well.

Just like playing a game to repair a tower knife, this assistant makes you too comfortable, and you know more about part-time jobs than you!

That's right!

Chen Cang does not understand this colon cancer radical operation, but he understands the surgical field of view, what kind of lens is needed when, when and what angle does not affect your operation.

Soon, it was time to dissociate the colonic hepatic flexure and separate the flank peritoneum.

Entering the gap between the Toldt and Gerota fascia is separated. At this time, the endoscope can easily cause the visual field to be insufficient, which affects the operation and the accuracy of the operation!

But……

Sun Guangyu was surprised to find that the angle given by Chen Cang's mirror was rotated through the optical fiber, which cleverly provided an ideal observation field!

This is really awesome!

This rotating optical fiber realizes the stereoscopic observation of the target, which provides a better operating space and observation field for gastrointestinal surgery.

With such assistance, Sun Guangyu is even more powerful.

With Chen Cang's "rear guidance, bilateral outflanking, and front reconciliation" stereoscopic observation of the colon, accurate completion is achieved.

The laparoscopic holder always serves the main surgeon and is the eye of the main surgeon. There can only be one core command on the operating table, and that is the main surgeon!

Therefore, the hand holding the mirror must follow the main knife, think what the main knife thinks, where the main knife thinks, and where is the mirror holding finger!

But!

In this operation, Sun Guangyu felt that he was being assisted to fly...

It really is!

Chen Cang has basically laid out every aspect of the operation clearly and told you what needs to be done here.

as if...

right!

Where does he point, where do you fight!

Even, this lens holder directly reduces the difficulty of surgery, making such a laparoscopic surgery more comfortable than open surgery!

Sun Guangyu feels more and more satisfied and relaxed as he does it!

There is even a faint feeling of breaking through myself.

right!

There is also a feeling of finding soulmates in high mountains and flowing waters.

The relationship between the main knife and the mirror holder is really so weird...

The surgery was quickly removed and the anastomosis stage was reached.

Compared with Chen Cang's anastomosis, Sun Guangyu chose to complete the anastomosis with a stapler. For the elderly, the use of special anastomotic material metal is not easy to cause surgical stress, and the effect is the best.

soon!

Surgery is complete!

After Sun Guangyu pulled out the instrument, he looked at Chen Cang and was amazed. He was speechless for a long time.

today!

It was only then that he felt what was called a god-level assistance.

An auxiliary, can bring the main sword supernatural.

On the other side, Zhuang Yueming was dumbfounded.

Looking at today's operation, he was embarrassed to tell Director Sun, he felt... Director Sun won today!

The credit goes to Chen Cang to a large extent.

He is a helper, and he clearly feels the convenience of the field of vision brought by laparoscopy.

He thinks, he can do it!

You don't have to do anything worse than Director Sun.

Thinking of this, Zhuang Yueming looked at Sun Guangyu, even a little envious...

Surgery is done!

Sun Guangyu finally said: "It's better than not knowing, it turns out that the hand holding the mirror has so much attention!"

"I feel that without Dr. Chen in the future, I don't want to do this endoscopic surgery!"

After saying this, no one laughed.

Because this is the truth!

Moreover, the anesthesiologist on the side watched the operation on TV, and said to himself: "This is the most successful operation record I have ever seen, no one!"

Listening to everyone's compliments, Chen Cang couldn't help but smile: "Director Sun is very polite. Everyone...it's too polite."

Sun Guangyu couldn't help sighing: "You know, Dr. Chen, I'm really not being polite."

At this time, Chen Cang suddenly heard the system prompt:

【Ding! Congratulations, you have learned Sun Guangyu's: Colorectal anastomosis (quasi-perfect level)]

Chen Cang was overjoyed and made a lot of money!

He now understands: the core meaning of support is to make the main knife comfortable, and then hand over the skill book honestly!

...

...

ps: the end of the month, asking for tickets~

You have one vote, I have one vote, and Chen Cang will debut immediately!