When the Doctor Uses A Hack-Chapter 908 - 909 Horse Holding Jokes
Chapter 908: Chapter 909: Horse Holding Jokes
Chapter 908 -909: Horse Holding Jokes
“I saw you accepting a red envelope!” Old Ma chuckled slyly, “Share some with me, and I won’t report you!”
Chen Cang quickly clenched his pocket, “I got the red envelope through my skills, why should I share it with you!”
Old Ma gave a sheepish laugh, “Such a cute girl! Just give me one, just one.”
Carefully choosing, Chen Cang gave Old Ma the cheapest fruit-flavored one, keeping the White Rabbit for himself.
Old Ma blissfully tore it open and popped it into his mouth, the sweet taste was strong, inexpensive, yet precious as it lingered in his mouth.
Eating the candy, Old Ma and Chen Cang walked together to the operating room.
As soon as they reached the operating room, Old Ma blabbed about Chen Cang accepting the red envelope to several directors!
Chen Cang was instantly speechless, damn it…
Share the candy!
By doing so, Chen Cang was left with only three White Rabbits, he quickly stuffed one into his mouth and left the remaining two for Xiao Qin.
Old Ma said smilingly, “You’ve taken all the red envelopes, you better work hard.”
Zhang Chahai nodded and smiled, “Sure, sure.”
After scrubbing up and discussing the surgical details, the group headed towards the operating room.
Zhou He, the anesthesiologist, after finishing his analysis, also began to prepare nervously.
This surgery was highly difficult!
Chen Cang looked up at the time, it was 7:20 PM.
The surgery officially began.
The entire surgery required separation and repair of neck tissues, thoracotomy, extensive gastrectomy, and esophagocolic interposition, thus necessitating multiple incisions.
The esophageal separation surgery in the neck began, and Zhang Chahai watched Chen Cang’s skilled and steady operation, if it weren’t for his face, one might think he was a seasoned director over fifty.
Fortunately, the mucous membrane had not perforated yet, but the difference was not significant.
The entire process was even more challenging than dealing with already damaged and perforated cases, as it required evaluating and removing damaged tissues.
This undoubtedly added a surgical step, and making incisions in such an area dense with nerves, blood vessels, and thyroid tissues in the neck was extremely difficult.
After spending over twenty minutes, Chen Cang successfully separated them.
Meanwhile, an alert sounded in Chen Cang’s ear!
[Ding! Digestive tract burned by sulfuric acid, Disease complexity determined as: King-level boss, surgery difficulty is high, proceed with caution.]
King-level!
However, such surgical complexity deserved to be termed King-level.
Chen Cang, without much emotional fluctuation, steadied his scalpel, looked at the esophagus wall, and started to make a slow incision.
This was a delicate process!
How to effectively strip undamaged tissues and preserve healthy tissue required immense patience.
Chen Cang’s eyes were extremely accurate in identifying the red, damaged areas.
When making incisions, he was also very decisive.
The surgery process wasn’t as wonderful as one might think, blood would keep flowing out, and the damaged scar tissue and ulcer walls looked hideously daunting.
But everyone was used to seeing this.
Watching Chen Cang focused on the operation, Zhang Chahai tried to free up and stabilize the esophagus as much as possible.
As time ticked away, Chen Cang hoped to preserve as much normal tissue as possible, maintaining the digestive tract’s motility and related functions.
Digestive tract reconstruction techniques are a field continuously explored worldwide.
Even the recent Mayo Clinic Gastrointestinal Function Summit was not an exaggeration; their objective was to figure out how to maximize the restoration of gastrointestinal functions after reconstructing the digestive tract.
This was an international challenge!
There were many issues to consider, and the digestive system was not just about the gastrointestinal tract but also involved the liver, gallbladder, pancreas… and other digestive organs.
Next was the thoracotomy and lung resection.
Zhang Chahai watched the procedure very attentively.
Chen Cang held nothing back.
In fact, Chen Cang had never held back on these surgical techniques, even during the last surgery where he had elaborately explained the principles and procedures to Ma Yuehui.
But Old Ma… it’s better not to mention it, it’s somewhat sad to talk about.
Observing the undisturbed Chen Cang, Zhang Chahai momentarily became distracted, for such composure and calmness, frankly speaking, were truly extraordinary.
The process involved ligating and severing the bronchus of the right middle lobe, without damaging any pulmonary arteries or veins, preserving tissue valves, and creating pulmonary tissue flaps to repair lung tissue…
The whole procedure looked effortless, as if he had done it hundreds of times.
Next, came the anastomosis.
After covering the defect with the lung tissue flap, an incredible scene occurred!
Zhang Chahai suddenly widened his eyes, unbelievably watching Chen Cang.
It was incredible!
The leisure operation that was as calm as scattering clouds and cranes had just…
Could it be?
Exactly!
Zhang Chahai acutely realized that Chen Cang’s surgery was not rushed, but deliberately slowed down to improve surgical precision, thus ensuring the maximum surgical effect.
From the most suitable lung tissue, creating the smallest pulmonary flap that could meet the entire esophagus’ needs—what was this if not skill?
Considering this, Zhang Chahai couldn’t help but grow more solemn.
For the esophageal anastomosis, Chen Cang started a continuous suturing using 3–0 absorbable sutures, plus an additional layer of suturing similar to the muscularis mucosae.
The suturing’s pace and rhythm were as precise as a machine, leaving several directors in awe.
“Xiao Chen’s fundamentals are really solid, this set of procedures and surgery are like those of a director in his fifties.”
“Incredible!”
The directors repeatedly praised, while Chen Cang remained silent.
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Beside him, Old Ma simply smiled faintly: “Basic operation!”
This statement stunned everyone around, even Chen Cang turned to look at this Ma Yuehui, suddenly feeling he had potential for development!
After completing the neck repair, Chen Cang directly proceeded with the esophageal repair in the chest area, for which it was necessary to open the abdomen and remove a segment of the colon for later use.
Chen Cang looked at Old Ma, thinking he should acknowledge him: “Group Leader Ma, you perform the colon resection, just 5cm.”
Old Ma nodded, choosing his gaze as if saying, see, Xiao Chen still can’t manage without me!
Old Ma was also very professional, not arbitrarily choosing the ablation site.
After all, with a major stomach resection shortly after, if cutting two incisions was completely unnecessary, it was best to handle both tasks with one incision.
For Group Leader Ma, such basic maneuvers weren’t much of an issue.
When Chen Cang had almost completed the repair on his end, he directly removed the area that was severely damaged and too narrow to be mended.
Meanwhile, Old Ma’s surgery was successful, preparing the colon with its mesentery.
The severed colon was joined end-to-end using a two-layer interrupted suturing method.
In the chest, using the colon left free during the surgery could effectively reduce adverse reactions compressing the trachea.
Chen Cang made a small incision at the right side of the diaphragmatic feet and esophageal hiatus, then taking advantage of the colon and its vascular pedicle, he passed the colon behind the hilum through the chest cavity.
Each step of the seemingly simple process needed careful caution, because any tension that arose in the spleen’s posterior and pre-renal space during the shifting of the colon’s mesentery could affect blood circulation, even leading to the failure of the surgery.
