When a doctor opened a plug-in

After the famous teacher's guidance was activated, Chen Cang's eyes changed dramatically!

A lot of prompts appeared on the transparent virtual screen in front of you!

Even a reminder sounded in the ear!

"Famous teacher guidance mode is on! Detected: The patient has type Mirrizi syndrome!"

"The procedure of the operation is as follows: first cut the gallbladder at the Hartmann bag of the gallbladder, suck out the bile, and remove the incarcerated stones..."

"Do you want to start an action demonstration?"

Chen Cang was stunned!

With the sound of the sound, a virtual screen began to operate on the human body.

It's so amazing?

This is [Famous Teacher Guidance]!

Isn't it too strong?

At this time, Zhou Xiaodong and Qin Yue all around were staring at the abdominal gallbladder on the TV that didn't know how to do it.

Because everyone has never seen this before!

What is this?

Zhou Xiaodong looked helpless. The ghost knew how a chronic cholecystitis could evolve into such a thing!

Qin Yue couldn't help asking, "Chen Cang, you know... what kind of patient is this? What kind of disease is this?"

Chen Cang sighed and looked up at the two of them: “I’m afraid we’re going to have trouble. This is a rare and difficult gallbladder complication: it’s called Mirrizi syndrome. This type of patient can’t find anything abnormal before surgery. It is not much different from ordinary chronic cholecystitis and cholelithiasis, even...not as obvious as those!"

When these words came out, the two of them were stunned.

Not to mention anything else, just say that English letter, which feels a bit powerful.

Zhou Xiaodong suddenly realized that he had heard of this thing: "This is Mirrizi syndrome?"

But Zhou Xiaodong only vaguely remembered that when he was in school, his tutor Qian Liang said that this disease was one of the most difficult cholecystectomy!

Thinking of this, Zhou Xiaodong feels cold!

Qin Yue couldn't help asking, "What is this?"

Chen Cang nodded lightly: "This is a rare disease, a rare complication that appears in chronic cholecystitis and cholelithiasis, and a syndrome!"

"Mirrizzi syndrome is a clinical syndrome characterized by cholangitis and obstructive jaundice due to cystic duct stones or stones in the neck of the gallbladder, which compresses the common bile duct or common hepatic duct and causes stenosis of the common hepatic duct."

"This disease is relatively rare in clinical practice. The pathological basis is incarceration and inflammation of the cystic duct or neck stones. Patients often have a protracted medical history."

"Continuous incarceration and compression of large stones in the ampulla and neck of the gallbladder can cause common hepatic duct stenosis or gallbladder biliary fistula, as well as recurrent cholecystitis and obstructive jaundice."

After Chen Canggang finished speaking, Zhou Xiaodong quickly nodded: "Yes! The patient does have long-term recurrent cholecystitis, and liver function shows that serum bilirubin is significantly elevated, even ALT and ALP are significantly elevated!"

For a while, Chen Cang's status in the minds of the two was significantly elevated, and even the equipment nurse was dumbfounded.

This is a master!

Absolute master!

It's clear at a glance, and you can see what the disease is.

You can see it, will you do it?

Chen Cang had watched the demonstration several times at this time, and he was so familiar with him, he said to the two of them: "Doctor Zhou, you help me with the mirror, I will come to the operation, let's start, the patient can't keep dragging like this!"

Zhou Xiaodong nodded quickly!

It would be great if Chen Cang could do it...

The feeling of despair just now was terrible.

but……

Will Chen Cang?

Zhou Xiaodong himself was a little bit timid: "This... can you... do it?"

"This is Mirrizzi syndrome!"

It's not that he doesn't believe in Chen Cang, but that this operation is really dangerous and difficult!

It's definitely not that easy.

Chen Cang turned around: "Is there any other way?"

One sentence dumbfounded Zhou Xiaodong.

Yes indeed?

Is there any other way?

However, Zhou Xiaodong still reminded: "Can you do it? If you can't do it, you should find someone else. If there is an accident, you...you can't afford it either!"

Hearing Zhou Xiaodong's words, Chen Cang couldn't help but smiled: "Don't worry, I can!"

Looking at the complicated abdominal cavity, Chen Cang would absolutely be overwhelmed with shaking hands if he hadn't been guided by [Famous Teacher]!

The first thing to do is to separate the bad gallbladder triangle. At this time, Calot's triangle has edema, tissue fibrosis, and thickening of the cystic duct, which is easy to bleed. In this case, most people cannot dissect the cystic duct, cystic artery, and common bile duct. boundary.

This is also the main reason why Zhou Xiaodong has not dared to do anything!

In case of bleeding, this is a big problem.

Zhou Xiaodong asked cautiously: "Can this gallbladder triangle be separated? No...I..."

Chen Cang shook his head and said directly: "Give me the electric hook!"

Zhou Xiaodong was anxious, doubtful, and expectant. After struggling, he passed the electric hook to Chen Cang.

