When the Doctor Uses A Hack
Chapter 1117 - 1119: Can't Keep Up With the Pace Anymore...

All the directors came to this surgery, even the associate chief physicians weren't present.

The first reason is due to their age, their curiosity is no longer that strong. At Peking University First Hospital, which chief physician doesn't know a few minor celebrities?

At this point, they wouldn't be as wildly curious as the younger ones.

Secondly, it's because of their solid techniques!

Director Zhang Xuan glanced at Yao Lekang with some helplessness; he actually preferred to follow Director Xiao's surgery, as after all, Xiao Zhehai, as a domestic leader in major blood vessel operations, had much to offer in terms of learning opportunities.

Being able to assist Xiao Zhehai in surgery was something that could inspire and improve them.

This surgery would not allow them to watch the recorded video. If it were not to safeguard against potential legal disputes in the future, the cameras in the operating room wouldn't even be turned on.

Thus, they wouldn't have the chance to rewatch the videos of this surgery.

Xiao Zhehai also felt quite helpless about this; to his knowledge, his curiosity was stronger compared to others.

It was Chen Cang's aortic dissection treatment that was making Xiao Zhehai itch with anticipation.

Once anesthetized, the abdominal incision began to be established.

The chosen range for the incision was relatively large, to facilitate the simultaneous participation in two surgeries!

Before the surgery began, Xiao Zhehai looked at everyone and said, "Everyone be careful!"

This time, everyone wore double gloves and face shields.

Although many feel double gloves are useless and even hinder the flexibility of surgery, studies have shown that the risk of injury with double gloves is only one-fifth of that with single gloves.

These sharp instruments, such as scalpels and suturing needles, can easily cause cuts if care is not taken.

Perhaps the primary function of double gloves was to strengthen everyone's precautionary psychology and safety awareness.

Chen Cang was the chief surgeon; he was responsible for making the abdominal incision, while Yao Lekang across from him assisted him.

As the saying goes, you can tell an expert by his first move!

This surgery did not have a predetermined incision.

It required the lead surgeon to judge based on imaging results.

This was the first test for the lead surgeon!

However, Chen Cang, with the existence of the 4D model, had an excellent grasp of the patient's abdominal situation!

How to choose an appropriate surgical incision becomes particularly important.

As everyone knows, the larger the incision, the harder the recovery and the greater the risk of infection.

At this moment, Chen Cang made an incision from the left 12th rib tip to 5–7cm below the navel and stopped right at the midline!

This incision was very different from a regular major blood vessel replacement surgery.

Could this really work?

For a moment, everyone gazed at Chen Cang, filled with skepticism.

But when Chen Cang cut through the external oblique, internal oblique, and transverse abdominal muscles layer by layer, revealing the peritoneum, and then began to carefully separate the intestines layer by layer, the two major blood vessels were clearly exposed very quickly!

"Retractor!"

"All-purpose hook!"

After the tissue was separated using the all-purpose hook, the operative field was instantly revealed!

Such an incision, compared to the standard ones, not only enlarged the bilateral operative field and working space but effectively utilized the contractility of the abdominal skin to reduce the wound size.

This move, right from the beginning, impressed all the directors!

But after a closer look, everyone couldn't help but sigh with emotion, after all, he was a big shot in the field of general surgery.

After the major blood vessels were exposed, Chen Cang and Xiao Zhehai exchanged glances and nodded, saying, "Let's start the surgery!"

Within the limited space, both surgeries had to proceed, one to the left, one to the right, simultaneously!

This set very high standards for both lead surgeons!

Similarly, it also required precise demands from the assisting directors.

And Yao Lekang was at this moment filled with curiosity and expectation for Chen Cang's surgery!

He wanted to see how Chen Cang's so-called peeling surgery was actually handled!

How is this 8 cm long aortic aneurysm to be addressed?

With time being limited, Chen Cang and Xiao Zhehai dared not delay.

As Chen Cang carefully dissected out the abdominal aorta and the bilateral comman iliac arteries, external iliac arteries, and internal iliac arteries!

The entire process was extremely meticulous, ensuring a range of 2-3 cm beyond the extent of the disease.

Furthermore, the median sacral artery and corresponding lumbar arteries on the same plane needed to be dissected out and controlled.

At the same time, the hemostasis work had to be performed in conjunction with Xiao Zhehai to ensure coordination between the two.

The surgery started for 6 minutes!

Xiao Zhehai and Chen Cang simultaneously said, "Separation successful! Prepare the hemostats!"

The doctor assisting Xiao Zhehai was momentarily stunned!

They hadn't expected Chen Cang to be so fast!

Xiao Zhehai's speed is top-tier in the industry, having set a record with an aortic arch replacement surgery taking only 18 minutes.

Unexpectedly, Chen Cang was not the least bit inferior to Xiao Zhehai!

However, the shock in the hearts of Yao Lekang and Zhang Xuan, assisting Chen Cang's surgery, was even more intense!

Because they knew that, in fact... Chen Cang was actually faster than Xiao Zhehai!

After Chen Cang had finished, he cleaned and separated the surrounding tissues, making the vascular surgery even more convenient!

This moment greatly shocked the two of them!

So fast!

If Tao Zi and Xia Gaofeng or someone else familiar with Chen Cang were present, they might casually say: "Basic operation!"

After all, our Chairman Chen is famously "fast"!

On this side, Chen Cang could feel the pulsations of the massive aortic dissection aneurysm with his hand, his inner sense also beginning to awaken in preparation for cutting the blood vessel later.

However, at the same time, the situation with the major vessels also entered Chen Cang's mind!

[Abdominal Aortic Dissection False Aneurysm: lv88, Lord level, infection by the pale helix causing partial damage to the inner lining of the blood vessel wall, leading to the destruction of the aortic intima and the formation of a false aneurysm.]

A Lv88 Lord monster!

Standard fare.

After all, Chen Cang has seen Lv99 conjoined twins; naturally, he has no fear of this Lv88 Lord.

At this time, the hemostatic clamps were already in place!

Chen Cang turned to pick up the scalpel, beginning his next step of the operation: incising the wall of the aneurysm!

Chen Cang, with an electrocautery device in hand, carefully made a longitudinal incision along the midline between the adventitia and the media, the incision stopping right at the junction of the aneurysm and the normal artery at the upper end, then the knife shifted to make a transverse cut to form a 'T' shape!

In this way, the transverse incision covered about 40% of the circumference, which was the optimal incision size!

At this point, the handle of the knife was needed to carefully clean the aneurysm, with the dissectible plane existing between the media and intima.

Because here, there were materials such as organized thrombus adhering to the intima, which would be problematic if they entered the bloodstream.

"Probe!"

"Curette!"

"Saline!"

"Suction!"

Yao Lekang's hands were constantly in motion, following Chen Cang's instructions.

At this moment, Yao Lekang suddenly realized something!

He was somewhat unable to keep up with Chen Cang's pace...