When the Doctor Uses A Hack-Chapter 942 - 943 Another King Level

Everyone looked at Sun Guangyu and nodded without saying much.

After all, Sun Guangyu was the chief surgeon, and ultimately they needed to listen to him.

In fact, on the operating table, they were like reinforcements, but the general in the field was still Sun Guangyu, and the final decision-making power was his.

Thinking of Chen Cang, Sun Guangyu breathed a sigh of relief, “Actually, the last case that I showed you all, the major gastrectomy with esophageal reconstruction, was performed by Chen Cang!”

Hearing Sun Guangyu’s words, everyone was momentarily stunned.

“The modified gastric anastomosis surgery? The one that formed that ‘neo-stomach’?” Shi Wenyuan from the Military District General Hospital directly asked!

Sun Guangyu nodded, “Exactly, it was that surgery that made me truly recognize Chen Cang’s expertise.”

Suddenly, everyone’s eyes lit up, filled with anticipation.

A surgery could reveal a surgeon’s clinical thinking and level of skill.

And to them, that surgery was Chen Cang’s signature operation, which said a lot.

However, Mr. Bu’s condition at the moment was causing everyone some concern.

At such an advanced age, he had been afflicted with such a troublesome disease.

Intestinal obstruction caused by Crohn’s Disease.

What is Crohn’s Disease?

Crohn’s Disease is an idiopathic gastrointestinal granulomatous inflammatory disease.

This may be hard to understand, but it can be summarized along with ulcerative colitis as inflammatory bowel diseases, which are inflammatory conditions of the gut.

It’s just that the cause is unknown…

However, in terms of treatment, the main focus is to address the current symptoms.

Besides, Mr. Bu was in his nineties and couldn’t withstand too much turmoil.

Fortunately, with Crohn’s symptoms being not so pronounced, Mr. Bu presented with intestinal obstruction.

Now, what is the primary goal of the surgery?

First: to treat intestinal obstruction!

Second: to clean out the pancreas!

Third: to clear significantly adhesed gastrointestinal and pancreatic tissues within the abdominal cavity.

Fourth: to reconstruct the digestive tract.

Each step doesn’t seem difficult on its own, but when combined, the digestive tract reconstruction becomes exponentially more difficult.

The biliary tract needs to be dealt with, the colonic obstruction needs to be removed, and while the pancreas doesn’t need a complete excision, after cleaning, it still requires a new pancreatoenteric anastomosis.

Everyone was frowning, eyes fixed on the abdominal cavity, deep in thought.

Before long, Chen Cang entered the operating room.

Upon seeing Chen Cang’s arrival, Sun Guangyu’s face lit up with joy: “You’re here!”

The nurse had been waiting for quite some time and, after helping Chen Cang into his surgical gown, Chen Cang walked over.

Upon seeing the condition of the abdomen, he immediately widened his eyes.

This…

Was pretty bad.

Chen Cang couldn’t help but blurt out, “Crohn’s disease causing an intestinal obstruction?”

Chen Cang’s exclamation made everyone appreciate him a bit more; he certainly had some expertise.

But after taking a closer look, Chen Cang began to frown.

Because the system told him that the patient’s abdominal cavity was a boss lair, and it was not to be trifled with!

Chen Cang sighed. It was assessed as a level 88 King boss.

Read latest chapters at freёweɓnovel.com Only.

This really was going to be very difficult!

This was the highest-level boss Chen Cang had encountered so far; if this had been a game, he certainly would’ve been killed on sight.

To put it more accurately, he would’ve died from an unclear area of effect (AOE)!

Looking at the adhesions in the abdominal cavity, Chen Cang understood.

The colon obstruction was primarily caused by an abscess, and there were purulent adhesions in the peritoneal cavity as well as pancreatic edema and inflammation. A large portion of the stomach had been removed. How to reconstruct the digestive tract?

What should he do now?

Sun Guangyu glanced at the attending physician: “Please introduce the medical history.”

As Chen Cang listened to the case, he looked down at the abdominal cavity, where a four-dimensional model began to appear, simulating how the upcoming surgery should be done.

After a moment,

“TsK!”

Chen Cang instinctively began to worry.

The difficulty of clearing the adhesive abdominal cavity was significant, and it also required separation; soon, he’d have to proceed with the post-colectomy anastomosis. It really was giving him a headache.

Pancreatectomy?

Troublesome to remove, but even more so if not removed.

After a moment, Chen Cang looked at Sun Guangyu: “Director Sun, what do you think?”

Sun Guangyu frowned, “Before opening the abdomen, we never imagined it would be this kind of scene. We initially wanted to perform a laparoscopic surgery, but as soon as the ‘Mirror’ was inserted, we saw the terrible state inside the abdominal cavity and quickly switched to an open surgery.”

“Actually, the most difficult part now is reconstructing the digestive tract. After the colon is removed, how should we decide regarding the pancreas?”

“We must perform a pancreatoduodenectomy, but currently, the key is choosing again how to undertake the gastroduodenal surgery and how we should reconstruct the digestive tract!”

Shi Wenyuan nodded, “My suggestion is a direct pancreatoduodenectomy, followed by reconstructing the digestive tract between the stomach, jejunum, and pancreas.”

As he said this, Shi Wenyuan looked at Chen Cang: “Dr. Chen, what do you think? Can we form a pseudo-gastric curve here, and then, after the pancreatoduodenectomy, proceed with either a pancreaticojejunostomy or a pancreaticogastrostomy?”

Sun Guangyu immediately shook his head: “No, after forming a pseudo-gastric curve, it is not conducive to gastric emptying. The biggest adverse reaction after a pancreaticogastrostomy is impairment of gastric emptying, which undeniably worsens the difficulty for postoperative recovery.”

Chen Cang understood; now, a comprehensive issue was laid out before him.

That was how to form a good anastomosis between the stomach, pancreas, and jejunum, and reconstruct the digestive tract!

The Crohn’s disease he originally thought was the main issue turned out not to be the primary concern.

The excision of the intestinal obstruction wouldn’t affect the patient’s recovery.

Thinking of this, Chen Cang glanced at the reward he had just received:

[Enhance a skill to perfect level!]

Chen Cang let out a wry smile, “Buddy, I’m definitely going to need you today!”