Chen Cang had just arrived at the operating room. The nurse had been waiting for a long time. She washed her hands in a hurry. The nurse had prepared her clothes and stood at the door. Wait for Chen Cang to come in and change her clothes quickly!

    When they saw the arrival of Chen Cang, their eyes lit up!

    "Xiao Chen, come on, director Zhang can''t hold on."

    Chen Cang looked up and saw that Zhang Youfu''s upper limbs were trembling, and his sweat was soaked through the surgical cap and mask!

    Chen Cang hurried forward and saw the scene on the big screen!

    Chen Cang''s heart sank to the bottom of the valley!

    The adhesion of the intestinal wall must be separated. Otherwise, the duodenum affects the gallbladder triangle. Don''t cause rupture of the hepatic artery after operation. There will be a big problem with massive bleeding at that time!

    Compared with postoperative bleeding, there is at least a little room for relaxation!

    "Xiao Chen, suture the intestinal wall."

    Chen Cang turned around and took the suture handed over by Zhang Zhixin. He was about to sew!

    Chen Cang''s intestinal suture technology is good, but he still has some worries in this situation.

    Take a deep breath, pick up the needle holder and look at the information from the endoscope. Chen Cang finally finds out why Zhang Youfu doesn''t dare to move!

    Because the 5-6cm long internal fistula is nearby, if Zhang Youfu does not block it, the contents may leak out.

    Cleaning up the contents is not terrible, but if you clean up the contents in such a complex internal environment, it will cause many serious things, which is the most terrible!

    Zhang Youfu was aware of this and was afraid to move with his instruments.

    Sew!

    Chen Cang held his breath, held the needle forceps carefully, shuttled back and forth needle by needle, and carefully sutured the trembling intestinal wall.

    Chen Cang''s skill of endoscopic suture is very good, whether it is intestinal suture or endoscopic vascular suture!

    The operation proceeded slowly, and Chen Cang was not careless at all.

    Chen Cang can already feel Zhang Youfu''s arms trembling, but he still carefully controls it. This action is very physical. Someone must say why you can''t change someone.

    Because the operation under the endoscope was troublesome, there was a big problem when changing hands. If Zhang Youfu couldn''t wait for Chen Cang, he would certainly change people to take the equipment and sew himself.

    Fortunately! Wait for Chen Cang!

    As time went by, everyone stared carefully at the screen and dared not take a breath!

    Finally, after Chen Cang finished stitching, Zhang Youfu carefully withdrew the equipment, and the whole person sat limply aside.

    Seeing this, Chen Cang said in a deep voice, "director Zhang, take a break first. I''ll come!"

    Chen Cang has a master cholecystectomy, but he can''t be careless in the face of this situation. The only thing to rely on is the guidance of a famous teacher with less than three hours left at this time.

    After endoscopic exploration, Chen Cang suddenly changed his face!

    [icteric cholecystitis with adhesive intestinal obstruction, lv55, King level monster!]

    King level monster!

    Chen Cang was both sad and happy.

    Fortunately, if you cut the gallbladder, your transfer task will be successfully completed, which may bring unexpected rewards. Moreover, Wang LVYE''s strange explosion is a very wonderful thing.

    But this also means that the operation is too difficult. Can you complete it yourself?

    Take your time!

    Chen Cang took the separator and began to take over Zhang Youfu''s work.

    Although the experience is not as rich as Zhang Youfu, Chen Cang''s technique is very delicate. He can''t come several times at a time. In this way, time passes minute by minute.

    Chen Cang finally separated the duodenum and gallbladder triangle, but the most serious thing at this time is not to bleed!

    The guidance of famous teachers suggests that if the hepatic arteries adhere together, they must not continue to separate. What needs to be done is ligation and intussusception suture.

    Chen Cang looked up and said to Zhang Zhixin, "teacher Zhang, help me ligate the hepatic artery."

    Zhang Youfu was stunned and hurriedly got up: "Xiao Chen, don''t worry. The patient has portal hypertension, low blood coagulation, and bleeding is a big problem!"

    Chen Cang nodded: "director Zhang, take a break and give it to me here."

    After this sentence came out, everyone felt very surprised.

    After all, Chen Cang is a young doctor in his twenties and eighties, and no one present is more experienced than him!

    However, this sentence from Chen Cang''s mouth is very frightening and convincing.

    At this time, Duan Bo''s heart is very complex. He can''t imagine that Chen Cang, an emergency inpatient who encouraged him to laugh, appears here at this critical juncture.

    Now duanbo is a vice-high, a person with relatively high technical level in general surgery, but under this scene, he is like a wooden stake and has nothing to do there.

    Chen Cang just turned around and looked up at Duan Bo: "excuse me."

    Duan Bo was stunned, his face turned red, and hurriedly took a step back.

    Zhang Youfu scolded, "Duan Bo, stay away if you don''t do it!"

    With these words, Duan Bo was almost ashamed.

    Everyone watched Chen Cang''s operation on the TV screen.

    After Chen Cang was ready, he glanced at Zhang Zhixin: "ligation!"

    Zhang Zhixin nodded and stopped bleeding with instant hemostatic forceps!

    At this time, the time is urgent, because the patient has portal hypertension, and the ligation time is very limited!

    Chen Cang started decisively, cut off the adhesive blood vessels, and then quickly overlapped and sutured!

    Chen Cang''s sewing speed can be said to have once again convinced every director and Dean present.

    It was an open suture at the beginning, and everyone thought it was acceptable.

    However, this endoscopic vascular suture is very demanding for the operator. Without excellent and powerful suture technology, it can''t do this work at all!

    The No. 5 proline line goes up and down, shuttling around the blood vessels like a butterfly, just two minutes, and the suture is completed!

    Chen Cang hurriedly said, "loosen!"

    Zhang Zhixin''s hands were sweating. He quickly loosened the hemostatic forceps at both ends, and the blood supply was normal again.

    To solve the problem of severe adhesion through vascular intussusception suture is simply a miracle idea of genius!

    Zhang Youfu is also a bright spot!

    If this operation is done well, you can get the award at this year''s annual meeting of hepatobiliary surgery!

    Thinking of this, Zhang Youfu looked at Chen Cang and his face was full of appreciation!

    After all, to think of such a method to solve adhesion, separate blood vessels and free the gallbladder triangle requires not only the idea of genius, but also the operation based on genius!

    Such as excellent separation technology!

    Decisive and rapid endoscopic vascular intussusception suture technology!

    Every one is indispensable!

    This is a talent!

    If you want to come to general surgery, Zhang Youfu is willing to give it to his deputy director!

    Yes, a 27 year old resident doctor is willing to be the deputy director.

    Of course, he also knows that his love is useless. Tan Liguo is willing to do it.

    After separation, the operation suddenly became clear!

    Separate the gallbladder triangle, remove the gallbladder and remove the excess stones

    The operation is about to succeed!

    Thinking of the harvest, Chen Cang was very excited!

    PS: update three chapters first. There are five chapters at 12 noon tomorrow. (because I haven''t finished writing, I stay up late and work overtime tonight... Hoo, I have to pay the bill for the next days. At present, I owe the alliance leader 3 chapters, silver 20 chapters and monthly ticket 2 chapters, totaling 25 chapters. In the next few days, I start at 8:00 every day!)

    The toilet broke in the evening. I went to repair it. I looked confused. The more I repaired it, the worse it became. It took me all afternoon.