When the Doctor Uses A Hack

In fact, there are two of the most difficult and most important aspects of liver resection surgery!

The first key point is: As long as the necrotic liver tissue is not completely debrided, it will inevitably cause abdominal infection.

Considering the current situation of the patient, Wang Dong:

Shock + infection + hepatic coma = mortality rate as high as ninety-five percent!

Similarly, the second factor: You must preserve as much safe liver tissue as possible. If too much of the liver is resected at this time, the patient's liver won't even be able to handle basic daily metabolism.

This could again trigger liver failure and result in the patient's death!

This is a dilemma with no easy answer.

Finding a balance point in this is crucial.

Obviously, Chen Cang's choice seemed the best to Gao Huarong.

The final touches remained!

They need to manage the liver ducts and blind ducts well, stitch up the liver, and place the drainage tube.

The liver ducts are an important pathway for bile secretion from the liver.

If this step is not handled well, any bile that flows into the abdominal cavity or the interior of the liver could cause issues.

However…

Gao Ronghua found that no one around seemed worried!

This made Gao Ronghua somewhat uneasy.

Just as he was about to give a reminder, Old Ma seemed to see what was on Gao Ronghua's mind and said with a smile:

"Director Gao, it seems you really don't understand President Chen's capabilities!"

Gao Ronghua was taken aback!

Before he could react…

At this moment, Chen Cang had already begun his operation, or performance.

Chen's digestive tract reconstruction technique.

Handling of the liver ducts!

Anastomosis of the bile ducts!

Reconstruction of the blind ducts…

This set of operations left Gao Ronghua dumbfounded, with his scalp tingling!

Is this…

This is incredible!

Originally, Gao Ronghua was worried that mishandling the liver ducts could lead to bile entering the abdominal cavity or causing intrahepatic congestion and infection…

Now it seems that such worries are unfounded!

Thinking too much!

He realized that as long as Chen Cang was there, it would be hard for any bile to enter the abdominal cavity!

Chen Cang's handling of the liver and bile ducts truly left Gao Huarong astounded!

Is this the real strength of the President of the World Society of Digestive Surgery?

It's indeed formidable!

Because, as long as there is minor bile duct leakage at the liver surface, suture line detachment, or unnoticed surgical bile duct injury, closing the abdomen could lead to peritonitis.

Yet, Chen Cang covered all aspects, considering every point!

Every detail was handled very well.

And Chen Cang's handling of the liver and bile ducts, this might be what's called digestive tract reconstruction?

So brilliant!

This method of handling can reduce complications to the minimum!

Gao Ronghua could guarantee that whether it's Zhou Hongguang of 301 or Lu Bin from Xiehe, not even half of them could compare to Chen Cang.

Finally comes the liver anastomosis.

Time passed second by second.

Finally, a perfect ending was achieved.

But… at this moment, Chen Cang did not close the abdomen.

He and Gao Ronghua started carefully evaluating the remaining liver function post-operation.

Can this liver sustain and handle the metabolism of an adult?

This is an issue!

The patient had alcoholic liver disease; long-term drinking, though not severe, still caused some damage to liver cells.

After a round of inspections, Chen Cang glanced at Gao Ronghua.

"Director Gao, do you think…"

Gao Ronghua glanced at Chen Cang, interrupting his thoughts: "It's sufficient, it's already very good!"

Chen Cang sighed.

Because after their careful evaluation, they found that this liver might still not be able to handle the patient's metabolism. In the short term, under medication support, it's not an issue, but in the long term, it certainly won't work!

Gao Ronghua looked at Chen Cang and said seriously: "At least you've given him the chance for a liver transplant."

"Some people don't even have the chance for a liver transplant!"

"Your surgery was already very successful, it's the most successful liver surgery I've ever seen."

"Moreover, you've gained the patient three months of time for a liver transplant at least!"

"This has already achieved the impossible for others!"

Hearing Gao Ronghua's words, Chen Cang nodded.

Gao Ronghua looked at Chen Cang: "Actually, not all surgery can be successful!"

Chen Cang nodded, smiled a little, and shook his head, not wishing to think more.

"Well, Director Gao, should the patient be sent to the hepatology ICU?"

Patients in hepatobiliary surgery are often critically ill and have their own ICU with eight beds, managed by staff in their own department.

Such internal department ICUs are becoming more common, practically a trend.

Of course…

This might have a lot to do with the obnoxious and domineering attitude of many hospital ICUs.

Many directors, not liking the attitudes of their counterparts, simply build their own ICU with department funds.

Of course, the cost is significant input, with each department member sacrificing a portion of their bonus over a fairly long time.

Gao Ronghua nodded: "Rest assured!"

The surgery also ended successfully!

Everyone breathed a sigh of relief.

Wang Dong's survival can be completely credited to Chen Cang.

This was his achievement!

And Chen Cang had also come to understand.

What perfect surgery is there?

The goal of medicine may not be to cure completely.

Such as in tumor surgeries, or many complicated conditions, the goal is often to extend survival time.

And just as Gao Ronghua said.

The surgery has been well-handled, and it's been quite challenging for the patient to come this far.

He gave Wang Dong time to find a liver donor.

Perhaps this is what medicine is.

Never perfect.

When the surgery ends, everyone's mood was quite good.

After all, they've once again created a miracle.

Saved a critically ill patient.

At this moment, a system prompt sounded:

[Ding! Congratulations, you've successfully learned, gained skill: Hepatic Hemostasis Technique! (Perfect Level!)]

Chen Cang was momentarily stunned.

Wow…

This gain is incredible.

Directly got a perfect-level skill?

Could this be a massive surge of good karma?

Chen Cang glanced at Gao Ronghua, eyes burning.

This is a man with a perfect-level skill!

[Ding! Congratulations, successfully saved the patient, gained: Wu's Blade Technique!]

Chen Cang turned to look at the patient, still unconscious, and couldn't help but sigh.

I saved you, and you helped me achieve something too.

Hang in there, brother!

Your wife and kids are still waiting for you.

After the surgery, Wang Dong was directly transferred to the hepatobiliary department, where his condition remains very dangerous and he needs monitoring and cannot be visited.

Although Gao Ronghua's forward-thinking approach might be somewhat lacking, ensuring patient safety is something he's quite capable of!

When Chen Cang opened the door of the operating room and went out.

He was proud!

The door to the operating room is a touchstone in the eyes of a doctor.

When the surgery is successful, seeing this door, you'll be happy and eager to deliver the good news to the family.

But…

When the surgery fails, this door is as heavy as a thousand catties!

...

ps: Thanks to "YingAhXiaoYingAh" and "guoming" for the 10000 reward, thanks to the bosses!