Chen Cang glanced at the child and pondered for a moment.

I don’t know if it’s because of my conscience or because of something else, I couldn’t help but remind me: “Have you ever been in contact with the gastroduodenum anastomosis?”

Hearing Chen Cang's words, He Zhengzhi's delicate body was shocked, and cold sweat oozed out!

Could it be...

Dr. Chen doesn’t know much about “gastroduodenal anastomosis”?

Thinking of this, He Zhengzhi was really a little desperate. He felt that he was not staring at the stomach at this time, but at the abyss!

Fear filled my heart and was about to swallow him!

He Zhengzhi glanced at Chen Cang and calmed down: "Doctor Chen, don't tell me that you don't know how to do Bi Luo!"

Gastroduodenal anastomosis is a Biluo style.

Chen Cang shook his head and smiled: "I can, I mean if you don't know, you can watch it carefully. It's a rare opportunity."

When He Zhengzhi heard this, he finally breathed a sigh of relief!

Now he no longer wants to wait for Director Ma. His wish is very small, and he can finish the operation.

As for what Chen Cang learned more, he told the truth that he no longer expected anything.

This surgery has learned a lot more precious than surgery!

"Thank you... Thank you Dr. Chen!"

Chen Cang nodded and smiled: "Why are you sweating so much? Young people, be careful of your health!"

When the young nurse heard Chen Cang's words, she was very sensible and took the initiative to come forward to wipe Dr. He's sweat.

This made He Zhengzhi feel flattered!

He...has he received this treatment?

Looking at the gentle and lovely young nurse, He Zhengzhi quickly smiled and said, "It's not weak, it's not weak, the yang energy is too strong, it's a little hot!"

Several young nurses were stunned for a moment and took a deep breath of the 22 degrees Celsius-specific cool air in the operating room. Is it hot?

There are basically two main anastomosis methods for major gastrectomy. One is the Piluo style, called Biyi Style 1, and the other is the Piluo style 2, abbreviated as Biyi Style 2.

The two methods have been used for a hundred years and have been continuously improved.

To put it simply:

Gastroduodenal anastomosis is the Bi 1 style.

The gastrojejunal anastomosis is the Bi 2 style.

The limitations of formula 1 are relatively large, but the advantages are also very obvious. Because the structure and function of the duodenum are retained, it is not easy to cause gastrointestinal function disorders after surgery. If conditions permit, formula 1 should be used as much as possible.

However, when the anastomosis of the Bi-1 style, you must pay attention to avoid tension on the anastomosis mouth. The duodenum is small in mobility. If the gastrectomy is too large, the Bi-1 style cannot be used.

It is precisely because of the limitations that the difficulty of surgery continues to rise.

Chen Cang took a deep breath, lowered his head and began to observe carefully, preparing for anastomosis surgery.

Since it is called gastroduodenal anastomosis, this shows that the core element of the surgery lies in the anastomosis between the stomach and duodenum.

Zhou He looked at Chen Cang and couldn't help but remind: "Doctor Chen, the patient has intestinal paralysis. Now the intestinal peristalsis is basically stopped. When the obstruction is relieved after the operation and the paralysis disappears, the gastrointestinal peristalsis will be restored. In addition, the tension of the stomach wall is restored, and the contraction and involvement of the stomach wall at both ends of the anastomosis may affect the healing of the anastomosis and even lead to the stenosis of the anastomosis. Be careful."

Zhou He is kind-hearted.

In fact, you should never underestimate an anesthesiologist. When Chen Cang was internship, he saw a story about an anesthesiologist saving the scene, which scared Chen Cang at that time.

After all, in the eyes of many people, anesthesiologists are the escorts of the surgery, and the surgeon is the veteran driver. But they ignore it. This escort has too many surgeries every day. It may not be possible to operate, but its vision and vision are very high!

Hearing Zhou He's words, Chen Cang nodded gratefully: "Thank you, Teacher Zhou!"

