When the Doctor Uses A Hack-Chapter 909 - 910 Can I Swear (Add more 3 for
Chapter 909 -910: Can I Swear? (Add more 3 for hushengayi)
Chapter 909 -910: Can I Swear? (Add more 3 for hushengayi)
After the esophagus surgery was successfully completed.
Everyone looked up and realized it was already 9 p.m.
A single esophageal reconstruction had taken nearly two hours.
And the upcoming major gastric resection would be another operation of over two hours.
The whole surgery, not only difficult but also substantial.
A precision operation lasting four to five hours was a test for a surgeon.
After the esophagus surgery was completed, Zhang Chahai also breathed a sigh of relief, moved his neck around, and it crackled. Which surgeon didn’t have cervical spondylosis?
Without any rest, they directly started the next surgery.
Major gastric resection followed by the modified Roux-Y anastomosis!
He Zhiqian had been looking forward to this for a while, he had been staring at the water dispenser for more than two hours.
His hands were already eager!
At this moment, Chen Cang said, “Elevate the left subcostal back by 20°.”
This statement made everyone stunned for a moment.
However, two male nurses hurriedly nodded and began to help.
And everyone looked perplexed, startled by Chen Cang’s abrupt directive.
He Zhiqian felt somewhat guilty.
I hope I don’t cause any trouble for Dr. Chen?
Thinking of this, He Zhiqian couldn’t help but sigh, and he dared not make any rash moves as he prepared to proceed.
“Director He, you handle the retraction, lift the distal end of the esophagus.”
Although He Zhiqian didn’t know what Chen Cang was planning to do, he still understood the command.
On this side, Chen Cang also started the skilled operation!
Little did He Zhiqian know, he would end up holding the esophagus for a full hour and a half!
For He Zhiqian, who had been a director for more than a decade, this was simply… underutilizing his skills!
Old He also felt extremely frustrated inside!
While Zhang Chahai at least helped with the operation, he became a mere tool, the “esophagus retractor”?
However, when he looked at Old Ma, who was still holding onto the colon with both hands, he suddenly felt much happier.
Old Ma looked at Chen Cang, “Little Chen, can’t I perform the anastomosis?”
Chen Cang shook his head, “Hold it steady, don’t move.”
Hearing this, Old Ma reluctantly nodded, enviously glancing at Old He.
After all, the latter was just holding a free-floating esophagus, while he, with both hands holding onto two colons, felt like a colon merchant.
Without comparison, there is no harm.
Seeing “Colon Bearer” Ma Hanhan afterward, He Zhiqian still felt that Dr. Chen was quite good to him.
The surgery continued, with Chen skillfully performing the major distal gastrectomy near the pylorus.
He Zhiqian’s hands were bound, but his eyes were liberated, and he keenly noticed that Chen Cang’s major gastric resection seemed a bit different from his own!
This made He Zhiqian frown!
That incision is strange?
Why remove it this way?
Clearly, more gastric tissue could be preserved; why did Chen Cang choose to remove it?
This was in stark contrast to the cautious removal of the esophagus earlier!
Follow current novels on ƒreewebηoveℓ.com.
Why?
The more He Zhiqian thought about it, the less he understood.
With questions, he began to focus more on the surgery.
Over there, Chen Cang had already completed the closed deactivation of the duodenal stump in two layers.
He then directly cut the right gastric and right gastroepiploic arteries, the lesser curvature was closed in two layers, and the greater curvature was preserved with a 6 cm diameter!
A 6 cm diameter, how is this possible?
This would make gastric jejunum anastomosis impossible.
Once the tension was too high, an anastomotic leak would definitely occur, which wouldn’t ease but rather exacerbate the situation!
This preserved gastric structure clearly made He Zhiqian very tense.
Why do it this way?
He couldn’t understand!
This discomfort gnawed at He Zhiqian; if the initial 20° elevation of the left subcostal back only made him frown slightly,
Then the current major gastric resection had him utterly curious.
Could it be that Chen Cang’s skill was limited?
