When the Doctor Uses A Hack-Chapter 906 - 907 Ill Take the Lead in Surgery
Chapter 906: Chapter 907: I’ll Take the Lead in Surgery
Chapter 906 -907: I’ll Take the Lead in Surgery
Upon hearing that Chen Cang had improved the major gastric resection technique, the room suddenly fell silent!
He Zhiqian looked at Chen Cang with a stern face, “Dr. Chen, be cautious. We are all from the hospital, so you can speak freely.”
“But you can’t talk recklessly about improving the technique once you leave here,” he added. “It could give rise to criticism.”
He Zhiqian’s words were true, and he was expressing his concern for Chen Cang.
Seeing that he was young, he reminded him that improvements in the technique should not be discussed loosely without sufficient clinical analysis.
How do you know your improvements are better than the original?
Embarrassed, Chen Cang nodded and smiled, “Sorry, Professor He, I got a bit carried away.”
He Zhiqian nodded, “No problem, please go ahead and introduce it to everyone.”
Chen Cang nodded.
Last night, he had used the improved technique to work on a major gastric resection.
Following the improvement, Chen Cang had enhanced the Bi-1 and Bi-2 techniques to varying extents in his mind, and even came up with various suturing methods suitable for different scenarios.
By the time Chen Cang realized it, he was surprised to find:
This enhancement had elevated his major gastric resection technique to a perfect level.
He was thrilled!
He hadn’t expected the rewards from last time to be so plentiful.
Chen Cang then began his introduction.
“Che Zhehua has severe gastric mucosal damage. Even the areas that don’t show ulcers under the gastroscope have varying degrees of damage, and over the last two days, there’s even the possibility of reflux esophagitis.”
“After surgery, if the upper end of the esophagus in the abdomen is removed, the reflux esophagitis will definitely worsen!”
“With excessive gastric acid secretion, the condition will intensify, so we need to use surgical methods that reduce acid and expedite gastric emptying. These are more thorough treatment methods! The procedure involves resecting the lower part of the esophagus and the major portion of the stomach, then performing gastroduodenal anastomosis.”
Hearing Chen Cang’s explanation, everyone nodded slightly; it made sense.
Reducing gastric acid and protease secretion can indeed effectively promote the rapid emptying of gastric contents, reduce reflux, and minimize damage to the esophagus and gastric mucosa.
At this point, He Zhiqian suddenly looked intrigued:
“Dr. Chen, do you mean using the Roux-en-y jejunal anastomosis technique?”
Upon hearing Roux-en-y jejunal anastomosis, the eyes of several gastroenterologists in the room lit up.
This was a method to treat severe reflux esophagitis and excessive secretion of gastric acid and proteases.
But, using it in this case, on such a patient, really seemed like a good idea.
Everyone started to see the light; indeed, compared to the Bi-1 and Bi-2 techniques, using the Roux-en-y jejunal anastomosis method appeared to be the best choice.
However…
At this point, a director, who had been silent, finally spoke up:
“There’s still the issue of anastomotic fistula. If we use the Roux-en-y jejunal anastomosis, the feasibility of anastomotic fistula in the patient might substantially increase.”
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“If an anastomotic fistula occurs, a second surgery would be needed, possibly even reconstruction of the digestive tract, which would further increase the difficulty of the operation!”
Indeed, one of the complications of the Roux-en-y jejunal anastomosis was an anastomotic fistula. If this couldn’t be managed well, it was clear the patient would face some trouble.
Chen Cang was clearly prepared: “Actually, what I intend to do is to modify some details on the foundation of Roux-en-y jejunal anastomosis.”
“That is, we don’t need to perform a jejunal incision! If we don’t sever the jejunum in the Roux-en-y anastomosis, the probability of postoperative complications like anastomotic fistula will greatly decrease!”
While speaking, Chen Cang started to quickly describe it on the presentation board.
Chen Cang already understood the entire process well, so his drawing was swift.
He quickly sketched several simple diagrams outlining the entire surgical procedure.
After he finished drawing, everyone stared at the board and started to ponder.
Not severing the jejunum?
It seemed like a good idea.
Several directors began whispering among themselves, including Director He Zhiqian, who closed his eyes in deep thought.
An experienced clinician, battle-scarred surgeon – he would have a detailed understanding of the surgery and could even conceive various ideas based on the drawings.
At this moment, time became cheap.
Minute by minute ticked away.
Everyone was thinking.
Old Ma, however, was zoning out.
Old Yu glanced at Old Ma, and immediately Old Ma’s brow furrowed intensely, and he kept frowning.
Chen Cang swore, this was the worst acting he had seen.
When you frown, can you not smirk?
The drool was even dripping out.
Anyone could see what you were fantasizing about.
You’re thinking… thinking of nothing.
Chen Cang was helpless.
Indeed, Old Ma didn’t really understand what Roux-en-y jejunal anastomosis was, but he felt that Chen Cang’s swagger earlier looked just like himself in his dreams.
Such spiritedness!
So exhilarating…
After half an hour, following prolonged discussion, everyone nodded; the idea seemed feasible after thorough consideration and discussion!
But ultimately, it was hard to say what the outcome would be!
After all, it was only theoretically feasible—the results would need further observation.
Everyone couldn’t think of a better solution, so it might as well be this way.
Then, after a few minutes.
He Zhiqian looked at Chen Cang: “Dr. Chen, after our discussion, we think this idea is very feasible.”
Chen Cang nodded and said thank you!
He wasn’t trying to show off on purpose, otherwise, he wouldn’t have used the technique improvement card.
He genuinely wanted to help Che Zhehua.
He didn’t have enough followers or influence to help him gain exposure, nor did he have the capability to punish the wicked and champion the just.
Ultimately, he was just a doctor.
He could only do what was within his capacity, like helping Che Zhehua.
For instance…
Giving him back a healthy body.
At this moment, Zhang Chahai, the chief director of thoracic surgery, glanced at Chen Cang: “Dr. Chen, I don’t know how your thoracic surgeries are, can you handle today’s operation?”
Chen Cang looked up, surprised, “Yes, I can!”
He thought he would at most assist, but he hadn’t expected Director Zhang to take the initiative to give him the spotlight and let him carry!
Zhang Chahai nodded with a smile, “Alright then, you proceed with the esophageal surgery.”
Chen Cang nodded happily, immediately redeeming the “Esophageal Colonic Interposition” skill!
This was a thoracic surgery skill. Initially, Chen Cang thought he wouldn’t exchange it if he wasn’t performing the surgery, but now it seemed like he would choose to redeem directly.
Zhang Chahai nodded with a smile, encouraging him, “Do well! I want to see how you perform the lung tissue flap esophageal repair surgery.”
Upon hearing this, Chen Cang smiled, “Definitely!”
