Chapter 102: Chapter 102: Lord’s Explosion! (Seeking First
Order)
Translator: 549690339 I
After the mentor guidance was activated, Chen Cang saw huge changes in front of his eyes!
The transparent virtual screen in front of him began to display a slew of prompts!
Even a tone started ringing in his ears!
“Mentor guidance mode activated! Detected: The patient has type Mirrizi syndrome!”
“The surgical procedure is as follows: first, make an incision in the gallbladder at the Hartmann’s pouch, suction out the bile, remove the lodged stone…”
“Would you like to start the action demonstration?”
Chen Cang was stunned!
As the voice sounded, a virtual image began to perform surgery on a human body.
Could it really be this magical?
This is “mentor guidance”!
Isn’t it too powerful?
Meanwhile, Zhou Xiaodong and Qin Yue were staring at the messy and complicated gallbladder in the abdominal cavity on the television, not knowing where to start.
Because none of them had ever seen anything like this before!
What is this thing?
Zhou Xiaodong looked helpless, wondering how chronic cholecystitis could have turned into this!
Unable to hold back, Qin Yue asked, “Chen Cang, do you know… what kind of patient this is? What is this disease?”
Chen Cang sighed and looked up at them: “I’m afraid we’re in trouble, this is a rare and difficult complication of the gallbladder, called Mirrizi syndrome. Before surgery, it’s impossible to find any abnormalities in such patients, their symptoms are not much different from those of ordinary chronic cholecystitis and cholelithiasis, even less obvious!”
Upon hearing this, both were abruptly taken aback.
Not to mention anything else, just the English letters alone seemed daunting.
Zhou Xiaodong suddenly came to a realization; he had heard about this condition: “This is Mirrizi syndrome?”
However, Zhou Xiaodong only faintly remembered his mentor Qian Liang mentioning this disease during school, one of the most difficult gallbladder removal surgeries!
With this in mind, Zhou Xiaodong felt a chill in his heart!
Qin Yue couldn’t help but ask, “What is this thing?”
Chen Cang calmly nodded, “This is a rare disease, a very uncommon complication seen in chronic cholecystitis and cholelithiasis, a syndrome!”
“Mirrizi syndrome refers to a clinical syndrome characterized by cholecystitis and obstructive jaundice caused by the cystic duct stone or stones at the neck of the gallbladder that consequently compress the common bile duct or hepatic duct, leading to a narrowing of the hepatic duct.”
“This condition is relatively rare in clinical practice, with its pathological basis in cystic duct or neck stones that are lodged and inflamed; these patients typically have a protracted medical history.”
“Persistent lodgment and compression by larger stones at the infundibulum and neck of the gallbladder can cause narrowing of the common hepatic duct or cholecystocholedochal fistula, as well as recurrent episodes of cholecystitis and obstructive jaundice.”
Right after Chen Cang finished speaking, Zhou Xiaodong eagerly nodded, “That’s right! The patient indeed has a history of recurrent cholecystitis, and the liver function has shown a significant increase in serum bilirubin, including marked elevations in ALT and ALP!”
In that moment, Chen Gang’s stature rose significantly in their eyes, even the scrub nurse was dumbfounded.
This is a master!
An absolute expert!
Nailed it at a glance; he identified the disease straight away.
Seeing is one thing, but can he do it?
By this time, Chen Cang had already watched the demonstration several times and knew it by heart, he said to the others, “Dr. Zhou, you help me hold the ‘Mirror,’ I’ll perform the surgery, let’s get started; we can’t just keep the patient waiting!”
Zhou Xiaodong hurriedly nodded!
If Chen Cang could do it, that would be great…
The feeling of despair just now was too frightening.
But…
Could Chen Cang do it?
Zhou Xiaodong himself felt apprehensive, “Can you… really do it?”
“This is Mirrizi syndrome!”
It wasn’t that he didn’t trust Chen Cang but the surgery was truly dangerous and difficult!
It was definitely not that easy.
Chen Cang turned around, “Is there any other way?”
The question left Zhou Xiaodong speechless.
Right, is there any other option?
Still, Zhou Xiaodong reminded him, “Can you do it? If you can’t, you should find someone else because if there’s an accident, you… you can’t bear the consequences!”
Hearing Zhou Xiaodong say this, Chen Cang couldn’t help but smile, “Don’t worry, I can do it!”
Chen Cang looked at the complex abdominal cavity; without “mentor guidance,” he would have been shaking with uncertainty!
The first step was still to separate the messy gallbladder triangle, where the Calot’s triangle was swollen, with fibrotic tissue and a thickened cystic duct prone to bleeding upon touch. In such conditions, it would be impossible for the ordinary person to dissect the boundaries of the cystic duct, cystic artery, and common bile duct.
This was also the main reason Zhou Xiaodong hesitated to make a move!
If it caused bleeding, that would be a big problem.
Zhou Xiaodong asked cautiously, “Can the gallbladder triangle be separated? If not… I…”
Chen Cang shook his head and directly said, “Give me the electrocautery hook!”
Zhou Xiaodong, anxious and doubtful yet hopeful, after a struggle, handed the electrocautery hook to Chen Cang.
