Chapter 943: 943
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Sun Guangyu glanced at the nurse: "Call Chen Cang and see where you are."
Nurse Nod nodded, picked up her cell phone, and dialed Chen Cang.
It didn't take long for the phone to connect: "Director Sun, I just parked the car and passed right away!"
When Sun Guangyu heard it, he immediately looked happy: "Okay!"
I hanged the arc, Sun Guangyu looked at the directors around him and couldn't help but say:
"Everyone waits a little while, Dr. Chen is very thoughtful about the reconstruction of the digestive tract! We don't have any clue now, one more person, one more strength."
"Mr. Bu's current situation, everyone also saw the difficulty of the operation, the most important thing is that it is difficult to restore digestive function after surgery."
"I think we should still do our best to keep Mr. Bu Lao's digestive function and improve his quality of life as much as possible."
Sun Guangyu's words are very reasonable. How to improve the quality of life of the elderly is the most important thing.
At the age of ninety-three years old, no one can guarantee how long to live with so many basic diseases.
Everyone looked at Sun Guangyu, nodded, and said nothing.
After all, Sun Guangyu is the chief doctor, and eventually he still needs to listen to him.
In fact, on the operating room platform, they are like reinforcements, and the general in the army is still Sun Guangyu, and his decision-making power is ultimately his.
After thinking of Chen Cang, Sun Guangyu was relieved: "Actually, the last gastric resection and esophageal reconstruction surgery I showed you was done by Chen Cang!"
I heard Sun Guangyu's words, everyone was a little bit confused.
"Is that a modified gastric anastomosis operation? What kind of stomach is formed?" Shi Wenyan of the Military Region General Hospital asked directly!
Sun Guangyu nodded: "That's right, it was the operation that made me formally recognize Chen Cang."
All of a sudden, everyone's eyes brightened, and they all looked forward to it.
A surgery can tell the clinical thinking and level of surgery of a surgeon.
他们 And that operation, in their view, is the iconic operation of Chen Cang, which is enough to explain a lot of things.
However, the situation of Mr. Bu at this time really made everyone worry.
At the age of over ninety, he had acquired such a troublesome disease.
的 Crohn's disease caused by intestinal obstruction.
What is Crohn's disease?
Crohn's disease is a gastrointestinal granulomatous inflammatory disease of unknown etiology.
This is hard to understand. In fact, Crohn's disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease.
I just have an unknown cause ...
But the treatment method is mainly to resolve the current symptoms.
He said again, Mr. Bu Lao is over 90 years old this year, and can't afford too much toss.
Fortunately, Crohn's symptoms were not obvious. Mr. Bu's performance was intestinal obstruction.
What is the main purpose of the current surgery?
First: Treat intestinal obstruction!
Second: clean up the pancreas!
Third: clean up the gastrointestinal tract and pancreas tissue with obvious adhesion in the abdominal cavity.
Fourth: reconstruction of digestive tract.
Each step does not seem difficult, but once combined, reconstruction of the digestive tract becomes more difficult.
The biliary tract needs to be treated, the colon obstruction needs to be removed, and although the pancreas does not need to be completely removed, the pancreaticojejunostomy needs to be performed again after cleaning.
Everyone stared at the abdomen tightly, thinking.
After a while, Chen Cang entered the operating room.
Seeing Chen Cang's arrival, Sun Guangyu looked happy: "Here!"
Nurse Yun waited for a long time. After putting on the surgical gown to Chen Cang, Chen Cang came over.
After seeing the abdomen, she suddenly widened her eyes.
This……
I'm a bit bad.
沧 Cang Cang couldn't help but said, "Crohn's disease intestinal obstruction?"
Chen Cang blurted out, so that everyone was a little more appreciation, a little level.
But after Chen Cang watched, he frowned.
Because, the system told him that the patient's abdominal cavity was a boss nest, which was very difficult to mess with!
【Ding! The complicated abdominal cavity is comprehensively judged as the lv88-class king-level boss. The patient is an elderly male with more basic diseases and Crohn's disease intestinal obstruction ... Please repair the abdominal cavity and reconstruct the digestive tract! 】
沧 Chen Cang sighed, and judged as the 88th-level king boss.
