Chapter 32: Got it?

Hearing this, Jiang Mingze was obviously blindsided!

A surgery!

It has reached the level that only backbone doctors have?

Is this human?

Is this normal?

Jiang Mingze felt his brain buzzing.

Does this make him feel like he has some misunderstanding of the world?

Can this genius really do whatever he wants?

For a moment, Jiang Mingze was obviously dumbfounded.

But......

At this time, the conversation between Jiang Mingze and Zhao Lei was clearly heard by everyone around.

Obviously, everyone didn't expect that this inconspicuous young man would be able to come up with such an excellent plan.

Pondy was also slightly surprised.

Seemingly...... This honorary alumni is indeed different.

This kind of anatomical thinking really makes people feel different.

Although Pang Di agreed with Chen Gong's thinking in the first plan.

But......

The things behind it are obviously incomprehensible.

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

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

Therefore, Chen Gong just had a conversation with Jiang Mingze.

In the eyes of others, it is obvious that he plays the piano to the cow.

Not to mention when you're leaving...... That's a sentence.

"You guys discuss slowly, call me when you operate?"

This is too ...... Arrogant, right?

And Pang Di, Miao Junlong and the others were sitting there, obviously not knowing what was going on.

They saw Chen Gong get up and draw a few simple strokes, and just left.

And then Jiang Mingze had a strange face.

What's going on?

Is it difficult for Chen Gong to succeed...... What will you really order?

Moreover, when Chen Gong left, that sentence was really arrogant!

What does it mean to go back first?

Call him again at the time of surgery?

Is there such an arrogant person?

Everyone is having a preoperative discussion, discussing the surgical plan, you just go, do you have everyone in mind?

It's simply ...... There is no one in sight.

Although Pang Di didn't like Chen Gong a little, he ...... As an honorary alumnus, he naturally will not provoke the other party for no reason.

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

"Director Zhao, is this how the students of your department are trained?"

"It's really different!"

Zhao Lei glanced at Pang Di and nodded: "Huh?" I seriously think too! ”

"The students trained in our department are excellent!"

Pondy: ???

Miao Junlong: ???

Ay? Wait, it's not!

Don't you understand sarcasm?

I'm weird with you here, you tell me that, is it appropriate?

Pang Di suddenly felt that people like Zhao Lei really couldn't go around the bend, even the rectum, enemas didn't need to use a hose, and the steel bars were no problem directly.

Pondy smiled: "Hehe, okay! ”

"Let's get down to business, let's have a good discussion and discuss the surgical plan."

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

In fact, Pang Di also has a set of plans for this patient, what he wants is to let everyone say it first, and then talk about it himself after everyone finishes speaking.

After all, no matter how you say it, you are 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 glanced at each other, stunned for a moment and said:

"Discuss a plan?"

Pondy nodded: "That's right, right?" ”

"Keep the discussion going!"

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

"Director Pang, please."

With that, the two returned to their positions.

Discuss?

Talk a fart!

The standard answer is given to you, and you can't copy it? Don't you have any eyesight?

However, the respect that should be there is still a need.

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

After the lecture......

Jiang Mingze and Zhao Lei have not yet spoken.

On the other hand, Pang Di was surprised to find a question, the more he talked about it, the more strange it became?

Why?

Because the more he talks, the more the gap is compared to the scheme on the demo board.

After all, Pondy is an expert, and there is still a level that should be there.

The more I talked about this, the more I felt that something was wrong, and the more I talked about it, the more I found that there was a bigger gap between myself and the plan proposed by Chen Gong before!

Far from simplifying, the surgery has become cumbersome.

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

Surgery, what is the most taboo?

In other words, what is the most important thing about the development of surgery over the years?

Naturally, the less destructive the better.

Otherwise, what is the purpose of inventing a laparoscope?

Is it good-looking?

Of course not!

And Pondy's plan, right?

That's right!

Because it is in line with Pang Di's operation level, Director Pang uses his own operation level to give the best surgical plan.

But......

For Jiang Mingze, it is not the best plan.

