Ding!Congratulations, your pancreaticoduodenectomy has been upgraded to a perfect level!

After receiving the system prompt!

Chen Cang once again experienced a cycle of time in the simulation space.

That's right!

This time, it took longer than before. After all, pancreatic anastomosis has always been a difficult point.

At this moment, when Chen Cang thought again, his thinking suddenly spread.

He was constantly performing gastrojejunostomy, pancreaticoduodenectomy, pancreatic anastomosis and so on in his mind...

A kind of...

Two...

...

How many methods are constantly eliminated in Chen Cang's simulation.

Sun Guangyu and Shi Wenyan are still thinking and arguing.

Seeing Chen Cang's silence, Shi Wenyan looked at Chen Cang: "Doctor Chen, what do you think?"

Chen Cang glanced at the abdominal cavity, stroked his hand on his stomach, and said:

"Do you think, if you cut the stomach again, okay?"

In a word, everyone was stunned!

"what?"

"Cut the stomach again?"

"Isn't this significantly increasing the difficulty of surgery?"

"It's inappropriate!"

but!

Seeing Chen Cang's actions and Shi Wenyan and Sun Guangyu looking at each other, they saw horror and shock in each other's eyes!

Carefully staring at the one that Chen Cang just drew out, his eyebrows furrowed, and he kept thinking about things.

It seems that Chen Cang suddenly lit up their thinking.

Yes indeed!

Shi Wenyan thought carefully and looked at it hard.

suddenly!

He understood!

As soon as he saw it clearly, Shi Wenyan suddenly exclaimed: "Genius!"

Thinking of Chen Cang's thoughts just now, he felt a tingling scalp.

How did you come up with this idea?

Sun Guangyu swallowed and did not speak.

His shock was no less than Shi Wenyan, but even more shocked.

indeed!

As everyone said.

In this way, it will aggravate the patient's injury.

After all, a cut on a healthy stomach is not a good thing, and it may even increase the difficulty of the operation!

But what can this be?

Compared with the postoperative effect, what is the point of this injury?

even……

Sun Guangyu blushed a little...

Mr. Bu's radical gastric cancer surgery was done by him!

Now he suddenly felt how immature his original surgical technique and digestive tract reconstruction work were?

Rather than keep it, it is better to rebuild!

"it is good!"

Several directors around were stunned.

Seeing Sun Guangyu and Shi Wenyan's words, they were a little stunned.

What did Chen Cang do?

Chen Cang glanced at the two of them and said, "I'll take the lead."

Shi Wenyan and Sun Guangyu nodded quickly.

There is no more to say.

Shi Wenyan is really convinced by Chen Cang now.

This random cut really solved too many problems.

This is just like a work of art. When everyone doesn't know what to do, Chen Cang's finishing touches directly impressed everyone.

At this time, the other directors did not react because they were too far away.

Now staring at the operating table eagerly, check it out!

Chen Cang did not talk like usual, talked more nonsense, and after a quick preparation, he started the operation.

It was originally on the operating table and could not delay too much time.

Moreover, Mr. Bu is getting older, and surgery that takes too long is obviously somewhat dangerous.

As for Bu Hanyu?

Chen Cang didn't know him at all.

After all, it's not a domain.

Moreover, to put it to the heart, even such a top scientist is not as well-known to the common people as a small star.

However, in Chen Cang's eyes, it doesn't seem to make much difference who is lying here.

If you know that you are a big man, maybe you will be a little nervous.

Here, Chen Cang took a deep breath and took the separation forceps.

He glanced at the two of them: "Remember to clean the abdominal cavity."

"Pour warm saline to a plate!"

Shi Wenyan was very honest, poured a basin of water in and cleaned it up.

Then, antibiotics...

"Suction!"

After finishing, Chen Cang raised his hand and decided to start to separate.

It still starts from the small intestine.

Chen Cang directly touched the intestine with his left hand, and then carefully peeled it off with the separating forceps.

To be honest, Chen Cang feels that his hands are really much easier to use than before!

He seems to be ready to control his strength!

How big...

How small……

Seriousness...

These things have stabilized a lot at this moment.

Moreover, with the touch of his left hand, Chen Cang can even determine how much strength he exerts is appropriate and how to separate more safely.

Isn't this amazing?

This should be the effect of the purple strengthening potion, right?