This is really difficult!
This is the boss with the highest level that Chen Cang has encountered so far. If it is in the game, he will definitely be there.
To be precise, he died of an unknown AOE!
I looked at the adhesion in the abdominal cavity, Chen Cang understood.
Colonary obstruction is mainly caused by abscess, and pus is caused by pus adhesions in the abdominal cavity, pancreatic edema and inflammation, and major gastric resection. How to reconstruct the digestive tract?
应该 What should I do now!
Sun Guangyu glanced at the attending doctor: "Introduce medical records."
沧 Cang Cang listened to the case and looked down into the abdominal cavity. A four-dimensional model diagram began to appear, simulating what the surgery should be done for a while.
After a while.
"啧!"
Chen Cang instinctively worried.
It is very difficult to clean up the adhesion of the abdominal cavity, and it needs to be separated. After a while, anastomosis of the colon is needed. It is really a headache.
Pancreatectomy?
I cut the trouble, not more trouble.
After a while, Chen Cang looked at Sun Guangyu aside: "Director Sun, what do you think?"
Sun Guangyu frowned: "We didn't think of such a scene before we opened the abdomen. What we wanted to do was laparoscopic surgery, but immediately after looking down the mirror, I saw the bad situation in the abdominal cavity, and quickly turned to open abdomen."
其实 "In fact, the most difficult thing now is to reconstruct the digestive tract. How will the pancreas choose after a colon resection?"
"Pancreaticoduodenectomy must be done, but the key now is that gastroduodenal surgery has to be re-selected. How can we reconstruct the digestive tract!"
Shi Wenyan nodded and said, "My idea is to perform a direct pancreaticoduodenectomy to reconstruct the digestive tract of the stomach, jejunum, and pancreas."
Having said that, Shi Wenyan glanced at Chen Cang: "Dr. Chen, look, is it possible to form a stomach-like arc here, and then ~ www.novelhall.com ~ we will do pancreaticoduodenectomy, and then perform pancreas and intestines Anastomosis or pancreatic stomach anastomosis. "
Sun Guangyu shook his head directly: "No! After the formation of a gastric-like arc, it is not conducive to gastric emptying. After the pancreaticogastric anastomosis, the biggest adverse reaction is the gastric emptying disorder. In this way, it is undoubtedly aggravated. It is very difficult for later recovery . "
沧 Cang Cang understood, now it is a comprehensive issue.
That's how the stomach, pancreas and jejunum form a good anastomosis to rebuild the digestive tract!
I think Crohn's disease is not the most important thing.
Resection of the colonic obstruction does not affect the patient's recovery.
Thinking of this, Chen Cang glanced at the reward he just got:
[Raise a skill to perfection! 】
Cang Cang smiled bitterly, brother, I must use you today!
Please report us if you find any errors so we can fix it asap!
Sun Guangyu glanced at the nurse: "Call Chen Cang and see where you are."
Nurse Nod nodded, picked up her cell phone, and dialed Chen Cang.
It didn't take long for the phone to connect: "Director Sun, I just parked the car and passed right away!"
When Sun Guangyu heard it, he immediately looked happy: "Okay!"
I hanged the arc, Sun Guangyu looked at the directors around him and couldn't help but say:
"Everyone waits a little while, Dr. Chen is very thoughtful about the reconstruction of the digestive tract! We don't have any clue now, one more person, one more strength."
"Mr. Bu's current situation, everyone also saw the difficulty of the operation, the most important thing is that it is difficult to restore digestive function after surgery."
"I think we should still do our best to keep Mr. Bu Lao's digestive function and improve his quality of life as much as possible."
Sun Guangyu's words are very reasonable. How to improve the quality of life of the elderly is the most important thing.
At the age of ninety-three years old, no one can guarantee how long to live with so many basic diseases.
Everyone looked at Sun Guangyu, nodded, and said nothing.
After all, Sun Guangyu is the chief doctor, and eventually he still needs to listen to him.
In fact, on the operating room platform, they are like reinforcements, and the general in the army is still Sun Guangyu, and his decision-making power is ultimately his.
