When the Doctor Uses A Hack - Chapter 159
Chapter 159: Chapter 160: Chen Cang Rocks! (Thanks to the Silver League of book-loving buddies and big brothers!)
As soon as Chen Cang arrived in the operating room, the nurse had been waiting for half a day. He quickly washed his hands, and the nurse was already prepared with clothes at the door, waiting for Chen Cang to come in and hurriedly change!
Upon seeing Chen Gang’s arrival, everyone’s eyes immediately lit up!
“Chen, come quick, Director Zhang can’t hold on anymore.”
Chen Cang looked up and saw Zhang Youfu’s upper limbs trembling, and sweat had soaked through his surgical cap and mask!
Chen Cang quickly walked up to see the situation on the big screen!
Instantly, the scene before his eyes made his heart sink to the bottom!
The intestinal wall adhesions must be separated; otherwise, the manipulation of the duodenum would affect the triangle area of the gallbladder, and if the hepatic artery ruptures postoperatively, massive bleeding would definitely pose a big problem!
Compared to after surgery, there’s at least a sliver of leeway for intraoperative bleeding!
“Chen, sew up the intestinal wall.”
Chen Cang turned around, took the suture thread handed over by Zhang Zhixin, and was about to start sewing!
Chen Gang’s intestinal suturing technique was not bad, but in such situations, he still couldn’t help being somewhat worried.
Taking a deep breath, he picked up the needle holder, and observing the information transmitted from the laparoscope, Chen Cang finally understood why Zhang Youfu dared not move!
Because a 5-6 cm long fistula was right next to it, and if Zhang Youfu didn’t block it, the contents might leak out.
Cleaning the contents was not terrible, but under such a complex internal environment, cleaning would lead to many serious issues, which was the most terrifying part!
Zhang Youfu realized this and thus held onto the instrument tightly, not daring to move.
Suture!
Chen Cang held his breath and concentrated, the needle holder meticulous in his grip, weaving back and forth stitch by stitch, carefully sewing up the trembling intestinal wall.
Chen Gang’s laparoscopic suturing foundation was very good, whether it be intestinal suturing or vascular suturing!
The surgery progressed steadily, with Chen Cang not daring to be careless for a moment.
Chen Cang could feel Zhang Youfu’s arms trembling, yet he still controlled his movements with the utmost care. Such a task was extremely physically taxing, surely someone would ask why not switch to another person.
Because laparoscopic manipulation is already quite tricky, and a careless switch at this moment might lead to a serious problem. If Zhang Youfu couldn’t wait for Chen Cang, he would definitely have switched the instrument holder and done the suturing himself.
Fortunately, Chen Cang arrived!
As time ticked by second by second, everyone watched the screen with bated breath, not daring to let out a single breath!
Finally, after Chen Cang finished suturing, Zhang Youfu carefully withdrew the instrument, collapsing weakly to one side.
Seeing this, Chen Cang spoke in a deep voice, “Director Zhang, you take a rest first, I’ll do it!”
Chen Cang had master-level expertise in gallbladder removal surgery, but he could not be the slightest bit careless facing this situation; all he could rely on was the final three hours of expert guidance remaining.
After the laparoscopic examination, Chen Gang’s face suddenly changed!
[Jaundice gallbladder inflammation with adhesive intestinal obstruction, IV55, King-level beast!]
A King-level beast!
Chen Cang felt a mixture of sorrow and joy.
The joy was that if he managed to remove this gallbladder, his class change mission would be perfectly completed, possibly bringing unexpected rewards, and a massive loot from a King-level beast would be delightful.
But it also meant the surgery was highly difficult, and whether he could finish it was a question.
Take it slowly!
Chen Cang took over the dissector and started to take over the work from Zhang Youfu.
Although his experience was not as vast as Zhang Youfu’s, Chen Gang’s technique was very delicate. If it didn’t work the first time, he would try several more times, and so time slipped away minute by minute.
Chen Cang finally managed to separate the duodenum and the gallbladder triangle, but now the most critical issue was to avoid bleeding!
