When the Doctor Uses A Hack -
Chapter 1248 - 1251: This Man, Can He Really Be Saved!? (Extra for disguising oneself as a boss!)
Of course!
Chen Cang also had no concerns left behind.
With Gao Huarong's assurance, Chen Cang's incision was made much more deftly and freely!
Of course, this resection is not about removing as much as possible!
Moreover, to prevent postoperative liver failure due to excessive liver tissue removal, it is important to thoroughly resect necrotic liver tissue while preserving as much normal liver tissue as possible during the operation.
Adhering to the principle of "cut where it's damaged; resect the deactivated and suture the active."
As the surgery continued to deepen, Gao Huarong's importance became ever more apparent!
Different regions have different methods for stopping blood, even in the same area, the method for stopping blood differs with different incisions made by Chen Cang!
And now, Chen Cang was truly enlightened!
This was his first time witnessing so many blood control methods!
He was genuinely excited!
A major operation cannot be completed by one person alone.
It requires the cooperation of a team.
Having a trustworthy teammate is more important than anything else.
At this moment, Chen Cang truly realized the importance of this point.
Watching Gao Huarong utilize various bleeding control methods to continually reduce bleeding and control blood flow...
All these maneuvers made Chen Cang exclaim with great satisfaction!
Really!
Double hand compression!
Liver hemostatic tourniquet!
Liver hemostatic clamp!
Hepatic pedicle clamping!
...
These moves are definitely not something that a junior doctor can master.
If medicine were a martial art, Gao Huarong was truly formidable in the field of hemostasis.
Chen Cang admitted, he had underestimated this seemingly ordinary Director Gao.
Gao Huarong, seeing Chen Cang staring at him with some shock, couldn't help but laugh heartily: "Go ahead and do it, we've got your back!"
Chen Cang nodded!
At that moment, he truly let loose.
The feeling of entrusting his back to his teammates was simply too wonderful.
For a while, the scalpel in Chen Cang's hands became even more agile.
Gao Huarong always managed to control the blood flow just right at critical moments.
Bleeding was inevitable!
But as long as the bleeding wasn't too rapid, it was all manageable.
Chen Cang resected, Gao Huarong hemostasized, and this scene boiled the blood of everyone watching.
Perhaps this is where the charm of cooperation lies?
Not only did Chen feel comfortable, but so did Gao Huarong.
He was never an aggressive director; steadiness was his motto.
His personality facilitated his success in this field, but it also imposed limitations.
If liver resection is seen as an offense,
Then controlling bleeding and blood flow is the defense.
Gao Huarong also felt a pleasant sense of cooperation.
Watching this scene, Yu Yonggang couldn't help but feel envious.
And Old Ma, looking at Chen Cang, couldn't help but sigh, you finally... have become someone else's blade!
Soon!
We reached the middle hepatic lobe!
The metal tube was still in place!
Chen Cang glanced at Yu Yonggang and said, "Director Yu, please remove the metal tube."
Yu Yonggang nodded: "Alright!"
At this moment, everyone's eyes were fixed on the metal tube inserted into the liver.
Chen Cang carefully cleaned the area around it.
Then he ligated the bile ducts and blood vessels on the surface of the liver, covered the liver wound with new saline-soaked gauze, and carefully kept a distance between the wound and the metal tube.
Gao Huarong had already completed the hemostasis.
At this time, Chen Cang said, "Alright, pull it out!"
As he spoke, the metal tube slowly began to separate from the liver.
Bit by bit!
Blood flowed again with the pulling of the tube!
Gao Huarong's hand never stopped moving.
Even if blood occasionally squirted from a small artery onto his face, he remained utterly still!
As the metal tube was being removed from the liver, success drew closer.
It was getting closer!
Even closer!
Yu Yonggang's hands were very steady as he slowly pulled the metal tube out of the liver.
No hesitation, no faltering!
This process lasted for nearly fifteen minutes!
Because with every bit that comes out, a lot has to be dealt with.
Alongside the iron tube, a piece of the liver was also successfully removed from the body...
The liver was now much less!
But at this moment, the shattered area of the mid-lobe of the liver needed to be addressed.
The central damage and rupture of the liver parenchyma involved the tearing of liver blood vessels and bile ducts.
At this point, a sizable liver hematoma and bile retention had formed, compressing the tissue and causing extensive necrosis.
It must be carefully cleaned.
Prevent bile from entering the abdominal cavity.
At the same time... the necrotic liver tissue must also be cleared.
And likewise!
It would be best to preserve some liver tissue to prevent liver failure!
Chen Cang was very decisive and efficient in cleaning the bile.
His resolute and sharp operations made Lao Ma enviously acknowledge his skill.
What a masterful use of the scalpel!
But at this moment, Chen Cang suddenly froze.
He realized that too much liver tissue had already been cut away...
But how to decide what to do with the remaining central liver tissue?
This was an inevitable problem to face!
And a very grave problem at that!
But...
Many of these tissues were necrotic, clearly visible to Chen Cang's eyes.
Even many could be discerned by Lao Ma.
This necrotic tissue must be removed, otherwise it would only increase the risk of further damage.
But...
Too much had been cut away!
The more Chen Cang cut, the scarier it became.
He began to waver.
If too much liver tissue was removed from the patient, liver failure would be almost inevitable.
This required consideration of how to balance the situation!
At this moment, Chen Cang slowed the movements in his hands.
Gao Huarong also noticed this.
If all the necrotic tissue in the mid-lobe were removed, liver failure was certain.
This was based on experience!
And lessons learned!
How to weigh the options?
What choices to make?
At this moment, all the burden fell on Chen Cang.
Everyone's eyes were on Chen Cang.
If glances had weight, Chen Cang would be bearing the heavy hopes of everyone!
Chen Cang took a deep breath!
Operating in the central region of the liver with such injuries to the mid-lobe was extremely difficult.
Even liver transplants require time!
The more liver that can be preserved, the longer the survival period!
Chen Cang took another deep breath.
He knew that this "Wu's scalpel technique" wasn't so easy to obtain!
At this moment, everyone was staring at Chen Cang, hoping he had a better solution!
Chen Cang didn't speak.
Instead, his eyes focused intensely, carefully searching for any liver tissue with the slightest hope of survival, trying to rescue as much as possible!
All necrotic tissue must be cut away!
Wherever there was a chance of rescue, Chen Cang took the needle holder and began to suture the tiny blood vessels!
Seeing this, Gao Huarong's brow twitched suddenly, what a good idea!
But...
This suturing difficulty was too high, wasn't it?
Could these tiny blood vessels be anastomosed?
Soon, Chen Cang told him by action.
Yes, they could!
As Chen Cang, I have experienced even finer challenges; what's impossible then?
Chen Cang's actions instantly gave everyone a glimmer of hope!
So, Chen Cang alternated between cutting and suturing...
This couldn't help but invigorate everyone present.
Perhaps...
This man really could be saved?
…
ps: emmm, just being cute...
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