Surgery is getting more and more advanced, and there are more and more things that are personalized.

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

That......

After Pondy finished speaking, he laughed first.

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

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

"Sorry for wasting everyone's time."

"Director Jiang, Director Zhao, it's up to the two of you to decide."

Pang Di really blushed a little, and he didn't notice it at first, but when he took it in and studied the surgical plan, he found that Chen Gong's plan was so good.

When Miao Junlong heard this, he hurriedly said:

"I think what Director Pang said is very good, this plan is perfect?"

All right!

Miao Junlong's habitual sycophancy.

I didn't pay attention to the position a little lower.

Slapped on the pockmark.

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

You bastard, if you can talk, just talk more, Jiang Mingze and them are here, aren't you embarrassing me?

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

"This ...... Director Pang, don't be modest or polite. ”

"A few of us, it's all half a catty, you see, the best plan is here!"

"Let's just follow this plan!"

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

"Moreover, the level of completion is so high that it is even ...... This operation can be well documented and carefully analyzed. ”

"This operation is very typical, and the scheme is also very classic, which can be used as a classic case of surgical treatment of multiple Takayasu's arteritis!"

After Jiang Mingze finished speaking, he couldn't help but shake his head and look at Zhao Lei: "Just as Director Pang said." ”

"Lao Zhao, the students cultivated in your department are amazing!"

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

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

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

God can testify!

I'm really sarcastic......

But now it's good......

On the contrary, he gave himself an embarrassing scene.

Chen Gong is crazy and has crazy capital.

As they say, when the operation starts, just call him again.

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

Because...... This plan is the best plan!

Although Pang Di doesn't want to admit it, he doesn't want to be old, but he has to admit that Chen Gong is really amazing!

This honorary alumnus is really not a joke!

Strength is the gold standard of clinical discourse.

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

"Why don't you see when he will come to our department for a few days?"

"I think he knows a lot about the blood system!"

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

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

"What kind of operation, he can definitely participate!"

"How?"

After Pang Di finished speaking, Jiang Mingze hurriedly said, "Hehe......"

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

"Don't think about it!"

"This kid has a high heart!"

"He's definitely not coming."

"And, after coming...... What can you teach him? ”

As soon as these words came out, Pang Di's face suddenly turned red.

Although it is the truth, it ...... 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 the words of the two.

But he said to the two seriously:

"What do you think?"

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

"It's also bold!"

"To be honest, even I don't necessarily dare to guarantee that this surgery will be completed smoothly."

"However, aside from the technology, this solution can be said to be very new."

"And, you see, for revascularization techniques, it seems to be ...... There is a unique concept. ”

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

Pondy has recognized the reality.

If you can speak, say more, and if you can't speak, say less.

Moreover, Chen Gong's plan made him a little scared, he really didn't dare to do it!

And Zhao Lei shook his head slightly at this time, and then glanced at the two of them with cold eyes: "This is just the tip of the iceberg!" ”

"I'll tell you!"

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

"It's called the idea of revascularization."

"This idea is just one of our plans."

"Hehe......"

"Okay, I'll clean up, call me when the operation comes!"

After speaking, Zhao Lei got up and left.

Gently he went, just as he came gently, he seriously reflected for a moment, and felt ...... It's not enough to pretend to be yourself.

That's right.

Zhao Lei found that he was still a little behind his virtuous brother in this field.

But, it doesn't matter.

He'll try to get closer.

Don't let outsiders see the joke.

At this time, Jiang Mingze's eyes widened when he heard this.

Boy!

Revascularization idea?!

How ambitious is that?

You know, when it comes to the word idea, it's no longer a separate technique.

It's a discipline.

And in the future of this direction, there is only one: discipline leaders!

Coldly, Jiang Mingze glanced up at Zhao Lei, and his heart suddenly became excited.

Boy.

This bastard...... It can't be that you want to impact academicians, right?

No, but academic leaders in new disciplines.

That's too bold, isn't it?

But......

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

And Pondy also stood in place, pondering for a long time......

What is the secret to success?