After thinking of Chen Cang, Sun Guangyu was relieved: "Actually, the last gastric resection and esophageal reconstruction surgery I showed you was done by Chen Cang!"
I heard Sun Guangyu's words, everyone was a little bit confused.
"Is that a modified gastric anastomosis operation? What kind of stomach is formed?" Shi Wenyan of the Military Region General Hospital asked directly!
Sun Guangyu nodded: "That's right, it was the operation that made me formally recognize Chen Cang."
All of a sudden, everyone's eyes brightened, and they all looked forward to it.
A surgery can tell the clinical thinking and level of surgery of a surgeon.
他们 And that operation, in their view, is the iconic operation of Chen Cang, which is enough to explain a lot of things.
However, the situation of Mr. Bu at this time really made everyone worry.
At the age of over ninety, he had acquired such a troublesome disease.
的 Crohn's disease caused by intestinal obstruction.
What is Crohn's disease?
Crohn's disease is a gastrointestinal granulomatous inflammatory disease of unknown etiology.
This is hard to understand. In fact, Crohn's disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease.
I just have an unknown cause ...
But the treatment method is mainly to resolve the current symptoms.
He said again, Mr. Bu Lao is over 90 years old this year, and can't afford too much toss.
Fortunately, Crohn's symptoms were not obvious. Mr. Bu's performance was intestinal obstruction.
What is the main purpose of the current surgery?
First: Treat intestinal obstruction!
Second: clean up the pancreas!
Third: clean up the gastrointestinal tract and pancreas tissue with obvious adhesion in the abdominal cavity.
Fourth: reconstruction of digestive tract.
Each step does not seem difficult, but once combined, reconstruction of the digestive tract becomes more difficult.
The biliary tract needs to be treated, the colon obstruction needs to be removed, and although the pancreas does not need to be completely removed, the pancreaticojejunostomy needs to be performed again after cleaning.
Everyone stared at the abdomen tightly, thinking.
After a while, Chen Cang entered the operating room.
Seeing Chen Cang's arrival, Sun Guangyu looked happy: "Here!"
Nurse Yun waited for a long time. After putting on the surgical gown to Chen Cang, Chen Cang came over.
After seeing the abdomen, she suddenly widened her eyes.
This……
I'm a bit bad.
沧 Cang Cang couldn't help but said, "Crohn's disease intestinal obstruction?"
Chen Cang blurted out, so that everyone was a little more appreciation, a little level.
But after Chen Cang watched, he frowned.
Because, the system told him that the patient's abdominal cavity was a boss nest, which was very difficult to mess with!
【Ding! The complicated abdominal cavity is comprehensively judged as the lv88-class king-level boss. The patient is an elderly male with more basic diseases and Crohn's disease intestinal obstruction ... Please repair the abdominal cavity and reconstruct the digestive tract! 】
沧 Chen Cang sighed, and judged as the 88th-level king boss.
This is really difficult!
This is the boss with the highest level that Chen Cang has encountered so far. If it is in the game, he will definitely be there.
To be precise, he died of an unknown AOE!
I looked at the adhesion in the abdominal cavity, Chen Cang understood.
Colonary obstruction is mainly caused by abscess, and pus is caused by pus adhesions in the abdominal cavity, pancreatic edema and inflammation, and major gastric resection. How to reconstruct the digestive tract?
应该 What should I do now!
Sun Guangyu glanced at the attending doctor: "Introduce medical records."
沧 Cang Cang listened to the case and looked down into the abdominal cavity. A four-dimensional model diagram began to appear, simulating what the surgery should be done for a while.
After a while.
"啧!"
Chen Cang instinctively worried.
It is very difficult to clean up the adhesion of the abdominal cavity, and it needs to be separated. After a while, anastomosis of the colon is needed. It is really a headache.
Pancreatectomy?
I cut the trouble, not more trouble.
After a while, Chen Cang looked at Sun Guangyu aside: "Director Sun, what do you think?"
Sun Guangyu frowned: "We didn't think of such a scene before we opened the abdomen. What we wanted to do was laparoscopic surgery, but immediately after looking down the mirror, I saw the bad situation in the abdominal cavity, and quickly turned to open abdomen."
