Chapter 890 - 890 891 We Always Do This Really
Chapter 890: Chapter 891: We Always Do This! Really! Chapter 890: Chapter 891: We Always Do This! Really! Chen Cang saw the system prompt and immediately felt a burst of joy!
Because it had been a long time since he had seen the boss and solved it alone…
He had seen it recently, but… Chen Cang couldn’t handle these lord-level bosses either, naturally, he wouldn’t foolishly attempt it—carelessly failing a surgery would not only end his career but, more importantly, cost the patient their life.
Thinking about this, Chen Cang naturally became even more expectant.
No more waiting!
Let’s start.
Otherwise, once Team Leader Ma returns, who knows whose boss it will be, and of course, the patient might not be able to wait much longer.
Thinking of this, Chen Cang glanced at He Zhengzhi, “Are you a bit nervous?”
He Zhengzhi wasn’t just nervous; he was in a panic!
After all… with a surgery like this, look at the state of that stomach, could you handle it?
He Zhengzhi wanted to cry but no tears came, you ask me if I am nervous…
“A bit… Doctor Chen, let’s wait for Team Leader Ma, after all, the complexity of this surgery is quite high. Look at this ulcer surface, the serous layer is destroyed, and there isn’t just one perforation. We should probably wait for Team Leader Ma to discuss the size and range of the gastrectomy.”
“Moreover, this patient is a foreigner, supposedly a celebrity. If the two of us mess this up… I’m worried something might go wrong.”
Chen Cang nodded with a smile, “Alright, we’ll clean up the abdominal cavity first and wait for Team Leader Ma for the surgery. How about that?”
Hearing this, He Zhengzhi was instantly overwhelmed with gratitude; nothing could make him happier than this statement!
So Dr. Chen is so easygoing to talk to!
He Zhengzhi quickly nodded, “Okay, I’ll help you!”
Cleaning the abdominal cavity is a very troublesome and has to be done with extreme caution.
Therefore, seeing that He Zhengzhi was a bit nervous, Chen Cang felt that reassurance was the best strategy, considering all factors.
Seeing him not panicking anymore, Chen Cang began to clean up the abdominal cavity.
All gastric contents had to be suctioned out and cleaned.
Actually, this process is not too different from washing tripe when eating hotpot.
Sometimes, surgery feels delicate, yet sometimes, it makes you wonder, what’s the difference between humans and animals?
If not for the blood mixed with a body temperature of 36 degrees…
“Wash the stomach with warm saline.”
He Zhengzhi nodded.
At this moment, Dr. He was not nervous anymore. He thought Dr. Chen was a good person, someone who listens to suggestions, easy to communicate and interact with.
At this time, the stomach and intestines were almost non-moving due to intestinal paralysis, much like intestinal obstruction.
The duodenum was also distended and swollen.
Digestive surgery is a peculiar department; the mental challenge for doctors, in fact, is rather high.
As Li Yue said, we are just “feces removal boys”.
It took a long time for the two of them to clean the abdominal cavity.
Then they used antibiotics to prevent the worsening of infections.
As the surgery was lengthy, the patient had already been administered antibiotics.
After cleaning the abdominal cavity, He Zhengzhi hesitated and glanced at Chen Cang, “Hasn’t Team Leader Ma arrived yet?”
Chen Cang nodded, “Hmm!”
“Should we… start detaching the greater curvature of the stomach?”
He Zhengzhi paused and looked at Chen Cang, only to see his clear gaze, “Aren’t we waiting for Team Leader Ma?”
Chen Cang smiled faintly, “There’s no need, once Team Leader Ma arrives, we can just start the surgery; we’ve taken care of all the preparatory work, which will ease his mind!”
He Zhengzhi glanced at the anesthesiologist Zhou He with a puzzled look, swallowed, and said to Chen Cang, “Is this how it usually goes?”
Chen Cang nodded, “Exactly, whether it’s Team Leader Ma or Director Yu, they only perform the core operations. After all, they are so busy, they don’t have the time. If we don’t handle things well, they would be unhappy!”
Upon hearing this, He Zhengzhi felt that Chen Cang was making a lot of sense.
He hadn’t participated in surgeries with leading surgeons before, but it probably worked on the same principle. Dr. Chen seemed like a good person and probably wouldn’t deceive him.
So, just keep going then!
Seeing this, Chen Cang smiled contentedly. Such an apt pupil!
“Lift the stomach!”
He Zhengzhi nodded, a task he often performed himself. During surgeries led by the department head, it was his responsibility.
But…He Zhengzhi remembered what the director had said—the separation of the stomach and duodenum was a task that tested the chief surgeon, not the assistant!
However, he then watched as Chen Cang used a hemostatic forceps to first create a gap in the gastrocolic ligament!
Next, he slipped his slender forefinger in and slightly lifted it!
Instantly, he had lifted the gastrocolic ligament!
At that moment, the group of young nurses were stunned!
They noticed how long and powerful Chen Cang’s fingers were!
Indeed, He Zhengzhi couldn’t help feeling envious; having long fingers truly had its advantages!
Chen Cang then proceeded along the arch of the vessels beneath the greater curvature of the stomach’s serous membrane, severing the ligament between two hemostatic forceps progressively from right to left, and suturing it with silk.
These nimble fingers darted about, long and agile. Without gloves, they would have looked extremely elegant!
The group of young nurses was also dumbfounded. Working as surgical nurses for so long, it was the first time they had realized that gastrointestinal surgeries could be performed so beautifully!
Actually, people generally disliked following gastrointestinal surgeries because they could be quite odorous, especially in cases of intestinal obstruction which could disturb one’s appetite for days.
But Chen Cang’s surgery made you forget all those unpleasant things, the only thing remaining in your sight was the continuous and swift dissection and isolation of his fingers through the omentum…
When he isolated up to the junction between the left and right arteries of the omentum, Chen Cang stopped because the patient didn’t need a total gastrectomy; isolating up to this point was enough!
Just as he was about to prepare for the next step, Chen Cang suddenly encountered a troublesome issue.
No wonder he could be called a master; that’s how!
He saw the greater curvature’s lower edge on the right side tightly adhered in four crucial places: the gastrocolic ligament, the posterior wall of the stomach, the transverse mesocolon, and the capsule around the head of the pancreas!
It was absolutely impossible to sever these with large hemostatic forceps as on the left side; being careless could damage a lot of tissue.
At this moment, He Zhengzhi and Zhou He realized this too, their faces instantly changing!
They looked at Chen Cang, somewhat worried.
If these four places adhered poorly, a poor separation might result in a quadruple loss, causing big trouble later!
Chen Cang took a deep breath, looked at He Zhengzhi, and said, “Hold the stomach steady, don’t move.”
He then cautiously began cutting the anterior layer of the gastrocolic ligament!
Next, he needed to separate the anterior and posterior layers of the gastrocolic ligament, but due to the angle, the separation forceps couldn’t get in!
A sharp dissection would most definitely damage the middle colic artery!
These had all tightly adhered together; how to handle it?
The position was exceedingly awkward, and the degree of adhesion was highly complex. The difficulty of dealing with it was extremely high!
Chen Cang’s breathing grew somewhat rapid; he carefully observed for a while, considering the distance…Chen Cang looked down at his forefinger and middle finger!
Suddenly, he had an idea!
What do you think?
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