Follow the right person!

Do the right thing!

……

……

After Chen Gong returned to the general surgery office.

But not idle.

He left in such a hurry, not just to pretend.

I have to say that this is called Jiang Mingze's door-picking goods, and there is really something in his hand.

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

So much so that I had to hurry back and sort out my thoughts.

Since he wants to help Lao Zhao do a career, Chen Gong naturally won't just talk about it and think about it in his heart.

Everything has to be put into action.

Chen Gong's current most contact is with general surgery, and the patient he just discussed is multiple Takayasu's arteritis, which involves the thoracic aorta.

Revascularization in this area is not easy.

Today, this patient is simpler, and by separating the tissue from the mucosa, a distance of 2-3 cm can be achieved.

But what if it goes beyond the future?

Chen Gong thought of the idea Jiang Mingze said just now.

He had to do some simulations, so that maybe he could revascularize about six centimeters.

One of the biggest problems with vascular remodeling is that the ductility of the blood vessels is not enough, and even if the extension is increased, the tension will increase, which is an unstable thing.

You let a rubber hose run at great tension, just to quench your thirst.

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

In the thoracic aortic area, there are many associated blood vessels, and if you can analyze the properties of these blood vessels and the supply relationship, it is completely possible to look for reconstruction.

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

After half an hour's work, he really came up with some ideas and ideas.

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 well, I'll go over now! ”

After hanging up the phone, Chen Gong got up and was about to leave.

Seeing this, Zhao Xi hurriedly asked curiously:

"Where are you going?"

Chen Gong smiled: "Busy with career." ”

Zhao Xi suddenly rolled his eyes: "Cut, little brat, you're still busy with your career." ”

"Tell me about it?"

Zhao Xi's eyes widened wide.

"I found something!"

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

Zhao Xi lowered his voice: "I found that you are getting closer and closer to Thor now!" ”

"What the hell is going on with you?"

"I see you're busy all day!"

Chen Gong suddenly laughed: "Of course it's a major event in life!" ”

"I have to give my eldest brother a dream come true."

"Haha......"

"Let's go."

After speaking, Chen Gong got up and walked outside.

Zhao Xi didn't refuse, in fact, ...... Chen Gong and Dad get closer, doesn't it seem to be a bad thing?

It's familiar after all......

Ahem!

Zhao Xi hurriedly shook his head, what a dark idea.

However, you have to be vigilant, you can't let the two of you be called big brother and brother.

What is this?

……

……

In the operating room.

Jiang Mingze glanced at the time on the wall.

glanced at Zhao Lei: "How long will it take?" ”

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

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

Pondy shook his head: "Wait! ”

A group of nurses in the operating room, as well as anesthesiologists, were visibly stunned.

Who are you waiting for?

Aren't the experts already here?

Why haven't you started the surgery?

Don't...... And a bigger coffee spot?

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

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

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

Seeing this, Pang Di didn't need to be reminded by others at all, and hurriedly said to the nurse:

"Quick, dress Professor Chen!"

As soon as these words came out!

Suddenly, Miao Junlong was dumbfounded!

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

Boy......

It's got to be you!

Professor Chen is called?

I don't even want my face!

However, if you think about it carefully, it is really appropriate to call Professor Chen Gong Chen!

Why?

Chen Gong is an honorary alumnus?

There are also quite a few academic honors.

It's not too much to call a professor, right?

But...... Just when a few people were surprised, Pondy shot again, and it can be said that he has laid a solid foundation on the road of life wealth password.

"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 surgical plan."

Chen Gong was a little embarrassed by these words.

He glanced at Pondy, suddenly a little embarrassed.

And is there a change?

There must be.

At the very least, when the little nurse dressed him, her technique was much lighter and softer, and she did not urge him, but delicately helped him sort out every link.

Chen Gong got dressed, Jiang Mingze couldn't help but glance at Chen Gong:

"Can we begin?"

Chen Gong nodded: "Yes!" ”

"Let's get started!"

When everything is ready......

