When a doctor opened a plug-in

Sun Guangyu glanced at the nurse: "Call Chen Cang and see where he is."

The nurse nodded, picked up the phone, and dialed Chen Cang.

After a while, the phone was connected: "Dr. Sun, I just parked the car, and I will pass right away!"

When Sun Guangyu heard this, he was immediately happy: "Okay!"

After the arc, Sun Guangyu looked at several directors around and couldn't help saying:

"Everyone will wait for a while, Dr. Chen has a lot of thoughts on the reconstruction of the digestive tract! We don't have any clues now, one more person, more strength."

"Mr. Bu's current situation, everyone has seen it, not to mention the difficulty of the operation, the most important thing is that it is difficult to restore the digestive function after the operation."

"I think we should do our best to preserve Mr. Bu's digestive function and improve his quality of life as much as possible."

Sun Guangyu's words are very reasonable, how to improve the final quality of life of the elderly is the most important.

At the age of ninety-three, with so many underlying diseases, no one can guarantee how long he will live.

Everyone looked at Sun Guangyu like this and nodded without saying much.

After all, Sun Guangyu is the chief surgeon, and ultimately needs to listen to him.

In fact, on the stage of the operating room, they are like reinforcements, and the general in the army is still Sun Guangyu, and the final decision-making power is still his.

After thinking of Chen Cang, Sun Guangyu breathed a sigh of relief: "Actually, the last time I showed you the reconstruction surgery for subtotal gastrectomy, Chen Cang did it!"

Hearing Sun Guangyu's words, everyone was taken aback.

"Is that the improved gastric anastomosis operation? What kind of stomach was formed?" Shi Wenyan of the General Hospital of the Military Region asked directly!

Sun Guangyu nodded: "Yes, it was the same operation that made me officially meet Chen Cang."

All of a sudden, everyone's eyes brightened, and they all looked forward to it.

An operation can see the clinical thinking and surgical level of a surgeon.

And that operation, in their opinion, was Chen Cang's iconic operation, and it was enough to explain a lot.

However, the situation of Mr. Bu at this time really worries everyone.

He was over ninety years old, but he got such a troublesome disease.

Intestinal obstruction caused by Crohn's disease.

What is Crohn's disease?

Crohn's disease is a gastrointestinal granulomatous inflammatory disease of unknown etiology.

This is hard to understand. In fact, Crohn's disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease, which is an inflammatory disease of the intestine.

But the cause is unknown...

But the treatment method is mainly to solve the current symptoms.

Besides, Mr. Bu is over 90 years old this year, and he can't stand too much toss.

Fortunately, Crohn’s symptoms are not obvious, and Mr. Bu’s performance is intestinal obstruction.

What is the main purpose of the operation now?

First: Treat intestinal obstruction!

Second: clean up the pancreas!

Third: clean up the gastrointestinal tract and pancreatic tissue with obvious adhesions in the abdominal cavity.

Fourth: reconstruction of the digestive tract.

Every step seems easy, but when combined, the digestive tract reconstruction becomes even more difficult.

The biliary tract needs to be treated, the colonic obstruction needs to be removed, and the pancreas does not need to be completely removed, but the pancreaticojejunostomy must be performed again after the cleanup.

Everyone stared at the abdominal cavity with furrowed brows, thinking.

Not long after, Chen Cang entered the operating room.

Seeing Chen Cang's arrival, Sun Guangyu looked happy: "Here it comes!"

The nurse had waited for a long time. After putting on Chen Cang's surgical gown, Chen Cang came over.

After seeing the condition of the abdomen, his eyes suddenly widened.

This……

Somewhat bad.

Chen Cang couldn't help but said, "Crohn's disease intestinal obstruction?"

Chen Cang's blurted out, let everyone appreciate a little more, a bit more level.

But after Chen Cang finished reading, he frowned.

Because the system told him that the patient's abdominal cavity is a boss nest, which is not easy to mess with!

Ding!Complicated abdominal cavity, comprehensively judged to be a lv88 king-level boss, the patient is an elderly male, with many basic diseases, Crohn's disease intestinal obstruction... Please repair the abdominal cavity and rebuild the digestive tract!

Chen Cang sighed and was judged to be a level 88 king boss.

This is really difficult!

This is the highest-level boss that Chen Cang has encountered so far. If it were in the game, he would definitely be a dead person.

To be precise, he died of unknown AOE!

Looking at the adhesions in the abdominal cavity, Chen Cang understood.

Colonic obstruction is mainly caused by an abscess. The pus is also caused by pus-like adhesions in the abdominal cavity, pancreatic edema and inflammation, and most of the stomach has been removed. How to reconstruct the digestive tract?

What should I do now!

Sun Guangyu glanced at the attending doctor: "Introduce the medical history."

Chen Cang listened to the case and looked down at the abdominal cavity. A four-dimensional model image began to appear, simulating what the operation should be done for a while.

After a while.

"Tsk!"

Chen Cang was instinctively worried.

The adhesion of the abdominal cavity is very difficult to clean up, and it has to be separated, and the colon postoperative anastomosis will be performed later, which is really a headache.

Is the pancreas removed?

It is troublesome to cut, and it is more troublesome to not cut.

After a while, Chen Cang looked at Sun Guangyu on the side: "Director Sun, what do you think?"

Sun Guangyu frowned: "We didn't expect such a scene before the abdomen was opened. Originally, what we wanted to do was an laparoscopic surgery, but just after looking in the mirror, we saw the bad situation in the abdominal cavity and quickly started to open the abdomen."

"In fact, the most difficult thing now is the reconstruction of the digestive tract. After the colon is removed, how does the pancreas choose?"

"Pancreaticoduodenectomy must be done, but now the key is that gastroduodenal surgery has to be re-selected. How do we reconstruct the digestive tract!"

Shi Wenyan nodded and said: "My idea is to directly remove the pancreaticoduodenectomy to reconstruct the digestive tract for the stomach, jejunum, and pancreas."

Speaking of this, Shi Wenyan glanced at Chen Cang: "Doctor Chen, look, can a stomach-like arc be formed here? Then, we will perform pancreaticoduodenectomy, and then perform pancreaticojejunostomy or pancreaticogastric anastomosis. "

Sun Guangyu directly shook his head: "No! After the formation of a gastric arc, it is not conducive to gastric emptying. After pancreaticogastric anastomosis, the biggest adverse reaction is gastric emptying disorder. This will undoubtedly worsen. It is very difficult for later recovery. ."

Chen Cang understood that now it was a comprehensive question before him.

That is how the stomach, pancreas, and jejunum form a good anastomosis and rebuild the digestive tract!

Crohn's disease that I think about is not the main thing.

Resection of colonic obstruction does not affect the patient's recovery.

Thinking of this, Chen Cang glanced at the reward he had just received:

[Improve a skill to perfect level!

Chen Cang gave a wry smile, brother, I must use you today!