There is no need to be too normal to be a doctor.

Chapter 136 Got it?

After hearing these words, Jiang Mingze was obviously confused!
A surgery!
Has it reached the level of a key-level doctor?
Are you a human?

Is this normal?

Jiang Mingze felt like his head was buzzing.

Does this make him feel like he has some misunderstanding about the world?
Can this fucking genius really do whatever he wants?
For a moment, Jiang Mingze was obviously dumbfounded.

but……

At this time, everyone around could clearly hear the conversation between Jiang Mingze and Zhao Lei.

Everyone obviously didn't expect that this young man, who was not very impressive, could come up with such an excellent plan.

Pang Di was also slightly surprised.

It seems...this honorary alumnus is indeed different.

This kind of anatomical thinking really makes people feel different.

Although Pang Di recognized the thinking of Chen Gong's first plan.

but……

What follows is obviously incomprehensible.

Not only Pang Di, but also Zhao Lei didn't understand, and was even confused.

After all, non-destructive suture is a high-end suture technique, and Zhao Lei himself is not good at it.

So, Chen Gong had this conversation with Jiang Mingze just now.

In the eyes of others, it is obvious that you are playing the piano to others.

Not to mention... those words when leaving.

"You guys discuss it slowly and call me during the operation?"

This is too... arrogant, right?
Pang Di, Miao Junlong and others were sitting there, obviously not knowing what was going on.

They saw Chen Gong get up and make a few simple strokes, then left.

Then Jiang Mingze looked strange.

In the end what happened?
Is it possible that Chen Gong... really knows what to order?
Moreover, what Chen Gong said when he left was so arrogant!
What do you mean by going back first?

Will you call him again during the operation?

Is there anyone so arrogant?

Everyone is having pre-operative discussions and discussing surgical plans. You just leave as you say. Do you take everyone seriously?

This is just... so arrogant.

Although Pang Di didn't like Chen Gong a little, but... as the other party was an honorary alumnus, he would naturally not provoke him for no reason.

It's just...he glanced at Zhao Lei dumbfounded, and said with a smile:

"Director Zhao, is this how you train the students in your department?"

“It’s really different!”

Zhao Lei glanced at Pang Di and nodded: "Really? I think so too!"

“The students trained in our department are outstanding!”

Pondy:? ? ?
Miao Junlong:? ? ?

Why?Wait, no!
Don’t you understand sarcasm?
I'm having a weird time with you here. Is it appropriate for you to say that to me?

Pang Di suddenly felt that people like Zhao Lei really couldn't beat around the bush. Even for rectal surgery and enema, there was no need to use a hose, and the steel bars were directly attached.

Pang Di smiled: "Haha, that's it!"

"Let's get down to business, let's discuss the surgical plan."

After finishing speaking, Pang Di stood up and took the initiative to walk to the stage.

In fact, Pang Di also had a plan for this patient. What he wanted was to let everyone talk first, and then he would talk about it himself after everyone had finished talking.

After all, after all, he is also a knife in the cardiothoracic surgery department of the affiliated hospital?

but……

When Pang Di walked to the stage, Jiang Mingze and Zhao Lei suddenly looked at each other, stunned and said:
"Discuss the plan?"

Pang Di nodded: "That's right, right?"

"Keep discussing!"

Zhao Lei and Jiang Mingze suddenly laughed and shook their heads: "Okay!"

"Director Pang, please do it."

After saying that, the two returned to their seats.

discuss?

Talk about shit!
I gave you the standard answer, but you can’t even copy it?Don't you have any eyesight?
However, due respect is still needed.

Therefore, Jiang Mingze and Zhao Lei didn't say anything, and still waited patiently for Pang Di to explain the plan.

After speaking...

Jiang Mingze and Zhao Lei haven't spoken yet.

On Pang Di's side, he was surprised to find a problem. The more he talked about it, the weirder it became.

Why do you say that?

Because the more he talked about it, the bigger the gap became when compared with the plans on the demo board.

After all, Pang Di is an expert, and he still has the level he should have.

