When a doctor opened a plug-in

However, after this operation is over!

The directors were itching.

They found that they had finally found an instructor, how could they let it go so casually?

When it reaches their level, if you improve it again, the difficulty will be greater. In many places, you need expert guidance to make a breakthrough!

So, one by one directors took turns in battle!

At this time, Lu Chao really wanted to shame. With such a rare opportunity, with Dr. Chen and Oster all present, how many pertinent suggestions can he get?

unfortunately!

Seeing every director around him eager to try, Lu Chao had to give up his position.

"The next operation is a laparoscopy subtotal gastrectomy, Dr. Chen, I also hope to give more guidance!" Director Li on the side looked at Chen Cang.

Chen Cang nodded and smiled: "Learn from each other."

In fact, Chen Cang is now muttering another thing in his heart!

Why hasn’t the Stealing Skill been triggered yet?

Helpless!

The operation continued, and Chen Cang had a good understanding of subtotal gastrectomy, especially gastrointestinal anastomosis.

Although it looks like Director Li is performing the operation,...everyone can see that this is just a puppet!

To put it bluntly, it means where to fight!

Chen Cang's cavity mirror turned into a baton at this moment.

But Director Li who was immersed in it can be said to be extremely excited in his heart. Chen Cang's every touch, although he speaks directly, he can directly reach the essence through the surface!

This made him feel deeply!

As a result, the wise director Li performed this operation very slowly, and basically asked every doubt.

From the selection of the location of the gastric resection to the anastomosis...

After the operation, Chen Cang felt a little dry.

The people around naturally saw Director Li's "treacherous tricks" and decided to follow suit!

But Lu Chao regretted it!

He did it a bit too quickly, it was still a simple operation. He originally wanted to show his hand in front of Dr. Chen, but he didn't expect... hey... he was wrong!

Ding!Successfully steal the teacher and obtain a master bile duct repair technique.

After hearing the sound, Chen Cang was overjoyed!

Biliary repair surgery?

Although it is not what Chen Cang wants most, the bile duct repair is also good, and he is still a master.

Don't be too greedy!

Chen Cang looked at everyone with satisfaction, and said with a smile, "Who is next?"

...

...

Chen Cang didn't take the cup when he came, but he didn't speak yet, and saw a director ran in with a glass of water.

"Dr. Chen drink water!"

The other directors were taken aback for a moment and suddenly reacted.

Yes, Dr. Chen’s thirsty is a bad thing for him. If Dr. Chen doesn’t like to talk anymore, isn’t it just for nothing?

then!

The operation was performed comfortably.

Chen Cang's treatment was very good. The lunch meal was very rich, and Mr. Lu's was richer. Everyone must be served deliciously and well.

After three o'clock in the afternoon, Chen Cang finally handed in several tips for using the endoscope.

When they left, several directors were reluctant to give up, and they became more determined in their hearts to do a good job with the drawings of this book.

Chen Cang was sitting in the car with emotion!

Today I finally learned Oster's skills.

But it was still not a biliary anastomosis, which made Chen Cang puzzled.

It is a quasi-perfect bile duct repair surgery.

This suddenly made Chen Cang a little depressed.

I succeeded in stealing the teacher twice this afternoon. What a high success rate, but unfortunately, I stole a skill.

Chen Cang was a little bit emotional.

Oster was also very sentimental about this trip and returned to the hotel early.

After Chen Cang returned to the hospital, he returned to the duty room.

Lie on the bed with his eyes closed and directly learned the two acquired skills.

but!

After Chen Cang had learned all the two skills, Chen Cang was stunned!

He was not shocked by Oster's thoughts!

It's a little dumbfounded at Director Li's idea...

Although it was only a master bile duct repair, Chen Cang benefited a lot!

At this time, I have to say the magic of stealing the skills of the teacher.

After stealing the teacher, you can often get the thoughts and perceptions of the stolen teacher about the operation.

This is amazing.

Now when Chen Cang looked back at the mirror-holding technique, he was suddenly a little more excited.

I have to sigh from the bottom of my heart, this is a good thing!

What is Director Li's thinking?

Bile duct repair surgery refers to the natural pathway that still maintains the flow of bile to restore physiological functions.

The integrity of the bile duct must be better preserved to allow bile to enter the duodenum through the natural pathway.

It can also maintain and exert the function of the end sphincter of the bile pancreatic duct. In addition to physiological regulation, it can especially avoid all kinds of harm caused by the reflux of intestinal juice into the biliary tract.

The normal structure and function of the distal bile duct and sphincter are another basic element.

However, if the natural bile duct is destroyed, the cholangiojejunostomy is not as good as the natural bile duct anastomosis.

So here comes the problem!

Since there are so many problems with biliary anastomosis surgery!

So, can you take a different approach, repair the damaged bile duct as much as possible, and restore the function of the bile duct itself, so as not to go to the bile-intestine anastomosis?

When Chen Cang saw this concept, he woke up instantly.

Yes indeed!

In fact, there is nothing perfect about surgery!

As long as it is an operation, it must destroy the original structure and rebuild a new structure.

The human body can actually form the organization and shape it is today, and it has already matured.

Both the gallbladder and the appendix have an irreplaceable role.

And biliary jejunostomy, itself has some hidden dangers!

Common complications after biliary anastomosis include bleeding, biliary fistula, and re-obstruction at the anastomotic site.

Long-term recurrence of stones in the biliary tract, retrograde infection and biliary tract infection, patients with repeated fever, even cholangitis, jaundice, etc. may occur.

The existence of these problems increases the difficulty of anastomosis again.

To reconstruct the digestive tract, biliary-enteric anastomosis and pancreatico-enteric anastomosis become very important.

If there are more complications after reconstruction, what is the point?

Chen Cang suddenly felt that this idea of ​​Director Li directly benefited him a lot!

If the bile duct can be used and the natural bile-intestinal end does not need to be destroyed, can bile duct repair surgery be used instead of bile-intestinal anastomosis?

The same applies to the pancreas!

Thinking of this, Chen Cang could no longer hold back his inner thoughts, anxiously got up and began to take out the paper, drew the diagram of the biliary tract on it, and then began to analyze it.

He feels that this kind of thinking is feasible!

In another way, the loopholes in the biliary anastomosis were solved in disguise.

However, he soon discovered a problem!

That is, he does not know enough about biliary anastomosis.

Only by knowing enough about biliary anastomosis can we better conceive a new idea!