Chen Cang took over the electrosurgical hook, carefully opening the peritoneal covering of the gallbladder in both the anterior and posterior triangle, fearing any damage to the cystic duct.
“Suction!”
Chen Cang used the suction device to scrape, and at this moment, the cystic duct, cystic artery, and common hepatic duct were still very unclear, impossible to see properly!
Chen Gang’s set of operations was already very difficult, and despite his cautious and earnest effort, was it still not possible?
Zhou Xiaodong’s heart had already sunk to the bottom of the sea, while Qin Yue stared intently at the monitor, her lips silent, but her heart racing with apprehension—the dissection of the gallbladder triangle was too terrible, proving extremely difficult to separate!
Even the veteran teachers from the Second Affiliated Hospital of Xiangya might not necessarily…?
Was Chen Cang being too reckless?
How dare he take on such a surgically challenging case!
Wasn’t this just looking for trouble?
Chen Cang was not discouraged; instead, he had a burst of inspiration, picked up the electrosurgical hook, and started by freeing the gallbladder from its liver bed.
Then he continued to dissect towards the triangular area, after freeing the gallbladder from the liver bed, he carefully dealt with the cystic duct and cystic artery inside the triangle.
At this moment, Zhou Xiaodong felt so anxious watching that his hands holding the camera began to sweat!
It was too dangerous…
Zhou Xiaodong couldn’t help but turn his head to look at Chen Cang, who seemed unfazed, as calm and composed as a gentle breeze or still water.
His actions were very delicate, a push, a nudge, a coagulation, a separation, just right!
The technique was incredibly clever.
Zhou Xiaodong watched, utterly astonished…
Finally!
After nearly twenty minutes, he successfully freed the gallbladder triangle!
It was a success!
Once the gallbladder triangle was separated, the surgery was practically half done!
It was so difficult!
Zhou Xiaodong looked up at Chen Cang, his eyes filled with disbelief.
How could he have separated it?
That was so strong!
Zhou Xiaodong watched Chen Cang meticulously continue the next step of the surgery and found himself momentarily spellbound.
Because… at that moment, Chen Cang seemed to embody a chief physician, whose composed and confident demeanor captivated everyone in the room, from the nurses to Zhou Xiaodong and even Qin Yue!
Qin Yue’s wide eyes blinked, her gaze flickering with admiration that screamed: Chen Cang is freaking awesome (voice crack)!
The process looked simple, but it was actually incredibly complex, and every step taken by Chen Cang was awkward. If it weren’t for the constant prompts from the system, he couldn’t have done it.
This gallbladder was a level 45 boss monster, while he was only a level 15 junior resident. It wasn’t supposed to be so easy!
This wasn’t just a mismatch in levels; a slight misstep could have caused further injury to the patient.
Mirrizi syndrome is generally not something a regular doctor at a tertiary hospital could handle; at minimum, it required someone of Zhang Youfu’s caliber.
Now came the most crucial work!
Chen Cang first made an incision at the gallbladder’s Hartmann’s pouch and suctioned out the bile.
Then he removed the impacted stone!
The stone was large, lodged in the neck, a full 20mm!
Seeing the stone removed, Zhou Xiaodong’s heart, thumping wildly, finally settled.
The remainder of the surgery was the removal of the gallbladder, dissecting toward the right side of the common bile duct. If Hartmann’s pouch was densely adhered to the right side wall of the common bile duct, that portion of the gallbladder wall was preserved, and the gallbladder mucosa was cauterized…
The surgery proceeded smoothly, the hardest part was over, and the rest of the work was simple!
[Ding! Congratulations, you have defeated a level 45 boss gallbladder monster! Experience +3000; Cholecystectomy experience +5000 (continue to level up to master); RMB +3000; You have obtained: a pair of Stern’s gloves.]
[Ding! Congratulations, you have leveled up to 16! Skill point +1!]
[Ding! Congratulations, you have leveled up to 17! Skill point +1!]
Chen Cang was stunned, he had leveled up twice in a row.
Mainly because he was already close to leveling up, the 3000 experience immediately brought him up to level 17!
He now had 7 skill points.
The surgery was completed!
It was close, but without incident.
Zhou Xiaodong felt as if he had been drained of all strength, overwhelmed by the feeling of a narrow escape. He was at a loss for words to express the excitement in his heart!
Words failed to convey his inner turmoil!
If it weren’t for Chen Cang, it was difficult to imagine what would have happened.
The patient had been in grave danger, and he would have certainly been held accountable, perhaps for a lifetime!
[Ding! Zhou Xiaodong’s favorability +20!]
Raising his head to look at Chen Cang, Zhou Xiaodong took his hands and, with a determined gaze, sincerely said, “Doctor Chen! Thank you, truly! You’ve saved the patient and also saved me, preserving my career. I can’t thank you enough for this time. I owe you a great debt, and should you ever need my help, just say the word!”
Fortunately, Zhou Xiaodong was articulate and said a lot. If it had been Sister Xiao, a straight-up ‘second parents’ would’ve sufficed!
Chen Cang smiled: “It’s nothing, we’re all colleagues. Go wash up and clock out!”
It was already 1 o’clock in the morning, and if it hadn’t been for the excitement of this surgery, they would all have been dead tired by now!