The more I talked about this, the more I felt something was wrong. The more I talked about it, the more I realized that the gap between myself and the plan proposed by Chen Gong was getting bigger!
Instead of being simplified, the surgery became cumbersome.

To be precise, the operation is simplified and the steps are complicated.

What is the most taboo thing about surgery?
In other words, since the development of surgery over the years, what is the most important thing?
Naturally, the smaller the damage, the better.

Otherwise, why did we invent the endoscopic lens?

Does it look good?
of course not!

And Pondy's plan, right?
That's right!

Because it meets Pang Di's operating level, this is the best surgical plan given by Director Pang based on his own operating level.

but……

For Jiang Mingze, it is not the best solution.

Surgery is developing more and more, and there are more and more personal things.

There are many choices for openings, surgical procedures, and doctors.

so that...

After Pang Di finished speaking, he laughed first.

He smiled awkwardly and said self-deprecatingly: "Now I suddenly understand why Xiao Chen said that when he left just now!"

"This plan is obviously a bit outdated in the eyes of experts."

"Sorry for wasting everyone's time."

"Director Jiang, Director Zhao, it's up to you two to make the decision."

Pang Di was really blushing. He didn't notice it at first, but when he stepped into it and studied the surgical plan, he discovered how excellent Chen Gong's plan was.

When Miao Junlong heard this, he quickly said:
"I think what Director Pang said is very good. This plan is perfect, right?"

Ok!

Miao Junlong's habitual flattery.

Inadvertently, the position was a little lower.

Photographed on Ma Dan.

This made Pang Di couldn't help but take a deep look at the other party.

You bastard, if you can speak, speak more. Jiang Mingze and the others are here right now. Aren't you embarrassing me?

Jiang Mingze didn't take it seriously, stood up with a smile, and walked to the front.

"Well... Director Pang, please stop being humble or polite."

"We are all half-measured. Look, the best plan is right here!"

"Let's just follow this plan!"

"I don't think it's a big problem."

"Moreover, the degree of completion is very high. Even...this operation can be recorded and analyzed carefully."

"This operation is very typical and the plan is also very classic. It can be used as a classic case of surgical treatment of Takayasu arteritis!"

After Jiang Mingze finished speaking seriously, he couldn't help but shook his head and looked at Zhao Lei: "It's just like Director Pang said."

"Old Zhao, the students trained in your department are amazing!"

Zhao Lei smiled slightly: "I told Director Pang this a long time ago."

After hearing this, Pang Di couldn't help but smile, his face feeling slightly hot.

To be honest, he really wasn't complimenting me just now.

God can testify!
I'm really being sarcastic...

But now it's fine...

Instead, he created an embarrassing situation for himself.

Chen Gong is crazy and has crazy capital.

As they say, when the operation begins, just call him.

It would be a waste of time to stay here until the operation begins.

Because...this plan is the best plan!

Although Pang Di didn't want to admit it, nor was he willing to accept his old age, he had to admit that Chen Gong was really amazing!
This honorary alumnus is really not a joke!

Strength is the gold standard for clinical voice.

At this time, Pang Di couldn't help but ask: "Director Zhao, is Xiao Chen interning in your department, right?"

"How about you see when and let him come to our department to stay for a few days?"

"I think he has a deep understanding of the blood system!"

"That's probably what he's good at!"

"Don't worry, if he comes, I will definitely take care of him and give him the treatment he deserves!"

"He can definitely participate in any operation!"

"How about it?"

After Pang Di finished speaking, Jiang Mingze quickly said: "Haha..."

"Okay, Director Pang, I know what you want."

"Forget it!"

"This boy is so angry!"

"He's definitely not coming."

"And, after coming here... what can you teach him?"

As soon as these words came out, Pang Di suddenly blushed.

Although it's the truth, but...Jiang Mingze, you can't just talk about me in front of so many people in our department.

Do I still want to lose face?
At this time, Zhao Lei heard what the two people said.

But he said seriously to the two of them:
"What do you think of this plan?"

Jiang Mingze nodded directly: "It's amazing!"

"Very bold too!"

"To be honest, even I can't guarantee that this operation will be completed smoothly."

“However, in terms of technology aside, this solution can be said to be very novel.”

