When a doctor opened a plug-in

Hearing that Chen Cang had improved the subtotal gastrectomy, everyone in the room was quiet!

He Zhiqian looked at Chen Cang with a serious face: "Doctor Chen, be careful, everyone is from the hospital, so you can take care of it."

"But you can't talk nonsense about the improvement of the technique, it's just for others to talk about."

He Zhiqian is telling the truth and he is also concerned about Chen Cang.

In the interest of his youth, remind him that surgical improvement cannot be said to be an improvement without sufficient clinical analysis.

How do you know that your improvements will be better than the original ones?

When Chen Cang heard this, he nodded embarrassedly and smiled: "Excuse me, Teacher He, I am a little excited."

He Zhiqian nodded: "It's okay, you can introduce it to everyone."

Chen Cang nodded.

Last night, he used a modified procedure to improve a subtotal gastrectomy.

After the improvement, Chen Cang has improved the Bi 1 and Bi 2 to different degrees in his mind, and there are even many different methods of anastomosis suitable for different scenarios.

When Chen Cang reacted, he was surprised to find:

This perfection directly promoted Chen Cang's subtotal gastrectomy to the perfect level.

This surprised him extremely!

Unexpectedly, those rewards last time were so rich.

Chen Cang started the introduction after he went up.

"Che Zhehua's gastric mucosal injury is very serious, even in those areas where there are no ulcers under the gastroscope, there are actually different degrees of injury, even after these two days of observation, there is still the possibility of reflux esophagitis."

"Once the patient has the upper part of the abdominal esophagus removed after surgery, reflux esophagitis will definitely be serious!"

"In this way, if the secretion of gastric acid is too high, it will aggravate the condition. Therefore, it is necessary to adopt surgical methods to reduce acid and accelerate gastric emptying. This is also a more thorough treatment!

The lower part of the esophagus and most of the stomach were removed, and then the gastrojejunostomy was performed."

Hearing Chen Cang's words, everyone nodded slightly, this is indeed the truth.

Reducing the secretion of gastric acid and pepsin can indeed effectively promote the rapid emptying of the contents, reduce reflux, and reduce the damage to the esophagus and gastric mucosa.

At this moment, He Zhiqian's eyes suddenly lit up:

"Doctor Chen, do you mean to use Roux-en-y jejunostomy?"

When hearing the Roux-en-y jejunal anastomosis, the eyes of the several gastrointestinal surgeons present all lit up.

This is a treatment for severe reflux esophagitis and stomach acid.Surgery for excessive pepsin secretion.

However, it is really such a good way to apply it to such a patient at this time.

The big guys are all bright, indeed, compared to the Bi 1 and Bi 2, the Roux-en-y jejunal anastomosis method is indeed the best.

but……

At this time, a director did not speak for a long time, and finally said:

"It is still the problem of anastomotic leakage. If Roux-en-y jejunal anastomosis is used, the feasibility of the patient's anastomotic leakage will be greatly improved."

"If an anastomotic leakage occurs, a second operation or even reconstruction of the digestive tract is required, and the difficulty of the operation will increase again!"

It is true that one of the complications of Roux-en-y jejunal anastomosis is anastomotic leakage. If this cannot be handled, it is obvious that the patient will have some troubles.

Chen Cang was clearly prepared: "In fact, what I have to do is to change some details on the basis of Roux-en-y jejunal anastomosis."

"That is, we don't need to perform jejunostomy! Do not cut off the jejunum during Roux-en-y jejunostomy. In this way, the possibility of postoperative complications anastomotic leakage will be greatly reduced!"

While talking, Chen Cang began to describe quickly on the demo board.

Chen Cang already knew the whole process, so he was very quick in drawing.

Chen Cang quickly drew the entire operation process with a few simple sketches.

After painting, everyone stared at the drawing board and began to think.

Not cut off the jejunum?

It seems to be a good idea.

Several directors whispered, including director He Zhiqian, who also closed their eyes and meditated.

A surgeon with rich clinical experience and battle-tested, he will have a detailed understanding of the operation in his heart, and even form various ideas based on the pictures.

Time became worthless at this moment.

One minute and two minutes keep passing by.

Everyone is thinking.

Lao Ma was in a daze.

Lao Yu glanced at Lao Ma. Lao Ma suddenly frowned and frowned.

Chen Cang swears that this is the worst acting he has ever seen.

Can you grin when you frown.

All the halazi shed.

Anyone can tell what you are.

You think... think of a ghost.

Chen Cang was helpless.

It is true that Lao Ma really doesn't know much about Roux-en-y jejunal anastomosis, but he feels that Chen Cang just pretended to be like the self in his dream.

Such high spirits!

That's so cool...

After half an hour, everyone nodded after discussing it for a long time. After everyone's serious thinking and discussion, this idea is feasible!

But it's hard to say how effective it is!

After all, this is only feasible in a theoretical sense, and the effect needs further observation.

Everyone can't think of a good way, but it's not as good as this.

So a few minutes passed.

He Zhiqian looked at Chen Cang: "Dr. Chen, after we discussed it, we thought this idea was feasible."

Chen Cang nodded and said thank you!

He didn't deliberately pretend to be forced this time, otherwise he wouldn't use that technique improvement card.

He really wanted to help Che Zhehua do something.

He does not have enough fans and influence to help him expose and publicize, nor does he have enough ability to punish evil and promote good.

After all, he is just a doctor.

He can only help Che Zhehua by doing something agile within his abilities.

such as……

Give him a healthy body.

At this time, Zhang Chahai, the chief director of thoracic surgery, took a look at Chen Cang: "Dr. Chen, I don’t know how your thoracic surgery was done. Can you do it today?"

Chen Cang suddenly looked up in surprise: "Yes!"

He thought he was an assistant at most, but he didn't expect this director to give him c position to carry him!

Zhang Chahai nodded and smiled: "Okay, then you can do esophageal surgery!"

Chen Cang nodded with joy and directly exchanged for Esophageal and Colon Interposition!

This is the skill of thoracic surgery. At first, Chen Cang felt that if he did not undergo surgery, he would not exchange it. Now it seems that Chen Cang chose to exchange it directly.

Zhang Chahai nodded and smiled and encouraged: "Do it well! Let me see how your lung tissue flap esophagus repair is done."

After Chen Cang heard this, he smiled: "Definitely!"