When a doctor opened a plug-in

The operation has not yet begun, but the knife in Chen Cang's hand has become the focus.

Everyone stared at this seemingly ordinary scalpel.

I don't know why, today's knives are even dazzling!

The most difficult core operation of liver transplantation is mainly two steps.

The resection of the recipient liver is one of the most technically difficult parts of liver transplantation.

Because most patients who need liver transplantation often have severe liver cirrhosis and portal hypertension, they have had a history of abdominal surgery for various reasons, including cholecystectomy, splenectomy, portal shunt, etc., thus forming extensive intra-abdominal adhesions , Often mixed with abundant collateral circulation, making the resection of the diseased liver more difficult.

Most of the liver has been removed during Wang Dong's operation, and the gallbladder is naturally not preserved, but this shows the master surgeon's skills.

That is whether the abdominal adhesion is serious!

After the patient's abdomen is incised, the abdominal organs are exposed.

Everyone looked at Wang Dong's abdominal cavity and couldn't help but sigh.

"What a clean abdominal cavity!"

Zhou Hongguang looked at Chen Cang: "You did it?"

Chen Cang nodded.

Zhou Hongguang couldn't help but give a thumbs up: "It's really amazing!"

"Why don't you come to be this academician? I won't do it, how about?"

Chen Cang glanced at Zhou Hongguang and smiled, "I don't have time."

One sentence seems to be a joke, but everyone can't hear the meaning of the joke. On the contrary, they think...Chen Cang is not serious, right?

He Zhiqian thinks it is possible!

Because Chen Cang is really busy, at the time when the academician is selected, isn't Nobel good for him?Doesn't the Lasker Medal Award sound good?It really doesn't work, isn't Wu Jieping Medical Award uncomfortable?

Of course, a big person like Teacher Chen doesn't care about fame and wealth. I guess there will be time to create a new technique?

Hey……

He is too busy!

When Zhou Hongguang saw it, he smiled awkwardly, but his heart was also touched.

Liao Jia shook her head. She felt that Chen Cang was bragging.

Who doesn't want to be an academician?

Lifetime honor, academic hall of fame, who doesn't want to enter.

However, Chen Cang ignored academicians or academicians.

The most important thing now is to complete such an operation.

No adhesion in the abdominal cavity does not mean that the operation is easy!

Most of Wang Dong's liver disappeared, his liver function was abnormal, and the blood coagulation mechanism was also disordered.

Therefore, it is likely to face a problem: more bleeding in the book!

Therefore, there should be a sufficient estimate of intraoperative bleeding, and all blood vessels encountered should be properly ligated and carefully stopped bleeding.

Assessment and emergency response are very demanding for the chief surgeon!

At this time, everyone remembered that Chen Cang had already warmed up his blood.

Chen Cang has already calculated it before driving?

At this moment, everyone was stunned!

The operation has not yet begun, but Chen Cang has already given a sense of shock.

detail!

It's all details!

Liao Jia can't feel it yet.

But Zhou Hongguang couldn't help but sigh.

It's all little effort when it comes to high depths.

A major operation like liver transplantation must start from the details.

"Establish venous-venous circulation!"

While everyone was thinking, Chen Cang said to Zhou Hongguang.

Venous-venous circulation is very important, and Chen Cang can't take care of it. There must be someone with the same level or even higher level to work with him.

This is also his purpose for inviting Zhou Hongguang to come.

It is difficult to train an assistant!

And to be honest, no one in this society really wants to be an assistant all the time.

Therefore, cooperation is the best form.

This is also the reason why Chen Cang has not formed a team.

The boss is not willing to come.

It is too difficult to train new people.

Ordinary directors think qualitatively, and they are in peace.

Instead of this, it is better to find some directors who are comrades in the same way, and someone will help you when you encounter dangerous operations.

During liver transplantation, it is necessary to block the portal vein and the inferior vena cava. In this way, the blood in the gastrointestinal tract and lower body cannot return to the heart at all. When blocked, the return blood volume is less than half.

As a result, patients will experience severe congestion of organs during the anhepatic period and increase portal hypertension.

The consequence is that the venous pressure rises, and the blood coagulation disorder in the abdominal cavity, once bleeding, the consequences are disastrous!

Even the metabolites accumulated during the liver-free period, once the liver transplantation is completed, these toxic metabolites will enter the circulation, leading to metabolic acidosis!

The fatality rate has increased dramatically!

So this step must be handled well.

Three veins are selected for extracorporeal circulation, saphenous vein, portal vein, and vena cava.

During the treatment, Liao Jia suddenly discovered that these blood vessels in the liver seemed to have no traces of sutures!

But... the cut marks of the liver are very obvious.

Liao Jia suddenly exclaimed:

"How is this done?"

Even Liao Jia can find it, let alone Zhou Hongguang.

He had discovered these traces long ago!

Because of this, Zhou Hongguang couldn't help being silent.

To be honest, the operation today was originally to make friends with Chen Cang and give personal affection.

but……

Until now, Zhou Hongguang had seen everything he saw in shock.

He was shocked by Chen Cang's technical methods.

Amazing!

No one responded to Liao Jia's words, making her blush for a while.

Instead, Chen Cang glanced at this unruly young doctor.

But nothing said.

After all, yelling on the operating table is a taboo thing, especially you are still a bystander.

Seeing this, Liao Jia blushed and was extremely ashamed.

For a while, he was too embarrassed to stay, and left the operating room in embarrassment.

After coming out, Liao Jia's face was blue and red, and she blamed herself!

Before the operation started, he left the operating room.

so awkward!

But Chen Cang and He Zhiqian did not chase her away out of courtesy, but she couldn't stay cheeky.

However, she couldn't control herself when she saw that scene.

At this time, in the operating room.

Chen Cang and Zhou Hongguang cooperated fairly well.

The intubation was completed soon!

Chen Cang turned around and said, "Use a special anticoagulation Silastic tube to connect the diversion system."

After all the venous lines are connected, the venous bypass system is ready to operate!

At this moment, everyone was also relieved.

The first step is finally completed.

The following work of dissociation and excision was originally the most difficult.

Because during normal operation, the patient's abdominal adhesions must be severe, and once the separation begins, it will inevitably cause heavy bleeding.

And the physique with abnormal blood clotting can aggravate bleeding, which is the main cause of death during surgery!

but……

Where is there any adhesion in the patient's abdominal cavity at this time?

The entire abdominal cavity is extremely clean!

Zhou Hongguang has undergone operations for so many years. This is the first time he has seen a liver transplant with such a clean abdominal cavity!

For a time, Zhou Hongguang's inner impact was unparalleled.