"And, you see, there seems to be... a unique concept for vascular reconstruction technology."

Pang Di nodded seriously: "Director Jiang is right!"

Pang Di finally recognized the reality.

If you can speak, speak more; if you can't speak, speak less.

Moreover, Chen Gong's plan made him a little scared. He really didn't dare to do it!
Zhao Lei shook his head slightly at this time, and then looked at the two of them coldly: "This is just the tip of the iceberg!"

"I tell you!"

"My brother, Chen Gong, and I are conducting research on a topic."

“It’s called the revascularization concept.”

"This idea is just one of our plans."

"Ha ha……"

"Okay, I'll go clean up. Call me during the operation!"

After saying that, Zhao Lei stood up and left.

He left as gently as he came. He reflected seriously for a moment and felt... that he was not pretending enough.

That's right.

Zhao Lei found that he was still a little behind his wise brother in the field of pretense.

it's fine.

He will try to get closer.

Don't let outsiders laugh.

At this time, Jiang Mingze's eyes widened after hearing these words.

Good guy!
The concept of vascular reconstruction? !

How ambitious is this?

You know, whenever the word idea is involved, it is no longer a separate term.

This is a subject.

And there is only one future in this direction: subject leaders!
Suddenly, Jiang Mingze raised his head and glanced at Zhao Lei, and he suddenly became excited.

Good guy.

This bastard...could he be trying to attack the academician?
No, but an academic leader in a new discipline.

Isn't this too bold?
but……

Looking at the surgical procedures on the demonstration board, Jiang Mingze admitted that he was nervous and envious.

And Pang Di also stood there, thinking for a long time...

What is the secret of success?
Follow the right person!
Do the right thing!

……

……

After Chen Gong returned to the general surgery office.

But not idle.

He was not leaving in such a hurry just to show off.

I have to say that this stingy Jiang Mingze really has something in his hands.

When the plan was being designed just now, Chen Gong's inspiration storm appeared directly.

So much so that I had to come back quickly to sort out my thoughts.

Since he wanted to help Lao Zhao with his career, Chen Gong would naturally not just say what he thought in his heart.

Everything has to be put into action.

Chen Gong is currently most exposed to general surgery, and the patient just discussed had Takayasu arteritis, which involved the thoracic aorta.

Vascular reconstruction in this area is not easy.

Today's patient is still a little simpler. By separating the tissue and mucosa, a distance of 2-3cm can be achieved.

But what if it goes beyond that?
Chen Gong then thought of the idea Jiang Mingze mentioned just now.

He had to conduct some simulations, and in this way, he might be able to achieve the possibility of vascular reconstruction of about six centimeters.

One of the biggest problems in vascular reconstruction is that the blood vessels are not stretched enough. Even if the extension is increased, the tension will increase, which is unstable.

You make a rubber water pipe run at high tension, just drinking poison to quench your thirst.

Therefore, Chen Gong just thought of some subtle ideas and decided to try it.

There are many sex-associated blood vessels in the thoracic aorta area. If the properties and supply relationship of these blood vessels can be analyzed, reconstruction possibilities can be found.

In this way, Chen Gong sat in the office, holding a notebook and began to think.

In half an hour, he really came up with some ideas and creativity.

After careful analysis for a long time, Chen Gong decided to do animal experiments and simulate them after returning to school.

At this time, Chen Gong's phone rang.

"Hello? Oh, okay, I'll go over now!"

After hanging up the phone, Chen Gong stood up and left.

Seeing this, Zhao Xi quickly asked curiously:
"Where are you going?"

Chen Gong smiled: "Busy with career."

Zhao Xi immediately rolled his eyes: "Tsk, little brat, he's still busy with his career."

"Tell me quickly?"

Zhao Xi's eyes widened.

"I discovered something!"

Chen Gong turned around and looked at Zhao Xi curiously: "What's the matter?"

Zhao Xi lowered his voice: "I noticed that you are getting closer and closer to the God of Thunder!"

"What's the matter with you?"

"I see you've been busy all day!"

Chen Gong suddenly laughed: "Of course it is a major event in life!"

