Chapter 107: Chapter 107: When Doctors Meet, Words Fail to Express (Request for Primary Subscription – Additional Chapters for All Readers)
Translator: 549690339
The chapter title is wrong; it should be: Chapter One Hundred and Seven. Never mind the name.
As the director of the general surgery department, Guo Cheng had attended countless big and small meetings, and the name Mirrizi syndrome was as familiar to him as thunder!
It might be one of the most difficult operations in cholecystectomy!
And yet this young man in front of him could actually do it?
Incredible!
If it were anyone else telling him, he would absolutely not believe it.
But Li Baoshan wasn’t one to joke around; he was famously stern within the circle and rarely even smiled.
Being praised by Li Baoshan meant definitely having some real skill.
So, he still believed it somewhat.
Guo Cheng looked at Chen Cang’s green and immature profile, somewhat incredulous, how old was he?
Could it be… he’s a returnee from a prestigious overseas school?
At this thought, Guo Cheng put away his initial contempt.
The surgery began!
Following the advice given by “Expert Guidance”, Chen Cang began to probe for changes inside the abdomen once again.
Before long, Chen Cang had discovered where the lesion was!
[“Duodenal fistula, IV30, elite monster, fistula length 12mm, with contents leakingout…”]
[“Gallbladder, IV30, elite, chronic cholecystitis, recurrent attacks, with multiple gallstones within…” ]
These were two level 30 elite monsters, two surgeries that needed to be done separately, but the first thing to do was still to separate the severe adhesions in the right upper abdomen.
Li Baoshan actively assisted with the Mirror.
Chen Cang carefully picked up the electrosurgical hook and began to separate the adhesions.
The first step was to separate the duodenum from the hepatic portal and the gallbladder, a process that seemed very simple, but the vessels and the walls of the gallbladder after adhesion were very thin and fragile.
A single mishap could cause damage!
This was also why Guo Cheng had suggested an open procedure.
At this moment, both Guo Cheng and Li Baoshan were nervously watching Chen Cang, fearing that he might make a big mistake.
Chen Cang started from the left side of the hepatic portal, following the prompts and operations suggested by “Expert Guidance,” he carefully proceeded step by step.
At this time, Chen Cang had to admit, Expert Guidance was amazing!
Any operation would come with hints, including how to handle the results and what issues might arise; moreover, after you completed an action, it would replay the video over and over, allowing you to see the shortcomings of the surgery.
Qin Yue’s photography was entirely for leaving evidence for the paper, to prove that her thesis was not fabricated, otherwise, Chen Cang could have recreated the reality just by relying on “Expert Guidance.”
The atmosphere in the operating room became tense again, yet Chen Cang was quite relaxed, while Guo Cheng’s heart seemed to be connected to the patient’s gallbladder, deeply afraid that Chen Cang would puncture it!
Fortunately, Chen Gang’s hands were very steady and also very skilled!
Moreover, that electrosurgical hook in Chen Gang’s hand was very agile, as if it was his own finger, very dexterous, very nimble. What was going on?
Chen Cang was startled too!
How could this be?
Today’s surgery was exceptionally bustling, huh?
After seeing the gloves… Chen Cang suddenly realized, it was his gloves!
The attributes that the gloves brought!
Dexterity +2, Steady Endurance +2, Strength +2.
These three attributes were too awesome, right?
Chen Cang felt like his hands were like electric motors, especially his fingers.
Hook, shift, solidify, push…
Li Baoshan, turning around inadvertently, just caught a glimpse of Chen Cang’s fingers moving deftly and paused in surprise.
Those fingers were so nimble!
How did that electrosurgical hook in his hand seem to move like it had a will of its own?
Guo Cheng didn’t have the leisure to observe Chen Gang’s hands; instead, he was motionless, staring at the monitor.
At last!
The duodenum was successfully separated and the internal fistula sutured.
These were all routine procedures, but it was indeed a bit clumsy for Chen Cang to suture the intestines under a laparoscope for the first time, However, with the guidance of a great teacher, the operations were not affected.
Next, they needed to separate the gallbladder and perform a retrograde excision.
The gallbladder triangle wasn’t as tidy as the abdominal cavity, looking as messy as a wasp’s nest.
But after all, it was just a level 30 elite challenge. How long could it struggle, especially when even a level 45 Lord had no chance against the “Guidance of the Master”?
The surgery took more than two hours. Guo Cheng had been watching TV for over two hours, utterly captivated!
Li Baoshan had spent over an hour watching Chen Gang’s hands, full of envy and jealousy!
