Chapter 104 The Lord Explodes! (For the First Order)

After the activation of the famous teacher's guidance, a huge change took place in front of Chen Cang's eyes!

A lot of prompts began to appear on the transparent virtual screen in front of you!

There is even a beeping sound!

"Famous teacher guidance mode is on! Detected: This patient is Mirrizi syndrome!"

"The surgical procedure is as follows: first, the gallbladder is incised at the Hartmann's pocket, the bile is sucked out, and the incarcerated stones are removed..."

"Do you want to start the action demonstration?"

Chen Cang was stunned!

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

So miraculous?

This is the [Famous Teacher Guidance]!

Is it too strong?

At this time, Zhou Xiaodong and Qin Yue around them stared at the terrible abdominal gallbladder on the TV that they didn't know what to do.

Because no one has ever seen anything like this before!

What is this?

Zhou Xiaodong is even more helpless, who knows how a chronic cholecystitis can evolve into such a thing!

Qin Yue couldn't help but ask: "Chen Cang, you know What kind of patient is this? What kind of disease is this?"

Chen Cang sighed and looked up at the two of them: "I'm afraid we're in trouble, this is a rare and difficult gallbladder complication: called Mirrizi syndrome, this kind of patient can't find anything abnormal before surgery, It is not much different from ordinary chronic cholecystitis and cholelithiasis, and even... not as obvious as those!"

As soon as these words came out, the two were stunned.

If you don't say anything else, just say that English letter, it feels a little bit powerful.

Zhou Xiaodong suddenly realized that he had heard of this thing: "Is this Mirrizi syndrome?"

But Zhou Xiaodong only vaguely remembered that when he was in school, his tutor Qian Liang said 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 but ask, "what is this?"

Chen Cang nodded lightly: "This is a rare disease, an extremely rare complication of chronic cholecystitis and cholelithiasis, and a syndrome!"

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

"This disease is relatively rare in clinic. The pathological basis is cystic duct or cervical stone incarceration and inflammation, and patients often have a protracted medical history."

"Large stones that continue to incarcerate and compress the ampulla and neck of the gallbladder can cause common hepatic duct stenosis or gallbladder fistula, as well as recurrent cholecystitis and obstructive jaundice."

As soon as Chen Cang finished speaking, Zhou Xiaodong nodded quickly: "That's right! The patient does have long-term recurrent cholecystitis, and liver function shows that serum bilirubin is significantly elevated, and even ALT and ALP are significantly elevated!"

For a time, Chen Cang's status in the hearts of the two increased significantly, and even the equipment nurse was dumbfounded.

This is a master!

Absolute master!

At a glance, you can see at a glance what kind of disease it is.

It is obvious, will you do it?

Chen Cang had watched the demonstration several times at this time, and he knew it by heart. He said to the two of them: "Doctor Zhou, you help me hold the mirror, I'll do the surgery, let's start, the patient can't keep dragging on like this!"

Zhou Xiaodong nodded quickly!

It would be great if Chen Cang could do it...

The feeling of despair just now was terrifying.

but……

Will Chen Cang meet?

Zhou Xiaodong was a little terrified himself: "This... can you... do it?"

"It's Mirrizzi Syndrome!"

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

It's definitely not that easy.

Chen Cang turned around: "Is there any other way?"

One sentence made Zhou Xiaodong dumbfounded.

Yup?

Is there any other way?

However, Zhou Xiaodong still reminded: "Can you do it? If you can't do it, you should find someone else. If there is an accident, you...you can't afford it!"

Hearing Zhou Xiaodong say this, Chen Cang couldn't help but smile: "Don't worry, I can do it!"

Chen Cang looked at the complicated abdominal cavity, and if there was no [famed teacher guidance], he would be absolutely overwhelmed with shaking hands!

The first thing to do is to separate the bad gallbladder triangle. At this time, the Calot triangle is edema, tissue fibrosis, and the cystic duct is thickened and easy to bleed. In this case, most people cannot dissect the cystic duct, cystic artery and common bile duct. boundary.

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

If it causes bleeding, that's a big problem.

Zhou Xiaodong asked cautiously: "Can this gallbladder triangle be separated? No...I..."

Chen Cang shook his head and said directly, "Give me an electric hook!"

Zhou Xiaodong was uneasy, with some doubts and some anticipation. After struggling, he handed the electric hook to Chen Cang.

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

"Give me the attractor!"

Chen Cang pushed and scraped with the suction device. At this time, the cystic duct, cystic artery, and common hepatic duct were still very blurred and could not be seen clearly!

