Chapter 1316 I Don't Have Time!

The operation has not yet started, but the knife in Chen Cang's hand has become the focus.

All eyes were on this seemingly ordinary scalpel.

I don't know why, today's knife is even dazzling!

The most difficult core operation of liver transplantation mainly consists of two steps.

Resection of the recipient's diseased liver is one of the most technically difficult parts of liver transplantation.

Because most patients requiring liver transplantation often have severe liver cirrhosis and portal hypertension, and have had a history of abdominal surgery for various reasons, including cholecystectomy, splenectomy, porto-cavitary shunt, etc., resulting in extensive intra-abdominal adhesions , often mixed with abundant collateral circulation, making the resection of the diseased liver more difficult.

Most of the liver that Wang Dong's operation has removed, naturally there is no way to keep the gallbladder, but this shows the skills of the chief surgeon.

That is whether the abdominal adhesion is serious!

When the patient's abdomen is incised, the abdominal organs are exposed.

Everyone looked at Wang Dong's abdominal cavity and couldn't help but sigh.

"What a clean abdominal cavity!"

Zhou Hongguang looked at Chen Cang: "What did you do?"

Chen Cang nodded.

Zhou Hongguang couldn't help but give a thumbs up: "It's amazing!"

"Why don't you come to be this academician, how about I don't do it?"

Chen Cang glanced at Zhou Hongguang and smiled: "I don't have time."

This sentence seems to be a joke, but everyone can't hear the meaning of the joke. Instead, they think... Chen Cang can't be serious, right?

He Zhiqian thinks it is possible!

Because Chen Cang is really busy, and when there is time for the selection of academicians, isn't he a good Nobel? Does the Lasker Prize in Medicine sound bad? It really doesn't work, isn't the Wu Jieping Medical Award uncomfortable?

Of course, a big man like Teacher Chen doesn't care about fame and fortune. It is estimated that there will be time to create a new technique?

Hey……

He is so busy!

When Zhou Hongguang saw this, he smiled awkwardly, but his heart was also touched.

And Liao Jia shook her head, she felt that Chen Cang was bragging.

Who doesn't want to be an academician?

Lifetime Honors, Academic Hall of Fame, who doesn't want to be in.

However, Chen Cang ignored the fact that academicians were not academicians.

The most important thing now is to complete such an operation.

The absence of adhesions in the abdominal cavity does not mean the surgery is easy!

Most of Wang Dong's liver disappeared, his liver function was abnormal, and his coagulation mechanism was also disordered.

Therefore, it is likely to face a problem: increased bleeding in the book!

Therefore, intraoperative bleeding should be adequately estimated, all vessels encountered should be properly ligated, and bleeding should be carefully stopped.

Evaluation and emergency response are very demanding for the chief surgeon!

At this time, everyone remembered that Chen Cang had warmed up his blood before.

Chen Cang has already calculated it before he arrives?

At this moment, everyone was stunned!

The operation has not yet started, but Chen Cang has already given enough shock.

detail!

It's all about the details!

Liao Jia couldn't feel it yet.

But Zhou Hongguang couldn't help but sigh.

To the high depths, it is all a small effort.

A major operation like a liver transplant has to start from the details.

"Build Vein - Vein Circulation!"

When everyone was thinking, Chen Cang said to Zhou Hongguang.

Vein-vein circulation is very important, and Chen Cang cannot take care of it. He must have someone who is at the same level or even higher than him to work together.

This is also the purpose of his invitation to Zhou Hongguang.

It's hard to train an assistant!

And to be honest, no one in this society really wants to be an assistant all the time.

So cooperation is the best form.

This is why Chen Cang has never formed a team.

The boss didn't want to come.

It is very difficult to train new people.

Ordinary directors think qualitatively, and they are not at home.

Instead of this, it is better to find some directors who are comrades in Taoism, and someone will help you when you encounter a dangerous operation.

During liver transplantation, the portal vein and inferior vena cava need to be blocked. As a result, blood from the gastrointestinal tract and lower body cannot return to the heart at all. When blocked, less than half of the blood returns to the heart.

As a result, the patient suffers from severe congestion of organs during the anhepatic period and increases portal hypertension.

The consequence is that the venous pressure rises and the coagulation disorder in the abdominal cavity, once hemorrhages, the consequences are unimaginable!

Even the metabolites that accumulate during the liverless period will enter the circulation once liver transplantation is completed, resulting in metabolic acidosis!

The fatality rate has greatly increased!

So this step must be handled.

Three veins were selected for extracorporeal flow, the great saphenous vein, the portal vein, and the vena cava.

During the treatment, Liao Jia suddenly found that these intrahepatic blood vessels did not seem to have any traces of suture!

But... the cut marks of the liver are very obvious.

Liao Jia suddenly exclaimed:

"How is this done?"

Even Liao Jia can find it, let alone Zhou Hongguang.

He had already discovered these traces!

It is because of this that Zhou Hongguang couldn't help being silent.

To be honest, the reason for the surgery today was originally to make friends with Chen Cang and give him some love.

but……

Until now, all Zhou Hongguang saw was shocked.

He was shocked by Chen Cang's technical means.

Amazing!

No one responded to Liao Jia's words, which made her blush for a while.

Instead, Chen Cang glanced at the young doctor who didn't understand the rules.

But nothing was said.

After all, yelling on the operating table is taboo, especially if you are a bystander.

Seeing this, Liao Jia immediately blushed and was extremely ashamed.

For a while, I was too embarrassed to stay, and left the operating room in embarrassment.

After coming out, Liao Jia's face was blushing and uncertain, and she was extremely remorseful!

Before the operation started, he left the operating room.

so awkward!

But Chen Cang and He Zhiqian didn't drive her away out of courtesy, but she couldn't stay cheeky.

However, she couldn't control herself when she saw that scene.

At this time, in the operating room.

Chen Cang and Zhou Hongguang cooperate fairly well.

Intubation was also completed soon!

Chen Cang turned around and said, "Use a special anti-coagulation Silastic tube to connect the diversion system."

Once all the venous lines are connected, the venous bypass system is ready to go!

At this moment, everyone breathed a sigh of relief.

The first step is finally complete.

The following dissociation and resection work was originally the most difficult.

Because during normal surgery, the patient's abdominal adhesion must be serious, and once the separation begins, it will inevitably cause massive bleeding.

And abnormal blood coagulation will aggravate bleeding, which is the main cause of intraoperative death!

but……

Where are the adhesions in the patient's abdominal cavity at this time?

The entire abdominal cavity is very clean!

Zhou Hongguang has performed operations for so many years, and this is the first time he has seen a liver transplant with such a clean abdominal cavity!

For a time, Zhou Hongguang's inner impact was truly unparalleled.