When a doctor opened a plug-in

Chen Cang didn't expect that this seemingly secretive little action was discovered by Zhou Hongguang!

He coughed: "It's okay, prepare the liver for implantation."

He Zhiqian couldn't help but laughed: "Ms. Chen always habitually leaves a personalized treatment at the end after the operation."

"In the future, you will see this sign after the operation, don't think too much, this is Teacher Chen's signature!"

When Chen Cang heard this, he blushed even more!

Many top international surgeons have some quirks!

Chen Cang was just carrying out a particularly difficult "Chen Cang knot" at the end of the line.

This average person can't learn it at all!

In He Zhiqian's eyes, this is Chen Cang's soul operation.

Equivalent to a stamp!

Hearing He Zhiqian's words, everyone was taken aback first, and then couldn't help but laugh.

Fortunately, Chen Cang's hobby is not in the liver.

How else would it be controversial to write "Da Chuxing, King Chen Sheng" on it!

When Chen Cang saw his careful thoughts being exposed, he was naturally a little embarrassed and turned into anger, and gave He Zhiqian a vicious look.

"Use standard orthotopic liver implantation!"

Chen Cang took the needle holder to the nurse while speaking.

Now that the surgery has come, it is time to truly test the strength.

The most important part of a perfect liver transplantation is the reperfusion of the liver after implantation.

The key to reperfusion lies in the suture of blood vessels!

Simply put, it is how to recover the function of the transplanted liver.

This is critical!

Chen Cang now made it clear that he decided to do this part himself.

For vascular anastomosis, Chen Cang is still very professional.

First, after the liver bed is implanted, an anastomosis of the superior and inferior vena cava of the liver is the first to be performed.

Everyone looked down!

Chen Cang understands that in order to achieve perfect perfusion, blood vessels cannot be damaged, let alone stenosis.

How to sew in this way?

The blood vessel diameters of the upper and lower vena cava of the two livers are not the same. How to solve such a problem?

Chen Cang thought for a moment, then picked up the needle holder.

Then try to make the donor liver's superior hepatic vena cava close to the recipient's superior hepatic vena cava!

Then, first sew a fixed thread with 3-0 non-injury sutures on the left and right sides of the two blood vessels, gently retract them symmetrically to the outside, and then sew a pull thread at the midpoint of the anterior wall of the two blood vessels, which is beneficial Exposure and suture operation of the back wall!

This anastomosis caused Zhou Hongguang's eyes to shrink and he was stunned.

Why should we deal with it this way?

At this time, Chen Cang didn't stop, and he sutured the posterior wall directly from one end. The needle entered the blood vessel from outside the blood vessel, and the U-shaped mattress valgus was sutured continuously!

At this moment, Zhou Hongguang instantly understood!

Pretty!

The classic blood vessel is sutured.

In this way, the advantages are very obvious. The blood vessel wall can be turned out and the blood vessel intima can be tight to the intima. It is especially necessary for the blood vessel anastomosis of the donor and recipient's hepatic superior and inferior vena cava calibers.

classic!

Too damn bright.

Zhou Hongguang felt that this trip today has made a lot of money.

Because Chen Cang did not shy away from them!

This ingenious vascular anastomosis method that solves the mismatch of the calibers of the upper and lower vena cava of the donor and recipient's liver is truly an excellent method!

Zhou Hongguang clenched his fists as he watched.

Chen Cang glanced at the people calmly: "Have you learned it?"

Everyone was taken aback!

original……

Professor Chen is teaching them?

Thinking of this, Zhou Hongguang's gratitude to Chen Cang was beyond words.

Generally speaking, no one wants to disclose this core operation.

But Chen Cang did not, he was very calm!

Calmly reached a point where people think this technology is trivial!

In fact, this is very difficult!

Zhou Hongguang suddenly thought of something...

If you can complete your liver transplant operation, you will become the best liver transplant specialist in China and even in the world!

The academicians of the two academies are not a problem, right?!

After all, in the face of absolute strength, any conspiracy is irrelevant.

Zhou Hongguang can be stuck because he is not good enough!

Thinking of this, Zhou Hongguang felt that if he learned Chen Cang's vascular anastomosis technique for liver perfusion, it would definitely improve a level!

Chen Cang smiled calmly when seeing Zhou Hongguang.

Ruzi can be taught!

Compared with the anastomosis of the hepatic superior and inferior vena cava, the diameter of the portal vein is thicker, and the suture is also more convenient.

At this time, Chen Cang finally showed his speed of anastomosis.

Really dazzled!

indeed.

Compared with the anastomosis of the small blood vessels in the spleen, the anastomosis of the liver is really trivial to him.

He even felt that if the hepatobiliary surgeon was sent to cardiovascular surgery for a period of time, his vascular anastomosis skills would be greatly improved after he returned.

Medicine, after all, is a relatively comprehensive subject.

Chen Cang also feels more and more: that is that the surgical skills he has learned in other departments will complement each other, and when combined, he is much better than those specialists!

For example, it’s anastomosis with the cardiovascular system, the reconstruction of the pipeline with the general surgery, and the stable exercise with the spirit...

Every department can exercise a special ability of a doctor!

As for Chen Cang, these abilities seem to have been perfectly displayed!

After the portal vein was repaired, Chen Cang hurriedly said to Gao Ronghua: "Restore the blood supply for the transplanted liver!"

Gao Ronghua nodded and immediately opened the blockage of the portal vein to restore the blood supply of the transplanted liver.

But at this time, Chen Cang did not loosen the hemostatic forceps of the superior and inferior hepatic vena cava, but carefully discharged the high potassium preservation solution in the transplanted liver and the acidic metabolite blood contained in the lower body through the inferior hepatic inferior vena cava. 250ml!

Then use the vascular blocking forceps to block the inferior vena cava of the donor liver again.

This step may seem simple, but it is very critical.

"Methylprednisolone 1000mg!"

"Cyclosporine intravenously!"

...

When the doctor's order is issued.

With the backflow of venous blood, the liver finally recovered blood.

But this is just a vein!

The next thing to do is the anastomosis of the hepatic artery!

This is also the most important step in liver transplantation.

If the hepatic vein anastomosis is an anastomosis, then the hepatic artery anastomosis is reconstruction!

What needs to be done is to complete the reconstruction of liver arteries.

The arterial reconstruction is successful, the liver blood perfusion is good, and the liver recovers!

However, at this time, Wang Dong's arteries had already undergone hepatic arterial mutations due to the previous surgery, making the common hepatic arteries unusable.

At this moment, everyone looked at Chen Cang!

If Chen Cang handles this step, the success rate of the operation will be much greater.

When Chen Cang saw everyone, he just smiled faintly and said:

"Come on!"

...

ps: Thank you for the 20,000 rewards pretending to be your own boss. There will be two chapters in a while, everyone, wait a moment, thank you.