Chapter 1320: 1320
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Chen Cang didn't expect this seemingly secret little action to be discovered by Zhou Hongguang!
He coughed: "It's okay, prepare the liver for implantation."
He Zhiqian couldn't help laughing: "Teacher Chen always left a personalized treatment at the end of the habit after surgery."
"You will see this sign after your surgery, don't think about it, this is Mr. Chen's signature!"
Chen Cang suddenly blushed even more!
Many of the top international surgery bosses have some hobbies!
Chen Cang This is just a very difficult "Chen Cang knot" when closing the line at the end.
This average person can't learn at all!
This is in He Zhiqian's eyes, this is Chen Cang's soul operation.
is equivalent to stamping!
heard He Zhiqian's words, everyone was stunned, and then could not help but laugh.
Fortunately, Chen Cang's hobby is not lettering in the liver.
Otherwise, it would cause much controversy to write "Great Chuxing, King Chen Sheng" on it!
Chen Cang saw that his careful thoughts had been taken down, and naturally he was a little bit embarrassed and angry. He glanced at He Zhiqian fiercely.
"Using standard orthotopic liver implantation!"
Cang Cang took the needle clamp to the nurse during his speech.
Operation is now, it is time to really test the strength.
If you want to transplant the liver perfectly, the most important link is reperfusion after implantation of the liver.
And the key to reperfusion lies in the suture of blood vessels!
Simply put, it is how to recover the function of the transplanted liver.
This is the key!
Chen Cang now made it clear that he decided to do this link himself.
Cang Cang is still very professional in matching blood vessels.
First, after the liver bed is positioned, the first anastomosis of the upper and lower vena cava of the liver is performed.
Everyone looked down!
Cang Cang understands that if he wants to make a perfect perfusion, he cannot damage blood vessels, nor can he form stenosis.
How do you sew?
The diameter of the blood vessels of the upper and lower vena cava of the two livers is not the same. How to solve such a problem?
Cang Cang thought for a moment, then picked up the pincers.
Then try to make the donor hepatic vena cava close to the recipient hepatic vena cava!
Then, sew a fixed thread with 3-0 non-injury sutures on the left and right sides of the two blood vessels, and gently pull them out symmetrically, and then sew a pull wire at the midpoint of the anterior wall of the two blood vessels. Rear wall exposure and suture operation!
This anastomotic work made Zhou Hongguang's eyes shrink, and he couldn't help but stunned.
Why do you do this?
At this time, Chen Cang did not pause, he sutured the posterior wall directly from one end, the needle entered the blood vessel from the outside of the blood vessel, and the U-shaped mattress was continuously sutured!
At this moment, Zhou Hongguang instantly understood!
Pretty!
Too classic blood vessel suture.
In this way, the advantages are very obvious, which can make the blood vessel wall valgus, and the endometrium of the blood vessel tight to the endometrium, especially for the blood vessel anastomosis of the donor and recipient.
Classic!
Too dazzling.
Zhou Hongguang felt that this trip today made a lot of money.
Because Chen Cang did not shy away from them!
This clever solution to the vascular anastomosis of the donor and recipient's hepatic and vena cava calibers does not really achieve excellence!
Zhou Hongguang clenched his fists as he looked closer.
Cang Cang looked at everyone quietly: "Have you learned?"
Everyone froze for a moment!
It turns out...
Professor Chen is teaching them?
Thinking of this, Zhou Hongguang's gratitude to Chen Cang was overwhelming.
Generally speaking, no one wants to disclose this core operation.
But Chen Cang did not, he was very calm!
calmly reached a point where people feel that this technology is trivial!
This is actually very difficult!
Zhou Hongguang suddenly thought of something...
If you can complete your own liver transplant operation, become the best liver transplant expert in China and even the world!
Isn't the academician of the two academies a problem? !
After all, in the face of absolute strength, it doesn't matter what conspiracy.
Zhou Hongguang can get stuck, but because he is not good enough!
Thinking about this, Zhou Hongguang felt that if he learned Chen Cang's blood vessel anastomosis to liver perfusion, this would definitely raise the level!
