When the Doctor Uses A Hack -
Chapter 1138 - 1141: This Battle, King! (Request for Monthly Ticket)
Looking into Chen Cang's eyes, those around him couldn't help but feel a jolt in their hearts!
For some reason, they saw a longing in Chen Cang's eyes!
He couldn't wait to take over the needle holder, and the surgery resumed with a bang!
After Li Baoshan blocked the descending aorta, the artificial blood vessel replacement officially began.
This time, Wu Tongpu learned to be "smart" and quickly held both ends in his hands.
On Chen Cang's side, he directly and quickly proceeded with suturing!
This time, Chen Cang almost instantly immersed himself and got into the zone!
His suturing became smoother than before, and at the same time, he minimized as many unnecessary actions as possible, which might save quite some time!
Chen Cang suddenly realized that this technique may not necessarily progress quickly for others, but for himself, it seemed to be tailor-made.
Who doesn't have some habitual operations?
Chen Cang naturally has them too!
But these techniques turned out to be very useful for him.
Chen Cang, who needed to complete the anastomosis within 20 minutes, spent just under 10 minutes!
He completed all the necessary anastomosis of six ports and several bifurcations!
Those watching by his side were dumbfounded!
Wu Tongpu was confused again.
He's gotten faster... even faster!
Indeed!
Chen Cang's processing had become even smoother than before, naturally increasing the suturing speed.
Then came the most challenging part, trimming the intercostal artery opening and surrounding pericardium, and performing an end-to-side anastomosis with one branch of the artificial blood vessel!
This process permits up to 40 minutes of blockage time!
The first time Chen Cang performed it, he just managed to complete it!
Nowadays, most of the surgeons in the country who could perform this surgery usually take around 35 minutes.
Xiao Zhehai, the leading figure in large vessel surgery, had a peak time of 18 minutes.
Every minute gained is a fight for the patient's life!
After moving the clamp blocker above the celiac trunk, Chen Cang already had the hemostat tightly in his hand.
"Start the timer!"
This type of surgery requires timing at every step, not to challenge anything, but to promptly remind the surgeons that time is limited and not to exceed the set duration.
However, they realized that at this moment timing for Chen Cang didn't serve as a reminder but to tell everyone: Watch closely, Chen the King has gotten even faster than before!
The surgery began, and Chen Cang started trimming the intercostal artery!
When trimming the intercostal artery, one needs to be careful and cautious not to damage the intercostal nerves, as damage often leads to patients even developing acute myocardial infarction.
The nervous system might be the most elusive system in the human body.
It seems like we understand it, but sometimes, due to carelessness, it can lead to the failure of the entire surgery.
Chen Cang, a master of perfect surgeries, deeply understands this and would not be stingy with time in this area.
On the contrary, he handled it very conscientiously!
As for the anastomosis, Chen Cang was also prepared, with 5 minutes passed already. If he could complete the intercostal artery anastomosis work in 13 minutes, Chen Cang would surpass Xiao Zhehai!
At this moment, Wu Tongpu couldn't help but glance at the time.
Chen Cang also began the anastomosis!
The branch of the artificial blood vessel needed to be quickly anastomosed with the intercostal artery.
At this moment, Chen Cang became calm instead.
Actually, surgery is not about blindly chasing time, but if it can be completed quickly while ensuring the quality of the surgery, it is a good thing for the patient!
Even due to these small things, it can better improve the patient's survival rate.
The anastomosis officially started!
Chen Cang was very calm, but the people around him like Wu Tongpu, Xu Ziming, Li Baoshan, and others were not.
They couldn't even calm down!
Because today, they were witnessing history.
Yes!
They might witness a large blood vessel anastomosis surpassing Academician Xiao Zhehai, involving the intercostal artery segment!
The first one, completed!
The second one...
At this moment, time had no meaning for Chen Cang.
To be honest, it was the first time Chen Cang felt what it's called "my needle holder"!
It's a state!
Though saying "unity with the sword" might be a stretch, Chen Cang truly felt a unity with the clamp!
Anastomosis no longer seemed like a burden to Chen Cang, it was even enjoyable; the needle holder and the needle itself became part of his right hand!
Surgery progressed rapidly!
At the moment Chen Cang exhaled a breath of turbid air, the intercostal artery anastomosis was successful.
At this moment, Wu Tongpu looked at the time and couldn't help getting excited!
15 minutes!
Chen Cang completed the intercostal artery segment anastomosis within fifteen minutes.
He surpassed Xiao Zhehai.
In that moment, Wu Tongpu couldn't contain his excitement; Xu Ziming felt the same.
But Chen Cang remained calm, glancing at the time without care.
Because as long as the patient wasn't successfully resuscitated, any time was meaningless in his eyes.
The ultimate purpose of the surgery is to rescue the patient.
Not to set records!
And Chen Cang never deliberately cared about how much time it took.
Because in his view, he was just giving his all!
Autologous blood had been transfused back continuously; by this moment, the patient had completed 1200 milliliters of autologous transfusion.
The nasopharyngeal temperature was consistently maintained between 35.3℃ to 35.8℃; at this moment, the patient's condition was very stable!
Next was the release of the abdominal aortic wall below the renal artery involving the celiac artery, superior mesenteric artery, and right renal artery and an end-to-end anastomosis with the distal end of the prosthetic vessel, and a side-to-end anastomosis from the left renal artery with a branch of the prosthetic vessel and the right common iliac artery.
The entire anastomosis work was intricate and thrilling!
After the aortic arch replacement was completed, Chen Cang once again successfully repaired the ascending aorta within the pericardium.
By now, it meant that the surgery was completely ending!
Finally!
The vascular anastomosis was completed, neutralizing the heparin with protamine.
The entire duration of the surgery finally settled on 89 minutes.
Less than the length of a movie!
But for everyone present, it felt like watching an epic masterpiece!
They witnessed history!
Created by a young man personally.
At the age of 28, he completed a pinnacle surgery of vascular surgery.
Perhaps unprecedented, and possibly unmatched in the future.
Autologous transfusion of 1700 milliliters, 3900ml of crystalloid solution, 14 units of plasma, 2g of human fibrinogen, and 2500 milliliters of urine...
All of these, bore witness to this surgery!
Looking at the patient's vital signs, everyone couldn't help but smile.
This surgery established Chen Cang's dominant position in thoracoabdominal major artery vascular surgery!
This battle!
Marks the beginning of a legend!
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ps: At the end of the month, pleading for monthly tickets, today we received over 8000, grateful beyond words, yet we still need to strive, thus once again thanking and asking for monthly tickets.
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