Duan Bo was stunned when he saw this scene.

    But Duan Bo and Guo Cheng are completely two kinds of people.

    When Guo Cheng asked Chen Cang for surgery, Chen Cang was basically doing it.

    Duan Bo is different. He has a lot of ideas. An appendectomy gives Chen Cang 2000 expert fees. He takes over and gives it away. He is warmly entertained, hoping to learn Chen Cang''s technology.

    Duan Bo has responsibilities and ideas. Now he is rich and powerful. What he thinks is to build the general surgery department of Lanxian people''s Hospital into a model department and make a name.

    At this time, after something happened, Duan Bo was not flustered, but very calm.

    He began to carefully look for the cecum through the tissue forceps, but at this time, there was an adhesion in the abdominal cavity, and he couldn''t see anything at all.

    Duan Bo hesitated: "expert Chen, in this case, can a small incision be handled?"

    Chen Cang was stunned. After hesitating, he walked over. Suddenly, the scene in front of him made him hesitate.

    The situation in the abdominal cavity is more serious. At this time, the difficulty of operation will increase, and most importantly, the appendix has not been found!

    What is this?

    Is it an ectopic appendix?

    Duan Bo said, "why don''t you open your stomach?"

    Chen Cang is not obsessed with small incision surgery. After all, patient safety is more important than anything. Even if Chen Cang doesn''t earn this money, he has to ensure the safety of patients!

    Of course, Chen Cang can also adhere to small incision surgery. According to Chen Cang''s technology, there should be no problem.

    Even after the general operation of dazzle technology is completed, you may gain a wave of emotion and shock.

    But Chen Cang didn''t want to pass on this impulse of adventure to these doctors.

    They don''t know much about small incision. In case of some emergencies, don''t have a big problem!

    Therefore, Chen Cang nodded decisively: "open operation! Let me come? The patient''s situation is some special. I think this operation is not very general."

    Duan Bo nodded and actively stepped aside. Chen Cang took the tissue forceps and suddenly frowned. How could there be so much pus in the abdominal cavity?

    The perfect appendectomy made Chen Cang know enough about the environment of the appendix in the abdominal cavity and all kinds of surrounding conditions.

    At this time, he thought of a very difficult appendectomy!

    Chen Cang said to Duan Bo, "help me pull the hook!"

    Duan Bo nodded quickly.

    Chen Cang continued to say to the doctor: "Doctor Yang, suck."

    The other party also started in a hurry.

    After the liquid was sucked away, Chen Cang picked up the tissue forceps and began to operate.

    Finally, the cecum was found in the right upper abdomen!

    Duan Bolton was stunned: "how did you get there?"

    The little doctor on one side also nodded: "ectopic will not go anywhere, will it?"

    Chen Cang turned to the nurse and said, "scalpel!"

    The nurse thought Chen Cang was going to have an open stomach and quickly handed over the knife!

    Chen Cang did not continue to expand the incision in the original place, but opened 5cm in the gallbladder area of the right upper abdomen!

    This wave looks silly

    "Expert Chen... Who are you?"

    Chen Cang not only didn''t expand the wound of the original part, but decided to change the place to open the mouth after the suction examination. Can this not make people curious?

    Instead of looking up, Chen Cang said as he cut: "This should be a very rare case, probably once in a lifetime. The patient itself is an ectopic appendix, which can be found through the cecum, but it can''t be operated, because the appendix system may have serious adhesion with the gallbladder triangle, liver, peritoneum and omentum. Once it is too strong, it is likely to damage the liver!"

    With that, the incision appears!

    After the opening, the scene in front of everyone took a breath.

    Chen Cang explained: "the patient should have had cholecystectomy, which caused complications and delayed healing, resulting in chronic adhesion. However, the patient itself is an ectopic appendix. In a series of reaction processes, adhesion occurred in the omentum, peritoneum, appendix system, gallbladder triangle and liver."

    After that, Chen Cang peeled off carefully!

    Chen Cang said and did: "if you guessed correctly, the patient''s appendix root should have formed gangrene, and there is an abscess around the appendix!"

    Most periappendiceal abscesses are wrapped by the surrounding tissues such as greater omentum, lateral peritoneum and small intestine after appendiceal gangrene and perforation.

    The scene in front of me is a mess. How can I operate?

    Duan Bo felt numb after seeing this scene.

    But Chen Cang received the system prompt!

    [Ding! Variant gangrene, perforated appendix with surrounding abscess, lv40, King level appendix monster! Characteristics: strong adhesion makes the appendix system closely connected with the gallbladder triangle and liver...]

    After seeing the prompt, Chen Cang couldn''t help being stunned for a while!

    King level?

    This may be the most rare appendectomy?

    Thinking of this, Chen Cang''s eyes brightened!

    What equipment will he have if he cuts it?

    Artifact?

    Or

    This is the first time Chen Cang has encountered this level of disease.

    Thinking of this, Chen cangyue wants to try!

    "Release pliers!"

    "Gauze!"

    "Tissue forceps!"

    "Tweezers..."

    ……

    The whole separation work is very complex, involving too many factors, damaging the gallbladder and bile duct, which may lead to more troublesome abdominal infection and liver injury!

    This means that the difficulty of this operation has increased geometrically!

    But Chen Cang''s hand is very stable, meticulous and accurate!

    Every step is careful.

    And Chen Cang is very patient.

    Mm by mm, take your time.

    The people around me are nervous. I dare not say more!

    Time goes by minute by second.

    Chen Cang gradually began to lose strength.

    More than an hour has passed since the operation.

    Such a high-intensity and high-precision operation is really energy-consuming.

    Not to mention Chen Cang, even director Duan, who is pulling the hook on one side, feels that he has a sour back and wants to stretch, but he is worried that he will affect Chen Cang''s operation.

    Just bite your teeth and continue to insist.

    This is a contest of physical strength.

    It is also a battlefield of patience and care.

    No smoke, no cry.

    The quiet on the operating table can make everyone feel their heartbeat.

    At this time, the patient took a breath: "doctor, i... feel a little pain..."

    Chen Cang immediately frowned!

    The anesthetic is over!

    Generally, appendectomy with open incision is local anesthesia, which uses intraspinal anesthesia. It belongs to local anesthesia in a broad sense. There will be perception during the operation, and there may be some discomfort or pain. If it is endoscopic surgery, it must be general anesthesia.

    General anesthesia is the most safe and reliable, and completely unconscious, very comfortable. But the cost is much higher.

    The anesthesiologist''s face changed: "the anesthetic may be too fast... Do you want to continue the anesthesia?"

    It must be unrealistic to continue anesthesia at this time, just a little.

    Chen Cang shook his head: "no!"

    pick up speed!

    At this time, Chen Cang''s hands operated steadily and flexibly. Doctor Yang looked stunned. This hand is not ordinary