The expert guidance suggested that the hepatic artery adhesions could not continue to be separated; what was needed was to perform a ligation and overlapping suture.
Chen Cang looked up and said to Zhang Zhixin, “Teacher Zhang, help me ligate the hepatic artery.”
Zhang Youfu was taken aback and quickly stood up, “Chen, don’t rush, the patient has portal hypertension, low coagulation, bleeding would be a big problem!”
Chen Cang nodded, “Director Zhang, you rest a bit; I’ve got this.”
After these words were spoken, everyone felt very surprised.
After all, Chen Cang was just a young doctor around 27 or 28 years old, and everyone present had more experience than him!
Yet, when these words came from Chen Gang’s mouth, they carried a lot of weight, making everyone unable to help but feel convinced.
At this moment, Duan Bo’s feelings were incredibly complex. He could never have imagined that it would be Chen Cang who appeared in this crucial moment —a hospitalist from the emergency department whom he used to instigate and mock.
Now, Duan Bo was already a senior associate level doctor, known for his high level of surgical skills in general surgery, but under these circumstances, he might as well have been a wooden stake, completely unable to contribute.
Chen Cang just turned around, looked up at Duan Bo, and said, “Excuse me.”
Duan Bo was stunned, his face flushed, and he hurriedly stepped back.
Zhang Youfu then reprimanded him, “Duan Bo, if you’re not going to help, stay back!”
With those words, Duan Bo nearly couldn’t show his face.
Everyone watched Chen Gang’s movements on the television screen.
After getting ready, Chen Cang looked at Zhang Zhixin and said, “Ligate!”
Zhang Zhixin nodded and clamped to stop the bleeding instantly!
At this time, there was an urgency, as the patient already had portal hypertension, so there was a very limited time for ligature!
Chen Cang acted decisively, cutting off the adhesion vessels and then rapidly performing an overlapping suture!
Chen Gang’s suturing speed once again impressed every director and dean present.
Initially, an open abdominal suture was acceptable to everyone.
But such vascular suturing under a laparoscope places extremely high demands on the operator. Without robust and strong suturing techniques, one simply couldn’t perform such work!
The number five prolene thread ebbed and flowed, fluttering around the blood vessel like a dancing butterfly, and in a brief two minutes, the suturing was complete!
Chen Cang promptly said, “Release it!”
Zhang Zhixin’s hands were already sweating; he quickly released the clamps on both ends, and blood flow resumed normally.
To use vascular overlapping suturing to solve a severe adhesion issue was simply a stroke of genius!
Zhang Youfu’s eyes also lit up!
If this surgery was done well, it could be submitted to this year’s Hepatobiliary Surgery Conference for an award!
At this thought, Zhang Youfu looked at Chen Cang with a face full of appreciation!
After all, it takes more than just a genius idea to devise such a solution for separating vessels, and freeing the gallbladder triangle—it’s built upon a foundation of genius-level execution!
For example, excellent separation techniques!
Decisive and rapid laparoscopic vascular overlapping suturing techniques!
Each one is indispensable!
This is a talent!
If he could be brought into general surgery, Zhang Youfu would be willing to offer him the position of deputy director!
Indeed, he would gladly do so for a 27-year-old resident to become the deputy director.
Of course, he also knew that his willingness mattered not; it had to be Tan Liguo who was willing.
After the separation, the surgery suddenly became clear!
Separation of the gallbladder triangle, removal of the gallbladder, disposal of excess stones…
The surgery was on the verge of success!
Thinking of the rewards, Chen Cang was extremely excited!
p.s.: Posting three chapters now, with five more coming at 12 noon tomorrow. (I haven’t finished writing yet; I’ll be working overtime tonight… Sigh, debts are due in the coming days. Currently owing the Alliance Hierarch 3 chapters, 20 chapters for Silver Level, and 2 chapters for monthly tickets, a total of 25 chapters. In the next few days, I’ll start with 8 updates a day!)
The toilet broke tonight; I went to fix it. Totally bewildered, the more I fixed it, the worse it got, dragging on all afternoon.
