When the Doctor Uses A Hack

Chen Cang never expected that such a seemingly subtle, hidden move would be noticed by Zhou Hongguang!

He cleared his throat: "It's nothing, prepare the liver for implantation."

He Zhiqian couldn't help but laugh: "Professor Chen always leaves a personalized touch at the end of every surgery."

"From now on, when you perform surgeries and see this mark, don't overthink it—it's Professor Chen's signature!"

Upon hearing this, Chen Cang's face reddened even further!

Many world-renowned surgical experts have their own little quirks!

Chen Cang's was simply performing an exceptionally challenging "Chen Cang knot" during the final sutures.

This was something most people couldn't even learn!

In the eyes of He Zhiqian and the others, this was Chen Cang's signature move.

It was like a personal stamp of approval!

Hearing He Zhiqian's words, everyone was briefly stunned, then burst into laughter.

At least Chen Cang's quirk wasn't engraving words on the liver.

Otherwise, if he carved something like "Great Chu Rises, Chen Becomes King," imagine the uproar it would cause!

Seeing his little secret exposed, Chen Cang naturally felt embarrassed and annoyed. He shot a glare at He Zhiqian.

"We'll use the standard orthotopic liver transplantation technique!"

As he spoke, Chen Cang took the needle holder from the nurse.

The surgery had now entered the stage that truly tested skill.

To achieve a flawless liver transplant, the most critical step was re-perfusion after the liver was implanted.

And the key to re-perfusion was the suturing of blood vessels!

Simply put, it was about how to restore the functionality of the transplanted liver.

This was absolutely crucial!

Clearly, Chen Cang had decided to handle this stage personally.

When it came to vascular anastomosis, Chen Cang was highly expert.

First, after positioning the liver in the liver bed, he began by performing the anastomosis of the superior and inferior vena cava of the liver.

Everyone lowered their heads to watch closely!

Chen Cang understood that to achieve perfect re-perfusion, the blood vessels must not be damaged or stenosed.

Given this, how should the suturing be done?

The diameters of the superior and inferior vena cava of the donor and recipient livers differed. How to address this problem?

After a brief moment of contemplation, Chen Cang picked up the needle holder.

He carefully aligned the donor liver's superior and inferior vena cava with those of the recipient liver as closely as possible!

He then used 3-0 atraumatic sutures to place fixation stitches on the left and right sides of the vessels, gently pulling them apart symmetrically. He placed traction sutures at the midpoint of the anterior walls of both vessels to expose the posterior wall, facilitating the anastomosis.

This anastomosis technique caused Zhou Hongguang's eyes to widen in astonishment.

Why handle it this way?

At this moment, without hesitating, Chen Cang began suturing the posterior wall, starting from one end. The suture needle entered from outside the vessel wall to inside, performing a U-shaped mattress eversion continuous suture!

In an instant, Zhou Hongguang understood!

Brilliant!

This was a textbook example of vascular suturing.

With this technique, the advantages were crystal clear: it allowed the vessel walls to evert, ensuring a perfect intima-to-intima match, which was especially necessary for anastomosing mismatched diameters of the donor and recipient liver's superior and inferior vena cava.

A masterpiece!

What an undeniably stunning move.

Zhou Hongguang felt he had gained immensely just from observing this surgery today.

Because Chen Cang did not shy away from revealing anything to them!

This ingenious method of resolving the diameter mismatch in vena cava anastomosis was truly the height of precision.

The more Zhou Hongguang watched, the tighter he clenched his fists.

Chen Cang cast a calm glance at the group: "Have you learned it yet?"

Everyone froze for a moment!

So it turns out…

Professor Chen was teaching them?

Realizing this, Zhou Hongguang and the others were overwhelmed with gratitude toward Chen Cang.

Generally speaking, no one was willing to share such core techniques.

But not Chen Cang—he was utterly transparent about it!

So transparent that it made this technique seem almost trivial.

Yet, in reality, it was incredibly challenging!

Suddenly, Zhou Hongguang had a thought…

If he could master liver transplantation techniques and become the best liver transplant expert in the country, or even the world…

Becoming an academician in the two academies wouldn't be a problem, would it?!

After all, in the face of absolute skill, schemes and politics were irrelevant.

The reason Zhou Hongguang had been held back was simply because he wasn't good enough!

Thinking of this, Zhou Hongguang resolved that if he could fully grasp Chen Cang's techniques for vascular anastomosis and liver perfusion, his skills would level up significantly!

Chen Cang noticed Zhou Hongguang and smiled faintly.

You're teachable!

Compared to the vena cava anastomosis, the portal vein's larger diameter made it relatively easier to suture.

At this moment, Chen Cang began to demonstrate his unmatched speed in vascular anastomosis.

It was mesmerizingly fast!

Indeed.

Compared to microvascular and small-vessel anastomosis in the spleen, liver vessel anastomosis was trivial for him.

He even thought that if a hepatobiliary surgeon like himself were sent to cardiovascular surgery for training, his vascular suturing skills would improve dramatically when he returned.

Medicine, after all, was an interdisciplinary field.

Chen Cang increasingly felt that the surgical skills he had learned from other specialties complemented each other, ultimately making him stronger than specialist surgeons!

For instance, learning vascular anastomosis from cardiovascular surgery, pipe reconstruction from general surgery, and hand stability from neurology…

Each specialty could teach a surgeon a unique skill!

And Chen Cang seemed to embody the perfect culmination of these capabilities!

Once the portal vein repair was complete, Chen Cang promptly instructed Gao Ronghua: "Restore the blood supply to the transplanted liver!"

Gao Ronghua nodded and immediately unclamped the portal vein to allow the blood supply to return to the transplanted liver.

However, at this point, Chen Cang did not yet release the clamps on the superior and inferior vena cava; instead, he carefully drained 250ml of high-potassium preservation fluid and acidic metabolic waste from the lower body, through the donor vena cava.

He then used vascular clamps to block the donor vena cava again.

This step, though seemingly simple, was critical.

"Methylprednisolone, 1000mg!"

"Administer cyclosporine intravenously!"

...

Following the medical instructions, as venous blood flow resumed, the liver finally regained circulation.

But this was just the venous phase!

The next step was the anastomosis of the hepatic artery!

This was the most critical step in liver transplantation.

If venous anastomosis was suturing, then arterial anastomosis was reconstruction!

The task at hand was to complete the reconstruction of the liver's arterial blood vessels.

Once arterial reconstruction succeeded and blood perfusion was optimal, the liver would be restored!

But at this moment, Wang Dong's hepatic artery was found to have anomalies due to a previous surgery, making the common hepatic artery unusable.

All eyes turned to Chen Cang!

If Chen Cang could handle this, the chances of surgical success would increase significantly.

Chen Cang noticed everyone's gaze and smiled faintly, saying:

"Scalpel!"

...

PS: Thanks to "Disguising Oneself" for the reward of 20,000! Two more chapters are on their way. Please wait a moment, thank you.