其实 "In fact, the most difficult thing now is to reconstruct the digestive tract. How will the pancreas choose after a colon resection?"
"Pancreaticoduodenectomy must be done, but the key now is that gastroduodenal surgery has to be re-selected. How can we reconstruct the digestive tract!"
Shi Wenyan nodded and said, "My idea is to perform a direct pancreaticoduodenectomy to reconstruct the digestive tract of the stomach, jejunum, and pancreas."
Having said that, Shi Wenyan glanced at Chen Cang: "Dr. Chen, look, is it possible to form a stomach-like arc here, and then ~ www.novelhall.com ~ we will do pancreaticoduodenectomy, and then perform pancreas and intestines Anastomosis or pancreatic stomach anastomosis. "
Sun Guangyu shook his head directly: "No! After the formation of a gastric-like arc, it is not conducive to gastric emptying. After the pancreaticogastric anastomosis, the biggest adverse reaction is the gastric emptying disorder. In this way, it is undoubtedly aggravated. It is very difficult for later recovery . "
沧 Cang Cang understood, now it is a comprehensive issue.
That's how the stomach, pancreas and jejunum form a good anastomosis to rebuild the digestive tract!
I think Crohn's disease is not the most important thing.
Resection of the colonic obstruction does not affect the patient's recovery.
Thinking of this, Chen Cang glanced at the reward he just got:
[Raise a skill to perfection! 】
Cang Cang smiled bitterly, brother, I must use you today!
Sun Guangyu glanced at the nurse: "Call Chen Cang and see where you are."Nurse Nod nodded, picked up her cell phone, and dialed Chen Cang.It didn't take long for the phone to connect: "Director Sun, I just parked the car and passed right away!"When Sun Guangyu heard it, he immediately looked happy: "Okay!"I hanged the arc, Sun Guangyu looked at the directors around him and couldn't help but say:"Everyone waits a little while, Dr. Chen is very thoughtful about the reconstruction of the digestive tract! We don't have any clue now, one more person, one more strength.""Mr. Bu's current situation, everyone also saw the difficulty of the operation, the most important thing is that it is difficult to restore digestive function after surgery.""I think we should still do our best to keep Mr. Bu Lao's digestive function and improve his quality of life as much as possible."Sun Guangyu's words are very reasonable. How to improve the quality of life of the elderly is the most important thing.At the age of ninety-three years old, no one can guarantee how long to live with so many basic diseases.Everyone looked at Sun Guangyu, nodded, and said nothing.After all, Sun Guangyu is the chief doctor, and eventually he still needs to listen to him.In fact, on the operating room platform, they are like reinforcements, and the general in the army is still Sun Guangyu, and his decision-making power is ultimately his.After thinking of Chen Cang, Sun Guangyu was relieved: "Actually, the last gastric resection and esophageal reconstruction surgery I showed you was done by Chen Cang!"I heard Sun Guangyu's words, everyone was a little bit confused."Is that a modified gastric anastomosis operation? What kind of stomach is formed?" Shi Wenyan of the Military Region General Hospital asked directly!Sun Guangyu nodded: "That's right, it was the operation that made me formally recognize Chen Cang."All of a sudden, everyone's eyes brightened, and they all looked forward to it.A surgery can tell the clinical thinking and level of surgery of a surgeon. And that operation, in their view, is the iconic operation of Chen Cang, which is enough to explain a lot of things.However, the situation of Mr. Bu at this time really made everyone worry.At the age of over ninety, he had acquired such a troublesome disease. Crohn's disease caused by intestinal obstruction.What is Crohn's disease?Crohn's disease is a gastrointestinal granulomatous inflammatory disease of unknown etiology.This is hard to understand. In fact, Crohn's disease and ulcerative colitis can be collectively referred to as inflammatory bowel disease.I just have an unknown cause ...But the treatment method is mainly to resolve the current symptoms.He said again, Mr. Bu Lao is over 90 years old this year, and can't afford too much toss.Fortunately, Crohn's symptoms were not obvious. Mr. Bu's performance was intestinal obstruction.What is the main purpose of