Chapter 905: I have an idea! (for the leader hushengayi2)
The participation of relevant departments has caused a big incident!
More and more people began to pay attention to Che Zhehua's situation, caring about the result of this matter, caring about the situation of the logistics company, caring about hundreds of victims, and also starting to care about Che Zhehua's family!
Che Zhehua's medical expenses have been reimbursed by the relevant departments, but this does not seem to reduce his illness at all!
After intake of sulfuric acid, the damage to the tissue has become more and more serious, and Che Zhehua still underestimated the pain!
What does it mean to be in pain? Petriedine is useful now, but it can’t be used all the time, right?
Now more and more people are paying attention, which has suddenly increased the pressure on medical staff.
The superior department requires the Capital Emergency Center Hospital to do a good job in this rescue work and to do a good job in Che Zhehua's recovery, and does not hope that this incident will cause too serious storms and consequences.
This is a good thing, but now the pressure is on the medical staff all of a sudden.
After all, everyone knows Che Zhehua's physical condition, and if you want to recover completely, the possibility is too small.
After two days of recovery, Che Zhehua's condition has basically stabilized. Although it hurts, it is not life-threatening. Because of the timely rescue and dialysis treatment, the patient has no serious complications, but there is an important issue that has been put on the agenda.
On Friday afternoon, seven or eight general surgery directors gathered in the case discussion room of the emergency department of the Capital Emergency Center Hospital, plus Yu Yonggang, Ma Yuehui, Li Yue, and Chen Cang.
Yu Yonggang frowned and said, "Director He, what do you think?"
He Zhiqian looked at the endoscope photos on the big screen and felt a little headache!
"Once the esophagus is restored, the stenosis will exceed more than 70%, or even higher. This does not include the repair of late perforations on the esophagus. Even if the exogenous repair conditions are used, the chances of this esophagus being retained are very small! It is better to remove all the resections and use manual replacement."
"But if this artificial replacement is also a problem, that is, the stomach and duodenum need to be replaced, so that its structural function can only be retained and does not meet physiological functions."
As the director of the General and Foreign Affairs University, He Zhiqian's words are still very authoritative.
"You see, here, the entire stomach wall will definitely have perforations in less than a few days. Now the secretion of gastric acid is suppressed. When the gastric acid secretion is more, the serosal layer will definitely penetrate."
"The surgery cannot be delayed. It must be performed today, otherwise even if it is postponed until tomorrow, it will be difficult to recover gastrointestinal function!"
Everyone sighed, this is a problem.
He Zhiqian looked at Zhang Chahai, director of the thoracic surgery department: "Director Zhang, what do you think should be dealt with in this esophagus?"
Zhang Chahai couldn't help but say, "I have a problem now, that is, if I have a pedicled jejunal interstitial surgery, will your gastrectomy be able to match successfully after your gastrectomy?"
As soon as this sentence came out, everyone in the room was stunned!
Zhang Chahai continued: "It is now very clear that the dilated treatment for severe esophageal stenosis is ineffective and cannot be used. It must be removed. However, I am worried that after using the jejunum, the gastrectomy will be difficult to perform after the gastrectomy."
As soon as these words came out, the room fell silent again.
This is no longer a surgery, from the esophagus to the stomach, duodenum, and jejunum, it needs to be taken into account.
It’s not just an esophageal issue that needs to be considered!
The esophagus must be done, but there are so many ulcers in the gastric mucosa and obvious pyloric obstruction. Most gastrectomy is a must.
How to effectively rebuild the digestive tract has become a big problem!
Everyone is thinking and discussing, and thoracic surgery and general surgery are thinking.
Although the esophagus belongs to the digestive tract, most of the surgeries are performed by thoracic surgery, and general surgery is very ordinary for esophageal surgery.
Thoracic surgery can’t take care of general surgery at all.
Everyone has been discussing for a full two hours.
There is no clear idea now.
At this time, Chen Cang took the initiative to say: "Actually, I think it is possible to use esophageal intercolonal surgery."
Chen Cang's words broke the tranquility of this moment!
Everyone turned around and looked at the young man, full of doubt.
All of you here are the directors, what do you know, a young man?
We don't know about esophageal intercolonal surgery yet?
The key is how prolific is the esophagus? What you need after removal is definitely not as simple as a narrowness. You use the colon...
How long is the colon?
The effective length of the colon is limited, so people did not consider the colon, but the first thing they thought of was the jejunum.
The jejunum is the small intestine, which is much longer than the colon, so it is no problem even if it is used to replace the esophagus.
But is your colon okay?
Everyone glanced at Chen Cang and ignored it.
Continuing to look at the big screen, Yu Yong was still thinking, seeing this, he said, "Chen Cang, what do you think? Let me introduce it to the directors."
When everyone heard the name Chen Cang, they immediately felt energetic.
They are familiar with the name Chen Cang.
After all, Chen Cang has done so many things back and forth in the hospital. It is normal that you have never seen a real person, but if you have never heard of the name, it will be unreasonable.
Now the cardiac surgery department is in full swing to build a cardiac non-stop technology, and to build a new cardiac non-stop medical research center. Who doesn’t envy this? Who doesn’t envy this?
And the initiator of all this was Chen Cang.
For a moment, everyone looked at each other.
Is this Chen Cang?
At this time, everyone also paid more attention.
This is how people are, they are slight and careless. If you have achieved anything, people will naturally be impressed by you!
"Doctor Chen, what do you think?" Zhang Chahai from the thoracic surgery department asked first. Since it was Chen Cang, no one thought he was aimless.
Chen Cang stood up and walked forward: "This esophagus does not require complete removal. If it is completely removed, it is a waste, and digestive tract reconstruction will be a very troublesome thing. Instead of being completely removed, it is better to choose: esophageal repair + stenosis resection + esophageal colon interposition."
That's right!
Chen Cang is preparing to complete esophageal reconstruction with three surgeries.
"In this way, there is no need to interfere with the majority of gastrectomy, nor does it affect esophageal reconstruction."
He Zhiqian, the director of the gastroenterology department, asked directly: "How much colon do you plan to remove?"
Speaking of which, He Zhiqian has an objection to Chen Cang!
Because Chen Cang also signed up for the Peak Forum on Digestive Function held by Mayo Medical Center, the hospital must be unwilling to wipe out his face for the sake of Chen Cang's Heart Surgery Department.
But He Zhiqian thinks, you are a person in emergency department and cardiac surgery, what kind of gastrointestinal function meeting do you go to?
Isn’t this a typical example of occupying the pit and not stool?
Chapter completed!