After the famous teacher''s guidance was activated, great changes have taken place in Chen Cang''s eyes!

    In front of the transparent virtual screen began to appear a lot of tips!

    Even a hint sounded in my ear!

    "The famous teacher guidance mode is on! It is detected that the patient is mirrizi syndrome!"

    "The operation process is as follows: first cut the gallbladder at the Hartmann bag of the gallbladder, suck up the bile, and take out the incarcerated stone..."

    "Do you want to start the action demonstration?"

    Chen Cang was stunned!

    With the sound, a virtual picture began to operate the human body.

    So amazing?

    This is [famous teacher guidance]!

    Too strong?

    At this time, Zhou Xiaodong and Qin Yue stared at the terrible abdominal cavity and gallbladder on TV.

    Because we have never seen such a situation!

    What''s this?

    Zhou Xiaodong is even more helpless. Who knows how a chronic cholecystitis will evolve into such a thing!

    Qin Yue couldn''t help asking, "Chen Cang, do you know... What kind of patient is this? What kind of disease is this?"

    Chen Cang sighed and looked up at them: "I''m afraid we''re in trouble. This is a rare and difficult gallbladder complication: mirrizi syndrome. This patient can''t find any abnormalities before surgery. It''s not very different from ordinary chronic cholecystitis and cholelithiasis, and even... It''s not as obvious as those!"

    As soon as these words came out, they were stunned.

    Nothing else, just the English letter, I feel a little powerful.

    Zhou Xiaodong suddenly realized that he had heard of this thing: "this is mirrizi syndrome?"

    But Zhou Xiaodong only vaguely remembers that his mentor Qian Liang said at school that this disease is one of the most difficult cholecystectomy!

    Thinking of this, Zhou Xiaodong''s heart is half cold!

    Qin Yue couldn''t help asking, "what is this?"

    Chen Cang nodded lightly: "this is a rare disease. It is a rare complication in chronic cholecystitis and cholelithiasis. It is a syndrome!"

    "Mirrizzi syndrome refers to a clinical syndrome characterized by cholangitis and obstructive jaundice caused by common bile duct stenosis caused by common bile duct stones or stones in the neck of the gallbladder, which compress the common bile duct or common liver."

    "This disease is relatively rare clinically. The pathological basis is incarceration and inflammation of gallbladder duct or neck stones. Patients often have a prolonged history."

    "Continuous incarceration and compression of large stones in the ampulla and neck of the gallbladder can cause common hepatic duct stenosis or gallbladder bile duct fistula, as well as recurrent cholecystitis and obstructive jaundice."

    After Chen canggang finished, Zhou Xiaodong quickly nodded: "yes! The patient does have long-term recurrent cholecystitis, and liver function shows that serum bilirubin is significantly increased, even ALT and ALP are significantly increased!"

    For a time, Chen Cang''s position in the eyes of the two people increased significantly, and even the instrument nurses were dumbfounded.

    This is a master!

    Absolute master!

    At a glance, you can see what the disease is.

    I see. Can you do it?

    At this time, Chen Cang had seen the demonstration several times and was familiar with it. He said to the two people, "Dr. Zhou, help me with the mirror. I''ll have the operation. Let''s start. The patient can''t keep dragging!"

    Zhou Xiaodong nodded quickly!

    It would be great if Chen Cang could do it

    The despair just now was terrible.

    But

    Can Chen Cang?

    Zhou Xiaodong himself was a little timid: "can you... Do it?"

    "This is mirrizzi syndrome!"

    It''s not that he doesn''t believe Chen Cang, but that the operation is really dangerous and difficult!

    It''s definitely not that easy.

    Chen Cang turned around and said, "is there any other way?"

    One sentence made Zhou Xiaodong silly.

    Yeah?

    Is there any other way?

    But Zhou Xiaodong reminded: "can you do it? If you can''t do it, you''d better find someone. In case of an accident, you... You can''t afford it!"

    Hearing what Zhou Xiaodong said, Chen Cang couldn''t help laughing: "don''t worry, I can!"

    Chen Cang looked at the complex abdominal cavity. Without the guidance of a famous teacher, he was absolutely at a loss!

    The first thing to do is still to separate the poor gallbladder triangle. At this time, Calot triangle is edema, tissue fibrosis, thickening of gallbladder duct and easy to bleed. In this case, ordinary people can''t dissect the boundary between gallbladder duct, gallbladder artery and common bile duct.

    This is also the main reason why Zhou Xiaodong is afraid to do it!

    In case of bleeding, that''s a big problem.

    Zhou Xiaodong asked carefully, "can this gallbladder triangle be separated? No... I..."

    Chen Cang shook his head and said directly, "give me the electric hook!"

    Zhou Xiaodong was uneasy, some doubt and some expectation. He struggled and handed the electric hook to Chen Cang.

    Chen Cang took the electric hook and carefully opened the serosa of the anterior triangle and posterior triangle of the gallbladder for fear of damaging the cystic duct.

    "Give me the attractor!"

