Chapter 800 The Style of This Knife! (Add 1 for the Leader Shuffier)
After Chang Xiong finished speaking, the surroundings fell into silence again!
Chang Xiong continued: "Actually, considering the patient's situation..."
"Three years after the operation for gastric cancer, the patient's recovery is normal, and I don't think the survival period will be very long."
"If the platysma flap is used to reconstruct the cervical esophagus, the feasibility is still very large."
"But... in this way, even if the patient's stomach cancer recovers well, he will need surgery again because of esophageal problems. At that time, I estimate that the success rate of the surgery will be extremely low."
This is a very euphemistic saying, but it is also very realistic.
That is to say, even if the patient does not die of stomach cancer, he will die because of the problem of the esophagus.
At this moment, the surroundings fell into silence again!
What exactly?
The operation of this kind of patient is really a difficult operation!
The patient's condition is too complex and there are too many underlying diseases. It is too difficult to find an optimal treatment plan.
Yu Yonggang suddenly said: "Go to the patient's family to sign, and tell him about the operation, and let them choose for themselves."
Indeed, perhaps now the choice is not with the doctor, but with the patient's family.
After all, any one has obvious complications, and sometimes doctors are unable to make choices for patients.
When the nurse here was about to leave, Chen Cang frowned!
He suddenly said, "Director Yu, I have an idea!"
As soon as Chen Cang's voice came out, he immediately attracted the attention of the people around him.
Everyone knows about this fellow in Corey, but to be honest, no one cares too much.
Because an insignificant trainee is too insignificant for the entire huge six emergency departments.
Yu Yong just looked at Chen Cang: "Oh? Xiao Chen, what do you think?"
Chen Cang walked forward thoughtfully: "Everyone, the damaged opening of the esophagus is relatively low, and the damaged opening is very irregular, whether it is to choose the autologous colon instead or choose the platysma flap as mentioned by Director Yu. In fact, there are huge restrictions!"
Everyone nodded.
Everyone knows this is the truth.
Chen Cang continued: "Actually, I was thinking, this position can actually choose to use a special repair material!"
"That's lung tissue!"
As soon as these words came out, the people around were quiet.
It was the first time they had heard of using lung tissue to repair the esophagus.
But Chang Xiong was suddenly stunned!
This very creative idea is definitely not a fantasy, but is supported by a paper. He remembers seeing such a record in The Lancet.
Chen Cang continued: "What I mean is to use a lung tissue flap to repair the irregular damage of the esophagus in the chest!"
"First of all, it is because of the repair materials. The repair materials for large-scale esophageal defects are easy to meet because the lung tissue is easy to obtain!"
"The second and most important point is that the pulmonary tissue flap is rich in blood supply, which is superior to other repair tissues and materials."
"The third point, even if a part of the lung tissue is removed, it will not actually cause much damage to the lung function!"
"Finally! The lung tissue flap is soft and airtight, and the surface of the lung tissue is covered by pleural epithelium, so the inner wall of the formed lumen is smooth, food is not easy to stick to, and it is not easy to cause infection, which is conducive to the re-epithelialization of the inner wall!"
After Chen Cang finished speaking, the entire operating room fell into silence!
Who would have thought of removing part of the lung tissue flap as a material for esophageal wall repair!
Although what Chen Cang said is very reasonable, but... many people still have a skeptical attitude!
However, after hearing Chen Cang's analysis, Chang Xiong couldn't help but blurted out: "Good idea! I think it's feasible! In this way, the operation will not be too difficult! There will be fewer postoperative complications! This may be the best choice! "
Yu Yonggang also slowly nodded after thinking about it: "It's possible!"
Hearing the firm affirmation of Director Chang Xiong and Director Yu, everyone was surprised.
Is it really feasible?
After hesitating for a while, Yu Yong looked at Chen Cang: "Xiao Chen, can you do it?"
Chen Cang nodded: "Yes!"
Chang Xiong couldn't help but smile: "For someone who can come up with such a genius idea, it shouldn't be a problem to do this surgery!"
Yu Yong just nodded, stared at Chen Cang and said, "Okay, you do it!"
As soon as these words came out, the surrounding was suddenly shocked.
Let Chen Cang do such a difficult operation?
Director...would it be too hasty?
I saw Chen Cang stepped forward, picked up the scalpel, and opened the chest directly!
Without the slightest hesitation!
At this time, everyone around turned their attention to Chen Cang.
I saw that he was not nervous at all, the knife cut through the front wall of his chest, and there was very little bleeding.
Yu Yong just nodded, he has some strength!
After the chest is opened, the tissues of the lungs are also exposed, and at this time the lungs are constantly expanding and contracting...
Chang Xiong suddenly asked, "Do you want an artificial lung?"
Chen Cang shook his head. Not only did he not need it, but he also needed to use the tension when the lung tissue relaxes!
I saw him pressing his hands on the lungs, looking at the whole lungs in his eyes, and constantly thinking about how to cut it!
The lung tissue has pulmonary arteries and veins, and the operation needs to avoid the arteries and veins, and carefully cut them while preserving the blood supply.
Moreover, it is necessary to protect the capillaries in the lung tissue flap, which is the key to the success of the operation.
Only by maintaining good blood supply and intact capillaries can the anti-infection ability of the lung tissue flap be enhanced and wound anastomosis be accelerated.
Chen Cang looked at the nurse: "Microscope! 4 times."
To be on the safe side, Chen Cang decided to take it with a microscope.
The entire process of removing the lung tissue is the key to the success of the surgery. So be careful and be careful!
Just as everyone was staring at Chen Cang's scalpel, they saw Chen Cang's right hand lightly pressing, and the knife light flashed along with the relaxation of the lung tissue! A decent sized flap was cut!
This scene shocked everyone!
Chang Xiong widened his eyes: "So fast!"
Yu Yonggang was also a little stunned, isn't this kid a cardiac surgeon? How... this operation is also done so well!
That's right, Chen Cang's knife is very convincing!
It may seem simple, but in fact, experts know how difficult it is!
It can be said that the style of this knife!
Very impressive!
When the lungs are dilated, they skillfully observe the lung movement, and then quickly cut the lung tissue flap, and retain the complete tissue blood vessels!
Surgery goes on!
At this moment, no one dared to underestimate Chen Cang.
Don't say anything else, just rely on that knife!
You can go directly to level 999!
Yu Yong just looked at Chen Cang and became more and more pleasantly surprised. Perhaps... he really underestimated this young man!
After the operation is over, let Chen Cang officially join the sharp knife team!
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ps: I'm sorry, I have a headache, and the writing is slow, so now, I'm sorry... I try to keep it updated, come on!