Chen Cang saw Zhou Hongguang and smiled quietly.
Ruzi can be taught too!
Compared with the anastomosis of the upper and lower hepatic vena cava, the diameter of the portal vein is a little thicker, and the suture is relatively more.
Chen Cang, at this time, finally showed his speed of anastomosis.
Really dazzling!
indeed.
Compared with the anastomosis of micro- and small blood vessels in the spleen, the anastomosis of the liver is really small for him.
Even he felt that if hepatobiliary surgeon was sent to cardiovascular surgery for a period of time, after returning, the blood vessel anastomosis performance will be greatly improved.
Medicine, after all, is a relatively comprehensive subject.
Chen Cang also feels more and more: That is, the surgical skills of other departments he has learned will complement each other. After working together, it is much stronger than those specialists!
is like anastomosing with cardiovascular blood vessels, rebuilding with the general learning channel, and stabilizing with the spiritual exercise...
Each department can exercise a special ability of a doctor!
And Chen Cang, these abilities seem to have been a perfect play!
After repairing the portal vein, Chen Cang quickly said to Gao Ronghua, "Restore blood supply to transplanted liver!"
Gao Ronghua nodded, immediately blocked the open portal vein, and restored the blood supply to the transplanted liver.
However, at this time, Chen Cang did not loosen the hemostatic forceps of the upper and lower hepatic vena cava, but carefully released the high potassium storage solution in the transplanted liver and the blood of the acid metabolites contained in the lower body through the donor hepatic inferior vena cava. 250ml!
Then block the donor hepatic inferior vena cava again with vascular blocking forceps.
This step seems simple, but it is very critical.
"Methylprednisolone 1000mg!"
"Intravenous cyclosporine!"
……
After the doctor's order was issued~www.novelhall.com~ With the return of venous blood, the liver finally recovered the blood.
But this is just a vein!
The next thing to do is anastomosis of the hepatic artery!
This is also the most important step in liver transplantation.
If the anastomosis of the hepatic vein is anastomosis, then the anastomosis of the hepatic artery is reconstruction!
All we have to do is complete the reconstruction of liver arteries.
Arterial reconstruction is successful, liver blood perfusion is good, liver recovery is just fine!
However, at this time, Wang Dong’s artery had already undergone a change in the hepatic artery due to the operation some time ago, making it impossible to use the common hepatic artery.
At this moment, everyone's eyes are on Chen Cang!
Chen Cang handles this step well, and the success rate of surgery can be much greater.
Chen Cang saw everyone, but only a slight smile, said:
"The knife comes!"
……
Ps: Thanks for the 20,000 rewards for pretending to be your boss, there are two chapters later, everyone wait a moment, thank you.
Please remember the first domain name of this book:. The fastest URL for mobile updates:
Please report us if you find any errors so we can fix it asap!
Chen Cang didn't expect this seemingly secret little action to be discovered by Zhou Hongguang!
He coughed: "It's okay, prepare the liver for implantation."
He Zhiqian couldn't help laughing: "Teacher Chen always left a personalized treatment at the end of the habit after surgery."
"You will see this sign after your surgery, don't think about it, this is Mr. Chen's signature!"
Chen Cang suddenly blushed even more!
Many of the top international surgery bosses have some hobbies!
Chen Cang This is just a very difficult "Chen Cang knot" when closing the line at the end.
This average person can't learn at all!
This is in He Zhiqian's eyes, this is Chen Cang's soul operation.
is equivalent to stamping!
heard He Zhiqian's words, everyone was stunned, and then could not help but laugh.
Fortunately, Chen Cang's hobby is not lettering in the liver.
Otherwise, it would cause much controversy to write "Great Chuxing, King Chen Sheng" on it!
Chen Cang saw that his careful thoughts had been taken down, and naturally he was a little bit embarrassed and angry. He glanced at He Zhiqian fiercely.
"Using standard orthotopic liver implantation!"
Cang Cang took the needle clamp to the nurse during his speech.
Operation is now, it is time to really test the strength.
