WHEN THE DOCTOR USES A HACK

Chapter 799: Chapter 799: The Elegance of This Blade! (Additional Chapter 1 for Alliance Hierarch Shuffier)

After Chang Xiong finished speaking, the room once again fell into silence!

Chang Xiong continued, “Actually, taking into account the patient’s condition…”

“The patient is three years postoperative for gastric cancer, and the recovery is just so-so, and I estimate the survival period won’t be long.”

“If we use the platysma myocutaneous flap to reconstruct and repair the cervical esophagus, the feasibility is still quite high.”

“But… if we do that, even if the patient’s gastric cancer recovers well, they will need another surgery for the esophageal issue, at which time I estimate the success rate of the surgery will be extremely low.”

The words were said diplomatically, but they were also very realistic.

That is to say, even if the patient does not die from gastric cancer, they may die from complications of the esophagus.

At this point, silence once again enveloped the room!

What to do?

This type of surgery for the patient was indeed a challenging one!

The patient’s condition was too complex, with too many underlying diseases; finding an optimal treatment plan was incredibly difficult.

Yu Yonggang suddenly said, “Go get the family’s consent, inform them about the related surgical conditions, and let them make their own decision.”

Indeed, maybe the right to choose wasn’t with the doctors but rather with the patient’s family.

After all, any treatment would have significant complications, and sometimes doctors cannot make decisions for patients.

As the nurse was preparing to leave, Chen Cang’s brows were furrowed.

He suddenly said, “Director Yu, I have an idea!”

As soon as Chen Cang spoke out, he immediately caught everyone’s attention.

Everyone knew about the trainee in their department, but to tell the truth, no one paid much attention.

Because an insignificant trainee in the vast emergency department was truly inconsequential.

Yu Yonggang looked at Chen Cang, “Oh? Xiao Chen, what are your thoughts?”

Mindful, Chen Cang stepped forward, “Look, the rupture in the esophagus is relatively low, and the breach is very irregular. Whether we use autologous colon replacement or the platysma myocutaneous flap Director Yu mentioned, both have significant limitations!”

The others nodded in agreement.

They all understood this principle.

Chen Cang continued, “Actually, I’ve been thinking, we can choose a special material to repair this location!”

“That is lung tissue!”

Upon hearing this, everyone quieted down.

Using lung tissue to repair the esophagus was something they had never heard before.

But Chang Xiong was suddenly struck with realization!

This innovative idea was not fantasy but supported by research; he remembered reading about it in “The Lancet.”

Chen Cang kept speaking, “I mean using a lung tissue flap to repair the thoracic esophagus’s irregular rupture!”

“First is because the material for repair, for large esophageal defects, is readily available due to the convenience of sourcing lung tissue!”

“The second point, and the most important one, is that lung tissue flaps have a rich blood supply, superior to other repair tissues and materials.”

“The third point is that even if a portion of lung tissue is removed, it won’t cause much damage to lung function!”

“Lastly! Lung tissue flaps are soft and sealed. The surface of lung tissue is covered with pleural epithelium, which makes the inner wall of the formed tube smooth. Food is not easy to stick, infection is less likely, and this helps the inner wall to re-epithelialize!”

After Chen Cang finished speaking, the entire operating room fell into silence!

Who could have thought of using a part of the lung tissue flap as a material to repair the esophageal wall!

Although Chen Cang made sense, many people still held a skeptical attitude!

However, after hearing Chen Cang’s analysis, Chang Xiong couldn’t help but blurt out, “Great idea! I think it’s feasible! This way, the surgery won’t be too difficult! There will be fewer postoperative complications! This might be the best option!”

After thinking it over, Yu Yonggang also nodded slowly, “Feasible!”

Hearing the firm affirmations from Director Chang and Director Yu, everyone was taken aback.

Could it really be feasible?

Yu Yonggang hesitated for a moment before looking at Chen Cang, “Xiao Chen, can you do it?”

Chen Cang nodded, “I can!”

Chang Xiong couldn’t help but smile, “For someone who can come up with such a brilliant idea, performing this surgery shouldn’t be a problem!”

Yu Yonggang nodded, staring at Chen Cang and said, “Good, you do it!”

As soon as these words were spoken, there was an immediate shock around.

To let Chen Cang perform such a highly difficult surgery?

Is the director… too hasty?

Chen Cang stepped forward, picked up the scalpel, and made the incision in the chest!

Without the slightest hesitation!

At this moment, everyone around turned their gaze towards Chen Cang.

Not a hint of nervousness was visible in him; the blade sliced through the chest wall, with very little bleeding.

Yu Yonggang nodded, appreciating the display of skill!

After opening the chest, the lung tissue was exposed, and at this time it kept expanding and contracting…

Chang Xiong suddenly asked, “Do we need an artificial lung?”

Chen Cang shook his head; he not only did not need one, but he also needed to use the force of the lungs’ expansion!

Chen Cang placed both hands on the lung, his eyes fixed on the entire organ, constantly thinking about how to make the cut!

There are pulmonary arteries and veins within the lung tissue, and the surgery needs to avoid them, preserving blood supply while carefully excising the tissue.

Moreover, it was crucial to protect the capillaries within the pulmonary flaps.

Only by maintaining good blood flow and intact capillaries could the pulmonary flap’s resistance to infection be enhanced, as well as speeding up the healing of the wound.

Chen Cang looked at the nurse, “Microscope! 4x magnification.”

To be on the safe side, Chen Cang still decided to make the excision with the microscope.

The entire process of excising the lung tissue was key to the success of the surgery. Therefore, caution was of utmost importance!

As everyone watched Chen Cang’s scalpel, they saw his right hand press down lightly, and as the lung tissue expanded, the blade flashed! A perfectly sized flap was excised!

This scene immediately astonished everyone!

Chang Xiong’s eyes widened, “That was fast!”

Yu Yonggang was also somewhat stunned. This kid isn’t a cardiothoracic surgeon? How… is he performing this surgery so well!

Indeed, Chen Cang’s incision was very convincing!

It seemed simple, but the experts knew the difficulty involved!

One could say, the elegance of that cut!

Was deeply awe-inspiring!

During the lung’s expansion, he skillfully observed the movement of the lung and then swiftly excised the pulmonary flap, preserving the complete tissue vessels!

The surgery continued!

At this moment, no one dared to underestimate Chen Cang anymore.

Not to mention anything else, just based on that cut!

He could go straight to level 999!

Yu Yonggang watched Chen Cang, growing more pleasantly surprised, perhaps… he had really underestimated this young man!

After the surgery was over, he would have Chen Cang officially join the Sharp Knife Group!

…

…

ps: Sorry, I have a headache and am writing rather slowly, so it has taken until now. Please forgive me… I’m striving to maintain updates, let’s go!

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