When a doctor opened a plug-in

When the esophagus surgery is successfully completed.

Everyone looked up and found that it was 9 o'clock in the evening.

The reconstruction of an esophagus took nearly two hours.

And the next subtotal gastrectomy will take more than two hours.

The entire operation is not only difficult, but also heavy.

The precision operation that lasts four or five hours is a test for a surgeon.

After the esophageal surgery was successfully completed, Zhang Chahai also breathed a sigh of relief, moved his neck, and screamed. As a surgeon, which one does not have cervical spondylosis?

Without a break, the following surgery started directly.

Improved Roux-Y anastomosis after most gastrectomy!

He Zhiqian has long been looking forward to it. He has been watching the drinking fountain for more than two hours.

His hands are already hungry and thirsty!

At this time, Chen Cang said: "The back of the left side rib is raised by 20°."

This sentence immediately made everyone stunned.

However, the two male nurses nodded quickly and began to help.

All of them looked blank, startled by Chen Cang's opener.

He Zhiqian was rather guilty.

I won't cause any harm to Doctor Chen, am I?

Thinking of this, He Zhiqian couldn't help sighing, and he didn't dare to act rashly when he was ready to get started.

"Director He, you come to put on the belt and lift the lower end of the esophagus."

Although He Zhiqian didn't know what Chen Cang was going to do, he could still understand the command.

Here, Chen Cang also started a quick operation!

What I didn't know was that He Zhiqian found that he had lifted his esophagus for an hour and a half in the next time!

For He Zhiqian, who has been the director for more than ten years, this is simply...overkill!

Lao He is also very aggrieved in his heart!

Zhang Chahai at least helped with the operation. He became a tool man, the "esophagus lifter" of the operation?

However, when he looked at the old horse with his hands still on his colon, he suddenly felt much happier.

Lao Ma glanced at Chen Cang: "Xiao Chen, I...can't match?"

Chen Cang shook his head: "Take it up, don't move."

When Lao Ma heard it, he nodded helplessly and glanced at Lao He enviously.

After all, they are carrying a free esophagus, and they are holding two large intestines in their hands, just like a large intestine seller.

Without comparison, there is no harm.

After seeing Ma Hanhan, the "Intestinal Lifter", He Zhiqian still felt that Dr. Chen treated him well.

The operation continued, and Chen skillfully performed a subtotal gastrectomy near the pylorus.

He Zhiqian's hands were tied, but his eyes were liberated. He keenly discovered that Chen Cang's subtotal gastrectomy seemed a little different from his own!

This made He Zhiqian frown!

Is this incision strange?

Why is it cut like this?

Obviously, more stomach tissue can be preserved. Why does Chen Cang want to remove it?

This is in sharp contrast to the stingy removal of the esophagus just now!

why?

The more He Zhiqian thought about it, the more he couldn't figure it out.

With doubts began to look at the operation.

Here, Chen Cang has completed the two-layer closed exclusion of the duodenal stump.

Then the right gastric and right gastroepiploic arteries were directly cut off, and the small curve side was sealed with double-layer sutures, and the larger curve side retained 6cm diameter!

6cm diameter, how is this possible?

In this way, there is no way to perform gastrojejunostomy.

Once the tension is too large, an anastomotic leakage will definitely occur, which not only does not reduce, but will increase it!

This preserved stomach structure clearly makes He Zhiqian's eyebrows tighten.

Why is this?

He can't understand it!

This makes He Zhiqian very uncomfortable, if the 20° elevation of the left ribs at the beginning made him just frown.

Then the current subtotal gastrectomy has made him curious.

Is it because Chen Cang is limited?

Absolutely not!

He Zhiqian shook his head instinctively. If his level is limited, it can't be such a rhythm.

What is it for?

Chen Cang is getting a little happier now, as he is playing basketball, his hands are getting hotter and hotter now, and he feels a lot!

That's right!

Next, the jejunum was cut 20cm away from the Treitz ligament according to the Roux-en-y gastrojejunostomy, but Chen Cang did not cut it!

He made a longitudinal incision directly on the side of the jejunum and made an anastomosis with the longitudinal incision and the greater curvature of the stomach.

After seeing this scene, He Zhiqian was stunned for a moment.

Slowly spit out a word "I Cao".

He got it!

He understood it all, he knew why Chen Cang would do this.

In this way, it belongs to the reconstruction of the gastrointestinal tract!

The length of the small intestine is sufficient. Chen Cang took advantage of the space freedom of the jejunum and did not choose the duodenum, but directly formed a structural "stomach-like" structure between the side of the jejunum and the stomach!

In this way, it overlaps with the scene that Chen Cang demonstrated in the office at the beginning.

He Zhiqian couldn't help but shook his head, and even felt a chill on his back and cold sweat oozing out. This was exciting and a surprise after he realized it.

He thought Chen Cang would change his surgery plan when he was on the verge of battle.

It does not seem to be the case now!

He had misunderstood Chen Cang's previous operation.

Genius!

The cliff is a genius!

Roux-en-y gastrojejunostomy is to prevent reflux esophagitis and accelerate gastric emptying to build such a rapid emptying structure.

The patient’s condition is that the gastric mucosa is damaged, which is similar to the effect of gastroesophageal reflux. Chen Cang directly abandoned the duodenum and used a complete and healthy finger intestine as the fundus of the stomach, which was formed through the remaining stomach and jejunum A "stomach-like" structure!

This fucking is a genius idea!

At this moment, He Zhiqian was really excited.

He never thought Chen Cang could think of so much.

He originally thought that the improved Roux-en-y gastrojejunostomy just didn't cut the colon, but he didn't expect...he would not cut it like this.

Bull!

This procedure can definitely open up a new field of gastrointestinal surgery.

"Stomach-like" surgery!

He Zhiqian couldn't help but smiled bitterly, and said a little excitedly: "Doctor Chen, you really convince me!"

"What an improved subtotal gastrectomy! You have rebuilt a stomach!"

Chen Cang smiled: "Keep watching, don't worry!"

He Zhiqian was taken aback for a moment. Could there be any mysterious place?

At this time, Chen Cang was also a little excited. This operation simply opened up Chen Cang's new vision and new ideas for gastrointestinal surgery.

He suddenly felt that gastrointestinal reconstruction is not as difficult as he imagined!

Soon, the esophagus and the stomach were anastomosed... the colon was anastomosed!

When all the work was completed, Chen Cang connected the omentum and the stomach, and fixed the stomach slightly to the upper body. After Chen Cang's anastomosis of the descending colon, he also moved a little...

Cooperate with the previous operation of raising the back of the left quarter rib by 20°!

The entire esophagus, stomach, small intestine, large intestine... At this moment the digestive tract is successfully rebuilt!

When everyone saw this scene, their eyes suddenly widened and they were shocked!

"Can I speak dirty words?"

"Hold the grass!"

"Cow...too awesome!"

"Doctor Chen, you are a genius!"

...

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