If you want to transplant the liver perfectly, the most important link is reperfusion after implantation of the liver.
And the key to reperfusion lies in the suture of blood vessels!
Simply put, it is how to recover the function of the transplanted liver.
This is the key!
Chen Cang now made it clear that he decided to do this link himself.
Cang Cang is still very professional in matching blood vessels.
First, after the liver bed is positioned, the first anastomosis of the upper and lower vena cava of the liver is performed.
Everyone looked down!
Cang Cang understands that if he wants to make a perfect perfusion, he cannot damage blood vessels, nor can he form stenosis.
How do you sew?
The diameter of the blood vessels of the upper and lower vena cava of the two livers is not the same. How to solve such a problem?
Cang Cang thought for a moment, then picked up the pincers.
Then try to make the donor hepatic vena cava close to the recipient hepatic vena cava!
Then, sew a fixed thread with 3-0 non-injury sutures on the left and right sides of the two blood vessels, and gently pull them out symmetrically, and then sew a pull wire at the midpoint of the anterior wall of the two blood vessels. Rear wall exposure and suture operation!
This anastomotic work made Zhou Hongguang's eyes shrink, and he couldn't help but stunned.
Why do you do this?
At this time, Chen Cang did not pause, he sutured the posterior wall directly from one end, the needle entered the blood vessel from the outside of the blood vessel, and the U-shaped mattress was continuously sutured!
At this moment, Zhou Hongguang instantly understood!
Pretty!
Too classic blood vessel suture.
In this way, the advantages are very obvious, which can make the blood vessel wall valgus, and the endometrium of the blood vessel tight to the endometrium, especially for the blood vessel anastomosis of the donor and recipient.
Classic!
Too dazzling.
Zhou Hongguang felt that this trip today made a lot of money.
Because Chen Cang did not shy away from them!
This clever solution to the vascular anastomosis of the donor and recipient's hepatic and vena cava calibers does not really achieve excellence!
Zhou Hongguang clenched his fists as he looked closer.
Cang Cang looked at everyone quietly: "Have you learned?"
Everyone froze for a moment!
It turns out...
Professor Chen is teaching them?
Thinking of this, Zhou Hongguang's gratitude to Chen Cang was overwhelming.
Generally speaking, no one wants to disclose this core operation.
But Chen Cang did not, he was very calm!
calmly reached a point where people feel that this technology is trivial!
This is actually very difficult!
Zhou Hongguang suddenly thought of something...
If you can complete your own liver transplant operation, become the best liver transplant expert in China and even the world!
Isn't the academician of the two academies a problem? !
After all, in the face of absolute strength, it doesn't matter what conspiracy.
Zhou Hongguang can get stuck, but because he is not good enough!
Thinking about this, Zhou Hongguang felt that if he learned Chen Cang's blood vessel anastomosis to liver perfusion, this would definitely raise the level!
Chen Cang saw Zhou Hongguang and smiled quietly.
Ruzi can be taught too!
Compared with the anastomosis of the upper and lower hepatic vena cava, the diameter of the portal vein is a little thicker, and the suture is relatively more.
Chen Cang, at this time, finally showed his speed of anastomosis.
Really dazzling!
indeed.
Compared with the anastomosis of micro- and small blood vessels in the spleen, the anastomosis of the liver is really small for him.
Even he felt that if hepatobiliary surgeon was sent to cardiovascular surgery for a period of time, after returning, the blood vessel anastomosis performance will be greatly improved.
Medicine, after all, is a relatively comprehensive subject.
Chen Cang also feels more and more: That is, the surgical skills of other departments he has learned will complement each other. After working together, it is much stronger than those specialists!
is like anastomosing with cardiovascular blood vessels, rebuilding with the general learning channel, and stabilizing with the spiritual exercise...
Each department can exercise a special ability of a doctor!
And Chen Cang, these abilities seem to have been a perfect play!
After repairing the portal vein, Chen Cang quickly said to Gao Ronghua, "Restore blood supply to transplanted liver!"
Gao Ronghua nodded, immediately blocked the open portal vein, and restored the blood supply to the transplanted liver.
