Chapter 135: Chapter 135: The Surgery I Had Before Was Fake, Right? (Please Subscribe)
This series of breakthroughs led Chen Cang to a sudden realization!
He finally understood what was meant by skill effects.
He also finally understood the gap between Master and advanced levels.
The gap between a Master and advanced levels is that one must have a thorough understanding and full cognition of the surgical skill on the foundation of advanced levels, especially in regards to its key points, difficulties, or potential complications.
Furthermore, on this basis, one must resolve these issues!
Only then can one truly break through the advanced level, shatter the shackles, and reach the Master level!
The laparoscopic cholecystectomy technique that Chen Cang had just acquired was, in fact, an improvement and refinement on the traditional laparoscopic cholecystectomy technique, and the purpose of the improvement was to reduce postcholecystectomy syndrome!
And with this new technique, Chen Cang had surprisingly acquired this special effect.
That is to say, these special effects were actually some surgical outcomes obtained through surgical skills!
Just like the special effect of intestinal anastomosis: solidity;
In fact, this effect was the result of Chen Cang’s continuous practice, by learning and using various intestinal suturing techniques to make the anastomosis even more solid, thereby achieving this final suturing result: solidity!
But if you can perform surgery, yet your work is merely standard and only capable of completing the surgery without any distinctive features, then you’re only a mediocrity, which is the so-called intermediate level!
This feeling of enlightenment is too wonderful!
Chen Cang couldn’t help but rejoice.
Today has been a fruitful day indeed…
Moreover, the special effect of reducing postcholecystectomy syndrome is just too useful!
Because although cholecystectomy surgery is simple, there’s a very obvious sequelae after gallbladder removal, and its name is postcholecystectomy syndrome!
As many as fifty percent or more of patients suffer from this!
Basically, anyone who has undergone this surgery will more or less know about these issues (interested friends may ask people around them).
Postcholecystectomy syndrome refers to a group of abdominal symptoms such as abdominal pain and indigestion that occur in patients with a history of gallbladder removal. It is not exactly a disease, has various causes, and its clinical manifestations vary greatly. Moreover, many diseases are not at all related to the cholecystectomy!
This disease is jokingly referred to as the unsolved mystery after gallbladder removal!
Scientists and medical researchers have conducted various studies, but the cause remains unclear, and no precise explanation can be found.
Therefore, Chen Cang was extremely satisfied to have gained this special effect!
Chen Cang went to the office, donned his white coat, and headed straight for the operating room.
Now, with a more flexible schedule, Chen Cang didn’t need to stay in the office every day to write medical records; he spent more time in the operating room performing surgeries.
Upon arriving at the operating room, Wang Yong had already started the first surgery. When Chen Cang entered, he didn’t bother changing into surgical clothes and started watching from the sidelines.
It must be said, Wang Yong’s progress these past few days had been rapid. Of course, this was inseparable from the ample opportunities Chen Cang had given him.
The improvement of any surgical skill ultimately requires practice!
When Wang Yong saw Chen Cang arrive, he nodded in greeting, and Chen Cang waved his hand, “Continue.”
Wang Yong continued the surgery!
Chen Cang glanced at Wang Yong, [Ding! Wang Yong, favorability: 50;]
50 points of favorability!
It appears that the days of teaching hadn’t been wasted.
Wang Yong was key in activating the Mentor-Disciple system, and Chen Cang was quite concerned about this.
With the assessment day fast approaching, Chen Cang also hoped to teach Wang Yong more things.
Now and then, Chen Cang would offer some guidance from the sidelines.
After the first surgery, Chen Cang decided to take over. Having just acquired the improved technique, he was eager to experience exactly what it felt like.
There were six surgeries scheduled for the afternoon, apart from the one already done, five were left.
Chen Cang planned to perform these five himself.
As the second surgery started, Chen Cang said to Wang Yong, “Pay close attention and see what’s different from usual. This is a new technique I’ve been researching recently. The results are quite good, watch carefully.”
After hearing this, Wang Yong was deeply moved. Sometimes one had to admit that the gap between people was just too damn big!
He had not yet mastered the basics, and here Chen Cang was already playing with new tricks.
However, this feeling of awe was fleeting, and Wang Yong immediately adopted an attitude of humility and sincerity to learn.
The surgery by Chen Cang began, and the first step was still to make an incision and create a well.
Minimally invasive incision, creating a well…
Inserting the insufflation needle…
The surgery proceeded methodically, and this time, when Chen Cang inserted the insufflation needle, he deliberately shifted the angle to reduce the risk of the needle injuring the abdominal viscera!
When performing an abdominal puncture, the needle can cause various complications, including severe damage to the internal organs, organ perforation, or even rupture of the aorta. If there is abdominal adhesion, it can cause emphysema of the omentum, mesentery, or peritoneum.
Even more seriously, if the needle enters a blood vessel and carbon dioxide is injected, it can cause an embolism called a carbon dioxide embolism!
This improvement by Chen Cang was the result of his own experience summary, trying to avoid important tissues and organs as much as possible through technique and clinical experience.
Wang Yong was utterly baffled by this!
He had no idea what the purpose of Chen Gang’s approach was…
However, as the surgery continued, Wang Yong realized that he might have misunderstood something about the cholecystectomy…
The cholecystectomy techniques, methods, and even the steps used by Chen Cang were all somewhat different from the usual.
This method of dissecting the cystic duct… seemed to be quite useful!
But what was the point?
Why did he have to do it like this!
And why did he have to position the laparoscope there???
Chen Cang, by positioning the laparoscope at different locations, made images of the gallbladder from various angles appear on the monitor.
And at that moment!
Suddenly, gallstones appeared within the abdominal cavity just below the gallbladder triangle…
At this, Wang Yong was no longer able to sit still.
How… how had he discovered that?
It’s well known that residual gallstones in the abdomen can easily cause the recurrence of disease or even worsen it; a stone left at the incision site can even lead to an infection that is detrimental to the patient’s recovery!
How had Chen Cang come up with this idea?
By changing the angle of the laparoscope, he could see many things that were previously invisible.
It gave Wang Yong a feeling as if his mind had been suddenly opened!
He even felt that his own thought process had been enlightened by Chen Cang…
So, a laparoscopic cholecystectomy could be performed this way…
The operation didn’t take much time at all!
Yet, Wang Yong watched with a perplexed expression.
After completing the surgery, Chen Cang began to change clothes, wash up, and prepare for the next operation.
Meanwhile, Wang Yong stood there for a long time, lost in thought.
After a while…
Wang Yong muttered to himself, “Were the cholecystectomies I’ve done in the past all fake…”
This is what a real cholecystectomy looks like!
ps: Our book friends are really awesome, I respect you the most, seriously, we made it into the new book monthly ticket ranking in two days, taking 10th place, you guys are so powerful!
I’m a bit scared, if we had started on the 1st, would we have gotten 9th place? Amazing, amazing!
Next month let’s try to see what rank we can achieve and mention something about adding more updates.
This month I guarantee five updates a day.
Starting next month with the additional updates:
For additional updates, I’ve thought about it and decided: one extra chapter for Hall Master, two extra chapters for Sect Leader, and three extra chapters for Alliance Hierarch (all additional chapters must be completed the following day). I never really thought about Silver, but if suddenly a Silver Alliance Hierarch appears, don’t be surprised, it might just be me rewarding myself…
As for monthly tickets: for every 500 monthly tickets, I will add one extra chapter, with no upper limit!