During colon cancer surgery, resection is usually chosen at 15m distal to the tumor.

Therefore, a lot of things need to be removed in the entire operation!

The terminal ileum, appendix, cecum, ascending colon, and one-third of the transverse colon.

At the same time, the corresponding mesenteric, omentum and lymph nodes around the blood vessels must be removed.

Tumor surgery has always been the focus of gastrointestinal surgery!

Sun Guangyu glanced at Chen Cang and said, "Is it OK to enter the inner side?"

Chen Cang nodded!

The medial approach is much more difficult than the lateral approach, but it conforms to the principle of non-contactness for radical tumor cure, and has high requirements for mirror holders.

Before the operation began, Chen Cang took the camera and started to deal with it.

First soak in hot water at 60-70 degrees, and let the staff prepare a portion of warm water.

It immediately made Zhuang Yueming stunned: "Doctor Chen is very professional?"

Chen Cang nodded: "Well, I often assist and summarize a set of theories."

While speaking, Chen Cang began to wipe.

Sun Guangyu glanced at Chen Cang curiously: "What are you doing just now?"

Chen Cang smiled: "After soaking with hot water, the visual effect is clearest, and warm water is prepared during the operation, so that the lens can continue to not atomize."

Sun Guangyu rarely uses support and really doesn't understand holding mirrors.

When I heard Chen Cang's words, I suddenly felt it made sense: "It's very professional!"

Chen Cang smiled and began to wipe it with a soft sterile gauze.

It is also very skillful to wipe the mirror.

After the pneumoperitoneum is established here, the laparoscopic entry is entered.

Chen Cang specially chose a special angle.

Different angles make the field of view within the lens different. The field of view provided by the laparoscopic base at this time is like an open belly, which is very consistent with the operator's observation angle habits.

Sun Guangyu glanced at Chen Cang, and he was really a little more curious!

"This vision is so comfortable!" Sun Guangyu sighed and told the truth.

This is not flattery of Chen Cang, but about what he said in his heart!

indeed!

A good mirror holder is like a good photographer, presenting a beautiful and harmonious picture to the artist.

Chen Cang did a good job at this time. He showed the monitor a golden point proportion, and the observer's target was placed on this golden point. This way, it was very accurate to operate!

The ultrasonic knife used by Sun Guangyu is very sharp!

Here, Chen Cang has always maintained the laparoscopic base level and constantly adjusts the surgical field!

Because the precision of the surgery is quite high, there are many blood vessels that need to be processed.

Including gastrocolonal vein trunk, gastrooptic vein, middle colon vein... pancreatic duodenal vein, etc.

Therefore, the vision of the surgery needs to be continuously enlarged and reduced.

Change the height and distance of the vision and adjust the field of art.

Laparoscopy has the function of a magnifying glass, and cleverly using the surgical field to process blood vessels is a major advantage of laparoscopy.

Sun Guangyu felt that today's surgery was very easy!

It seems that this shot can be moved completely based on your own thoughts, as if you can understand your own thoughts!

wrong……

This shot is even better than you want!

Sun Guangyu could not have thought about the handling of many small shots.

But Chen Cang can always keep up, make changes, and give the most comfortable vision!

Even Sun Guangyu had an illusion that this mirror holder would understand this surgery even more than himself!

Thinking of this, Sun Guangyu took a deep look at Chen Cang!

This is the first time he has ever felt that the mirror holder needs superb skills!

Indeed, Chen Cang didn't expect his assist to play so well.

Just like playing a game to repair the tower knife, this auxiliary makes you feel so comfortable, and you know more about part-time jobs than you!

That's right!

Chen Cang doesn't understand this radical colon cancer surgery, but he knows the surgical vision, when and what kind of lenses are needed to provide, when and what angles do not affect your operation.

Soon, it was time to free the colon and separate the lateral peritoneum.

When the gap separation enters the ta fascia, the laminoscope can easily cause the visual field to be insufficient, affect the operation and the accuracy of the surgery!

But……

Sun Guangyu was surprised to find that the angle given by Chen Cang's mirror cleverly provided an ideal observation field with the optical fiber!

This is really amazing!

This rotating optical fiber achieves three-dimensional observation of the target, providing gastrointestinal surgery with better operating space and observation field.

Sun Guangyu has such an assistance, which is even more powerful.

With Chen Cang's "guide the way behind, encircle the two sides, and the front will be harmonious" three-dimensional observation of the colon to achieve accurate completion.

The laparoscopic mirror holder always serves the main surgery, and the main surgery eye is the main surgery. There can only be one core command on the operating table, and that is the main surgery!

Therefore, the mirror holder must follow the main surgery, think about what the main surgery thinks, where the main surgery thinks, and where the fingers of the mirror holder!

But!

During this operation, Sun Guangyu felt like he was being helped to fly...

That's true!

Chen Cang has basically clearly set up every step of the surgery and tells you what to do here.

Just like...

right!

Wherever he pointed, wherever you hit!

Even this mirror holder directly reduced the difficulty of the operation, making such a laparoscopic surgery more comfortable than an open laparoscopic surgery!

The more Sun Guangyu did, the more he felt satisfied and relaxed!

There is even a faint feeling of breaking through oneself.

right!

There is also a feeling of finding a soulmate in the mountains and flowing waters.

The relationship between the main surgeon and the mirror holder is really so strange...

The surgery was quickly removed and reached the anastomosis stage.

Compared with Chen Cang's anastomosis, Sun Guangyu chose a stapler to complete it. For the elderly, using special anastomosis metal is not easy to cause surgical stress response, and the effect is the best.

soon!

The operation is completed!

After Sun Guangyu took out the instrument, he looked at Chen Cang and was amazed and couldn't speak for a long time.

today!

Only then did he feel what a god-level auxiliary is.

A support can bring the main sword to super magic.

Zhuang Yueming, who was standing beside him, had long been dumbfounded.

He looked at today's surgery and said sorry to Director Sun, "He felt... Director Sun won the game today!"

The credit is largely attributed to Chen Cang.

He is Ichisuke, and he clearly feels the convenience of vision brought by the laparoscopy.

He thinks that he can do it!
Chapter completed!