[Ding! Congratulations, your pancreaticoduodenectomy has been improved to the perfect level!]


    After receiving the system prompt tone!


    Chen Cang once again experienced a reincarnation time in the simulation space.


    you ''re right!


    This time, it will take longer than before. After all, pancreatic anastomosis has always been a difficulty.


    At this moment, when Chen Cang thought again, his thinking suddenly diverged.


    He kept performing gastrojejunal anastomosis, pancreaticoduodenectomy, pancreatic anastomosis and so on in his mind


    A kind of


    Two


    ……


    How many methods are constantly excluded in Chen Cang''s simulation.


    Sun Guangyu and Shi Wenyan are still thinking and arguing.


    Looking at Chen Cang''s silence, Shi Wenyan looked at Chen Cang: "Dr. Chen, what do you think?"


    Chen Cang glanced at his abdominal cavity, scratched a line on his stomach and said:


    "Do you think it would be good if you cut your stomach again?"


    In a word, everyone was stunned!


    "What?"


    "Cut the stomach again?"


    "Isn''t this a significant increase in the difficulty of surgery?"


    "Inappropriate!"


    But!


    Seeing Chen Cang''s action, Shi Wenyan and sun Guangyu looked at each other, they saw terror and shock from each other''s eyes!


    Staring at the line just drawn by Chen Cang, he frowned and kept thinking about things.


    It seems that Chen Cang suddenly lit up their thinking.


    Yes!


    Shi Wenyan thought carefully and looked hard.


    Suddenly!


    He saw it!


    At the moment of understanding, Shi Wenyan suddenly exclaimed, "genius!"


    When he thought of Chen canggang''s idea, he felt a tingle on his scalp.


    How did you come up with this idea?


    Sun Guangyu swallowed his saliva and didn''t speak.


    His shock was not less than that of Shi Wenyan, but even more.


    you bet!


    As everyone said.


    In this way, it will aggravate the patient''s injury.


    After all, cutting a healthy stomach is not a good thing, and it will even increase the difficulty of surgery!


    But what about this?


    Compared with the postoperative effect, what does this injury count?


    Even


    Sun Guangyu blushed a little


    Mr. Bu did the radical gastrectomy at the beginning!


    Now he suddenly felt how immature his original surgical technique and digestive tract reconstruction work were?


    It''s better to rebuild than keep it!


    "Good!"


    Several directors around were stunned.


    Looking at what sun Guangyu and Shi Wenyan said, they were stunned.


    What did Chen Cang do?


    Chen Cang glanced at them and said, "let me take the lead."


    Shi Wenyan and sun Guangyu nodded quickly.


    There''s nothing more to say.


    Shi Wenyan is really convinced of Chen Cang now.


    This random knife has really solved too many problems.


    This is like a work of art. When everyone doesn''t know what to do, Chen Cang''s finishing touch directly impressed everyone.


    At this time, several other directors did not react because they were too far away.


    Now one by one staring at the operating table to find out!


    Chen Cang didn''t talk nonsense as usual. After a quick preparation, he began the operation.


    It was originally on the operating table. We can''t delay too much time.


    Moreover, Mr. Bu is old, and the operation for too long is obviously dangerous.


    As for bu Hanyu?


    Chen canggen didn''t know him.


    After all, it is not a field.


    Moreover, to put it straight, even such a top scientist is not as well known to the people as a little star.


    However, in Chen Cang''s eyes, there really doesn''t seem to be much difference between who is lying here.


    If you know it''s a big man, you might be nervous.


    Here, Chen Cang took a deep breath and took the forceps too far away.


    He glanced at the two: "remember to clean the abdominal cavity."


    "Pour a plate of warm normal saline!"


    Shi Wenyan was very down-to-earth. He poured in a basin of water and cleaned it up.


    Then, antibiotics


    "Suck!"


    After that, Chen Cang raised his hand and decided to start separation.


    It still starts with the small intestine.


    Chen Cang directly touched the intestines with his left hand, and then carefully peeled off with a separating forceps.


    To tell the truth, Chen Cang feels that his hands are really much better than they were at the beginning!


    He seems to be ready to control his strength!


    How old


    How small


    Weight


    These are much more stable at this moment.


    Moreover, with the touch of his left hand, Chen Cang can even judge how much force he gives and how to separate more safely.


    Isn''t that amazing?


    This should be the effect of purple strengthening potion?