Absolutely not!
He Zhiqian instinctively shook his head, as if a limited skill level couldn’t possibly result in this rhythm.
What was the reason?
Chen Cang was now seeming increasingly joyful with each move, like a basketball player whose hands were getting hotter, feeling every shot!
That’s right!
Next, according to the Roux-en-Y gastric bypass method, one should cut the jejunum 20 cm away from the Treitz ligament, but Chen Cang didn’t make the cut!
He made a longitudinal incision on the side of the jejunum instead and connected this vertical incision to the greater curvature of the stomach.
Seeing this, He Zhiqian was momentarily stunned.
He slowly exhaled and muttered, “Damn.”
He understood!
He understood everything, he knew why Chen Cang had done this.
This was a matter of reconstructing the gastrointestinal tract!
The length of the small intestine was sufficient, and Chen Cang utilized the spatial freedom of the jejunum. Rather than choosing the duodenum, he created a structure similar to a stomach directly with the side of the jejunum!
It was exactly like the scene Chen Cang had demonstrated in the office earlier.
He Zhiqian couldn’t help but shake his head, feeling a chill down his spine, and sweating profusely from excitement—it was a surprise of sudden realization.
He had thought Chen Cang was making impromptu changes to the surgical plan.
It turned out that wasn’t the case!
He had misunderstood Chen Cang’s previous maneuver.
A genius!
Definitely a genius!
The Roux-en-Y gastric bypass was designed to prevent reflux esophagitis and promote rapid gastric emptying by creating such a fast-empty structure.
And with the patient’s gastric mucosa damaged, similar to gastroesophageal reflux, Chen Cang bypassed the duodenum entirely and used the healthy part of the jejunum to form the stomach base, allowing the remaining stomach and the side of the jejunum to form a “pseudo-stomach”!
This was truly a stroke of genius!
At this moment, He Zhiqian was genuinely excited.
He had never expected Chen Cang to have thought of so much.
He initially thought the modified Roux-en-Y gastric bypass was merely about not severing the colon, but he had another idea—such incredible not severing.
Fantastic!
This technique could definitely pioneer a new field in gastrointestinal surgery.
“Pseudo-stomach” surgery!
He Zhiqian couldn’t help but give a wry smile, somewhat excitedly saying, “Dr. Chen, I’m truly impressed!”
“What a brilliant modification of the subtotal gastrectomy! You’ve practically rebuilt a stomach!”
Chen Cang smiled, “Keep watching, no rush.”
He Zhiqian paused, wondering if there was still some mystery to unravel?
At that moment, Chen Cang was also excited; this surgery had opened up new vistas and new ideas in gastrointestinal surgery for him.
Suddenly, he felt that reconstructing the gastrointestinal tract wasn’t as difficult as he had imagined!
Soon, the esophagus and stomach were connected… and both ends of the colon were joined!
When all was completed, Chen Cang connected the greater omentum to the stomach, slightly elevating the stomach, and after suturing the descending colon, he made some overall adjustments…
Coupled with the previous operation of elevating the left costal region by 20°!
The entire esophagus, stomach, small intestine, and colon… at that moment, the reconstruction of the digestive tract was successful!
Everyone witnessing this was dumbfounded, filled with shock!
“Can I swear?”
“Holy shit!”
“Awesome… too awesome!”
“Dr. Chen, you are a genius!”
…
PS: Thanks to “Fei Wu” for the 10000 reward, thank you.
Thanks to qq reading: “134*****8087” for the 10000 reward.
A few last words… (written here because even pirated versions can see it.)
Please subscribe, please support the genuine version given the six updates per day if you can.
The recent subscription activity has plummeted, but touching is that those who should subscribe are still subscribing. Perhaps, reading the genuine version is a habit. Here’s thanks to all the genuine readers for their support.
As for those remarks about reading pirated versions—I won’t touch on that, as everyone’s circumstances are different. I still believe we should respect the fruits of others’ labor.
Thank you to every genuine reader, thank you for your support, which also motivates me to write.
