When the Doctor Uses A Hack
Chapter 1488: 1491: How Did You Do It! (Bonus Update Asking for Monthly Tickets)

Chapter 1488: Chapter 1491: How Did You Do It! (Bonus Update Asking for Monthly Tickets)

The end of the first surgery gave everyone confidence!

Professor Chen is so skilled at liver resection.

The liver transplant should not be much of a problem, right?

After all, the most difficult part of living donor liver transplantation among relatives is here.

What’s more, Chen Cang even gave Sun Jian the middle hepatic vein, removing most of the liver’s blood vessels, bile ducts, and hepatic ducts together.

This source of the liver is already excellent enough in itself.

However, this excellence is relative.

For Fan Qinghua, fifty-five percent is already quite good, but for Sun Jian, who weighs one hundred fifty to sixty jin, it’s still a bit weak.

But at least the start is not a bad hand of cards.

It can still be played well!

After dealing with it for a while.

After Chen Cang and Zhou Hongguang tidied up, they went to the next operating room.

…

…

At this time, Sun Jian had already completed the abdominal opening, and for the experts from the capital, liver transplants can all be done.

What they can’t do are those high-difficulty transplant surgeries.

Like this one, for example.

The several chief physicians were a bit nervous.

They are all chief physicians of hepatobiliary surgery at the emergency center hospital, in their forties, full of vigor and strength, at the time to move forward, but they did not have the qualifications to follow Chen Cang into the next operating room.

Everyone was conversing in low voices.

“Director Feng, do you think it’s feasible?”

“Sigh, who knows, anyway for me, I can’t do it, because the most that can be cut from Fan Qinghua’s liver is fifty percent, and this fifty percent is not enough to support Sun Jian, whether he can survive the ICU is still a question!”

“Alas, it’s really too difficult to encounter such a situation! If we mess up Sister Fan, it wouldn’t spread well, but if Sun Jian is gone, this family would be even more helpless!”

“What I’m most worried about now is that both of them will be hard to manage!” an older director couldn’t help but sigh and said.

He wasn’t trying to make everyone uncomfortable, it’s just that… all sorts of possibilities have to be considered!

If both surgeries really failed…

The consequence is almost unimaginable.

For Sun’s family, it would undoubtedly be a catastrophe!

But, this is the uncertainty of medicine, who can guarantee it?

“Alright, alright, everyone, don’t be disheartened, maybe Professor Chen has some extraordinary skill!” the old director said with a smile, trying to cheer everyone up!

“After all, Professor Chen has so many amazing achievements.”

Everyone encouraged each other.

Actually, sometimes life just needs this, when facing desperation and difficulty, you need some like-minded friends to encourage each other.

As they were talking, the door of the operating room opened!

Chen Cang entered with Zhou Hongguang and several chief physicians.

Everyone looked up, along with the corridor light behind Chen Cang, everyone was suddenly taken aback.

Is this… is Chen Cang glowing?

No!

There’s light behind his head!

Everyone was dumbfounded.

Chen Cang was stunned, turned around and said, “The corridor lights are too bright, head nurse, change it another day, or suddenly opening the door will affect everyone’s vision.”

The head nurse was slightly stunned, quickly nodded, “Al… alright!”

As soon as these words came out, everyone in the room was mildly stunned.

Couldn’t help but feel amazed.

Professor Chen’s words really work well!

Better than the anesthetist Old Zhou’s or Hepatobiliary Department’s Director Gao’s words, with just one sentence, the light was asked to change immediately!

After the nurse helped Chen Cang get dressed, Chen Cang walked to the operating table.

Looking at the liver, he couldn’t help but sigh!

[Ding! A failing liver, level 91 boss, encountered a special scene, triggering a special task: One Liver Two Lives!

Task Description: Successfully save Sun Jian using Fan Qinghua’s liver while keeping her alive.

Upon completing the task, you can receive the reward: “An Unbreakable Liver!”]

Chen Cang was suddenly startled!

“What is ‘An Unbreakable Liver’?”

Chen Cang was now very puzzled.

However, no matter how puzzled he was, he had to finish the surgery first.

Before implanting, Chen Cang carefully checked the hepatic section for open bile ducts again.

He entrusted this honorable task to Director Gao Ronghua.

“Director Gao, see if the bile duct is open!”

Gao Ronghua nodded and began to examine carefully.

Meanwhile, Chen Cang began preparations for implantation!

The first step before implantation is organizing the blood vessels.

After all, whether the liver can survive, firstly depends on the vascular supply.

The first step, naturally, is vascular anastomosis work!

“No problem!” After Gao Ronghua finished checking, he handed it over to Chen Cang.

Chen Cang had great trust in the cautious Gao Ronghua.

As the chief of hepatobiliary surgery, Chen Cang and Director Gao Ronghua had dealt with each other more than once.

This person has a very strong ability to stop liver bleeding, and Chen Cang’s perfect-grade hemostasis came from this director.

Similarly, in terms of grasping details, Director Gao has a lot of experience and is very meticulous!

With his inspection, Chen Cang was very relieved!

Surgery is not something one person can accomplish alone.

It requires everyone’s cooperation; otherwise, there simply isn’t enough time.

After the surgery started, Chen Cang first anastomosed the right hepatic vein with the recipient’s inferior vena cava, then anastomosed the middle hepatic vein with the recipient’s left hepatic vein.

This step wasn’t a big problem for Chen Cang!

The blood vessels inside the body were more familiar to Chen Cang than his own door number.

If he really didn’t recognize them, he could even name them.

Before completing the anastomosis, the portal vein was perfused with albumin to eliminate air bubbles and residual storage fluid in the lumen, preventing possible air embolism and hyperkalemia.

This step was also handled together with Zhou Hongguang and Chen Cang!

The most serious complications of liver transplantation are pulmonary complications, intra-abdominal bleeding, vascular complications, biliary complications, rejection, and dysfunctional transplanted liver, etc.

Chen Cang needed to carefully reduce the possibility of various complications.

Chen Cang began to anastomose the portal vein and hepatic artery step by step.

After the completion of the three venous anastomoses,

When tying the knot, Chen Cang’s fingers slightly trembled, and a skilled yet unfamiliar surgical knot was formed!

“Open the vessels!”

Accompanied by Chen Cang’s words, the vascular clamp was opened, and blood circulation began instantly.

This ordinary scene, most people didn’t find anything unusual.

However, when Zhou Hongguang’s peripheral vision slightly flickered over, his expression suddenly changed!

He was shocked to discover something that seemed ordinary yet was terrifying!

Because he noticed: when the blood flow opened, the anastomosis began to expand!

Generally speaking, an anastomotic stenosis is an inevitable thing.

After vessel anastomosis, because of the existence of suture lines, there will definitely be more or less stenosis occurring!

But Chen Cang’s blood vessels showed no signs of stenosis at all!

Moreover…

The anastomosis was actually expanding!

Seeing this scene, Zhou Hongguang couldn’t help but swallow!

This seemingly ordinary detail was actually not ordinary at all, and could even directly relate to the success rate of the post-transplant liver surgery.

Thinking of this, Zhou Hongguang excitedly asked, “Professor Chen… how did you do it!”