    Chen Cang pushed and scraped with an aspirator. At this time, the cystic duct, cystic artery and common hepatic duct are still very vague and can''t be seen clearly!

    Chen Cang''s operation has been very difficult. He worked hard carefully for a long time. Is there still no way?

    Zhou Xiaodong''s heart has sunk to the bottom of the sea, and Qin Yue''s eyes are fixed on the TV and doesn''t say anything, but she is also secretly flustered. This gallbladder triangle is too bad. It''s not generally difficult to separate!

    Not even the teachers of the Second Affiliated School of Xiangya, right?

    Is Chen Cang too reckless?

    Dare to take this kind of operation stand!

    Isn''t this for yourself?

    Chen Cang was not discouraged, but had an idea. He picked up the electric hook and took the lead in freeing the gallbladder from the liver bed!

    Then continue to dissect towards the triangle, free the gallbladder from the liver bed, and carefully deal with the cystic duct and cystic artery in the triangle.

    Zhou Xiaodong looked a little flustered at this time. Even his hand holding the mirror began to sweat!

    It''s too dangerous

    Zhou Xiaodong couldn''t help turning around and looking at Chen Cang. He seemed to be in no panic. The clouds were light and the wind was calm.

    The action is very light. One push, one dial, one condensation and one separation are just right!

    The technique is very clever.

    Zhou Xiaodong was amazed

    Finally!

    It took nearly 20 minutes to successfully free the gallbladder triangle!

    succeed!

    Separated the gallbladder triangle, the operation is actually half completed!

    it''s too hard!

    Zhou Xiaodong looked up at Chen Cang with incredible eyes.

    Can it all be separated?

    Too strong!

    Zhou Xiaodong stared at Chen Cang, who continued the next operation meticulously. He was even a little wrong.

    Because... At this time, Chen Cang seemed to be the incarnation of the director. Whether it was a nurse, Zhou Xiaodong or even Qin Yue, Chen Cang was restrained by the calm and carefree attitude of Chen Cang at this time, and everything was in his chest!

    Qin Yue''s big eyes blinked, and his eyes flashed and wrote: Chen cangniu force (broken sound)!

    This process seems simple, but in fact it is extremely cumbersome. Chen Cang''s actions at every step are very astringent. He can''t do it without the constant prompt of the system.

    This gallbladder is a level 45 Lord monster. I''m just a level 15 resident. It''s not that easy!

    This is not a heavyweight at all. A little carelessness may lead to the patient''s injury again.

    Mirrizi syndrome can''t be handled by ordinary doctors in general third class hospitals. At least it can be handled by Zhang Youfu.

    Next, is the most important work!

    Chen Cang first cut the gallbladder at the Hartmann bag of the gallbladder and sucked the bile.

    Then remove the embedded stone!

    The stone is very big, stuck in the neck, full 20mm!

    Seeing the stone taken out, Zhou Xiaodong finally had a plopping heart into his stomach.

    The next step is to remove the gallbladder. When dissecting to the right side of the common hepatic duct, if the Hartmann bag is tightly adhered to the right wall of the common hepatic duct, retain the gallbladder wall here and electrocoagulate the gallbladder mucosa

    The operation is carried out in an orderly manner. The most difficult level has been broken through, and the follow-up work has been very simple!

    [Ding! Congratulations, skipping the level to kill the level 45 Lord gallbladder monster! Gain experience + 3000; cholecystectomy experience + 5000 (you can continue to upgrade to a master); gain RMB + 3000; gain: a pair of stern gloves.]

    [Ding! Congratulations on your promotion to level 16! Gain skill points + 1!]

    [Ding! Congratulations on your promotion to level 17! Gain skill points + 1!]

    Chen Cang was foolish and gave birth to two levels at once.

    The main reason is that my level is about to improve. This 3000 experience has directly promoted me to level 17!

    Now there are 7 skill points.

    The operation is over!

    No danger.

    Zhou Xiaodong suddenly seemed to collapse. He really didn''t know what to say for the rest of his life!

    Thousands of words could not express the excitement in his heart!

    Without Chen Cang, it is hard for him to imagine the consequences?

    Patients have more or less misfortunes. They must bear the responsibility, even for a lifetime!

    [Ding! Zhou Xiaodong''s popularity + 20!]

    He raised his head and looked at Chen Cang. Zhou Xiaodong held Chen Cang''s hand in both hands, stared at Chen Cang meticulously, and said sincerely, "Dr. Chen! Thank you very much, really! You saved the patient, saved me, and saved my career. Thank you so much this time. I don''t thank you for your kindness. If you need my help in the future, just ask!"

    Fortunately, Zhou Xiaodong is literate. Balabalabala said a lot. If you give it to sister Xiao, a straight line to the reborn parents, you can finish it directly!

    Chen Cang smiled: "it''s all right. Everyone is a colleague. Hurry to wash and get off work!"

    At this time, it was already 1 o''clock in the morning. If this operation had not been too passionate, several people would have been very sleepy!