"I have to give my big brother a dream."

"Ha ha……"

"Let's go."

After saying that, Chen Gong stood up and walked outside.

Zhao Xi did not refuse. In fact...it doesn't seem like a bad thing if Chen Gong and his father get closer?

This is becoming familiar after all...

Cough!

Zhao Xi quickly shook his head, what a black and dark thought.

However, you have to be careful not to let the two of you call them elder brother or younger brother.What is this and what is it?
……

……

operating room.

Jiang Mingze glanced at the time on the wall.

He glanced at Zhao Lei and said, "How long will it take?"

Zhao Lei shook his head: "I don't know."

At this time, the anesthesiologist couldn't help but said: "Director Pang, aren't you ready to start?"

Pang Di shook his head: "Wait a minute!"

A group of nurses and anesthesiologists in the operating room were obviously stunned for a moment.

Who are you waiting for?

Aren’t the experts already here?
Why hasn't the operation started yet?

Could it be...that there is a bigger coffee spot?

Thinking of this, everyone couldn't help but speculate.

At this moment, suddenly the door of the operating room opened.

I saw a young man in his early twenties, wearing a green shirt and walking in with his hands raised.

When Pang Di saw this, he didn't need anyone else to remind him. He quickly said to the nurse:
"Quickly, get Professor Chen dressed!"

As soon as this word comes out!
Miao Junlong was immediately dumbfounded!

Not only him, but also Zhao Lei and Jiang Mingze couldn't help but glance at Pang Di.

good guy...

It has to be you!

Professor Chen has been called?
I don't want my face anymore!

However, when I think about it carefully, it is really appropriate to call me Professor Chen Gongchen!
why?
Is Chen Gong an honorary alumnus?

There are also many academic honors.

It’s not too much to call me professor, right?

But... just when a few people were surprised, Pang Di took action again, and it can be said that he laid a solid foundation on the road to the code of wealth in life.

"Everyone be quiet!"

"This is an honorary alumnus of our Shanhe Medical University, and the youngest honorary alumnus in history."

"Today's surgery is Professor Chen's surgery plan."

Chen Gong was a little embarrassed by these words.

He glanced at Pang Di, feeling suddenly embarrassed.

And is there any change?
There must be.

At the very least, when the little nurse was dressing him, her technique was much lighter and gentler. She did not rush him, but carefully helped him organize every step.

After Chen Gong got dressed, Jiang Mingze couldn't help but roll his eyes at Chen Gong:
"Can we start?"

Chen Gong nodded: "Okay!"

"let's start!"

After everything is ready...

Jiang Mingze frowned slightly. He always felt that Chen Gong's words sounded strange, as if he was on patrol by a superior leader.

However, the operation is about to begin at this time.

Jiang Mingze said speechlessly: "How about you speak up?"

Chen Gong didn't hesitate, after all... although he couldn't perform this surgery.

However, what you can do is a little bit.

These are all contributions from surgery.

Originally Jiang Mingze just said this as a protest.

Who would have thought that Chen Gong took the scalpel directly.

A surgical incision was made.

The choice of incision has long been determined, which is combined thoracoabdominal incision.

Chen Gong started the operation directly from the sixth intercostal space, and smoothly extended the incision down to the midline of the abdomen with one stroke!
Generally, the length of this kind of surgery depends on the abdominal aortic disease or the distal anastomosis site.

However, the length of Chen Gong's incision can be said to be very precise.

But this is not the most important thing!
The most important thing is this knife!

Chen Gong only used one knife to successfully cut the incision that was dozens of centimeters long.

The whole process was smooth and smooth, without any hiccups.

This... is still just a glimpse.

But it was enough to shock everyone around him, including Zhao Lei!

To know……

Zhao Lei had never seen such a large incision made.

Although he has seen Chen Gong's "One Sword Style" technique.

But can one knife do such a long incision?
This... is this too exaggerated?

You know, even those top-level, super-top surgical experts don’t have such confidence, right?

Jiang Mingze, Pang Di and others were dumbfounded.

Good guy!
Such a shocking blow.

Unheard of!
But...the next scene was the moment that really made everyone stunned at Chen Gong's strength.