However, at this time, Chen Cang did not loosen the hemostatic forceps of the upper and lower hepatic vena cava, but carefully released the high potassium storage solution in the transplanted liver and the blood of the acid metabolites contained in the lower body through the donor hepatic inferior vena cava. 250ml!
Then block the donor hepatic inferior vena cava again with vascular blocking forceps.
This step seems simple, but it is very critical.
"Methylprednisolone 1000mg!"
"Intravenous cyclosporine!"
……
After the doctor's order was issued~www.novelhall.com~ With the return of venous blood, the liver finally recovered the blood.
But this is just a vein!
The next thing to do is anastomosis of the hepatic artery!
This is also the most important step in liver transplantation.
If the anastomosis of the hepatic vein is anastomosis, then the anastomosis of the hepatic artery is reconstruction!
All we have to do is complete the reconstruction of liver arteries.
Arterial reconstruction is successful, liver blood perfusion is good, liver recovery is just fine!
However, at this time, Wang Dong’s artery had already undergone a change in the hepatic artery due to the operation some time ago, making it impossible to use the common hepatic artery.
At this moment, everyone's eyes are on Chen Cang!
Chen Cang handles this step well, and the success rate of surgery can be much greater.
Chen Cang saw everyone, but only a slight smile, said:
"The knife comes!"
……
Ps: Thanks for the 20,000 rewards for pretending to be your boss, there are two chapters later, everyone wait a moment, thank you.
Please remember the first domain name of this book:. The fastest URL for mobile updates:
Chen Cang didn't expect this seemingly secret little action to be discovered by Zhou Hongguang!He coughed: "It's okay, prepare the liver for implantation."He Zhiqian couldn't help laughing: "Teacher Chen always left a personalized treatment at the end of the habit after surgery.""You will see this sign after your surgery, don't think about it, this is Mr. Chen's signature!"Chen Cang suddenly blushed even more!Many of the top international surgery bosses have some hobbies!Chen Cang This is just a very difficult "Chen Cang knot" when closing the line at the end.This average person can't learn at all!This is in He Zhiqian's eyes, this is Chen Cang's soul operation.is equivalent to stamping!heard He Zhiqian's words, everyone was stunned, and then could not help but laugh.Fortunately, Chen Cang's hobby is not lettering in the liver.Otherwise, it would cause much controversy to write "Great Chuxing, King Chen Sheng" on it!Chen Cang saw that his careful thoughts had been taken down, and naturally he was a little bit embarrassed and angry. He glanced at He Zhiqian fiercely."Using standard orthotopic liver implantation!"Cang Cang took the needle clamp to the nurse during his speech.Operation is now, it is time to really test the strength.If you want to transplant the liver perfectly, the most important link is reperfusion after implantation of the liver.And the key to reperfusion lies in the suture of blood vessels!Simply put, it is how to recover the function of the transplanted liver.This is the key!Chen Cang now made it clear that he decided to do this link himself.Cang Cang is still very professional in matching blood vessels.First, after the liver bed is positioned, the first anastomosis of the upper and lower vena cava of the liver is performed.Everyone looked down!Cang Cang understands that if he wants to make a perfect perfusion, he cannot damage blood vessels, nor can he form stenosis.How do you sew?The diameter of the blood vessels of the upper and lower vena cava of the two livers is not the same. How to solve such a problem?Cang Cang thought for a moment, then picked up the pincers.Then try to make the donor hepatic vena cava close to the recipient hepatic vena cava!Then, sew a fixed thread with 3-0 non-injury sutures on the left and right sides of the two blood vessels, and gently pull them out symmetrically, and then sew a pull wire at the midpoint of the anterior wall of the two blood vessels. Rear wall exposure and suture operation!This anastomotic work made Zhou Hongguang's eyes shrink, and he couldn't help but stunned.Why do you do this?At this time, Chen Cang did not pause, he sutured the posterior wall directly from one end, the needle entered the blood vessel from the outside of the blood vessel, and the U-shaped mattress was continuously sutured!At this moment, Zhou Hongguang instantly understood!Pretty!Too classic