Thinking of this, Chen Cang was a little surprised.

If this kind of stability is used in open-circuit surgery to open the brain, it must be a pair of hands that are so stable that it is scary!

At this time, these directors around saw Chen Cang separating the intestines and freeing the appendix... During these work.

I was also stunned!

So light and simple!

That's right, Chen Cang gave them this feeling.

"So solid basic skills! So calm and dexterous hands!"

"Really a born surgeon!"

This is what everyone thinks in their hearts.

The separation work did not take much time.

At this time, the anesthesiologist suddenly said: "It may be necessary to add anesthetics."

After Chen Cang heard it, he pondered for a moment, shook his head and said, "Don't add it!"

The anesthesiologist was taken aback!

I and you too?

Sun Guangyu glanced at Chen Cang, and then said to the anesthesiologist: "Wait, Director Yang."

After the separation, Chen Cang took the scalpel directly, and then said to Sun Guangyu on the opposite side: "You are here for colon surgery, and I will perform pancreaticoduodenectomy!"

After speaking, Chen Cang raised his head and glanced at Shi Wenyan: "You...you can help me lift this stomach!"

Shi Wenyan smiled and saw Chen Cang's embarrassment: "My name is Shi Wenyan."

Chen Cang nodded: "Well, take it!"

Separating the omentum...

Free stomach...

After doing everything, Chen Cang cut directly on the stomach, and the directors who looked at the back were taken aback!

Why is it so cut?

Everyone frowned!

However, Chen Cang's next operation will make them unforgettable in their lives.

Proficiency in pancreaticoduodenectomy, along with a section of stomach.

Chen Cang glanced at his stomach and wanted to ease the embarrassment with Shi Wenyan, so he said: "The patient may have been operating in the country at the time and the conditions are limited. If you look at an agreement, you actually failed."

"If I were the chief sword, I wouldn't do it..."

Hearing Chen Cang's words, the colon in Sun Guangyu's hands suddenly no longer fragrant!

Shi Wenyan nodded: "Well, Dr. Chen, you said so, I also think that the other party's level does have some problems!"

The knife in Sun Guangyu's hand is more stable!

Chen Cang criticize it, Sun Guangyu can accept it.

But what excitement did you Shi Wenyan join in?

After the excision, the most important anastomosis came.

At this moment, Chen Cang is using PG pancreaticogastric anastomosis!

Traditional technique.

In fact, in order to ensure the quality of anastomosis, clinicians should still use the most familiar anastomosis method, rather than purely pursuing new anastomosis techniques.

You should even fully recognize the advantages and disadvantages of each anastomosis method!

Pancreaticogastric anastomosis is actually the oldest and most used anastomosis technique.

The advantages of this technique are obvious!

First of all, the anatomical parts of the stomach and the pancreas are adjacent, so the pancreatic-gastric anastomosis has less tension, so it is not easy to form an anastomotic leakage.

And secondly, trypsinogen is not activated in the acidic environment of gastric juice, which better retains the digestive function!

This is the most important consideration for the reconstruction of the digestive tract, that is, the function of the digestive tract must not be damaged!

Just when Chen Cang performed the gastrojejunostomy!

The jejunum is free, which is very convenient for position fixation. At this time, Chen Cang only saw Chen Cang put the stomach, pancreas, and jejunum into an ingenious incision anastomosis.

Suddenly!

Everyone was stunned!

Can this happen?

"No wonder you have to cut the stomach body. In this way, the biggest difficulty in pancreaticogastric anastomosis is solved!"

"Yes! You see, this is the most important thing, the most important thing is the reconstruction of the digestive tract function!"

For a while, everyone talked about it.

At this moment, everyone understood why they had to make such a cut.

but!

It seems that this is not over yet.

After the anastomosis was completed, while Chen Cang fixed the gastric body in the omentum, Chen Cang deliberately fixed the part of the jejunum!

In this way, just formed a good structure.

Suddenly!

Everyone was stunned.

Can it still be like this?

Shi Wenyan was also taken aback.

I still underestimated the style of this knife.

This knife also counted the jejunum.

That's too strong!

How far-reaching can you think with a single shot?

Shi Wenyan looked at the young man and took a breath.

This is too strong!

Chen Cang glanced at Shi Wenyan: "That...sorry, what is your name? You can finish it!"

...