After Miao Junlong and Pang Di successfully separated the cut tissue.

At this time... everyone saw the true essence of Chen Gong's knife just now.

An incision of forty to fifty centimeters long.

It can accurately grasp the thickness of the chest and abdomen. When incision, the gap is accurately found, the amount of bleeding is small, the incision depth is perfect, and the incision deviation error is less than 0.5 cm!

how did you do that?
This scene made Jiang Mingze's eyes widen instantly and his pupils trembled slightly.

He was really frightened by Chen Gong.

After so many surgeries, this was the first time I saw such a shocking blow.

This knife!

It is enough to impress everyone present who knows about combined thoracoabdominal incision.

Because a perfect incision is simply impossible to achieve in such an operation.

The incision point extends from the intercostal space in the chest directly to the area of ​​the abdominal aorta.

Within this length, four depths of incisions are covered, with the chest being the thinnest...the further down, the thicker.

The abdomen also has peritoneum.

How did Chen Gong grasp it?

There are no answers to these at all.

but……

There is no doubt that Chen Gong's subsequent operation directly improved the quality of this surgery by a large margin.

Even the anesthesiologist couldn't help blurting out "Fuck".

But no one at the scene minded, because everyone had this idea in their hearts.
And Jiang Mingze suddenly raised his head and glanced at Chen Gong. He suddenly felt... Could this Chen Gong really be hiding something secretly?
Chen Gong handed the knife to the nurse on the side, then returned to his VIP viewing seat and looked at it patiently.

"Director Jiang, come on."

"I've already opened the hole."

Jiang Mingze swallowed and surprisingly did not argue with Chen Gong this time.

Because he knows very well that this incision is really invincible!
For patients undergoing such large incision surgery, generally the better the incision, the faster the recovery.

What may seem like a small thing can actually make patients grateful.

why?

Because he couldn't feel the internal changes.

But he knew the healing efficiency of wounds.

Therefore, Chen Gong’s incision is too abnormal.

However, Jiang Mingze also refused to admit defeat. He nodded directly to Pang Di and Zhao Lei and started his operation.

Chen Gong made a good start and exposed Jiang Mingze's surgical field, which was good enough.

This allows him to better incise the diaphragm radially from the costal soft arch.

During this process, Jiang Mingze instantly realized how excellent Chen Gong's incision vision was.

The dissection was smooth up to the aortic foramen.

After the left lung has collapsed, pull it inward to directly expose the chest and posterior mediastinum.

At this moment, the thoracic aorta is fully visible.

After separation, the length was perfectly obtained with a free length of 3 cm.

This length matches the blood vessels behind the mediastinal pleura after being freed below.

Just enough for a 6 cm anastomosis.

After excision of the stenotic area.

Jiang Mingze also started his own anastomosis technique.

This time, Jiang Mingze did not shy away from any operation and directly showed off his suturing skills.

【Ding!I discovered lv6-vascular anastomosis. Should I spend 3 points to learn it? 】

After hearing this, Chen Gong shook his head directly.

His current vascular anastomosis technology has reached perfection.

As a result, Jiang Mingze's methods were no longer discernible to him.

In fact, under Chen Gong's [short-sightedness], one can even clearly feel the shortcomings in Jiang Mingze's technique.

You know, Jiang Mingze’s vascular anastomosis is lv6-.

And Zhao Lei's technique is also lv6-.

It can only be said that the two of them have their own merits and biases.

Zhao Lei's anastomosis technique is far less non-destructive and delicate than Jiang Mingze's.

Jiang Mingze's suturing technique is also not as fast as Zhao Lei's.

However, it is enough to cope with the operation at hand.

quickly!

The first area, stricture resection.

Jiang Mingze spent 3 minutes to complete this section of the blood vessel anastomosis. When the blood vessels were loosened again, he watched the changes in blood filling.

He couldn't help but raise the corners of his mouth slightly.

Obviously, he has performed beyond his level in the operation just now.

but……

When Jiang Mingze looked at Chen Gong, his eyes were a little more provocative.

Chen Gong frowned and looked at Jiang Mingze, frowning slightly: "What are you so proud of?"