blood vessel suture.In this way, the advantages are very obvious, which can make the blood vessel wall valgus, and the endometrium of the blood vessel tight to the endometrium, especially for the blood vessel anastomosis of the donor and recipient.Classic!Too dazzling.Zhou Hongguang felt that this trip today made a lot of money.Because Chen Cang did not shy away from them!This clever solution to the vascular anastomosis of the donor and recipient's hepatic and vena cava calibers does not really achieve excellence!Zhou Hongguang clenched his fists as he looked closer.Cang Cang looked at everyone quietly: "Have you learned?"Everyone froze for a moment!It turns out...Professor Chen is teaching them?Thinking of this, Zhou Hongguang's gratitude to Chen Cang was overwhelming.Generally speaking, no one wants to disclose this core operation.But Chen Cang did not, he was very calm!calmly reached a point where people feel that this technology is trivial!This is actually very difficult!Zhou Hongguang suddenly thought of something...If you can complete your own liver transplant operation, become the best liver transplant expert in China and even the world!Isn't the academician of the two academies a problem? !After all, in the face of absolute strength, it doesn't matter what conspiracy.Zhou Hongguang can get stuck, but because he is not good enough!Thinking about this, Zhou Hongguang felt that if he learned Chen Cang's blood vessel anastomosis to liver perfusion, this would definitely raise the level!Chen Cang saw Zhou Hongguang and smiled quietly.Ruzi can be taught too!Compared with the anastomosis of the upper and lower hepatic vena cava, the diameter of the portal vein is a little thicker, and the suture is relatively more.Chen Cang, at this time, finally showed his speed of anastomosis.Really dazzling!indeed.Compared with the anastomosis of micro- and small blood vessels in the spleen, the anastomosis of the liver is really small for him.Even he felt that if hepatobiliary surgeon was sent to cardiovascular surgery for a period of time, after returning, the blood vessel anastomosis performance will be greatly improved.Medicine, after all, is a relatively comprehensive subject.Chen Cang also feels more and more: That is, the surgical skills of other departments he has learned will complement each other. After working together, it is much stronger than those specialists!is like anastomosing with cardiovascular blood vessels, rebuilding with the general learning channel, and stabilizing with the spiritual exercise...Each department can exercise a special ability of a doctor!And Chen Cang, these abilities seem to have been a perfect play!After repairing the portal vein, Chen Cang quickly said to Gao Ronghua, "Restore blood supply to transplanted liver!"Gao Ronghua nodded, immediately blocked the open portal vein, and restored the blood supply to the transplanted liver.However, at this time, Chen Cang did not loosen the hemostatic forceps of the upper and lower hepatic vena cava, but carefully released the high potassium storage solution in the transplanted liver and the blood of the acid metabolites contained in the lower body through the donor hepatic inferior vena cava. 250ml!Then block the donor hepatic inferior vena cava again with vascular blocking forceps.This step seems simple, but it is very critical."Methylprednisolone 1000mg!""Intravenous cyclosporine!"After the doctor's order was issued~www.novelhall.com~ With the return of venous blood, the liver finally recovered the blood.But this is just a vein!The next thing to do is anastomosis of the hepatic artery!This is also the most important step in liver transplantation.If the anastomosis of the hepatic vein is anastomosis, then the anastomosis of the hepatic artery is reconstruction!All we have to do is complete the reconstruction of liver arteries.Arterial reconstruction is successful, liver blood perfusion is good, liver recovery is just fine!However, at this time, Wang Dong's artery had already undergone a change in the hepatic artery due to the operation some time ago, making it impossible to use the common hepatic artery.At this moment, everyone's eyes are on Chen Cang!Chen Cang handles this step well, and the success rate of surgery can be much greater.Chen Cang saw everyone, but only a slight smile, said:"The knife comes!"Ps: Thanks for the 20,000 rewards for pretending to be your boss, there are two chapters later, everyone wait a moment, thank you.Please remember the first domain name of this book:. The fastest URL for mobile updates:
