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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 knife is even dazzling!

The most difficult core operations of Journal of Hepatobiliary Surgery are mainly two-step operations.

Resection of the recipient’s diseased liver is one of the most technically difficult parts of liver transplantation.

Because most patients who need the Journal of Hepatobiliary Surgery 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 removal of diseased liver more difficult.

Wang Dong’s surgery has removed most of the liver, and the gallbladder naturally has no way to retain it, but this shows the skills of Doctor Chief Surgeon.

That is whether the abdominal adhesions are serious!

When the patient’s abdomen is cut, the abdominal organs are exposed.

Everyone looked at Wang Dong’s abdomen, unable to bear with emotion.

“A clean abdominal cavity!”

Zhou Hongguang looked at Chen Cang: “Have you done it?”

Chen Cang nodded.

Zhou Hongguang unable to bear thumbs up: “It’s really amazing!”

“Would you like to be an academician? I won’t do it, how?”

Chen Cang glanced at Zhou Hongguang, laughed: “I don’t have time.”

A sentence seems to be a joke, but everyone can’t hear the meaning of the joke, but thinks…Chen Cang will not be serious, right?

He Zhiqian thinks it is possible!

Because Chen Cang is really busy, at that time when the academician was selected, was Nobel not fragrant? Isn’t the Lasker Medical Award bad? Really not. Isn’t the Wu Jieping Medical Award uncomfortable?

Of course, great characters like Teacher Chen don’t matter to fame and fortune. It is estimated that when there is time, a new technique can be created?

Hey……

He is too busy!

When Zhou Hongguang saw this, he smiled embarrassingly, but his heart was touched.

And Liao Jia is shook the head, she thinks Chen Cang is blowing awesome.

Who doesn’t want to be an academician?

Lifetime honors, the Academic Hall of Fame, who does not want to go in.

However, Chen Cang didn’t care about academicians or academicians.

The most important thing now is to complete such a surgery.

The absence of adhesions in the abdominal cavity does not mean that the operation is very simple!

Most of Wang Dong’s liver disappeared, his liver function was abnormal, and his blood clotting mechanism was also disordered.

Therefore, it is likely to face a problem: increased 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.

Evaluation and emergency response are very demanding for Doctor Chief Surgeon!

At this time, everyone remembered that Chen Cang had warmed up the blood before.

Chen Cang already calculated before he arrived?

At this moment, everyone was stunned!

The operation hasn’t started yet, but Chen Cang has been shocked.

detail!

All details!

Liao Jia could not feel it.

But Zhou Hongguang was unable to bear with emotion.

When I arrived at the found place, it was all small work.

Journal of Hepatobiliary Surgery Such major surgery, you have to start from the details.

“Establish vein-venous circulation!”

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

Vein-vein circulation is very important. Chen Cang cannot take care of it. There must be someone who works at the same level or higher.

This is why he invited 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.

So cooperation is the best form.

This is why Chen Cang has not formed a team.

The big brother does not want to come.

Newcomers are too difficult to train.

The general director’s thinking is qualitative, and others are quiet.

Rather than doing this, it is better to find some comrade-in-chief directors, and someone will take the hand when they encounter dangerous surgery.

In the Journal of Hepatobiliary Surgery, the portal vein and the inferior vena cava need to be blocked, so that the blood of the gastrointestinal tract and lower body cannot return to the heart at all. When it is blocked, the amount of blood returned to the heart is less than half.

As a result, the patient has severe organ congestion during the absence of liver, which increases portal hypertension.

The consequence is an increase in venous pressure, which is already in the abdominal cavity of the blood clotting disorder. Once the bleeding occurs, the consequences are unimaginable!

Even after the completion of the Journal of Hepatobiliary Surgery of metabolites accumulated during the absence of liver, these toxic metabolites will enter the circulation, leading to metabolic acidosis!

The fatality rate has increased significantly!

So this step must be handled well.

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

During the treatment, Liao Jia suddenly found that these blood vessels in the liver seemed to have no trace of Suture!

But… the liver’s cutting marks are very obvious.

Liao Jia immediately cried out in surprise:

“How did this happen?”

Even Liao Jia can find out, not to mention Zhou Hongguang.

He discovered these traces long ago!

Because of this, Zhou Hongguang was unable to bear silent.

To be honest, today the operation was originally intended to make Chen Cang, to give personal feelings.

but……

Until now, Zhou Hongguang was shocked.

He was shocked by Chen Cang’s technical methods.

Amazing!

No one responded to Liao Jia’s words, causing her to blush for a moment.

Instead, Chen Cang glanced at the young doctor who didn’t understand the rules.

But nothing was said.

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

Seeing this, Liao Jia suddenly blushed and was ashamed.

For a time, sorry also stayed and left the Operation Theatre in awkwardness.

After coming out, Liao Jia’s face was turbid and he was extremely blamed!

Before the operation, he left the Operation Theatre.

so awkward!

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

However, she could not control herself when she saw that scene.

At this time, inside the Operation Theatre.

Chen Cang and Zhou Hongguang cooperated quite well.

The intubation was also completed soon!

Chen Cang turned and said, “Connect the diverting system with a special anti-coagulation Silastic tube.”

After all the venous pipelines are connected, the venous diversion system can start operation!

At this moment, everyone is also relaxed.

1st Step is finally completed.

The subsequent dissociation and removal work was originally the most difficult.

Because during normal surgery, the patient’s abdominal adhesions must be severe. Once the separation begins, it will inevitably cause major bleeding.

And physique with abnormal blood clotting will increase bleeding, which is the main reason for intraoperative death!

but……

At this point, what is the adhesion in the abdominal cavity of Patient?

The entire abdominal cavity is extremely clean!

Zhou Hongguang has been performing surgery for so many years, and this is the first time he has seen the Journal of Hepatobiliary Surgery surgery can work with such a clean abdominal cavity!

For a time, the inner impact of Zhou Hongguang was really incomparable.


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