When a doctor opened a plug-in

"I saw you accept the red envelope!" The old horse smirked. "You divide me, I won't report you!"

Chen Cang quickly squeezed his pockets tightly: "I receive red envelopes with my strength, so how can I divide you?"

Lao Ma smirked: "What a lovely girl! Give me one, only one."

Chen Cang chose carefully and gave Lao Ma one of the cheapest fruit flavors, and the white rabbit kept it for himself.

Lao Ma was happily unpacked and stuffed it into his mouth. The sweetness came, and the very strong, cheap but precious taste was aftertaste in the mouth.

After eating candy, Lao Ma and Chen Cang walked to the operating room together.

As soon as he arrived in the operating room, Ma's big mouth told several directors about Chen Cang's red envelope collection!

Chen Cang was speechless at once, am I...

Divide the sugar!

At this point, Chen Cang had three white rabbits left in his hand, and he quickly put one in his mouth and licked the remaining two white rabbits for Qin Xiao.

The old horse smiled and said, "I have received all the red envelopes, so I have to work hard."

Zhang Chahai nodded and smiled: "It's easy to talk and talk."

After brushing his hands and chatting about the details of the operation, the group walked towards the operating room.

Zhou He is an anesthesiologist, and after finishing the analysis, he also began to prepare intensely.

This operation is very difficult!

Chen Cang looked up at the time, 7:20 in the evening.

The operation officially began.

The entire operation requires separation and repair of neck tissue, thoracotomy, subtotal gastrectomy, and esophagus and colon interposition, so there are many places to open.

The neck esophagus separation operation started. Zhang Chahai watched Chen Cang's operation skillfully and steadily. If he hadn't looked at his face, he would have thought it was an old director in his fifties.

Fortunately, the mucous membrane has not been perforated, but the difference is not very big.

The whole process is even more difficult than it has been damaged and perforated, because this requires assessment and removal of damaged tissue.

This undoubtedly adds a surgical procedure, and it is a very troublesome thing to perform surgery in so many nerves, blood vessels, and thyroid tissues in the neck.

It took more than 20 minutes for Chen Cang to separate successfully.

At the same time, a reminder sounded in Chen Cang's ear!

Ding!The digestive tract burned by sulfuric acid is comprehensively judged as the grade: King-level boss, and the operation is very difficult. It is recommended to proceed with caution.

King class!

However, the difficulty of such an operation is not an exaggeration to say that it is a king.

Chen Cang didn't have much mood swings. He held the scalpel firmly, looked at the wall of the esophagus, and began to cut slowly.

This is a delicate process!

How to effectively peel off undamaged tissues and effectively retain healthy tissues is a task that requires immense patience.

Chen Cang's eyes are extremely accurate in judging the red damaged parts.

When under the knife, he was also very decisive.

The process of the operation was not as beautiful as I thought. The blood would continue to flow out, and the damaged scar tissue and the inner wall of the ulcer looked extremely hideous.

But everyone is used to seeing this.

Seeing Chen Cang immersed in the operation, Zhang Chahai moved and held his esophagus as stable as possible.

As time passed by, Chen Cang hoped to preserve as much normal tissue as possible and preserve the peristalsis and related functions of the digestive tract.

Digestive tract reconstruction technology is a technology that the world has been trying to study.

Including the Mayo Gastrointestinal Digestive Function Summit Forum is not an exaggeration. Their goal is how to achieve the greatest degree of restoration of gastrointestinal function after the digestive tract is reconstructed.

This is an international problem!

There are many issues to consider. The digestive system is not only the digestive tract, but also the liver, gallbladder and pancreas... and other digestive organs.

Next is to open the chest and cut the lungs.

Zhang Chahai watched this process very carefully.

Chen Cang did not reserve either.

In fact, Chen Cang has never reserved these surgical skills, and even during the last operation, he emphatically explained the principles and surgical procedures to Ma Yuehui.

But the old horse...not to mention, it was a little sad to say.

Seeing Chen Cang who was calm, Zhang Chahai was a little distracted for a while, because of his tolerance and calmness, and to be honest, it was really extraordinary.

Ligation and cut off the bronchus of the right middle lobe without damaging any arteries and veins of the lungs. The tissue valve is preserved and made into a lung tissue valve to repair the lung tissue...

The whole process seemed to be familiar, as if hundreds of units were made.

The next step is the anastomosis process.

After Chen Cang covered the defect with the lung tissue flap, an incredible scene appeared!

Zhang Chahai's eyes widened instantly and looked at Chen Cang in disbelief.

so smart?

Just now, the leisurely operation like a cloud and a crane is actually...

Is it?

That's right!

Zhang Chahai keenly realized that Chen Cang's operation was not fast, but to improve the accuracy of the operation and intentionally reduce the operation speed, so as to ensure the maximum surgical effect.

From the most suitable lung tissue, the smallest lung tissue flap can be made to meet the needs of the entire esophagus. What is the level?

Thinking of this, Zhang Chahai couldn't help being a little more solemn.

The cross-section of the esophagus was anastomosed, and Chen Cang used 3-0 absorbable sutures to start continuous sutures, plus a layer of sutures similar to the seromuscular layer.

The speed and rhythm of stitching are as precise as a machine, and several directors are deeply moved.

"Xiao Chen's basic skills are really solid. This set of operations and operations are done like an old director in his fifties."

"Awesome!"

Several directors praised frequently, but Chen Cang didn't say a word.

The old horse on the side smiled faintly: "Basic operation!"

This sentence stunned everyone around him, and even Chen Cang looked sideways at this Ma Pengchao, suddenly felt that he had the potential to develop!

After the neck was repaired, Chen Cang directly repaired the esophagus on his chest. At this time, he needed to open abdomen to remove a section of the colon for backup.

Chen Cang looked at the old horse and felt that he should be commended: "Leader Ma, you come to cut the colon. It only takes 5cm."

Lao Ma nodded and picked up his eyes. If you see it, Xiao Chen still can't do without me!

Lao Ma is also very professional, and the open incision is not selected blindly.

After all, if you have a subtotal gastrectomy for a while, it is completely unnecessary to cut two cuts. It is best to do two things with one cut.

This kind of basic exercise is not a big problem for Team Leader Ma.

When Chen Cang had almost repaired this side, he cut off the most severely damaged and narrowest areas that could not be repaired.

And here, the old horse has a successful operation and prepares a pedicled colon.

The severed colon was anastomosed end-to-end with two-layer interrupted sutures.

The use of vacant colon surgery in the chest can effectively reduce the adverse effects of compression of the trachea.

Chen Cang directly made a small incision on the right side of the diaphragm and esophageal hiatus, and then passed the colon and its vascular pedicle homeopathically, passing the colon through the chest cavity behind the hilum.

The whole process seems simple, but every step needs to be careful, because once the colonic pedicle has tension in the space behind the displaced spleen and in front of the kidney, it will affect the blood supply and even cause the operation to fail.