Jiang Mingze frowned slightly, he always felt that Chen Gong's words sounded strange, and there was a feeling of being inspected by a superior leader.

However, surgery is about to begin at this time.

Jiang Mingze said speechlessly: "Why don't you speak?" ”

Chen Gong didn't hesitate, after all...... This one, although he can't do it.

However, it is a little bit to be able to do a little.

These are all contributions to surgery.

Originally, Jiang Mingze just said this as if protesting.

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

The surgical incision began.

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

Chen Gong started the operation directly from the sixth intercostal space, went down with a knife, went down smoothly, and directly extended the incision to the midline of the abdomen!

In general, the length of this procedure depends on the abdominal aortic lesion or the site of the distal anastomosis.

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

But that's not the most important thing!

The most important thing is this knife!

Chen Gong only used a knife to smoothly cut through the incision dozens of centimeters long.

The whole process was hearty without the slightest lag.

This...... It's still just a glimpse.

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

To know......

Zhao Lei had never seen such a large incision made.

Although he has seen Chen Gong's "one-knife flow" technique.

However, with such a long incision, is it okay to cut it with one cut?

This...... That's an exaggeration, isn't it?

You know, even those top top and super top surgical experts don't have such a certainty, right?

Jiang Mingze, Pang Di and others were directly dumbfounded.

Boy!

Such a shocking stab.

Unheard of!

But...... The next scene was the moment that really made everyone jaw-dropping Chen Gong's strength.

When 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 or fifty centimeters long.

It can accurately grasp the thickness of the chest and abdomen, and when the incision is made, the gap is found accurately, the amount of bleeding is less, the incision depth is perfect, and the error of the incision offset is less than 0.5 cm!

How is this done?

This scene directly made Jiang Mingze's eyes widen instantly, and his pupils trembled slightly.

He was really a little frightened by Chen Gong.

After so many surgeries, it is the first time I have seen such a shocking knife.

This knife!

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

Because, a perfect incision, in such an operation, is simply not possible.

The incision point extends from the intercostal space of the chest, directly to the abdominal aorta region.

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

And the abdomen also has a peritoneum and the like.

How did Chen Gong grasp it?

These, there are no answers at all.

But......

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

Even the anesthesiologist couldn't help but blurt out: "Lean".

But no one at the scene minded, because how could everyone not have this idea in their hearts?

And Jiang Mingze suddenly glanced up at Chen Gong, and he suddenly felt ...... Could this Chen Gong really be hidden?

Chen Gong handed the knife to the nurse on the side, and then returned to his VIP viewing seat and watched patiently.

"Director Jiang, come on."

"I've already opened the opening."

Jiang Mingze swallowed his saliva, this time he surprisingly didn't argue with Chen Gong about anything.

Because he knows very well that this incision is really invincible!

For patients with this type of large incision surgery, generally the better the incision, the faster the recovery.

What may seem like a trivial point can actually make patients grateful.

Why?

Because of the internal changes, he couldn't feel it.

But he knew how well the wound healed.

Therefore, Chen Gong's incision is too perverted.

However, Jiang Mingze was also the one who refused to admit defeat, nodded directly at Pang Di and Zhao Lei, and started his own operation.

Chen Gong made a good start, exposing Jiang Mingze's surgical vision, which was good enough.

This allows him to make a better radial cut to the diaphragm from the costal arch.

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

The separation is smooth up to the aortic foramen.

After the left lung collapses, the hand is pulled inward, directly exposing the chest cavity and posterior mediastinum.

At this moment, the thoracic aorta is fully revealed.

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

This length fits below the free blood vessels after the mediastinal pleura.

That's just enough for a 6 cm anastomosis.

When the stenotic area is removed.

Jiang Mingze's side also started his own anastomosis technique.

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

【Ding! Discover LV6-vascular anastomosis, do you spend 30,000 points to learn? 】

After hearing this, Chen Gong shook his head directly.

His current vascular anastomosis technique has reached the perfect level.

So much so that Jiang Mingze's methods could no longer enter his eyes.