"The technique was not stable enough, and there was a slight tremor during the third, seventh, and fourth injections of No. 20."

"This may lead to disruption of the blood vessel wall."

"Is this a non-destructive operation that you are proud of?"

"I think Director Zhao Lei, after getting familiar with it, can surpass you!"

"What are you proud of?"

Chen Gong's words immediately made Jiang Mingze's expression change.

Pang Di couldn't help coughing.

Zhao Lei glanced at Jiang Mingze proudly, did you hear that?My wise brother said, you just have a little preconceived advantage.

But Jian Mingze didn't refute.

Instead, he looked at Chen Gong with wide eyes, a little surprised.

He didn't know how Chen Gong found out, but...it was undeniable that what Chen Gong said was very accurate.

Non-destructive suturing requires very high stability of the technique.

but……

He...he really knows the non-destructive suturing method?

At this moment, all the confidence Jiang Mingze had accumulated over the years suddenly hesitated.

but……

All this is just the beginning.

Jiang Mingze couldn't help but said to Chen Gong:
“Destructive suturing, high stability requirements!”

"It's difficult to meet such precise requirements."

"For example, if a blood vessel requires 30 stitches to be sutured, if the instability rate is only 10%, it is already very successful."

Chen Gong nodded: "That's true."

Jiang Mingze glanced at Chen Gong: "Why, you don't believe it?"

Chen Gong smiled: "No, no!"

"You are right."

Jiang Mingze:? ? ?

At this moment……

The surgery has also reached this very critical point.

It is the vascular suture with a 30° angle.

It is very difficult to perform non-destructive suturing here. When Jiang Mingze saw this, he also hesitated.

Although Chen Gong directly drew several lines for himself, it would be nice if it was really just that simple.

Seeing Jiang Mingze's hesitation, Pang Di didn't dare to control the blood flow.

I just couldn't help but ask:

"When does it begin?"

Jiang Mingze suddenly said: "Here... I'm not very sure."

Seeing this, Chen Gong sighed:
"Let me do it!"

"You look good."

While talking, Chen Gong took the needle and thread directly.

When Jiang Mingze saw this, he was stunned for a moment.

After all, Chen Gong had nothing to lose by doing this.

This kind of non-destructive suturing of blood vessels at a thirty-degree angle is too difficult.

He wouldn't have dared to do this before.

Of course!
If it fails, there is actually no loss.

Since the worst case scenario would be to replace it with an artificial blood vessel, just choose the previous plan.

but……

If successful...

Jiang Mingze shook his head, how could it be so easy?

Even Mr. Gu Haiyi, the proposer of the non-destructive suturing method, is not sure.

At this time, Jiang Mingze said:

"You do it!"

Chen Gong nodded and smiled: "There are not many opportunities, so be careful."

While speaking, Chen Gong directly started his operation.

Jiang Mingze asked: "Shall I help you support your blood vessels?"

Chen Gong shook his head: "No need!"

While speaking, Chen Gong directly clamped the blood vessel with two fingers with a slight force, and then at that moment, the suture needle shuttled along the outer membrane of the blood vessel.

This process is very fast, and it is definitely a classic needle insertion without damaging the suturing. The only difference is the angle.

The angle of the stitching is very tricky!
And the finger stability is extremely high.

Cooperate with the precise needle entry point selection.

……

After seeing Chen Gong's technique, Jiang Mingze's eyes suddenly widened.

He was dumbfounded.

Next, Chen Gong completed the anastomosis of the blood vessels in less than 2 minutes.

After Jiang Mingze saw this scene, he fell silent for a moment.

So fast!

So stable!

And... lossless!
How did he do that?
How can this be?

Does a young man in his 20s have such suturing skills?

He doesn't believe it!
I really don't believe it!

Jiang Mingze even had some doubts about life.

You know, vascular anastomosis is a hard skill, although it requires high talent, but...

Can……

This……

It really can't be explained.

Chen Gong looked at Jiang Mingze and asked, "Do you understand?"

Jiang Mingze nodded numbly.

I understand...but I don't understand it completely.

(End of this chapter)