Qin Yue had been gazing at Chen Gang’s face for half an hour, full of wishful thinking!
The young nurse didn’t understand the big screen, but she gained a new understanding and definition of Chen Cang’s hand speed, feeling both thrilled and surprised!
Especially when that middle finger levered the forceps, the strength, angle, and speed were all very tricky!
The surgery was complete!
Ding! After suturing a level 30 elite duodenal internal fistula monster, you have obtained a Skill Book.
Ding! After removing a level 30 elite gallbladder monster, you have obtained a white surgical gown!
Chen Cang was momentarily dumbfounded!
A Skill Book and white equipment as loot?
What a grand loot!
Thinking of this, Chen Cang felt somewhat excited.
It seemed his luck was really good today.
Li Baoshan looked at Chen Cang with satisfaction. Honestly, the surgery was quite difficult, and it demanded a lot from the surgeon, particularly the suturing of the internal fistula under laparoscopy, which required the surgeon to have a good foundation in laparoscopic suturing skills.
And in the two critical operational areas of separating the duodenum and freeing the gallbladder triangle, Chen Cang performed even more cautiously. Overall, it was very impressive!
Li Baoshan nodded at Chen Cang with satisfaction, “Not bad! Very good, Director Guo, you can rest assured now, right?”
Where could Guo Cheng still have his previous worries? The last series of procedures was nothing short of classic, and he didn’t have any complaints left, hastily saying with a smile, “Rest assured, very much so!”
“Director Li, your team is really full of hidden dragons and crouching tigers. How old is Doctor Chen, to have such extraordinary surgical skills? Given time, he will be another famous scalpel of Dongyang Province!”
Guo Cheng meant no flattery, it was just the plain truth!
Today, Chen Cang had truly refreshed his worldview.
He had never seen such a young person capable of leading such difficult surgeries, not even inferior to the top talents from Beijing, Shanghai, Guangzhou!
With that thought, Guo Cheng once again felt grateful to Chen Cang.
Busy with other matters, Li Baoshan took a phone call and left with peace of mind. However, he turned back to take a deep look at Chen Cang’s hands, hesitant to speak.
While washing his hands, Guo Cheng casually asked, “Doctor Chen, your gallbladder removal surgery was truly impressive!”
“The Second Provincial Hospital is indeed worthy of being a provincial hospital. Our City No. 8 Hospital used to be quite renowned when it was an old cadre hospital, but after the name change, it has been declining day by day. Now we want to bring in talent, but no one is willing to come. Yet there are still quite a few old cadres and community residents, and they tend to have complex illnesses when they are sick. No one dares to perform surgeries, and there’s no one who can do it. Our surgical department is getting worse by the day.”
After airing his grievances, Guo Cheng suddenly asked, “Doctor Chen, I have an inappropriate request.”
“It’s like this, there are a few old people in our hospital’s department, all with cholelithiasis and in need of gallbladder removal surgery, retired old cadres. I was thinking if you have time, you could come to oversee their cases.”
“It’s just three or four people. The elderly don’t want to be bothered too much. I mean, you take a look at your schedule to help us keep an eye on it. We’ll have some peace of mind. As for the payment, we’ll go by the market rate. How does that sound?”
Chen Cang wasn’t worried about the money; it was mainly the high surgical risk for the elderly that he couldn’t guarantee.
Old people have various diseases, and their bodies are more complex. Various and sundry complications often arise during surgery, and most people are unwilling to operate on the elderly.
Even many hospitals’ surgical departments don’t want to admit elderly patients!
City No. 8 Hospital was originally an old cadre hospital, and some departments, such as geriatrics, neurology, cardiology, and endocrinology, developed quite well and were somewhat renowned in An Yang City.
But surgery…
The old cadres themselves didn’t have confidence in it, and their children, who had the means, would typically take them to big hospitals in Beijing, Shanghai, Guangzhou, or at least to the Provincial People’s Hospital or Dongda Affiliated Hospital.
They were seldom willing to have surgeries at the old cadre hospital.
Thus, the old cadre hospital’s surgical department became increasingly worse, neglected by hospital leadership. Now, for a single gallbladder surgery, Guo Cheng still had to personally follow along to the Second Provincial Hospital.
It was indeed a situation filled with helplessness.
Ding! A task has been triggered, Guo Cheng’s request. Help Guo Cheng complete three gallbladder removal surgeries and receive the reward: Laparoscopic Gallbladder Removal Technique Improvement.