Chapter 1018: I don't know
Chen Cang found that he was different from other professors in schools.
It’s once a year, and I… This is to recruit students as I wish.
However, for Chen Cang, this is actually a good thing. With these people joining, the improvement, dissemination and even development of the entire concept will be much faster!
The surgery began soon in the afternoon.
There is not much difference in the operating room from usual. The only difference is that the surgeon Chen Cang needs to say a few words in front of the camera.
Chen Cang was not nervous, but the directors behind him were nervous.
The first patient was bile duct stenosis causing bile cirrhosis, which led to obstruction of the bile-pancreatic duct.
If the normal operation is followed, the surgery required is "Chile and pancreatic duct obstruction surgery for chronic pancreatitis - pancreatic duct jejunal lateral anastomosis"
Due to obstruction, the patient has long-term chronic inflammation and necrosis of the pancreatic head, so it is necessary to remove these necrotic pancreatic head tissue during the operation.
In this way, the difficulty of the operation is undoubtedly much higher.
Faced with such a surgery, it is difficult to choose traditional surgical methods, not to mention that Chen Cang is using a new surgery to preserve the original digestive tract.
Removal of the pancreatic head, then repair the pancreatic tissue, incision of the obstructed bile duct, remove the obstruction and then repair it!
The entire operation involves three important operations:
First: Pancreatic head resection and suture.
Second: Pancreatic duct repair.
Third: Extract biliary infarction and repair.
This is Chen Cang's idea. If the previous method was simple and crude, it was similar to pancreatic duodenectomy.
But in this way, the patient itself is an obstruction, but you have undergone a pancreatic cancer surgery, which is obviously not worth the effort.
You can't just cut a hole in your hand and then cut your arm?
The auxiliary members are Oster and Sun Guangyu. They are both a little nervous, but they are more expectant.
They look forward to the changes that this concept will bring to this industry after it is spread.
Perhaps... many bile-pancreatic surgery will no longer require a big fight!
After the screen began, Ma Yuehui introduced the patient's disease in the morning. After everyone looked at the big screen and heard the introduction of the disease, everyone started to talk about it.
"Small pancreatic duodenectomy!"
"Well, pancreatic duodenectomy is also considered the Mount Everest of general surgery. Let's see how the emergency center does it!"
The barrage below began to remind people.
At this time, the doctor on duty in the general surgery department of West China Hospital was on the computer and watching the live broadcast.
A doctor next to him said, "Panthecodynamic resection, Dr. Yang, what's the point of seeing?"
The Doctor Yang smiled: "I didn't watch the live broadcast, I was watching the barrage, and I suddenly realized that there are so many talents."
After hearing this, the doctor behind him came over curiously.
After introducing the patient's medical records, the picture was given to the operating room. The surgeon Chen Cang needed to say a few words.
"What a young doctor. This emergency center sends this young man to the field. It seems that the emergency center is very good!"
"Well, after Academician Wu went up, the emergency center is getting better and better now."
Chen Cang said briefly to the camera: "I will only perform surgery for the next few surgeries due to limited time, and will not explain them.
I believe everyone will have a lot of doubts during the operation. Tomorrow morning, I will give a detailed explanation of today's surgery, thank you!"
After saying that, Chen Cang arrived at the operating table and was about to start the operation!
The barrage couldn't help but launch the words "666".
"So confident!"
"Although pancreatic duodenectomy is difficult, there is no problem!"
"The little hospitalist passed by. I heard that this kind of operation is very difficult. I hope the boss can explain it..."
“+1!”
“+2!”
...
After all, there are still many ordinary people. Besides, pancreatic duodenectomy itself is also very difficult. Many hospitalized doctors and attending doctors have sent barrages to ask for help.
"I am the deputy director of general surgery in Xiangya. If you have any questions, I can help answer them."
In the duty room of West China, Dr. Yang, who was watching the live broadcast, also started to have a whim: "I am from West China... I can help with the answer!"
"I am from Qilu Hospital... Friends who are confused should hit the public screen, watch the art of civilization! Don't cause any barrage."
"Thank you guys!"
After the operation began, everyone calmed down and began to watch the operation seriously.
But!
Everyone was stunned at the beginning of the operation.
"The opening position is only so large, can it be operated?"
"This is an ampulla incision with good vision on the upper and lower, left and right sides. It doesn't need to be too big to achieve good results. The surgeon is a veteran!"
“6!”
"Get knowledge!"
This kind of live broadcast is still very useful. When a question is asked, someone will explain it quickly and it is also a good communication platform.
In the picture, the operation continues.
But in the next time, many problems are increasing!
"Hey? What is the surgeon doing? Why do you want to cut a cut here? The bile duct is incited...not to remove the bile-pancreatic duct?"
"I don't know! I don't know what he is going to do?"
Seeing that there are more and more problems, even the science master who just now doesn't speak anymore.
Because he was also keenly aware that the surgeon's surgery seemed to be... not a pancreatic duodenectomy.
This is a bit weird!
What is he going to do?
"I'm going? What's this... for? Why is he removed by both ends of the pancreatic duct? How can he be connected in the moment!"
"Ah? The pancreatic head is also treated like this. This... how does the pancreatic duct connect to the pancreas? What is this for?"
Soon, there were more and more problems along the surgical scene!
Everyone suddenly realized that they couldn't understand what the surgeon was going to do!
Not only them, but even the big guys from Xiangya and West China just now remained silent.
Because these issues are not explained clearly.
They didn't know what Chen Cang was going to do.
"Boss, please explain quickly, I can't understand anything!"
Chapter completed!