When a doctor opened a plug-in

During colon cancer surgery, it is generally necessary to select a resection 15 cm far from the tumor.

Therefore, a lot of removal is required for the entire operation!

The terminal ileum, appendix, cecum, ascending colon, and one third of the transverse colon.

At the same time, the corresponding mesentery and omentum and the lymph nodes around the blood vessels should be removed.

Tumor surgery has always been the focus of current gastrointestinal surgery!

Sun Guangyu glanced at Chen Cang and said, "The medial approach, is it okay?"

Chen Cang nodded!

The medial approach is a lot more difficult than the lateral approach, but it conforms to the principle of non-contact for radical tumor resection, and requires a very high level of lens holders.

Before the operation started, Chen Cang took the lens and started to deal with it.

First soak in 60-70 degrees hot water, and let the staff prepare a warm water.

Suddenly Zhuang Yueming was taken aback: "Dr. Chen is very professional?"

Chen Cang nodded: "Well, I often assist, and come up with a set of theories."

While talking, Chen Cang began to wipe.

Sun Guangyu glanced at Chen Cang curiously: "What did you do just now?"

Chen Cang smiled: "After using hot water soaking, the visual effect is clearest, and the preparation of warm water during the operation can also keep the lens from fogging."

Sun Guangyu seldom plays support, and really doesn't know how to hold a mirror.

Hearing what Chen Cang said, he felt very reasonable: "Very professional!"

Chen Cang smiled and started wiping with soft sterile gauze.

Cleaning the mirror is also very skillful.

After the pneumoperitoneum is established here, enter the laparoscope.

Chen Cang deliberately chose a special angle.

Different angles make the field of view in the lens different. The field of view provided by the laparoscopic base at this time is like an open abdomen, which is very consistent with the operator's observation angle habits.

Sun Guangyu glanced at Chen Cang, a bit more curious in his heart!

"This vision is really comfortable!" Sun Guangyu sighed and told the truth.

This is not flattering Chen Cang at all, but from his heart!

indeed!

A good lens holder is like a good photographer, presenting a beautiful and harmonious picture to the surgeon.

And Chen Cang did a good job at this time. He showed a ratio of the golden ratio point on the display, and the observer's target was placed on this golden ratio point, so the operation was very accurate!

The ultrasonic knife Sun Guangyu uses is very sharp!

Here Chen Cang has always maintained the level of the laparoscopic base and constantly adjusted the surgical field!

Because the precision of the operation is quite high, there are many blood vessels that need to be processed.

Including the trunk of the gastrocolic vein, the gastromental vein, the middle colon vein... the anterior pancreaticoduodenal vein, etc...

Therefore, the field of view of surgery needs to be continuously enlarged and reduced.

Change the height and distance of the field of vision, adjust the surgical field.

Laparoscopy has the function of a magnifying glass. The clever use of the surgical field to process blood vessels is a major advantage of laparoscopy.

Sun Guangyu feels that today's surgery is very smooth!

It seems that this lens can be moved completely according to your own mind, as if you can read your own mind!

wrong……

This lens is better than I want!

Sun Guangyu couldn't think of the handling of many small shots.

But Chen Cang can always keep up, make changes, and give the most comfortable vision!

In fact, Sun Guangyu had an illusion that he knew the operation better than himself!

Thinking of this, Sun Guangyu took a deep look at Chen Cang!

This is the first time he has ever felt that a mirror holder needs superb technique!

Indeed, Chen Cang did not expect to play so well with his own support.

Just like playing a game, this assistant makes you so comfortable, and you know better part-time job than you!

That's right!

Chen Cang does not understand this radical resection of colon cancer, but he understands the surgical field of vision, when and what kind of lens is needed, when and what angle does not affect your operation.

Soon, it was time to free the liver flexure of the colon and separate the lateral peritoneum.

Enter the gap between Toldt and Gerota's fascia. At this time, the endoscopy can easily cause the visual field to be not three-dimensional, which affects the operation and the accuracy of the operation!

but……

Sun Guangyu was surprised to find that the angle given by Chen Cang's mirror was rotated through the optical fiber, cleverly providing an ideal observation field!

This is really amazing!

This kind of rotating optical fiber realizes the three-dimensional observation of the target, so that the gastrointestinal surgery provides a better operation space and observation field.

Sun Guangyu has such assistance, even more powerful.

With Chen Cang's three-dimensional observation of the colon with “rearward guidance, bilateral outflanking, and front meeting”, he achieved accurate completion.

The laparoscopic mirror-holding hand always serves the master knife, it is the eyes of the master knife, there can only be one core command on the operating table, that is the master knife!

Therefore, the hand with the mirror must follow the master knife, think about what the master knife thinks, where the master knife thinks, where the mirror finger!

but!

During this operation, Sun Guangyu felt like he was being assisted to fly...

It really is like this!

Chen Cang has basically laid out every aspect of the operation clearly and tell you what needs to be done here.

It's like...

Correct!

Where does he point, where do you fight!

Even, this hand with the scope directly reduces the difficulty of the operation, making such a laparoscopic operation more comfortable than open surgery!

The more Sun Guangyu does, the more he feels satisfied and refreshed!

There is even a faint feeling of breaking through.

Correct!

There is also a feeling of finding friends with mountains and flowing water.

The relationship between the main sword and the mirror holder is really so weird...

The operation was quickly removed, and the anastomosis stage was reached.

Compared with Chen Cang's anastomosis, Sun Guangyu chose a stapler to complete this operation. For the elderly, using a special anastomosis material metal is not easy to cause surgical stress, but the effect is the best.

quickly!

The operation is complete!

After Sun Guangyu withdrew the instrument, he looked at Chen Cang and was amazed, unable to speak for a long time.

Nowadays!

He just felt what is called God-level assistance.

A support can carry the main sword super god.

And Zhuang Yue who was on the side was dumbfounded tomorrow morning.

Looking at today's operation, he had something embarrassed to tell Director Sun that he felt... Director Sun won today!

The credit is largely due to Chen Cang.

He is a helper, he clearly feels the convenience of vision brought by laparoscopy.

He thinks that he can do it too!

It doesn't have to be worse than Director Sun.

Thinking of this, Zhuang Yueming looked at Sun Guangyu, even a little envious...

The operation is done!

Sun Guangyu finally said: "It's better than not knowing, it turns out that there is so much attention to holding a mirror!"

"I feel that if Dr. Chen is gone in the future, I don't want to do this endoscopic surgery!"

After saying this, no one laughed.

Because this is the truth!

Moreover, the anesthesiologist on the side watched the operation on TV and said to himself: "This is the most successful operation record I have ever seen. There is no one!"

Listening to the compliments of the crowd, Chen Cang couldn't help but smile: "Director Sun is polite. Everyone...too polite."

Sun Guangyu couldn't help sighing: "You know, Doctor Chen, I'm really not polite."

At this time, Chen Cang heard the system prompt sound:

Ding!Congratulations, for learning Sun Guangyu's: Colorectal Anastomosis (quasi-perfect level)]

Chen Cang was overjoyed and made a lot of money!

He now understands: The core meaning of support is to make the main sword comfortable, and then honestly hand over the skill book!

...

...

ps: It's the end of the month, I'm asking for votes~

One vote for you, one vote for me, Chen Cang will make his debut soon!