When the Doctor Uses A Hack

Chen Cang felt speechless about the villain's last-minute defection.

In his mind, Jim Lawrence was an unqualified villain.

Compared to him, "World Journal of General Surgery" was too rich in character, first: too talkative! Fitting the most basic characteristic of a villain! Second: lacking professional ethics and being strictly profit-driven!

With such villains, Chen Cang felt no psychological burden.

On the other hand, looking at Jim Lawrence's affectionate gaze, Chen Cang sighed helplessly, alright, alright...

"The reconstruction of the biliary-pancreatic duct I've only done once before, but the most important point is the occurrence of physiological curvature, which must not cause bile reflux into the pancreas, so we need to design the angle carefully..."

With this thought, Chen Cang began his operation.

The main pancreatic duct inside the head of the pancreas is not as thick as the one outside, giving the overall impression of a "greenhouse" duct, soft due to retaining the physical characteristics of the pancreas.

Hence, this made the anastomosis with the bile duct particularly difficult.

"Give me the microscope, 10 times magnification."

After putting on the microscope, the entire field of vision cleared up considerably, but at the same time, my sutures also appeared much thicker!

The feeling under the microscope is a very special skill, it could even be said to be a talent.

Chen Cang's spatial awareness under the microscope had not improved much, derived from Director An Yanjun, his advanced skills under the microscope felt a bit overwhelmed at the moment.

Fortunately, Chen Cang's hands were very steady, and he was quite proficient in repairing pancreatic ducts.

First, a cut had to be made at the site of the common bile duct, and then the pancreatic duct had to be anastomosed.

What appeared to be a simple task tugged at everyone's heartstrings.

Including Chen Cang's!

The surgery progressed slowly, and Chen Cang, while operating, also explained some points of attention, this time everyone listened very quietly.

Jim Lawrence carefully supported the bile duct, not daring to cause any fluctuation.

Hubert's face was full of gratitude; he could do the surgery too, but to achieve the level of meticulousness that Chen Cang showed, he probably wouldn't be up to the task.

The same surgery can involve many different techniques.

Chen Cang's advantage lay in his ability to turn the ideas of others into reality.

Including Jim Lawrence's previous idea for pancreatic duct mobilization and extension surgery.

Solid foundational skills and delicate operative techniques, the presence of such hardware, makes the software viable.

A pancreatic fistula is the most troublesome issue, and the design of this biliary-pancreatic duct is also the riskiest.

Without sufficient confidence, it might be better to simply perform a pancreaticojejunostomy.

But the outcomes are not the same.

Because this little girl is only four years old, her body is still growing and developing, and Chen Cang believes that in a few years, his designed biliary-pancreatic duct might become identical to the body's biliary-pancreatic duct, and the separated head of the pancreas could recover to its original state.

For this suturing, Chen Cang dared not use continuous suturing because that would definitely damage the pancreatic duct.

Interrupted suturing required a lot of work and consumed more energy.

Just when Chen Cang was about to finish, he encountered a minor issue!

This pancreatic duct was not exactly the same as the one exposed outside, how could bile reflux be prevented?

Hamilton watched Chen Cang's suturing and couldn't help but ponder.

He was very knowledgeable about anastomotic techniques, but watching Chen Cang's suturing, he suddenly suggested, "Dr. Chen, have you considered a 'triangle' anastomosis?"

"That's a type of suture pattern using an anastomotic device, your suturing is very tight, but I think if you use a 'triangle' anastomosis device for locking, the biliary-pancreatic duct might form a natural barrier..."

At that moment, Chen Cang was startled!

Suddenly, he remembered the anastomotic device choices he had made not long ago.

Looking down, his eyes lit up, "Feasible!"

Without hesitation, he made a slight alteration to the suturing, inserting the needle a bit deeper into the bile duct to simulate a certain effect.

Jim Lawrence also said, "Right, this can form a physiological separation, which greatly reduces the possibility of bile reflux!"

That's the role of experts, facing problems, everyone can offer constructive suggestions.

The following procedures went smoothly for Chen Cang, without any significant disturbances.

Amidst everyone's anxious anticipation, the biliary-pancreatic duct was successfully constructed, and the surgery was virtually complete!

"Vital signs normal!" announced the anesthesiologist at this time!

A wave of joy swept through everyone!

Separated!

They were truly separated!

Now, only the separation of the abdominal wall remained.

At this point, the surgery was 90% complete!

Because of Chen Cang's involvement, the conjoined twins' separation surgery went very smoothly!

This was the true essence of the "Chen Method" of reconstructive surgery of the digestive system, what reconstruction meant was to make the structure and function of the digestive tract look the same as the original!

The surgery was close to success.

Everyone was both excited and stirred.

Emotions can truly be contagious; at this moment in the operating room, Hubert was the most moved, witnessing his two granddaughters about to be separated, he was indescribably excited.

Speaking of which, he could have succeeded too, but there were too many concerns when operating on relatives.

Moreover, undergoing such a large-scale surgery at this age was still very risky.

Hubert, watching Chen Cang, couldn't help but say, "Dr. Chen, thank you!"

Instantly, the room erupted with enthusiastic applause!

This time, no one was stingy with their applause and praise.

Everyone watching the scene on the big screen stood up excitedly, the applause was incessant.

The shouts of "Chen Cang!" became the main theme of the event.

Chen Cang had saved these two little angels!

What is the mission of a doctor?

To bring health and hope to patients.

And at this moment, Chen Cang truly achieved this with his "Chen Magic," separating the two children.

Cheers echoed throughout!

At that time, the clock had just passed four in the morning.

But sleep was far from everyone's mind!

Everyone was witnessing and celebrating this victory!

The only discordant note was Qin Yue, who found the "husband" calls around her quite annoying!

Chen Cang was responsible for more than 80% of the surgery.

But he also knew that these professors were actually very exceptional, digestive tract reconstruction is just one of the most difficult problems to solve in gastrointestinal surgery, but not the only one.

Just like Professor Hamilton, who suggested the triangle anastomosis device to create a barrier at a critical moment.

The abdominal surgery was finished!

Soon, it was time to separate the abdominal wall and perform the muscle-skin flap transplant.

The patient's abdomen needed a natural protective wall to be formed through transplanting the muscle-skin flap.

This was the reason for placing the expander in one side of the abdominal wall beforehand.

Hubert instructed the nurse, "Go prepare the dermoplasty, get ready for a muscle-skin flap free transplantation."

The nurse nodded, got up, and quickly went to make arrangements.

At this point, Chen Cang hesitated for a moment, then couldn't help but say, "Wait!"