When the Doctor Uses A Hack
Chapter 1078 - 1081: Am I... Not Fast Enough? (Please Subscribe)

He Chao is a PhD, a graduate from Shanghai Jiaotong University Ruijin Hospital, who didn't stay in Shanghai but returned to his old home in the capital.

Full of passion for emergency medicine, he came to the emergency center and smoothly became an ordinary resident doctor!

This is the capital city!

A recent PhD graduate can only work as a resident doctor.

In He Chao's eyes, the most formidable person in the emergency center was Director Wu, a prodigy and an all-rounder, extremely skilled in emergency surgeries!

After later joining the emergency department's sixth unit, He Chao's hero was Yu Yonggang, a man as resolute and indomitable as iron.

And now, He Chao's idol, was Chen Cang!

A man filled with mystery and legendary allure!

Similar in age to himself, yet the composure and grace Chen Cang showed when facing patients were qualities he aspired to have.

Chen Cang smiled and glanced at He Chao, "Even I don't have as much faith in me as you do! Go get ready!"

Having said that, Chen Cang turned around to address Xu Ziming and Ma Yuehui, "Contact the operating room, get ready for surgery!"

Hearing Chen Cang saying this, Xu Ziming naturally felt a surge of excitement!

Marfan syndrome surgery!

Ascending aortic plus total aortic arch replacement surgery!

One of the top difficulty surgeries in domestic cardiac surgery, with the number of primary surgeons countable on two hands!

Xu Ziming felt that following Chen Cang, he could truly learn a lot.

Ma Yuehui wasn't idle either, and also began preparing.

Chen Cang walked to the bedside, looked deeply at Tian Zhengkai for a few moments without speaking, then stood up and walked towards the operating room.

"Prepare for surgery!"

…

…

In this moment, Chen Cang suddenly thought of Director Li Baoshan!

He and his mentor were experts in the field of abdominal aortic replacement surgery.

It was only now that he understood what it felt like to have trust be betrayed.

When his mentor fell ill, lying in front of him, facing such surgery was truly difficult!

Your teacher trusts you, willing to entrust themselves to you!

Chen Cang stood in the changing room, about to lock up his phone, ready to focus on this surgery, but after hesitating for a moment, he picked it up and composed a message to Li Baoshan:

"We've organized thousands of rescues, succeeded and failed. It's only with a profound understanding of this type of heartache that I can resolutely protect this last acre in my heart. Doctors are people, not gods."

Chen Cang didn't say anything, just sent it subtly, believing that Director Li would understand.

He hoped to unravel Director Li's worries.

Inside the operating room, Zhou He was the anesthesiologist.

Chen Cang, Xu Ziming, Ma Yuehui, and He Chao all made preparations.

The surgery was about to begin.

Chen Cang had spent a good amount of goodwill to learn the master level of.

[Ascending Aortic Replacement Surgery]+[Total Aortic Arch Replacement Surgery]!

His goodwill was nearly depleted, fortunately, it could occasionally burst forth, or else it truly wouldn't suffice.

Now Chen Cang found himself missing Teacher Meng; if she were here, shocking her from time to time, earning some goodwill would be effortless.

The surgery begins!

At this moment, Chen Cang's mind was free of distractions; thinking of anything else was useless.

Gently making a midline sternal incision, then extending the incision appropriately towards the left clavicular notch, as a total arch replacement was necessary.

Fortunately, this time there was no need to replace the abdominal aorta; otherwise, the incision would have had to be over a meter long, starting from the chest, wrapping around the abdomen, and down to the anterior superior iliac spine!

Such a surgery would be extremely challenging.

"Establish extracorporeal circulation!"

"Soon we'll need to implement deep hypothermic circulatory arrest, so manage the venous cannulation properly."

Chen Cang arranged everything methodically, and the several people beside him silently took note.

...

All these were preparations. When everything was ready, Chen Cang found the culprit!

This swollen aortic dissection aneurysm.

But, when Chen Cang saw the entire aorta, he couldn't help but frown with concern.

The deep red ascending aortic dissection and the red aortic arch, while the descending aorta below revealed a faint shade.

What does this mean?

[Aortic dissection: lv85, elite monster, an aortic dissection caused by intimal damage due to early manifestations of Marfan syndrome, with a large range; a replacement is recommended!]

An 85-level surgery, the difficulty is not low!

As for the lord monster... it seems that the system considers that there is no involvement in the abdominal aortic replacement, therefore the difficulty of the surgery isn't thought of as high, merely an elite monster.

Chen Cang estimated that a complete set of Marfan syndrome surgeries would likely be above level 95 lord monster!

This is only a Phase I surgery for now.

Chen Cang blocked the ascending aorta 3cm away from the origin of the innominate artery and cut open the aortic dissection.

"Cardioplegia!"

After receiving it, Chen Cang carefully perfused the heart with cardioplegia through the left and right coronary arteries. After cardiac arrest, continuous retrograde perfusion was used to protect the myocardium.

This was a protection for the myocardial cells.

Since the dissection already involved the junction of the aortic valve, Chen Cang had to strengthen the junction by suturing with pledgeted stitches.

He then added a felt strip respectively to the inner and outer layer of the aorta and said to Xu Ziming, "Use 4-0 polypropylene sutures to strengthen the stitching."

On hearing this, Xu Ziming hurried to prepare!

Chen Cang did not idle either, he picked out an appropriately-sized synthetic vascular graft and continuously sutured it to the root of the aorta with 3-0 polypropylene sutures!

This process was very delicate, requiring cautious attention to the position of the openings of the left and right coronary arteries to avoid affecting the blood supply at the openings.

Chen Cang, however, was very knowledgeable in the area of vascular anastomosis, so the replacement and anastomosis went relatively smoothly.

Soon it was time for the intercostal artery anastomosis!

Everyone fell silent, as the intercostal arteries must be anastomosed quickly and orderly, or prolonged spinal cord ischemia could cause paraplegia!

And with many intercostal arteries to cut and suture, the difficulty is not small, that's why cardiothoracic surgery is always racing against time with the reaper!

Chen Cang glanced at Xu Ziming: "I'll do the repair!"

After saying that, Chen Cang picked up the suture thread and said, "Prepare the clamps!"

Ma Yuehui nodded and agreed!

Chen Cang looked at He Chao: "You help by holding it for me, I'll do the stitching."

He Chao was somewhat anxious, fearing that he might not do well.

Chen Cang gave him an encouraging look: "In surgery, not only should your hands be steady, but your heart must be too. Even if you know you are going to fail, you must keep your composure!"

He Chao took a deep breath and nodded!

There are eleven pairs of intercostal arteries, with the first and second intercostal arteries emanating from branches of the subclavian artery, and the remaining nine pairs of intercostal arteries and a pair of subcostal arteries all emanating from the thoracic aorta.

Although Chen Cang doesn't need to treat them all this time, since he isn't replacing the thoracic aorta, now looking at so many blood vessels, wanting to suture them in a short time without affecting spinal cord blood supply is quite difficult. In future Marfan syndrome surgeries, he will definitely face this situation.

It seems that he is still not fast enough!

...

...

ps: Recently while being at home, people often come to seek medical advice. This afternoon, after seeing a few patients, I was taken to visit someone else's home to see a few more patients.

By the time I got back home, it was already night, so I'm only writing until now, I apologize.