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Published at 7th of November 2021 08:26:10 AM


Chapter 799: 799

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After Chang Xiong had finished speaking, he was surrounded by silence again!

Wu Changxiong continued: "Actually, considering the patient's situation ..."

"Three years after surgery, the patient's gastric cancer is recovering in general, and I don't expect a long survival time."

"If you use the platysma flap to reconstruct the neck and esophagus, the feasibility is still very great."

但是 "But ... then, even if the patient's gastric cancer recovers well, surgery will be needed again because of esophageal problems. At that time, I estimate that the success rate of surgery will be extremely low."

This sentence is very euphemistic, but it is actually very realistic.

It means that even if the patient has not died of gastric cancer, he will die because of esophageal problems.

At this moment, there was a moment of silence around him again!

What the hell?

The operation of this patient is really a difficult operation!

The patient's condition is too complicated and there are too many basic diseases. It is too difficult to find an optimal treatment plan.

Qi Yuyonggang said suddenly, "Go to the patient's family and sign it, tell him about the operation and let them choose."

Indeed, perhaps the right to choose now is not with the doctor, but with the patient's family.

After all, there are obvious complications, and sometimes the doctor cannot choose for the patient.

沧 When the nurse was about to leave, Chen Cangmei frowned!

He suddenly said, "Director Yu, I have an idea!"

刚 When Chen Cang's words just came out, they immediately caught the attention of the people around him.

Everyone knows this fellow in Curry, but to be honest, everyone didn't care too much.

Because an insignificant fellow is too small for the entire large-scale emergency department.

Tong Yuyong just looked at Chen Cang: "Oh? Xiao Chen, what do you think?"

Chen Cang stepped forward thoughtfully: "Look at it, the damaged mouth of the esophagus is relatively low, and the damaged mouth is very irregular. Whether it is to choose the autologous colon instead of the latissimus flavinus flap described by Director Yu There are actually very big restrictions! "

Everyone nodded.

Everyone knows such a reason.

Cang Chen continued: "Actually, I was thinking, this position can actually choose to use a special repair material!"

"That's lung tissue!"

As soon as this word came out, the people around them were quiet.

I used lung tissue to repair the esophagus, and they heard it for the first time.

But Changxiong suddenly stopped!

This very creative idea is definitely not fantasy, but supported by a dissertation. He remembers seeing such a record in The Lancet.

Cang Chen continued, "I mean to use lung tissue **** to repair irregular damage to the esophagus in the chest!"

"First of all because of repair materials, repair materials for large-area esophageal defects are easy to satisfy because of the easy extraction of lung tissue!"

"The second and most important point is that lung tissue **** have rich blood flow, which is superior to other repair tissues and materials."

第三 "The third point is that even if a part of the lung tissue is removed, there will not be much damage to lung function!"

最后 "Finally! That is, the lung tissue **** are soft and closed, and the surface of the lung tissue is covered with pleural epithelium, so the inner wall of the lumen formed is smooth, the food is not easy to stick, and it is less likely to cause infection, which is conducive to the re-epithelialization of the inner wall!"

After Chen Cang's words were finished, the entire operating room fell into silence!

Everyone can think of removing some lung tissue **** as materials for esophageal wall repair!

Although Chen Cang is very reasonable, but ... many people still have a skeptical attitude!

However, after hearing Chen Cang's analysis, Chang Xiong couldn't help but blurt out: "Good idea! I think it is feasible! In this way, the surgery will not be very difficult! Postoperative complications will be less! This may be the best choice! "

Yu Yonggang also nodded slowly after constant thinking: "It's feasible!"

I heard that both Chang Xiong and Director Yu were so firm and affirmed that everyone was surprised.

真的 Is it really feasible?

After Yu Yuyong hesitated, he looked at Chen Cang: "Little Chen, can you do it?"

Chen Cang nodded: "Yes!"

Wu Changxiong couldn't help but smile: "The person who can come up with such a genius and creative idea should not have a problem doing this surgery!"

Wu Yuyong just nodded and stared at Chen Cang and said, "Okay, you do it!"

As soon as this word came out, the surrounding area was startled.

Ask Chen Cang to perform such a difficult operation?

Director Yun ... Is it too hasty?

I saw Chen Cang stepped forward, picked up the scalpel, and opened the chest directly!

No decisiveness or hesitation in the slightest!

At this time, everyone around him turned his eyes to Chen Cang.

I saw that he was not in the slightest nervousness, the knife cut through the chest wall, and there was very little bleeding.

Yu Yong just nodded and had some strength!

After opening the chest, the tissues of the lungs are also exposed, and at this time the lungs continue to relax and contract ...

Su Changxiong suddenly asked, "Would you like an artificial lung?"

Cang Cang shook his head. Not only does he not need it, but he also needs to use the tension when the lung tissue relaxes!

I saw him pressing his hands on the lungs, looking at the entire lungs in his eyes, thinking constantly, how to cut!

Pulmonary tissue has pulmonary arteriovenous veins. Surgery needs to avoid arteriovenous veins, while cutting blood supply while retaining blood supply.

Also, protecting the capillaries in the lung tissue **** is the key to successful surgery.

Only by maintaining good blood flow and intact capillaries, can the anti-infective ability of the lung tissue flap be enhanced, and the anastomosis of the wound can be accelerated ~ www.novelhall.com ~ Cang Chen looked at the nurse: "Microscope! 4 times."

To be on the safe side, Chen Cang decided to take it with a microscope.

The whole process of removing the lung tissue is the key to the success of the operation. So you need to be careful!

While everyone was staring at Chen Cang's scalpel, I saw Chen Cang's right hand lightly pressed, accompanied by the moment of lung tissue relaxation, the knife flashed! A moderate-sized flap was cut off!

This scene suddenly shocked everyone!

Tong Changxiong's eyes widened: "So fast!"

Yu Yonggang is also a little cyanotic, this boy is not a cardiac surgery? Why ... this operation is also done so well!

Yes, Chen Cang's knife is very convincing!

It seems simple, but the masters know the difficulty!

I can say that the style of this knife!

Very shocking!

When the lungs are dilating, observe the lung movements skillfully, then quickly remove the lung tissue flaps, and retain the complete tissue blood vessels!

Surgery continues!

At this moment, no one dares to underestimate Chen Cang.

I say nothing else, just that knife!

You can go directly to level 999!

Wu Yuyong just looked at Chen Cang and was even more surprised. Perhaps ... he really underestimated this young man!

When the surgery is over, let Chen Cang formally join the sharp knife group!

Uh ...

Uh ...

Ps: Sorry, headache, slow writing, so until now, forgive me ... work hard to keep updated, come on!




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