the current surgery?First: Treat intestinal obstruction!Second: clean up the pancreas!Third: clean up the gastrointestinal tract and pancreas tissue with obvious adhesion in the abdominal cavity.Fourth: reconstruction of digestive tract.Each step does not seem difficult, but once combined, reconstruction of the digestive tract becomes more difficult.The biliary tract needs to be treated, the colon obstruction needs to be removed, and although the pancreas does not need to be completely removed, the pancreaticojejunostomy needs to be performed again after cleaning.Everyone stared at the abdomen tightly, thinking.After a while, Chen Cang entered the operating room.Seeing Chen Cang's arrival, Sun Guangyu looked happy: "Here!"Nurse Yun waited for a long time. After putting on the surgical gown to Chen Cang, Chen Cang came over.After seeing the abdomen, she suddenly widened her eyes.ThisI'm a bit bad. Cang Cang couldn't help but said, "Crohn's disease intestinal obstruction?"Chen Cang blurted out, so that everyone was a little more appreciation, a little level.But after Chen Cang watched, he frowned.Because, the system told him that the patient's abdominal cavity was a boss nest, which was very difficult to mess with!Ding! The complicated abdominal cavity is comprehensively judged as the lv88-class king-level boss. The patient is an elderly male with more basic diseases and Crohn's disease intestinal obstruction ... Please repair the abdominal cavity and reconstruct the digestive tract! Chen Cang sighed, and judged as the 88th-level king boss.This is really difficult!This is the boss with the highest level that Chen Cang has encountered so far. If it is in the game, he will definitely be there.To be precise, he died of an unknown AOE!I looked at the adhesion in the abdominal cavity, Chen Cang understood.Colonary obstruction is mainly caused by abscess, and pus is caused by pus adhesions in the abdominal cavity, pancreatic edema and inflammation, and major gastric resection. How to reconstruct the digestive tract? What should I do now!Sun Guangyu glanced at the attending doctor: "Introduce medical records." Cang Cang listened to the case and looked down into the abdominal cavity. A four-dimensional model diagram began to appear, simulating what the surgery should be done for a while.After a while."!"Chen Cang instinctively worried.It is very difficult to clean up the adhesion of the abdominal cavity, and it needs to be separated. After a while, anastomosis of the colon is needed. It is really a headache.Pancreatectomy?I cut the trouble, not more trouble.After a while, Chen Cang looked at Sun Guangyu aside: "Director Sun, what do you think?"Sun Guangyu frowned: "We didn't think of such a scene before we opened the abdomen. What we wanted to do was laparoscopic surgery, but immediately after looking down the mirror, I saw the bad situation in the abdominal cavity, and quickly turned to open abdomen." "In fact, the most difficult thing now is to reconstruct the digestive tract. How will the pancreas choose after a colon resection?""Pancreaticoduodenectomy must be done, but the key now is that gastroduodenal surgery has to be re-selected. How can we reconstruct the digestive tract!"Shi Wenyan nodded and said, "My idea is to perform a direct pancreaticoduodenectomy to reconstruct the digestive tract of the stomach, jejunum, and pancreas."Having said that, Shi Wenyan glanced at Chen Cang: "Dr. Chen, look, is it possible to form a stomach-like arc here, and then ~ www.novelhall.com ~ we will do pancreaticoduodenectomy, and then perform pancreas and intestines Anastomosis or pancreatic stomach anastomosis. "Sun Guangyu shook his head directly: "No! After the formation of a gastric-like arc, it is not conducive to gastric emptying. After the pancreaticogastric anastomosis, the biggest adverse reaction is the gastric emptying disorder. In this way, it is undoubtedly aggravated. It is very difficult for later recovery . " Cang Cang understood, now it is a comprehensive issue.That's how the stomach, pancreas and jejunum form a good anastomosis to rebuild the digestive tract!I think Crohn's disease is not the most important thing.Resection of the colonic obstruction does not affect the patient's recovery.Thinking of this, Chen Cang glanced at the reward he just got:Raise a skill to perfection! Cang Cang smiled bitterly, brother, I must use you today!