Even, under Chen Gong's [Rat Eyes], he could even clearly feel the shortcomings in Jiang Mingze's technique.

You must know that Jiang Mingze's vascular anastomosis is lv6-.

And Zhao Lei's technique is also lv6-.

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

In Zhao Lei's anastomosis technique, the degree of non-damage is far less delicate than Jiang Mingze's.

And Jiang Mingze's stitching technique, too, is not as fast as Zhao Lei.

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

Soon!

The first area, stenosis excision.

Jiang Mingze spent 3 minutes to complete this section of vascular anastomosis, and 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 already played at a higher level in the operation just now.

But......

When Jiang Mingze looked at Chen Gong, there was a little more provocative in his eyes.

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

"The stability of the technique was insufficient, and there was a slight tremor at the third, seventh, and twenty-fourth injections."

"This can lead to the emergence of destruction of the blood vessel walls."

"This is the non-destructive operation you are proud of?"

"I look at Director Zhao Lei, after getting acquainted with it, I can surpass you!"

"What are you proud of?"

Chen Gong's words suddenly made Jiang Mingze's face change.

And Pondy couldn't help but cough.

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

But Jian Mingze didn't refute it.

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

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

Non-destructive suturing requires high manipulation stability.

But......

He...... Does he really understand the legal method of non-destructive sewing?

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

But......

And that's just the beginning.

Jiang Mingze couldn't help but say to Chen Gong:

"Non-destructive sutures, high requirements for stability!"

"It's hard to do that with such precision."

"For example, if a blood vessel that requires 30 stitches is only 10% unstable, it is already successful."

Chen Gong nodded: "That's true." ”

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

Chen Gong smiled: "No, no! ”

"You're right."

Jiang Mingze: ???

At this time......

Surgery has also reached this very critical point.

It's the suture of the blood vessel that has a 30Β° angle.

It is very difficult to carry out non-destructive sutures here, and Jiang Mingze also hesitated a little when he saw this.

Although Chen Gong directly painted several dishes for himself, he ...... If only it were that simple.

Seeing Jiang Mingze hesitating, Pang Di on the side didn't dare to control the blood flow.

I just couldn't help but ask:

"When does it start?"

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

Seeing this, Chen Gong sighed:

"I'll do it!"

"You've got it."

As he spoke, Chen Gong took the needle and thread directly.

Seeing this, Jiang Mingze was stunned for a moment.

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

This kind of non-destructive suturing of blood vessels at a 30-degree angle is too difficult.

He wouldn't have dared to do that before.

Of course!

If you fail, you don't have anything to lose.

Because it's a big deal, replace it with artificial blood vessels, and just choose the previous plan.

But......

If it succeeds......

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

Even Mr. Gu Haiyi, the legal proposer of non-destructive stitching, was not sure.

At this time, Jiang Mingze said:

"Come on!"

Chen Gong nodded and smiled: "There are not many opportunities, take it seriously." ”

As he spoke, Chen Gong directly started his own operation.

Jiang Mingze asked: "I'll 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 the suture needle shuttled away according to the adventitia of the blood vessel at this moment.

The process is very fast and is definitely the classic needle insertion for non-destructive suturing, except for the angle.

The angle of the stitching is very tricky!

And the stability of the fingers is incomparably high.

Cooperate with the precise selection of the needle insertion point.

……

After seeing Chen Gong's technique, Jiang Mingze suddenly waited for his eyes.

He was directly confused.

Next, Chen Gong only took less than 2 minutes to complete the anastomosis of the blood vessels.

After Jiang Mingze saw this scene, he was instantly silent.

So fast!

So stable!

And...... Undamaged!

How did he do it?

How is this possible?

Such a suture technique, is it a young man in his twenties?

He didn't believe it!

I really don't believe it!

Even, Jiang Mingze was a little skeptical about life.

You must know that vascular anastomosis is a hard kung fu, although it requires a lot of talent, but it is ......

Can......

This......

I really can't explain it.

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

Jiang Mingze nodded indiscriminately.

Got it...... But I didn't understand it completely.

(End of chapter)