Chapter 943: Another King Class

Sun Guangyu glanced at the nurse: "Call Chen Cang and see where you are."

The nurse nodded, picked up the phone, and dialed Chen Cang.

It didn't take long for the call to connect: "Director Sun, I just parked the car, I'll go over immediately!"

When Sun Guangyu heard this, his face immediately brightened: "Okay!"

After hanging up the arc, Sun Guangyu looked at several directors around and couldn't help but say:

"Everyone wait for a while, Dr. Chen is very thoughtful about the reconstruction of the digestive tract! We don't have any clues now. One more person and more strength."

"Mr. Bu's current situation, everyone has seen it, the operation is difficult, the most important thing is that it is difficult to restore digestive function after surgery."

"I think we should do our best to preserve Mr. Bu's digestive function and improve his quality of life as much as possible."

Sun Guangyu's words are very reasonable, how to improve the final quality of life of the elderly is the most important.

At ninety-three years old, with so many underlying diseases, no one can guarantee how long he will live.

Everyone looked at Sun Guangyu like this, nodded and said nothing.

After all, Sun Guangyu is the chief surgeon, and he still needs to listen to him in the end.

In fact, on the operating room table, they are like reinforcements, and the general in the army is still Sun Guangyu, and the final decision-making power is still his.

After thinking of Chen Cang, Sun Guangyu breathed a sigh of relief: "Actually, the subtotal gastrectomy and esophagus reconstruction surgery that I showed you last time was done by Chen Cang!"

Hearing Sun Guangyu's words, everyone was stunned for a moment.

"Is that an improved gastric anastomosis? That kind of stomach formed?" Shi Wenyan from the General Hospital of the Military Region asked directly!

Sun Guangyu nodded: "That's right, it was the operation that allowed me to officially meet Chen Cang."

For a time, everyone's eyes lit up, and they all looked forward to it.

An operation can see a surgeon's clinical thinking and surgical level.

And that operation, in their opinion, is Chen Cang's signature operation, which is enough to explain a lot.

However, Mr. Bu's situation at this time really made everyone a little worried.

At the age of ninety, he has acquired such a troublesome disease.

Intestinal obstruction due to Crohn's disease.

What is Crohn's disease?

Crohn's disease is a gastrointestinal granulomatous inflammatory disease of unknown etiology.

It’s hard to understand this, but Crohn’s disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease, which is an inflammatory disease of the intestines.

Just the cause is unknown...

However, the treatment method is mainly to solve the current symptoms.

Besides, Mr. Bu, who is in his 90s this year, can't stand too much trouble at all.

Fortunately, the symptoms of Crohn's are not obvious, and Mr. Bu's performance is intestinal obstruction.

What is the main purpose of surgery now?

First: treat intestinal obstruction!

Second: Clean the pancreas!

Third: Clear the gastrointestinal tract and pancreatic tissue with obvious adhesions in the abdominal cavity.

Fourth: Reconstruction of the digestive tract.

Each step seems easy, but when combined, the reconstruction of the digestive tract becomes even more difficult.

The biliary tract needs to be treated, the colonic obstruction needs to be removed, and although the pancreas does not need to be completely removed, the pancreaticojejunostomy needs to be repeated after cleaning.

Everyone stared at the abdominal cavity with frowning, thinking.

Not long after, Chen Cang entered the operating room.

Seeing Chen Cang coming, Sun Guangyu looked happy: "Here!"

The nurse had been waiting for a long time. After putting on Chen Cang's surgical gown, Chen Cang came over.

After seeing the situation in his abdomen, he immediately widened his eyes.

This……

Kind of bad.

Chen Cang couldn't help but say, "Crohn's disease intestinal obstruction?"

Chen Cang blurted out, which made everyone appreciate it a little bit more.

But after Chen Cang read it, he began to frown.

Because, the system told him that the patient's abdominal cavity is a boss's nest, so it's not easy to mess with!

【Ding! The complex abdominal cavity is comprehensively judged to be a lv88-level king-level boss. The patient is an elderly male with many underlying diseases, Crohn's disease intestinal obstruction... Please repair the abdominal cavity and rebuild the digestive tract! 】

Chen Cang sighed and comprehensively judged it to be a level 88 king boss.

This is really difficult!

This is the highest-level boss Chen Cang has encountered so far. If this is in the game, he will definitely die in the presence of light.

To be precise, it died from an unknown AOE!

Looking at the adhesions in the abdominal cavity, Chen Cang understood.

Colon obstruction is mainly caused by abscess, pus is also caused by purulent adhesions in the abdominal cavity, pancreatic edema and inflammation, and most of the stomach has been removed. How to reconstruct the digestive tract?

What to do now!

Sun Guangyu glanced at the attending doctor: "Introduce the medical records."

Chen Cang listened to the case, looked down at the abdominal cavity, and a four-dimensional model began to appear, simulating how to do the surgery for a while.

After a while.

"Tsk!"

Chen Cang instinctively became worried.

It is very difficult to clean up the adhered abdominal cavity, and it has to be separated, and the postoperative anastomosis of the colon will be performed in a while, which is really a headache.

Pancreatic removal?

Cut the trouble, not cut more trouble.

After a while, Chen Cang looked at Sun Guangyu on the side: "Director Sun, what do you think?"

Sun Guangyu frowned: "Before the abdominal opening, we didn't expect such a scene at all. We originally wanted to perform laparoscopic surgery, but as soon as we got under the mirror, we saw the bad situation in the abdominal cavity, and quickly started to open the abdomen."

"Actually, the most difficult thing now is the reconstruction of the digestive tract. After the colon is removed, how to choose the pancreas?"

"Pancreatoduodenectomy must be done, but now the key point is that gastroduodenal surgery has to be re-chosen, how should we reconstruct the digestive tract!"

Shi Wenyan nodded and said, "My idea is to have a direct pancreaticoduodenectomy to reconstruct the digestive tract in the stomach, jejunum, and pancreas."

Having said this, Shi Wenyan glanced at Chen Cang: "Doctor Chen, look, can a gastric-like arc be formed here, and then we will perform pancreaticoduodenectomy, followed by pancreaticoenteric anastomosis or pancreaticogastric anastomosis. "

Sun Guangyu shook his head directly: "No! After the gastric-like arc is formed, it is not conducive to gastric emptying. After pancreaticogastric anastomosis, the biggest adverse reaction is gastric emptying disorder, which is undoubtedly aggravated, and it is very difficult for later recovery. ."

Chen Cang understood, and now a comprehensive problem is in front of him.

That is how the stomach, pancreas, and jejunum form a good anastomosis and reconstruct the digestive tract!

What I think about Crohn's disease is not the most important.

Removal of a colonic obstruction does not affect the patient's recovery.

Thinking of this, Chen Cang glanced at the reward he just won:

[Upgrade a skill to the perfect level! 】

Chen Cang smiled bitterly, brother, I must use you today!