Chen Cang's Bi Luo style comes from Li Yue, but it is not exactly the same as Li Yue's. After all, Chen Cang has his own considerations.

In order to avoid excessive anastomosis, before anastomosis, it is necessary to suture the broken end of the small stomach bend first.

Whether it is Pilo 1 or 2, the method of closing the incision on the small curvature of the stomach can be used.

This step is actually the same as Chen Cang built a mitral valve.

Chen Cang's eyes were constantly comparing.

The tension of the stomach wall and the mobility of the duodenum need to be taken into account, so the difficulty of comparing the anastomosis has suddenly increased.

After a while, Chen Cang turned around:

“No. 1 intestinal line.”

The anastomosis of small stomach bends needs to be tight and strong. After all, the stomach belongs to the digestive organ and needs to be fully fed.

Chen Cang's suture is very precise. The needle holder clamps hold No. 1 intestinal thread and the lower end of the incision are surrounded by a row of curved forceps sewing in a row in a row of continuous sutures!

Immediately afterwards, Chen Cang said to He Zhengzhi: "Take off the curved forceps and tighten the ends of the intestinal line!"

He Zhengzhi nodded quickly.

At this time, Chen Cang returned the upper intestinal thread to suture, and then pointed it downward from the cardia end, and then straightened the second row of suture gap in the first row of sutures!

This set of operations made Zhou He stunned for a moment!

"Is this...Li Yue's method?"

Chen Cang smiled and nodded: "That's right!"

He Zhengzhi looked at Chen Cang with a blank look on his face: "What is this for?"

Chen Cang explained: "To make bleeding-resistance reliable!"

He Zhengzhi nodded involuntarily. Actually... he didn't understand... but he always felt that what Chen Cang said made sense!

While speaking, Chen Cang met at the lower end of the incision and tied the intestinal thread at both ends.

Then, the sarcoplasmic layers on both sides are intermittently sutured and reinforced, and the rough surface of the stump is embedded.

Zhou He couldn't help but say, "Your basic skills are too solid!"

He Zhengzhi's eyes lit up: "So amazing!"

Indeed, Chen Cang's sutures are very limited in damage to the stomach wall from beginning to end. When the needle tips enter and exit, he cleverly uses the needle tip distance to control the tension of the stomach wall. This is actually a very effective tension suture.

Chen Cang smiled: "Ki-Fake."

In fact, this is also the method Chen Cang has been studying!

This inspiration also comes from Chen Cang's large blood vessel anastomosis. When Chen Cang's large blood vessel anastomosis in the chest cavity, because of the pulsation of the blood vessels, he needs to feel the pulsation and tension of the blood vessels!

At this time, Chen Cang realized the importance of tension suture. This tension suture can effectively speed up healing and reduce secondary damage.

But just now, Chen Cang suddenly had an idea when he was repairing it. He found that this tension suture is actually more effective for suturing the stomach wall. Even when the gastrointestinal anastomosis is at the same time, this tension suture is even more beneficial!

Thinking of this, Chen Cang couldn't help but feel surprised.

After the small curvature of the stomach was sutured, Chen Cang closed the two forceps at the stumps of the stomach and duodenum.

At this time, you need to feel whether there is tension!

If so, the duodenum must be separated to prevent excessive tension of the anastomosis and resulting in failure of the operation!

Fortunately, I didn't feel the existence of tension.

Can be stitched directly!

Chen Cang turned around and looked at He Zhengzhi: "You can feel it. If there is tension here, remember to separate the duodenum. If not, you can directly suture it."

He Zhengzhi nodded gratefully and quickly began to feel it.

In fact, surgery requires someone to take you seriously, not to let you see it.

I can't watch it for how long I can.

Feeling is very important, just like the Chinese medicine practitioner’s pulse, a master teaches you that the number of diligence and diligence is much different from that of yourself.

Therefore, having a good master can avoid many detours for a surgeon.

He Zhengzhi couldn't help but smash his mouth!

Emma... It smells so good!
Chapter completed!