When the Doctor Uses A Hack
Chapter 1201 - 1205: The Return of the Strange Six Watches!

After taking over the scalpel.

Chen Cang held his breath and concentrated, gently touching the blood vessel wall with his hand, trying to feel the gushing arterial blood pressure and to sense the pressure of the blood vessel wall.

Faintly, Chen Cang could feel something.

But it was too difficult!

One might even say that the entire surgery was extremely challenging.

"Nitroprusside."

"Prunelor!"

…

Before the surgery, to ensure the patient's condition, Chen Cang had to administer medication again.

It's not so much the difficulty of the surgery, but rather the patient's own challenges that were greater.

Multifocal aortic dissection is not as simple as 1+1+1=3, no, it's like doing three dissection surgeries.

The tension and elasticity of the blood vessel wall are limited, when the tensile strength of the blood vessel wall fibers reaches a limit, if one is blocked and one of the surgeries is performed, the pressure on the other blood vessels will increase a lot!

A slight oversight could easily lead to an intraoperative dissection rupture exacerbating the condition!

Even causing the patient to die on the operating table.

Over here, the blood transfusion department had already completed blood matching, and in accordance with Chen Cang's request, they had prepared a person's worth of blood.

Of the nearly 5000 milliliters of blood, 1000 milliliters were already being pre-warmed.

Everyone was very nervous, this might be the most difficult surgery they had ever experienced.

Looking at section after section of thick, even somewhat deformed blood vessel walls, although the bulging dissections were not very prominent, there was an indescribable oddity.

From the aortic arch, to the thoracic aorta, then to the abdominal aorta.

The surgery had not even started, and they already encountered the first problem!

That is, how to begin!?

Should they use the traditional method, starting with iliac artery replacement? Then complete the abdominal aorta, thus ensuring kidney blood flow, and not induce liver and kidney function damage?

But!

The most critical ascending aorta and thoracic aorta, these are the difficult and focal points.

If they clamp off the area of the iliac and abdominal aorta now, the systemic blood return will be restricted, and the change in blood flow will directly affect the patient's systemic blood pressure!

What if, Chen Cang spoke of a what if!

What if the thoracic aorta ruptures while dealing with the abdominal aorta and iliac artery replacement.

Who could help him with the situation?

Surgery!

It is never a one-man job!

A competent, excellent team can alleviate Chen Cang's worries.

However, at this time, without his own excellent team, he needed to consider everything more clearly, thoroughly, and comprehensively!

Even think of every possibility!

And make corresponding measures.

After pondering, Chen Cang decided to start with the ascending aorta replacement surgery!

With this approach, is it difficult?

Definitely, but at least it wouldn't cause a series of bang bang bang vessel dissection ruptures, leading to massive bleeding, and then be unable to stop the bleeding and repair in time causing death!

Of course, it is possible to clamp off the location of the ascending aorta as well.

But...

If due to the hemostasis there is insufficient blood supply to the spinal cord and nervous system, leading to ischemic necrosis of the nervous system.

The patient may indeed survive.

But what's the difference between living like that and being dead?

Looking at Chen Cang's one hand gently touching the blood vessel, the other hand holding the scalpel, but his eyes fixated on the monitor.

Everyone thought that Chen Cang was waiting for the drug to take effect.

No one could tell that Chen Cang was actually anxious inside.

But Hou Liang and Zhang Peiyi were truly anxious and restless, truly unsettled.

They really had no confidence!

Unsure of how to handle the patient.

Even unsure of how to begin the procedure.

Hou Liang, being more professional than Zhang Peiyi, yet it was the first time Hou Liang realized what it meant: the more you know, the more you fear!

It was precisely because he understood the difficulty of the surgery that he was more afraid, he even lacked confidence right from the start of the surgery!

This situation was not unprecedented; he had seen it in many patients with extremely high mortality rates.

He looked up at Chen Cang, but this was the first time he had seen such a calm expression.

Facing such a patient, Chen Cang... wasn't he nervous?

Just at this moment!

Chen Cang presented a surgical plan!

"Deep hypothermic circulatory arrest, ascending aortic replacement surgery!"

The anesthesiologist, head of the anesthesiology department, nodded and began his work upon hearing Chen Cang's words.

This was his first collaboration with Chen Cang!

He hoped it would go smoothly.

The young and promising Director Liang Tai swiftly and methodically began to operate.

Liang Tai's fellow disciple was Zhou He, the Director of the Emergency Center.

Even though Liang Tai had reached the level of director at the Provincial People's Hospital, he still held Zhou He in high esteem!

He often listened to his Senior Brother Zhou He praise Chen Cang's incredible skills.

He remembered one thing very clearly!

"For Professor Chen's surgeries, you don't ask why! Just fully cooperate, that's all!"

Previously, he thought this statement was somewhat exaggerated.

But only today, seeing this operation, did he realize it was not an exaggeration at all.

Because he felt very uncertain about this surgery.

He seemed to know what his Senior Brother had gone through to become what he was?

And when the temperature dropped to a nasopharyngeal temperature of 30°C!

Chen Cang glanced at Hou Liang, Zhang Peiyi, Anesthetist Liang Tai, and every nurse!

Although it was just a glance, his gaze was sharp and piercing!

With a calm tone, Chen Cang said: "I will now clamp off the ascending aorta and carry out the replacement surgery; I don't want the entire surgery to exceed 20 minutes!"

"During these 20 minutes, I hope everyone will give their all to cooperate with me!"

These plain words lingered in everyone's ears like thunder!

20 minutes?

To complete the ascending aortic replacement?

That's just insane!

And it's not only Chen Cang who's insane; it requires every single one of them to be insane with Chen Cang!

Nervous?

Nervous!

Feeling pressured?

Yes!

But seeing the lead surgeon, Chen Cang, so resolute, everyone was involuntarily driven by his momentum!

"Are we ready?"

"We are ready!" Everyone nodded in unison!

As soon as the words fell, Chen Cang directly took the hemostat and decisively clamped off the ascending aorta 3.0cm away from the origin of the innominate artery!

This distance was crucial!

Not too much, not too little, just right, it played a key role in the progress of the surgery!

20 minutes at low temperatures!

Circulatory arrest would not cause significant damage.

Even many surgeries require deep hypothermic circulatory arrest for 40 minutes.

Chen Cang squeezed the time within 20 minutes to ensure the key aspects of the surgery and to meet the needs of subsequent operations!

At this moment, Chen Cang quickly said to Hou Liang at his side: "Cardioplegia solution! Get ready to inject!"

Hou Liang nodded immediately and began to prepare.

After Chen Cang finished speaking, without the slightest pause, he directly picked up the scalpel and cut through the aortic dissection to bypass the left and right coronary arteries!

Time was of the essence!

Chen Cang couldn't afford to waste time on these tasks!

Because the subsequent anastomosis work was the most critical part of the surgery!

At that moment, the heads of the imaging and transfusion departments... everyone standing around couldn't help but get excited watching this scene!

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