When the Doctor Uses A Hack
Chapter 1455 - 1458: The Dao Heart Collapsed! (Extra - 79/113)

Chapter 1455: Chapter 1458: The Dao Heart Collapsed! (Extra Chapter 79/113)

Wang Tong, standing nearby, noticed Chen Cang’s encouraging look and couldn’t help but pause for a moment.

Then he coughed, took two steps back.

To be honest, he had truly experienced the fear brought on by the complexity of the technique!

After spending a lot of time with Chen Cang, he had learned many things!

But... the most important lesson was to maintain a good mindset!

Never equate yourself with Professor Chen, not even approximately!

After all, in the technical field, Chen Cang = bug!

That’s right!

If you compare yourself to Chen Cang, it’s very easy to lose your confidence and foundation.

It must be said, with the power of the nation, everything is very quick!

By noon.

Chen Cang and the others had just finished lunch.

A boy was brought in.

This was a patient in deep coma, with complete loss of brainstem reflexes, and even no spontaneous breathing.

The boy was not old, 18 years, and his build and weight were not much different from the patient.

This increased the chances of a successful heart transplant, as it is commonly believed the weight difference should not exceed ±20% for adult heart transplants.

Therefore, compared to weight, the differences in age can relatively be more relaxed.

Indeed, bringing in the donor patient was clearly the wisest choice.

But this also obviously required good teamwork between the chief surgeon and the assistant!

After all, one person cannot do two things at the same time.

In the meantime, the chief surgeon also needed to coordinate matters.

Everything was ready!

The surgery began.

Heart transplant is usually conducted through multidisciplinary physician collaboration.

The first step is the extraction of the donor heart.

This step seems simple, but is actually very challenging, with many details involved.

The most important thing is to avoid leaving thrombosis inside the heart.

In a supine position.

Moore, with great assistant acumen, skillfully disinfected the chest and abdominal skin with iodine tincture, and administered heparinization at 3mg/kg to prevent thrombosis in the small vessels of the donor heart.

Chen Cang nodded in satisfaction, took the scalpel, made a mid-line incision in the chest, and opened the pericardium.

"No trauma to the donor heart, no deformities or cardiac lesions found!"

After Chen Cang finished speaking, he quickly dissected the ascending aorta up to the origin of the brachiocephalic artery, dissecting the superior vena cava to the pericardial reflection, and ligating the superior vena cava approximately 4cm above the junction with the right atrium.

Moore watched the whole dissection process with a bit of admiration.

This is talent, not something to easily envy.

Indeed, in terms of precision and speed, Chen Cang truly surpassed the average person!

After separating the aorta and pulmonary artery, Moore immediately assisted by inserting a cold perfusion cannula into the root of the ascending aorta.

About 3-4 heartbeats later.

Chen Cang decisively said: "Cardioplegia solution!"

Moore nodded, working in perfect harmony.

This made Chen Cang look at him in a new light: "Performed heart transplant before?"

Professor A chimed in, "Professor Moore is a top expert in the field of heart transplantation, this is the surgery he’s best at."

Moore quickly responded, "That was before, now President Chen is the best!"

Hmm, strong desire to survive.

Chen Cang, upon hearing that he was an expert, breathed a sigh of relief: "Oh! Then it shouldn’t be difficult for you!"

Chen Cang thought he should give some advice.

After all, as the saying goes, more students lead to more paths; Moore could be included as a reserve.

When the time is right, he could teach him this surgery.

However, while chatting, Chen Cang’s hands didn’t slow down in the slightest!

As the cardioplegic solution began perfusing the heart, Chen Cang immediately incised the right upper pulmonary vein and inferior vena cava to prevent cardiac swelling, while simultaneously introducing ice-cold saline in the pericardial cavity for local cooling.

The entire operation was smooth and fluid, without a hitch, and of course, it didn’t disrupt his chat with the assistant.

But this made Moore a bit anxious.

"Professor Chen, you should focus on the surgery, don’t mind our chatting."

Chen Cang nodded: "It doesn’t affect anything."

"I’ll teach you how to perform heterotopic heart transplantation."

After saying that, Chen Cang decisively cut these blood vessels and removed the heart completely.

After the thoracotomy.

Chen Cang turned to everyone and said: "Watch carefully."

Then, he placed the donor heart into the right thoracic cavity, positioning it in front of the right lung and adjacent to the recipient heart, securing it with one hand to prevent rotation or torsion.

At this point, Chen Cang said, "The first step is the anastomosis of the left atrium!"

After saying that, Chen Cang decisively made an incision posterior to the interatrial septum of the recipient left atrium, from the top to the bottom of the left atrium.

Using 4-0 polypropylene suture, he began the anastomosis from the midpoint of the posterior incision edge of the recipient left atrium and the donor heart’s left atrium, and tied knots, the continuous suture proceeding in two directions, up and down, finally converging and knotting in the anterior midsection to complete the anastomosis of the left atrium!

The whole process was very quick!

And complex, the suturing process was dazzling!

Everyone watching was a bit dumbfounded!

Even Moore was astounded.

This... is this a surgery or not?

Chen Cang looked at everyone looking dazed and smiled: "Simple, right?"

After that, he continued: "Then the second step is the right atrial anastomosis, as simple as the left atrium!"

"Finally, the anastomosis of the aorta and pulmonary artery!"

Chen Cang explained as he performed.

Ease and comfort!

But...

The people observing the surgery around him were completely dumbfounded.

In their minds were only the sounds of heat dissipation boards running at high speed!

Master Lu kept reminding them: "CPU overheating, hard disk overheating..."

The entire computer was somewhat overloaded!

Moore was the same!

Because he was watching more intently and was closer to Professor Chen, he... absorbed more!

But, precisely because of this, his single-core CPU was really overloaded, almost crashing!

They didn’t have a heat dissipation board like Old Ma.

For a moment, the scene was incredibly quiet.

The doctors present also didn’t dare make a sound.

They didn’t understand and didn’t dare to question.

Wang Tong had foreseen today’s scene long ago, so he had given a heads up in advance.

And Moore was really about to cry this time!

He knew there was supposed to be a gap between himself and Professor Chen.

But...

When such a canyon-like gap appeared.

Moore’s confidence wavered!

An hour later, after Chen Cang finished the last arterial anastomosis.

He smiled, glanced at Moore, and said:

"Did you see that?"

"It’s actually very simple, just three steps, the first is the left atrial anastomosis, the second is the right atrial anastomosis, and the final step is the aorta and pulmonary artery anastomosis!"

"Just three steps, simple right?"

After Chen Cang finished speaking, Moore felt he heard the sound of something cracking!

His confidence was about to shatter!

It almost did!

At that moment, Chen Cang smiled and said: "It’s alright, there will be plenty of opportunities in the future, I’ll teach you a few more times, you’ll learn just by watching."

"Right, Director Wang?" Chen Cang glanced at Wang Tong, smiling as he spoke.

Wang Tong awkwardly smiled, nodding: "Yes, yes!"

Seeing this, Moore finally breathed a sigh of relief.

Learning a few more times, you’ll eventually learn it!

That’s right, it’s just that I’m newly exposed to Teacher Chen and not yet familiar with his style.

It must be that...

...

...

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