Chapter 1321: Chen Yiyang Jiu Ding Cang (Extra 24/54 for the Tiger Walking Cat Steps)
Their reaction to Chen Cang's adolescent overconfidence was to turn a blind eye.
The question of how to manage the hepatic artery remained a pressing challenge.
The outlook was grim.
Yet, looking at the confident smile on Chen Cang's face, they couldn't help but feel uncertain deep down inside.
Because, as of now, both the common hepatic artery and the celiac artery, which provide blood supply to the hepatic artery, were unusable.
How could they achieve perfect perfusion for the liver's blood vessels?
This was a real conundrum!
The abdomen appeared to be a complex network full of blood vessels, but upon closer examination, the viable options were surprisingly limited.
What they needed now was to map out a blood vessel within the abdominal cavity that could supply the hepatic artery.
It had to meet the liver's blood supply needs without compromising the patient's anatomy or affecting the surrounding abdominal organs.
This made the challenge exponentially more difficult!
As Zhou Hongguang, Gao Ronghua, and He Zhiqian whispered and deliberated among themselves,
Chen Cang had already picked up the dissecting forceps and surgical scalpel.
"After watching this, go back and write a paper and hand it over to me!" Chen Cang said to Zhou Hongguang.
This sentence left Zhou Hongguang completely stunned!
Me?
A dignified academician-to-be like Zhou Hongguang?
Write a paper for you?
I...
Before he could finish, he saw Chen Cang start the procedure in his hands.
With decisive precision, Chen Cang harvested a segment of the donor's iliac vessel, bridging it to the recipient's renal artery and the abdominal aorta near the inferior mesenteric artery.
Then, exchanging the scalpel for a needle holder, he performed a side-to-side anastomosis with incredible dexterity!
The iliac vessel was threaded through the mesentery, passed anterior to the pancreas, and routed behind the stomach to reach the hepatic hilum, where it was end-to-end anastomosed with the liver's hepatic artery or the celiac artery!
How fast was Chen Cang's handling?
So fast that none of them had time to prepare before Chen Cang instructed Gao Ronghua to release the vascular clamp!
The entire sequence of operations was smooth and fluid, like water flowing effortlessly down a stream.
It didn't take long!
Within an extraordinarily short time, the hepatic artery reconstruction was complete.
The sheer brilliance of this process left everyone in awe!
Even Gao Ronghua hadn't anticipated that Chen Cang could finish the hepatic artery reconstruction in such a short amount of time!
He frowned slightly, scrutinizing the selected iliac artery, the renal artery, and the direct side-to-side anastomosis with the mesenteric artery. Furthermore—it was ingenious how it bypassed the pancreas and wrapped around the stomach to connect with the hepatic artery!
Skillful!
Really, decisively ingenious.
The combination of the renal artery and the mesenteric artery fully satisfied the liver's blood supply requirements.
The way he bypassed the stomach was particularly delicate!
What seemed like an unnecessary step was, in fact, a strategy to prevent the artery from being compressed by an expanding stomach during meals.
Was it even possible to conceive such a solution in such a short time?
This made Gao Ronghua question how Chen Cang's brain even worked.
To design such an intricate vascular arrangement in such little time.
Impressive!
Zhou Hongguang, for his part, was left speechless!
Because...
He hadn't even fully registered what was happening before Chen Cang was halfway through the procedure.
He hadn't even managed to catch how Chen Cang dealt with the iliac artery, the renal artery, or the mesenteric artery!
This, truly, was hardcore technique in action.
Chen Cang glanced at Zhou Hongguang: "I want that paper on my desk in a week."
Zhou Hongguang flushed with embarrassment!
"Chen..."
Chen Cang turned to look at him, his gaze questioning: ???
Zhou Hongguang blushed even more.
Not because he felt uncomfortable as a prestigious professor being rebuked.
But because...
Because he simply hadn't understood.
"Chen... Xiao Chen, I... I didn't quite catch it!" Zhou Hongguang finally stammered out awkwardly, his face flushed red and his neck stiff with tension.