    Chen Cang was surprised to think of this.


    If this stability is used to open the brain during open circuit surgery, it must be a pair of hands that are stable enough to make people afraid!


    At this time, the directors around saw that Chen Cang separated his intestines and dissociated his appendix... When he was working.


    Also stunned!


    So light, so simple!


    Yes, that''s how Chen Cang feels to them.


    "What solid basic skills! What calm and dexterous hands!"


    "Really a natural surgeon!"


    This is what everyone thinks.


    Separation doesn''t take much time.


    At this time, the anesthesiologist suddenly said, "you may need to add anesthetics."


    After hearing this, Chen Cang thought for a moment, shook his head and said, "don''t add it first!"


    The anesthesiologist was stunned!


    Me and you?


    Sun Guangyu looked at Chen Cang and then said to the anesthesiologist, "wait, director Yang."


    After the separation, Chen Cang directly took the scalpel and then said to sun Guangyu opposite, "you''ll have a colon operation and I''ll have a pancreaticoduodenectomy!"


    After saying that, Chen Cang looked up at Shi Wenyan: "you... You help me carry this stomach!"


    Shi Wenyan smiled and saw Chen Cang''s embarrassment: "my name is Shi Wenyan."


    Chen Cang nodded, "well, take it!"


    Separation of greater omentum


    Free stomach


    After doing everything, Chen Cang cut directly on his stomach, and the directors behind him were stunned!


    Why do you cut it like that?


    Everyone frowned!


    However, Chen Cang''s operation next will be hard for them to forget in their life.


    Skillfully pancreaticoduodenectomy, incidentally also sent away a section of gastric body.


    Chen Cang glanced at his stomach and wanted to ease his embarrassment with Shi Wenyan, so he said: "the patient may have had the operation in the countryside with limited conditions. You look at a match, but in fact he failed."


    "If I were the master knife, I wouldn''t do this..."


    Hearing Chen Cang''s words, sun Guangyu''s colon suddenly didn''t smell good!


    Shi Wenyan nodded: "well, Dr. Chen, when you say so, I also think there are some problems with the other party''s level!"


    The knife in sun Guangyu''s hand is more stable!


    Let Chen Cang criticize. Sun Guangyu can accept it.


    But what are you doing, Shi Wenyan?


    After resection, the most important anastomosis came.


    Chen Cang used PG pancreatogastrostomy at this moment!


    Traditional operation.


    In fact, in order to ensure the quality of anastomosis, clinicians should still use their most familiar anastomosis methods, rather than simply pursue new anastomosis techniques.


    We should even fully recognize the advantages and disadvantages of each anastomosis method!


    Pancreatogastric anastomosis is actually the oldest and most used anastomosis.


    The advantages of this operation are obvious!


    First, the anatomical parts of the stomach and pancreas are adjacent, so the tension of pancreatogastric anastomosis is small. In this way, it is not easy to form anastomotic leakage.


    Secondly, trypsinogen is not activated in the acidic environment of gastric juice, which better retains the digestive function!


    This is the most important consideration for digestive tract reconstruction, that is, digestive tract function can not be damaged!


    When Chen Cang performed gastrojejunal anastomosis!


    The jejunum is free, which is very convenient for position fixation. At this time, Chen Cang anastomosed the stomach, pancreas and jejunum to form a clever incision.


    Suddenly!


    Everyone was stunned!


    What else?


    "No wonder you have to cut the stomach. In this way, the biggest difficulty of pancreatogastric anastomosis and the obstacle of gastric emptying are solved!"


    "That''s right! You see, it''s still the most critical. The most critical thing is the reconstruction of digestive tract function!"


    For a time, everyone talked about it one after another.


    At this moment, everyone understood why he had to cut such a knife.


    But!


    It seems that this is not over.


    After the anastomosis, when Chen Cang fixed the gastric body in the greater omentum, Chen Cang specially fixed the part of the jejunum!


    In this way, a good structure is just formed.


    Suddenly!


    Everyone was stunned.


    Can it still be like this?


    Shi Wenyan was stunned.


    I still underestimated the style of this knife.


    This knife also included the jejunum.


    Too strong!


    How far can you think with a knife?


    Shi Wenyan looked at the young man and took a breath.


    That''s too strong!


    Chen Cang glanced at Shi Wenyan: "well... Sorry, what''s your name? Come and finish!"


    ……