Chen Cang's set of operations is already very difficult. After working hard 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 he doesn't say anything, but he is also secretly flustered, this gallbladder triangle is too bad, it is not difficult to separate!

It's not necessarily the group of teachers from the Second Affiliated School of Xiangya, right?

Is this Chen Cang too reckless?

Dare to accept this kind of surgery booth!

Isn't this looking for something for yourself?

Chen Cang did not lose heart, instead he had an idea, picked up the electric hook, started from the liver bed, and took the lead in freeing the gallbladder!

Then continue to dissect in the direction of the triangular area. After dissociating the gallbladder from the liver bed, carefully handle the cystic duct and cystic artery in the triangle.

Zhou Xiaodong felt a little flustered at this time, and even the hand holding the mirror began to sweat!

Too dangerous……

Zhou Xiaodong couldn't help but turn around and look at Chen Cang, seeing that he didn't seem flustered at all.

The movements are very light and just right to push, move, condense, and leave!

The method is very clever.

Zhou Xiaodong was amazed when he saw it...

finally!

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

It worked!

The gallbladder triangle is separated, and the operation is actually half completed!

too difficult!

Zhou Xiaodong looked up at Chen Cang, his eyes were full of incredible.

Can this be separated?

Too strong!

Zhou Xiaodong stared at Chen Cang, who was meticulous and continued to start the next operation, and he was a little wrong.

Because... At this time, Chen Cang seemed to be the director, whether it was the nurse, Zhou Xiaodong or even Qin Yue, all of them were stunned by Chen Cang's calm and relaxed attitude!

Qin Yue's big eyes blinked, and his eyes flashed and flashed: Chen Cang Niu (broken sound)!

This process seems simple, but it is actually extremely cumbersome. Every step of Chen Cang's movements is very jerky. If it wasn't for the constant prompting of the system, he would not be able to do it at all.

This gallbladder is a 45-level lord monster, and he is just a 15-level resident doctor, how can it be so easy!

This is not a heavyweight at all, and a little carelessness may lead to re-injury of the patient.

Mirrizi syndrome can't be handled by ordinary doctors in tertiary hospitals at all, at least it must be handled by Zhang Youfu.

Next, is the most important work!

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

Then remove the incarcerated stone!

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

Seeing that the stone was taken out, Zhou Xiaodong finally entered his stomach with a thumping heart.

The next step is to remove the gallbladder. When dissecting to the right side of the common hepatic duct, if the Hartmann's bag is densely adhered to the right wall of the common hepatic duct, the gallbladder wall is preserved here, and the gallbladder mucosa is electrocoagulated...

The operation was carried out in an orderly manner, the hardest hurdle has been passed, and the follow-up work is already very simple!

【Ding! Congratulations, you beat the level 45 lord gallbladder monster! Gain experience +3000; Cholecystectomy experience +5000 (upgrade to master can continue to upgrade); obtain RMB +3000; obtain: a pair of Stern gloves. 】

【Ding! Congratulations on reaching level 16! Get skill points +1! 】

【Ding! Congratulations on reaching level 17! Get skill points +1! 】

Chen Cang was dumbfounded and gave birth to two grades at once.

The main reason is that my level is about to increase, and this 3000 experience has directly raised me to level 17!

There are now 7 skill points.

Surgery is over!

Unsurprisingly.

Zhou Xiaodong suddenly seemed to collapse, this feeling of the rest of his life made him really not know what to say!

Thousands of words can't express the excitement in his heart!

Without Chen Cang, it would be hard for him to imagine what the consequences would be like?

The patient is more fortunate and less fortunate, and he must bear the responsibility, or even bear it for a lifetime!

【Ding! Zhou Xiaodong's favorability rating +20! 】

Raising his head and looking at Chen Cang, Zhou Xiaodong held Chen Cang's hand with both hands, stared at Chen Cang meticulously, and said sincerely, "Doctor Chen! Thank you, really! You saved the patient, and you saved me, save me. I am very grateful for this time, I don’t say thank you so much, and if you need my help in the future, feel free to speak up!”

Fortunately, Zhou Xiaodong is literate, and Balabala has said a lot. If this is for Sister Xiao, a straightforward rebirth parent will directly finish the matter!

Chen Cang smiled: "It's okay, everyone is a colleague, hurry up and wash up and get off work!"

It's already 1 o'clock in the morning, if it wasn't for the excitement of this operation, several people would have been sleepy already!