Doctor Started a Plug-in

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After the activation of the teacher guidance, Chen Cang’s eyes have undergone tremendous changes!

A lot of hints appeared in front of the transparent virtual screen!

Even the beep sounds in the ear!

“Famous teacher guidance mode is on! Detected: The patient is Mirrizi syndrome!”

“The surgical procedure is as follows: first cut the gallbladder at the Hartmann bag of the gallbladder, suck up the bile, and remove the incarcerated stones…”

“Do you want to start the motion demonstration?”

Chen Cang froze!

With the sound of the sound, a virtual screen began to operate on the human body.

It’s so magical?

This is [Famous Teacher Guidance]!

Too strong, right?

At this time, Zhou Xiaodong and Qin Yue around stared at the abdomen gallbladder on TV that didn’t know how to start.

Because everyone has never seen this situation!

What is this?

Zhou Xiaodong is even more helpless, the ghost knows how a chronic cholecystitis will evolve into such a thing!

Qin Yue unable to bear asked: “Chen Cang, you know… what kind of patient is this? What kind of disease is this?”

Chen Cang sighed, looked up at 2 people: “I’m afraid we are doing something, this is a rare and difficult gallbladder complication: called Mirrizi syndrome, this Patient can’t find anything abnormal before the operation, It is not much different from ordinary chronic cholecystitis and cholelithiasis, and even… it is not as obvious as those!

As soon as these words came out, the two were suddenly stunned.

If you don’t say anything else, just say that English letter, it feels a bit powerful.

Zhou Xiaodong suddenly realized that he had heard this thing: “This is Mirrizi syndrome?”

But Zhou Xiaodong also vaguely remembered that the tutor Qian Liang said about this disease during school, which is one of the most difficult Cholecystectomy!

Thinking of this, Zhou Xiaodong is half cold!

Qin Yue unable to bear asked: “What is this?”

Chen Cang’s faintly nodded: “This is a rare disease, a very rare complication that occurs in chronic cholecystitis and cholelithiasis, and it is a syndrome!”

“Mirrizzi syndrome refers to clinical syndromes characterized by cholangitis and obstructive jaundice caused by choledocholithiasis or gallbladder neck calculus and then compressing the common bile duct or common hepatic duct.

“This disease is relatively rare clinically. Pathology is based on incarcerated and inflamed cystic duct or neck stones, and the patient has a long history of medical history.”

“Continuous incarceration and compression of large stones in the abdomen and neck of the gallbladder can cause common hepatic duct stenosis or gallbladder bile duct fistula, as well as recurrent cholecystitis and obstructive jaundice.”

Chen Cang just finished, Zhou Xiaodong quickly nodded: “Yes! Patient does have chronic cholecystitis, and liver function shows that serum bilirubin is significantly increased, even ALT and ALP are significantly increased!”

For a time, Chen Cang’s status in 2 people’s in mind increased significantly, and even the device nurse was dumbfounded.

This is expert!

Absolute expert!

Obvious at a glance, I can see at a glance what is wrong.

See if you can see it, will you do it?

Chen Cang has already watched the demo several times at this time, and is familiar with it. He said to two people: “Doctor Zhou, you help me hold the mirror, I will have the operation, let’s start, the Patient can’t drag on like this forever!”

Zhou Xiaodong is busy nodded!

If Chen Cang can do it, it is very good…

The feeling of despair just too terrifying.

but……

Will Chen Cang?

Zhou Xiaodong himself was a bit timid: “This… can you… do it?”

“This is Mirrizzi syndrome!”

It is not that he does not believe in Chen Cang, but that this operation is really dangerous and difficult!

It’s definitely not that easy.

Chen Cang turned: “Is there any other way?”

One sentence dumbfounded Zhou Xiaodong.

correct?

Are there other methods?

But Zhou Xiaodong still reminded: “Can you do it? If you can’t do it, you should still find someone. If something happens, you…you can’t afford it!”

Hearing Zhou Xiaodong say this, Chen Cang unable to bear laughed: “Relax, I can!”

Chen Cang looked at the complicated abdomen, if there is no [mentor guidance], absolutely not shaking what not to know what to do!

The first thing to do is to separate the poor corner of the gallbladder. At this time, Calot3 angle edema, tissue fibrosis, and thickening of the cystic duct are easy to bleed. In this case, the average person cannot dissect the cystic duct, cystic artery, and common bile duct. Border.

This is also the main reason why Zhou Xiaodong is so afraid to start!

10000 As soon as it causes bleeding, this is a big problem.

Zhou Xiaodong cautiously asked: “Can the three corners of the gallbladder be separated? No…I…”

Chen Cang shook his head and said directly, “Give me an electric hook!”

Zhou Xiaodong restless, with some doubts and some expectations, struggled and handed the electric hook to Chen Cang.

Chen Cang took the electric hook and cautiously opened the serous membrane of the gallbladder in the anterior and posterior corners of the gallbladder, fearing damage to the cystic duct.