Chen Cang casually replied, "Take the video recording after the surgery."
Zhou Hongguang nodded in silence.
This paper!
Once published, it would undoubtedly explode in popularity!
A case utilizing a liver transplant after 16 hours of cold ischemia—a case with outstanding recovery results no less!
There weren't many examples like this on record, even internationally!
As the patient's systemic blood circulation was gradually restored,
Chen Cang moved on to reconstruct the bile ducts.
This process...
Was nothing short of a surgical showcase.
As the president of the World Society for Digestive Surgery, his ability to repair ducts far surpassed that of the Mario Brothers.
After a liver transplant, bile duct reconstruction was absolutely essential!
This step necessitated a choledochojejunostomy.
But after the Chen Digestive Tract Reconstruction Symposium had been held, he had a sudden realization: hepatobiliary surgery needed its own revolution.
The traditional reliance on bile duct reconstruction surgery guidelines was due for an overhaul!
And yet, the very Chen Digestive Tract Reconstruction Technique was still something Chen, himself, hadn't completely mastered, let alone the field of hepatobiliary surgery.
In this moment, Zhou Hongguang felt much like Grandma Liu visiting the Grand View Garden: stunned from beginning to end!
What Chen Cang had shown Zhou Hongguang was no mere "ordinary" surgery.
It was a groundbreaking, revolutionary liver transplant operation!
In fact!
Zhou Hongguang even began to think that Chen Cang had invited him here for one sole reason: to witness how he showed off!
Thankfully, Old Ma wasn't here. Otherwise, there'd be no need for speculation, as conclusions would've been drawn on the spot!
However, Zhou was, of course, unaware that Chen Cang truly struggled with some ancillary preliminary procedures.
He genuinely relied on Zhou Hongguang's expertise for those aspects.
After the surgery was successfully completed,
and all areas were meticulously checked, the bleeding was controlled, and three standard abdominal drainage tubes were placed.
This marked the successful conclusion of the operation!
At present, the surgical outcome appeared excellent.
However, post-operative observation of drainage volume and management were critical.
Liver transplant post-operative care was extraordinarily stringent and required lifelong responsibility for the patient.
Chen Cang turned to Gao Ronghua and said, "Director Gao, monitor for 48 hours!"
Gao Ronghua nodded, "Don't worry, Professor Chen."
Chen Cang gave a satisfied hum.
He genuinely trusted Gao Ronghua.
After a liver transplant surgery, one crucial stage that followed was immune suppression therapy.
Post-operatively, acute rejection could occur!
Thus, this period was particularly high-risk and demanded heightened vigilance.
Gao Ronghua directly led the patient out through the doctors' passage.
Meanwhile, Zhou Hongguang stood there, unable to shake the shock from his system.
Today, he finally understood something.
His pride, once unshakable, turned out to be so fragile!
His strength, ironically, was simply due to having never encountered someone like Chen Cang before.
At long last, he understood why Director Gao was so humble, why He Zhiqian appeared so composed.
It was because they had already seen the larger world!
At that moment, Zhou Hongguang realized there was nowhere else he should be.
What he needed to do now was follow Chen Cang, learn liver transplant surgery, and write a liver transplant guideline that would lead the world!
That was his dream!
At this thought, Zhou Hongguang shook his head, looked at Chen Cang, and couldn't help but smile.
Perhaps... it was simply because Chen Cang had no time.
Although now famous, most of Chen Cang's achievements were still in their incubation phase!
In as little as two to three years, or as long as five to six years!
By then, Chen Cang would undoubtedly become a pioneering figure in the field of Chinese medicine.
Because the foundation had already been laid.
Once the Society for Digestive Surgery was fully established, once the Non-stop Heartbeat Medical Research Center started producing results, and once the Tendon Recovery Center grabbed the three major awards,
at that time, Chen Cang would rise with an unparalleled presence!
By then, in the field of Chinese medicine, and even globally!
Chen Cang would stand tall, his words carrying the weight of authority!