[Ding! The repair of intrathoracic esophageal perforation has been upgraded to master level, with special effects: 1. Firm; 2. Accurate!]

    Chen Cang looked up at Xiao He: "director Xiao, prepare for the operation."

    As soon as the words came out, Xiao He''s eyes lit up!

    "Xiao Chen... What can you do?"

    Chen Cang nodded seriously: "well, you can do it."

    Xiao He was so excited that he was about to go out. Just as he was about to open the door, he suddenly turned back: "can we do it in the endoscopy room and the disposal room?"

    Chen Cang hesitated: "go to the operating room. You need general anesthesia."

    Xiao He nodded: "I''ll contact the operating room."

    Then he picked up the phone and called the operating room directly.

    Today''s operation must be a human operation, but Xiao He, as the director of endoscopy, still has some face.

    After hanging up, Chen Cang said, "I''ll see the patient. By the way... Is there a picture on the gastroscope?"

    Xiao He nodded: "yes, I took several pictures at that time."

    Chen Cang hurriedly said, "go and have a look."

    At this time, the whole endoscopy room knew that director Xiao had something wrong with a patient here. Everyone came to see what they could do.

    Chen Cang took the lead in coming out of the director''s office at this time. Xiao he followed him and hurried to the endoscopic display screen to open the photo.

    "You see, this is the breach in the operation area... I suspect there are some cracks here, which are easy to be damaged after a long time..."

    Many doctors in the endoscopy room can''t help worrying when they see the photos on the endoscopy display screen!

    Esophageal perforation

    If this delays time, there will be a big problem!

    Chen Cang looked at the photos of his esophagus. After analyzing them, he was relieved. The problem should not be big.

    Thinking of this, Chen Cang began to settle down with Xiao He: "patients need preoperative preparation. First, fasting, placing nasogastric tube for decompression, and then let patients not swallow saliva, spit it out, and then rinse their mouth with antibiotics to keep their mouth clean."

    Xiao he understood and nodded: "uh huh, OK!"

    These are to place oral secretions containing a large number of bacteria from the breach into the mediastinum or chest, aggravating the infection!

    Xiao He called the nurse: "listen to Dr. Chen Cang''s arrangement."

    Last time Chen Cang came to the endoscopy room for surgery, the little nurse was a little familiar with it and nodded.

    The doctors in the surrounding endoscopy room don''t know Chen Cang.

    Seeing that Xiao He is so respectful to Chen Cang, he frowns one after another. Who is this?

    Young enough to make director Xiao so respected?

    But looking at the label on the clothes, it is clear that it is from the second provincial hospital.

    Now everyone is curious!

    Hou Xu was even more surprised. Thoracic esophageal repair is a three-level operation of thoracic surgery. It belongs to a slightly difficult subtle operation. It has high requirements for the operator and is definitely not that simple.

    When did the second Provincial People''s court have such talents?

    Hou Xu thought of this and walked over: "director Xiao... Won''t the patient be transferred?"

    Xiao He shook his head and made an excuse: "it''s too late. Just do it in our hospital! And Dr. Chen can do it."

    Hou Xu was stunned when he heard this: "Doctor Chen? Yes..."

    Xiao He Ruo thought, turned around and looked at the people and said, "this is Dr. Chen Cang in the emergency department. I invited him for surgery today."

    "Dr. Chen is our friend. If you need any help from the endoscopy room in the future, you''re welcome."

    As one of the auxiliary departments, the endoscopy room has little power, but it is also a very important department. Relatives and friends need an Yanjun to arrange gastroscopy and enteroscopy. Otherwise, there is no way to arrange it for you in a week.

    As soon as they heard Chen Cang, they suddenly felt familiar. When they thought about it carefully, they suddenly realized!

    This is number one!

    During this time, Chen Cang, who is in the limelight of the hospital, is actually the young man in front of him.

    Song Qiang, director of the medical department, went to the medical record room to sort out the medical records because of Chen Cang.

    And the initiator is the one in front of us!

    Now

    Song Qiang and Chen Cang became the talk before and after tea in the whole hospital some time ago.

    But people don''t know Chen Cang and what kind of number one person he is.

    Now I see you, you are so young!

    And what can he do? Director Xiao paid so much attention to him.

    After the orderly arrangement, Chen Cang called anesthesiologist Liu Jian.

    "Mr. Liu, I''m Xiao Chen. I''ll have an operation later. I need your help to anesthetize. Um... OK."

    ……

    ……

    The operation will be arranged soon.

    Chen Cang called Wang Yong: "come to the operating room on the 6th. There is an operation. Come and have a look."

    Wang Yong nodded without asking. He hurried to the operating room. When he learned that it was an extrathoracic operation, Wang Yong was stunned and then silent.

    He knows that he doesn''t need to talk more with Chen Cang. Just look more, learn more, and do what he should do.

    What should I do?

    It''s nothing more than helping.

    An hour later, Wang Yong and Xiao he followed Chen Cang to the operating room, and Liu Jian came in.

    After seeing Chen Cang and Xiao he coming in, he said hello to Xiao He: "Hello, director Xiao."

    Xiao He nodded and smiled: "please, Doctor Liu."

    Then... Went to Chen Cang and couldn''t help asking, "Xiao Chen... Do it yourself?"

    He knows that Xiao He can cut a polyp and stop blood under gastroscope at most. He can''t do this kind of operation.

    Chen Cang nodded: "well, it''s hard for brother Liu."

    Liu Jian smiled and didn''t say much: "come on!"

    Chen Cangzhi came to Liu Jian because the anesthesia methods of this operation are also different. The anesthesia selected for different operations is actually different, which is also a test for anesthesiologists. Liu Jian, as a new generation figure who is now the backbone of the anesthesiology department, used to give external anesthesia, so he should also understand this kind of anesthesia.

    The level of anesthesiologists, like surgeons, has a very obvious gap.

    This anesthesia is endotracheal intubation general anesthesia.

    Lao Yang''s surgical position is not the commonly used supine position, but the lateral position. Because there are many incision sites in the operation, the incision on the posterolateral side of the right chest needs to be used.

    After anesthesia, the operation begins!

    Wang Yong didn''t ask much, but was surprised. After all... This was the first time he saw Chen Cang for thoracic surgery, and this kind of esophageal surgery was still relatively difficult.

    It''s not just stitching.

    After the esophagus is sutured and repaired, the fissure needs to be covered with a pedicled pleural flap.

    Moreover, because the position of the esophagus is very special, when the esophagus is free, there are many vagus nerves, which will be damaged if you are not careful. There are many matters needing attention, so Wang Yong is a little nervous and uneasy.

    Chen Cang turned and looked at the nurse: "give me the knife!"

    PS: it''s the end of eight o''clock today. Thank you for your support. Thank the league leader for his bravery and reward of 100000.