Chapter 10 Triggering Intermediate Missions

Today's operation is a subtotal gastrectomy. Chen Bingsheng did not do it alone, but Zhang Zhixin, an attending physician in general surgery, was invited.

Zhang Zhixin and Chen Bingsheng are old classmates. After graduation, they came to the Second Provincial Hospital together, but one went to the general surgery department and the other stayed in the emergency room.

However, this does not affect the cooperation between the two, and they often invite each other to participate in surgery.

First, it is because emergency surgery is relatively complicated, and everything is done, but it is difficult for one person to complete the operation of the general surgery system, so doctors from other departments have to be invited to complete it.

That's the case with today's surgery.

The surgery today is a subtotal gastrectomy, also known as a subtotal gastrectomy.

Subtotal gastrectomy is not as simple as removal, it is very different from appendectomy.

There are three main steps!

The first is to free the greater and lesser curvatures of the stomach.

The second is to cut the duodenum first and then the stomach.

The last is gastrointestinal reconstruction.

Of course, it is definitely more difficult to do than to say.

Chen Cang's main job as a chicken is also very clear!

Tie the hook to stop bleeding;

Slip and beat the horse, clean up the equipment.

Yo! rhymed.

Hey... The old man must be a poet who was delayed by medicine.

After all, countless vivid examples such as Lu Xun, Guo Moruo, Yu Dafu, Ms. Bing Xin, Ms. Bi Shumin, and Chekov tell us that if you cannot study medicine, you can switch to literature.

After all, the ancestors also said a word: Xiucai learn medicine, catch chickens in the cage!

The reverse should be about the same.

I really have limited talent, otherwise I would definitely go to work for Luo Dayou, Fei Xiang, Wang Leehom, Mao Buyi and others. These are all advanced representatives who abandoned medicine to pursue art after graduating from medical school.

Hey……

It seems that medical students are geniuses.

Zhang Zhixin studied general surgery, but halfway through the ordination, he got a cosmetic doctor certificate. It is said that he opened a plastic surgery studio in partnership with others. Usually, he mainly stabbed double eyelids, tattooed eyebrows, opened the corners of his eyes, and played hyaluronic acid. It is said that the daily progress is made of gold!

Surgery is about to begin.

Chen Cang didn't understand this kind of surgery very well, so he could only study silently on the sidelines.

And the heart is staring at Zhang Zhixin with sparkling eyes that can talk!

Not because of anything else!

I just want to get some skills...

[Rookie in the operating room: There is a 1% probability of learning the skills of others! 】

Chen Cang felt that he should have a good relationship with Zhang Thigh, learn some medical and aesthetic techniques, and nothing else. In the future, he can cut his girlfriend's double eyelids without spending money!

Surgery has begun!

The first thing to do at this time is to open the abdomen to explore!

Following the opening in the midline of the upper abdomen, Chen Bingsheng took the lead.

After incision layer by layer, open the peritoneum and start exploring!

Chen Bingsheng watched carefully, while Zhang Zhixin helped.

Chen Bingsheng: "No ascites, no abnormality in liver, gallbladder, pancreas, spleen, small intestine and colon!"

"Stomach wall is smooth, mild edema, gastric body is significantly enlarged, lymph nodes around the stomach are not enlarged, there is a 2 x 1 x 0.5 cm ulcer near the lesser curvature of the stomach, the texture is slightly hard, and it is slightly adhered to the gallbladder, and local scarring is formed. Pyloric canal stenosis caused by traction and contracture The inner diameter of the pyloric canal is about 0.5 cm, the length of the stenosis is 2 cm, and the duodenum is involved. The intraoperative diagnosis is pyloric canal ulcer caused by pyloric insufficiency and obstruction, and most of the gastrectomy is completed with type II anastomosis. !"

Zhang Zhixin nodded: "Okay!"

Chen Cang: "Boss Chen is awesome!"

Nurse Qin Lele: ...

Nurse B:  …

Chen Bingsheng's professionalism is still very strong, and this type of surgery is often performed, so naturally there will not be too much pressure.

However, he still glared at Chen Cang: "I won't be called Doctor Zhang next time, you can fight me, this time you can be optimistic."

Zhang Zhixin sighed: "You think I've split the money, don't you? Ha! Man!"

In fact, the operating room is really not as serious as imagined, and there are often some jokes that flow out from time to time.

And, as a closed environment, the operating room is always a gathering place for gossip news!

The gynecological operating room is also known as the king of gossip in the hospital!

It is unclear whose children belong to which family, and whose doctors and nurses are unclear, and it is even unclear to such and such leaders and such and such employees.

…………

Just now, Chen Cang really felt that Boss Chen was so arrogant. A series of professional terms came out of his mouth, which was more than a little higher!

but……

In Chen Cang's eyes, it is a different state. If Chen Cang was talking just now, it might be like this:

"[Liver], [Gallbladder], [Pancreas], [Spleen], [Small Intestine] are green without abnormality, [Stomach] is a red name strange, and the cause of the red name is found in the lower part of the greater curvature of the stomach! [Pyloric insufficiency obstruction caused by pyloric canal ulcer: lv39 pyloric ulcer obstruction monster, common monster, features: slight adhesion of ulcer and gallbladder, local scar formation and traction, contracture caused pyloric canal stenosis, pyloric canal stenosis, and pyloric canal diameter reduction, involving the duodenum! Suggestion: resection! 】"

Tsk tsk, seeing the level 39 monsters active there, Chen Cang's eyes are full of excitement, after all, this is a high-level monster, rich experience!

Unfortunately, you can only see for yourself.

However, Chen Cang looked at it very seriously. Every operation is an opportunity to learn. Chen Cang will not give up such a good opportunity to learn.

The first is separation.

The stomach is not just hanging in the stomach like a light bulb.

There are all kinds of mesentery, ligaments, blood vessels, autonomic nerves, etc. around him. This way, the stomach is fixed in the abdominal cavity. Otherwise, if you take a few steps after eating, the stomach will sag.

The first thing to do is to separate the work, and it is also the work that embodies the most skill and patience.

Chen Bingsheng carefully lifted the stomach, cut the gastrocolic ligament in the avascular area slightly to the left of the greater curvature, and then freed and cut the gastrocolic ligament in the vascular arch along the greater curvature to the left...

The operation went very smoothly, and the collocation with Zhang Zhixin was more skillful.

...

After the operation, the instruments were cleaned and the abdomen was closed.

Chen Bingsheng got up directly and gave Chen Cang a look: "Sew."

Chen Cang sneered: Mortals, it's time to witness the miracle!

Today, let you see the progress of the old man.

Chen Cang picked up the suture needle, which had already been threaded by the nurse. Chen Cang picked up the needle and thread much more proficiently than yesterday. Moreover, the skin on the abdomen was already flat, and there were not so many twists and turns. Like flowers and butterflies, they keep going back and forth on their stomachs.

Indeed, after Chen Cang felt sharp +1, there was a clear difference.

After a while, the stitching was completed.

After Chen Bingsheng glanced at it, he couldn't help but stare at Chen Cang curiously: "Yes."

However, Zhang Zhixin smiled: "Xiao Chen, your hand is suitable for surgery! This suture is very good, but... it's still not enough. The talent is there, but it's almost technical."

Suddenly, Zhang Zhixin turned around and asked, "Xiao Chen, are you going to work tomorrow and the day after tomorrow?"

Chen Cang turned around and saw that the arrows on Zhang Zhixin's head were converging into a question mark!

Have a mission? !

【Ding! Your stitching has attracted the attention of intermediate NPCs, and you may get a quest after a detailed chat. 】

Voting can trigger tasks~~~