“Attractor to me!”

Chen Cang used a suction device to push and scrape. At this time, the cystic duct, cystic artery, and common hepatic duct were still very vague and could not be seen clearly!

Chen Cang this set of operations is already very difficult. Cautiously working hard for a long time, is there no way?

Zhou Xiaodong’s heart has sunk into the seabed, and Qin Yue’s eyes are fixed on the TV, not to speak, but he also secretly panicked. The 3 corners of the gallbladder are too bad. It is not difficult to separate.

Even the group of Teachers at Xiangya Fu 2 is not necessarily right?

Is this Chen Cang too reckless?

Dare to take this kind of surgery booth!

Isn’t this something for yourself?

Chen Cang was not discouraged. Instead, he got a good idea, picked up the electric hook, and started from the liver bed, taking the lead to free the gallbladder!

Then continue to dissect continuously in the direction of the 3 corners. After freeing the gallbladder from the liver bed, carefully handle the cystic duct and the cystic artery in the 3rd corner.

Zhou Xiaodong looked a little flustered at this moment, even the hand holding the mirror began to sweat!

Too dangerous……

Zhou Xiaodong unable to bear turned to look at Chen Cang and saw that he didn’t seem to be flustered at all, serene, unsurprised.

The movement is very light, one push, one stroke, one condensation, one is just right!

The trick is very clever.

Zhou Xiaodong who was watching was breathtaking…

at last!

It took nearly 20 minutes to successfully free the 3 angles of the gallbladder!

Successful!

After separating the 3 corners of the gallbladder, the operation is actually half done!

too difficult!

Zhou Xiaodong looked up at Chen Cang with incredible eyes.

Can this all be separated?

It’s too strong!

Zhou Xiaodong stared at Chen Cang, who was meticulously proceeding to the next operation, and was a little mistaken.

Because… Chen Cang at this time seems to be the director of incarnation, whether it is a nurse, Zhou Xiaodong or even Qin Yue, was calmed by the calm and composed everything in Chen Cang at this time!

Qin Yue’s big eyes flickered, his eyes flickered and filled with words: Chen Cang awesome (broken sound)!

This process seems to be simple, but in fact it is extremely cumbersome. The actions of Chen Cang each step are very jerky. If it is not the constant prompt of the system, he can’t do it at all.

This gallbladder is a Level 45 lord monster, but he is just a Level 15 little resident, how easy is it!

This is not a heavyweight at all, and a little carelessness may cause the patient to be injured again.

Mirrizi syndrome is generally 3 A Hospital. Ordinary Doctor can’t handle it at all, at least it must be Zhang Youfu level.

Next is the most important job!

Chen Cang first cut the gallbladder at the Hartmann bag of the gallbladder to suck the bile.

Then remove the incarcerated stones!

The stone is very large, stuck in the neck, 20mm full!

Seeing the stone taken out, Zhou Xiaodong finally entered a stomach with a thumping heart.

The next step is to remove the gallbladder. When dissecting to the right side of the common hepatic duct, if the Hartmann bag is tightly adhered to the right wall of the common hepatic duct, retain the gallbladder wall here, and electrocoagulate the gallbladder mucosa…

The operation is carried out in an orderly manner, the most difficult level has already passed, and the follow-up work is already very simple!

[Ding! Congratulations, leapfrog the Level 45 Lord Gallbladder Monster! Gain experience +3000; Cholecystectomy experience +5000 (upgrade to Master can continue to upgrade); get RMB +3000; get: a pair of Stern gloves. 】

[Ding! Congratulations on your promotion to Level 16! Get +1 skill points! 】

[Ding! Congratulations on your upgrade to 1Level 7! Get +1 skill points! 】

Chen Cang was dumbfounded and gave birth to level 2.

The main reason is that my level is about to be upgraded. This 3000 experience directly upgrades me to 1 Level 7!

Now there are 7 skill points.

The surgery is over!

There is no danger.

Zhou Xiaodong suddenly seemed to collapse, and the feeling of avoiding a catastrophe made him really don’t know what to say!

1000 words and 10000 words, he couldn’t express such excitement in his heart!

Without Chen Cang, he could hardly imagine the consequences?

Patient bode ill rather than well, I must be responsible, even for a lifetime!

[Ding! Zhou Xiaodong favorable impression degree +20! 】

Lifts the head, looking at Chen Cang, Zhou Xiaodong holding Chen Cang’s hands with both hands, eyes staring at Chen Cang meticulously, sincerely said: “Doctor Chen! Many thanks, really! You saved the Patient, you also saved I saved my career. I am so grateful this time, thank you very much. I will need some help in the future, even if you speak!”

Fortunately, Zhou Xiaodong is literate, Barabara said a lot, if this is for Sister Xiao, a straightforward rebirth of parents is done directly!

Chen Cang laughed: “It’s okay, everyone is a colleague, hurry up and wash off work!”

It was already 1 o’clock in the morning, and if this operation was not too passionate, several people would have been too sleepy!