When the Doctor Uses A Hack

Chapter 413: Chapter 413: What a good child!

Did Chen Cang find out?

To be accurate, he did not a moment ago!

Otherwise, he wouldn’t have ambiguously said he missed something!

Because even he wasn’t clear on what he missed, he only wanted to investigate and see if he could find any clues.

But now he knew when he saw blood appearing from the drainage tube, he suddenly thought of a special kind of patient during his training in the virtual space.

With that thought, Chen Cang quickly looked at everyone!

He said loudly, “Don’t stop the bleeding yet!”

With that, everyone was stunned!

They all paused in shock!

Not stop the bleeding?

Even though the blood wasn’t flowing very fast, but… what situation calls for not stopping the bleeding?

Chen Cang said to the nurses, “Give me the separation forceps!”

“Scalpel!”

Chen Cang couldn’t afford to explain too much, talking too much was pointless, and it was better to get to work.

Moreover, at this time, the last thing needed was blind hemostasis.

Because the patient already had portal hypertension, during portal hypertension, comparatively thick varicose veins in the hepatoduodenal ligament could easily cause major intraoperative bleeding, and frantic hemostasis could mistakenly damage the hepatic artery, portal vein, and bile ducts, even leading to an embarrassing situation during surgery where it was impossible to make any progress, like being stuck on the back of a tiger.

Therefore, Chen Cang had to steady his stance at this time!

Chen Cang carefully made his way to the Calot’s triangle, what he had to do was not to separate the gallbladder but to search for the liver ducts in the liver area.

He had to verify his own thoughts!

A little bleeding wasn’t scary, the drainage tube made everything convenient, the most crucial thing was to find the core of the problem.

Soon after the separation, a series of red names appeared in Chen Cang’s view!

“Biliary Variation”n/o/vel/b//in dot c//om

Not only Chen Cang, but everyone else turned pale when they saw this!

Zhou Hongguang was particularly shocked!

He finally understood what was happening!

When he saw the junction of the hepatic duct and the bile duct, Zhou Hongguang had an epiphany.

Gallbladder inflammation with biliary variation!

No wonder there was bleeding…

At this time, Qian Liang, Zhang Youfu, and Li Baoshan, all three of them realized it too.

Acute gallbladder inflammation combined with biliary variation!

The gallbladder, having an acute inflammation for four days, already caused tissue damage, and at this time the cystic duct opened into the right hepatic duct, the bifurcation of the left and right hepatic ducts was low, with the presence of a right accessory hepatic duct. At this moment, the variant intersection of hepatic and bile ducts could easily be overlooked!

Once this variant crossover occurred, if not careful during surgery, even just the insertion of a drainage tube could cause damage.

And the patient’s condition was already very special!

Initially, there was no plan to remove the gallbladder, and separating the gallbladder would definitely damage the hepatic ducts.

Acute gallbladder inflammation combined with biliary variation could easily lead to intraoperative bleeding and bile duct injury, and if at this time, the patient also had portal hypertension, the varicose veins could cause major intraoperative bleeding.

Major bleeding was almost fatal for this surgery, but if there was a panicked attempt to stop the bleeding, accidentally injuring the hepatic artery, portal vein, and bile ducts, it could be said that the patient would have been finished!

This wasn’t an exaggeration at all!

When everyone saw this scene, every director felt chills!

Had they not discovered it?

Where did they go to discover it?

Who has the ability to foresee such things?

And variant hepatic ducts were almost too rare, even if there were, most of the time they wouldn’t cause significant harm.

Had Chen Cang not seen the “Variant Leader,” to be honest, even he wouldn’t have thought it would be like this.

But at this point, the surgery had entered a deadlock.

It was necessary to investigate the cause, locate the point of bleeding, and then stop it.

However, this process was extremely delicate, and no accidents could occur.

Zhou Hongguang wanted to take over, but seeing Chen Cang’s expression, he suddenly stopped his movement.

To tell the truth, the process of identifying the bleeding point must be handled with extreme caution, and the key to everything, you have to be able to find the source of the bleeding.

Although the gallbladder did not need to be removed, it was precisely because no drastic action could be taken that the difficulty of the surgery escalated.

Chen Cang’s eyes were glued to the hepatic duct, common bile duct, gallbladder, accessory hepatic duct…

Suddenly, Chen Cang saw what appeared to be an adhesive tear between the intersecting accessory hepatic duct and common bile duct, just off from the gallbladder!

Chen Cang’s eyes brightened!

The truth was out!

There was already an abscess that could easily damage the hepatic duct, and the appearance of adhesions exacerbated the injury. Even the smallest surgery during the operation would cause some damage to the tissues—it was, after all, cutting with a scalpel!

At that moment!

Chen Cang made a significant contribution!

Zhou Hongguang, excited, stared at the intersecting hepato-biliary ducts with an exhilarated and agitated expression, a sense of relief from a narrow escape suddenly emerging.

Lucky to have found it!

Otherwise, if the abdomen were opened again, it would undoubtedly cause another serious injury. By then, it might lead to a massive hemorrhage from the peritoneal varices.

At that time, it would be impossible to save the patient.

Zhou Hongguang suddenly felt extremely fortunate!

Not just him, even Qian Liang, Zhang Youfu, and others beside him were breathing rapidly, feeling somewhat incredulous.

Excitement, fear, anxiety, complexity, gratitude…

A mix of emotions lingered in everyone’s minds for a long time.

Performing surgery is like this—you as a surgeon must possess an eagle eye, keenly controlling the overall situation and pinpointing the crux!

In a surgery, you cannot just address problems wherever they appear because, after all, the human body is a whole and must be studied in coordination.

The onset of acute cholecystitis is severe, but accompanying this cross-sectional bile duct variation is also very serious.

At that moment, Chen Cang suddenly stood up, handed the scalpel and separating forceps to the nurse, then looked at Zhou Hongguang, “Director Zhou, your turn.”

In a word, everyone was stunned once more!

Zhou Hongguang was full of confusion, ???

At this point… you’re not doing it yourself? Handing over the fruits of victory to me?

Indeed!

If news of this surgery conducted by Chen Cang got out, it would be absolutely sensational.

After all, having discovered an oversight in the surgery by the prospective Academician Zhou Hongguang, identifying the cause of the problem, and averting disaster, just as he was about to reap the glory, he was giving away the fruits of victory?

This move… truly 666!

Even several surrounding directors’ eyelids were twitching.

At this time, Chen Cang could not concern himself with anything else, but to tell the truth, “Director Zhou, I… am not very skilled at repairing the hepatic duct. Please, take over!”

This statement almost brought tears to Zhou Hongguang’s eyes!

What a good kid!

Such an honest person!

At this moment, Zhou Hongguang was extremely concerned about his reputation. If anything went wrong, it would be a huge obstacle for his nomination as an academician.

You must not think this is a trivial matter. You should know, selection as an academician is not as simple as you imagine.

To put it simply, positions are limited; only the capable rise.

This ‘capable’ is a test of comprehensive strength.

A careless mistake at this crucial point could lead to the patient’s death, giving critics an easy target—it’s difficult to argue against the conviction that the deceased’s plight holds the ultimate truth.

But Chen Cang helped him find the problem, for which Zhou Hongguang was already immensely grateful.

Yet!

At this critical moment, Chen Cang handed the reins of the surgery to Zhou Hongguang, saying, “I’m not good at bile duct surgery”…

This phrase filled Zhou Hongguang with heartfelt gratitude.

What a good kid, capable of performing such complex surgery, able to find such difficult issues—a small bile duct, what’s that compared to everything else?

Alas…