Chen Cang took the electric hook and carefully opened the gallbladder serosa in the front and back triangles of the gallbladder for fear of damaging the cystic duct.

"Give me the attractor!"

Chen Cang used the aspirator to push and scrape. At this time, the cystic duct, cystic artery, and common hepatic duct were still very blurred and could not be seen clearly!

Chen Cang's set of operations is already very difficult. Is there no way to work hard for a long time?

Zhou Xiaodong's heart has sunk to the bottom of the sea, and Qin Yue's eyes are fixed on the TV. He doesn't say anything, but he is also flustered. This gallbladder triangle is too bad, and it is not ordinary difficult to separate!

Isn't it necessarily the group of teachers from the Second Xiangya Attachment?

Is this Chen Cang too reckless?

Dare to accept this kind of surgery booth!

Isn't this looking for trouble for yourself?

Chen Cang didn't feel discouraged. Instead, he took the electric hook and started from the liver bed to free the gallbladder first!

Then continue to dissect towards the triangle area. After freeing the gallbladder from the liver bed, carefully handle the cystic duct and cystic artery in the triangle.

Zhou Xiaodong looked a little flustered at this time, and even the hand holding the mirror started to sweat!

Too dangerous……

Zhou Xiaodong couldn't help turning around and looking at Chen Cang, seeing that he didn't seem to be flustered at all, and the clouds were calm and calm.

The action is very light, one push, one swipe, one freeze, one release is just right!

The technique is very clever.

Zhou Xiaodong was amazed...

at last!

It took nearly 20 minutes to successfully free the gallbladder triangle!

It succeeded!

After separating the gallbladder triangle, the operation is actually half done!

too difficult!

Zhou Xiaodong looked up at Chen Cang, eyes full of incredible.

Can this be separated?

That's too strong!

Zhou Xiaodong stared at Chen Cang, who was meticulously continuing to start the next operation, and he was a little wrong.

Because...At this time, Chen Cang seemed to be the director incarnate. Whether it was a nurse, Zhou Xiaodong or even Qin Yue, he was suffocated by the calmness of Chen Cang's body at this time!

Qin Yue's big eyes blinked, his eyes flickered and filled: Chen Cang Niubi (broken sound)!

This process seems simple, but in fact it is extremely cumbersome. Chen Cang's every step of the movement is very jerky. If it were not for the continuous prompts of the system, he would not be able to do it.

This gallbladder is a level 45 lord monster. He is just a level 15 resident doctor. How easy is it!

This is not a heavyweight at all. A little carelessness may cause the patient to be injured again.

Mirrizi syndrome can't be dealt with by general doctors in the top three hospitals at all, at least it must be handled by Zhang Youfu's level.

Next, is the most important work!

Chen Cang first incised the gallbladder at the Hartmann bag of the gallbladder and sucked bile.

Then remove the incarcerated stones!

The stone is very big, stuck in the neck, 20mm in length!

Seeing the stone taken out, Zhou Xiaodong finally entered his stomach with a thumping heart.

The next step is to remove the gallbladder. When dissecting to the right side of the common hepatic duct, if the Hartmann bag is densely adhered to the right wall of the common hepatic duct, the gallbladder wall here is retained and the gallbladder mucosa is electrocoagulated...

The operation is carried out in an orderly manner, the most rare level has passed, and the follow-up work is already very simple!

Ding!Congratulations, leapfrogged to kill the level 45 Lord Gallbladder!Gain experience +3000; cholecystectomy experience +5000 (upgrading to master can continue to upgrade); gain RMB +3000; gain: a pair of Stern gloves.

Ding!Congratulations on your promotion to level 16!Get skill points +1!

Ding!Congratulations on your promotion to level 17!Get skill points +1!

Chen Cang was dumbfounded and gave birth to two levels at once.

The main reason is that his level is about to be improved. This 3000 experience has made him directly promoted to level 17!

Now there are 7 skill points.

The operation is over!

There is no danger.

Zhou Xiaodong suddenly seemed to be collapsed, and this feeling of being left behind made him really wonder what to say!

Thousands of words can't express his inner excitement!

Without Chen Cang, it would be hard for him to imagine the consequences?

The patient has many ills, and he must bear the responsibility, even for a lifetime!

Ding!Zhou Xiaodong's favorability +20!

Lifting his head and looking at Chen Cang, Zhou Xiaodong held Chen Cang's hand with both hands, staring at Chen Cang meticulously, and said sincerely: "Doctor Chen! Thank you very much, really! You saved the patient and saved me. I am very grateful for my career. This time I am so grateful. Daeen does not say any thanks. If I need help in the future, please speak up!"

Fortunately, Zhou Xiaodong has a culture, Barabala said a lot, if this is for Sister Xiao, a straightforward rebirth parents will be done directly!

Chen Cang smiled: "It's okay, everyone is a colleague, so hurry up and get off work!"

At this time, it was 1 o'clock in the morning. If this operation hadn't been too passionate, several people would have been sleepy!