When a doctor opened a plug-in

Today's operation is a subtotal gastrectomy. Chen Bingsheng did not do it alone. Instead, he invited Zhang Zhixin, a general surgery physician.

Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they came to the Second Provincial Hospital together, but one went to General Surgery and the other stayed in the emergency department.

However, this does not affect the cooperation between the two, and often invites each other to participate.

First of all, because emergency surgery is more complicated, you can do everything, but it is difficult to complete the surgery of the general surgery system alone, so you have to invite doctors from other departments to cooperate.

This is the case with today's operation.

Today's surgery is a subtotal gastrectomy, also called subtotal gastrectomy.

Subtotal gastrectomy is actually not as simple as removal, and it is very different from appendectomy.

There are three main steps!

The first is to free the large and small curvature of the stomach.

The second is to cut off the duodenum first, and then cut off the stomach.

The last is gastrointestinal reconstruction.

Of course, the difficulty of doing it is definitely much greater than that.

Chen Cang's main job as a rookie is also very clear!

Knotted by hook, sucking fluid to stop bleeding;

You must pat the horse and clean the equipment.

Yo!Rhymed.

Hey... The old man must be a poet delayed by medicine.

After all, countless vivid examples such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin, Chekov, etc. tell us that if you fail to study medicine, you can switch to writing.

After all, the ancestors also said one thing: Scholars learn medicine, catch chickens in cages!

The reverse should be almost the same.

I really have limited talents, otherwise I would definitely go to Luo Dayou, Fei Xiang, Wang Leehom, Mao Buyi and others now. These are all advanced representatives who have abandoned medicine after graduating from medical school.

Hey……

It seems that all those who study medicine are geniuses.

Zhang Zhixin studied general surgery, but halfway through his renunciation, he took a certificate of a cosmetic doctor. It is said that he opened a plastic surgery studio in partnership with others. He usually stabs the eyelids, tattoos the eyebrows, opens the corners of the eyes, and hits hyaluronic acid. It is said that the day is Jindoujin!

The operation is about to begin.

Chen Cang didn't quite understand this kind of surgery, so he could only study silently.

And inside, he stared at Zhang Zhixin with gleaming and talking eyes!

Not because of other!

Just want to use some skills...

[Rookie in the operating room: There is a 1% chance of learning the skills of others!

Chen Cang feels that he should have a good relationship with Zhang Thigh, learn some medical and aesthetic techniques, and not for anything else. In the future, he can cut his girlfriend's double eyelids without spending money!

The operation has begun!

The first thing to do at this time is to open the abdomen to explore!

Following the opening in the midline of the upper abdomen, Chen Bingsheng took the lead.

After cutting the peritoneum layer by layer, open the peritoneum and start exploring!

Chen Bingsheng watched carefully, while Zhang Zhixin helped.

Chen Bingsheng: "No ascites, no abnormalities in the liver, gallbladder, pancreas, spleen, small intestine and colon!"

"The stomach wall is smooth, with mild edema, the body of the stomach is obviously enlarged, the lymph nodes around the stomach are not enlarged, there is a 2x1x0.5cm ulcer near the pylorus in the lesser curvature of the stomach, the texture is slightly hard, and the gallbladder is slightly adhered to the local scar. Pyloric canal stenosis caused by traction and contracture. The inner diameter of the pyloric canal is about 0.5cm, and the length of the stenosis is 2cm. It involves the duodenum. It is clearly diagnosed as pyloric insufficiency obstruction caused by pyloric ulcer during the operation. It is planned to undergo most of the gastrectomy and complete the second-style anastomosis. !"

Zhang Zhixin nodded: "Okay!"

Chen Cang: "Boss Chen is awesome!"

Nurse Qin Lele:...

Nurse B:...

Chen Bingsheng's professionalism is still very good, and this kind of surgery is often done, so naturally there will be no too much pressure.

However, Chen Cang glared at him: "Next time, I won't be called Doctor Zhang. You can help me. This time you can look good."

Zhang Zhixin sighed: "You think I divided the money, right? Huh! Man!"

In fact, the operating room is really not as serious as imagined, and there are often some jokes flowing out from time to time.

Moreover, as a closed environment, the operating room is always a gathering place for gossip news!

And the gynecological operating room is called the king of gossip in the hospital!

It’s not clear who the child belongs to, the doctors and nurses who go down, and even the leaders and employees of XX are unclear.

…………

Just now, Chen Cang really sighed that Mr. Chen was awkward, and a series of professional terms came out of his mouth, and he forced the rank to be higher than that!

but……

In Chen Cang's eyes, it was another state. If Chen Cang was talking about it just now, it might be like this:

"[Liver], [Gall bladder], [Pancreas], [Spleen], [Small intestine] are green, [stomach] is a red name, and the cause of the red name is found in the lower part of the greater curvature of the stomach! [Pyloric insufficiency obstruction caused by pyloric duct ulcer: lv39-level pyloric ulcer obstruction monster, ordinary monster, features: ulcers and gallbladder are slightly adhered, local scar formation and traction, contracture caused pyloric duct stenosis, pyloric duct narrowing, involving the duodenum! Suggestion: Resection!]"

Hey, Chen Cang's eyes were full of excitement when he saw level 39 wild monsters active there. After all, this is a high-level monster, rich experience!

Unfortunately, I can only look at it myself.

However, Chen Cang took it very seriously. Every operation is an opportunity to learn. Chen Cang will not give up such a good opportunity to learn.

The first is separation.

The stomach is not hanging in the stomach like a light bulb.

There are various mesangiums, ligaments, blood vessels, autonomic nerves, etc. around him. This way, the stomach is fixed in the abdominal cavity, otherwise you will have gastroptosis after a few steps after eating.

The first thing to do is to separate the work, which is also the work that best reflects the skill and patience.

Chen Bingsheng carefully lifted the stomach, cut the gastrocolonic ligament at the slightly left avascular area of ​​the greater curvature, and then freed and cut the gastrocolonic ligament in the vascular arch along the greater curvature to the left...

The operation went smoothly, and the pairing with Zhang Zhixin was even more adept.

...

After the operation, the instruments were cleaned and the abdomen was closed.

Chen Bingsheng stood up and gave Chen Cang a look: "Stitched."

Chen Cang sneered: Mortals, it's time to witness the miracle!

Today I will let you see my progress.

Chen Cang picked up the suture needle and was threaded by the nurse. Chen Cang was more proficient in picking up the needle and thread than yesterday. Moreover, the skin on the abdomen was originally flat and there were not so many twists and turns. The suture needle in his hand was like a thread. Flowers are like butterflies, constantly going back and forth on the belly.

Indeed, after Chen Cang felt sharp +1, there was a clear difference.

It didn't take long before the stitching was completed.

After taking a look, Chen Bingsheng couldn't help but froze for a while, staring at Chen Cang curiously: "Yes."

However, Zhang Zhixin smiled: "Xiao Chen, your hand is suitable for surgery! This stitching is very good, but... it's still a short time to start, the talent is there, it is almost skill."

Suddenly, Zhang Zhixin turned around and asked, "Xiao Chen, are you going to work the day after tomorrow?"

Chen Cang turned around and saw the arrow on Zhang Zhixin's head converging into a question mark!

Have a mission?!

Ding!Your stitching has attracted the attention of mid-level NPCs, and you may get tasks after detailed chat.