Chapter 102: Chapter 102: Lordâs Explosion! (Seeking First
Order)
Translator: 549690339 I
After the mentor guidance was activated, Chen Cang saw huge changes in front of his eyes!
The transparent virtual screen in front of him began to display a slew of prompts!
Even a tone started ringing in his ears!
âMentor guidance mode activated! Detected: The patient has type Mirrizi syndrome!â
âThe surgical procedure is as follows: first, make an incision in the gallbladder at the Hartmannâs pouch, suction out the bile, remove the lodged stoneâ¦â
âWould you like to start the action demonstration?â
Chen Cang was stunned!
As the voice sounded, a virtual image began to perform surgery on a human body.
Could it really be this magical?
This is âmentor guidanceâ!
Isnât it too powerful?
Meanwhile, Zhou Xiaodong and Qin Yue were staring at the messy and complicated gallbladder in the abdominal cavity on the television, not knowing where to start.
Because none of them had ever seen anything like this before!
What is this thing?
Zhou Xiaodong looked helpless, wondering how chronic cholecystitis could have turned into this!
Unable to hold back, Qin Yue asked, âChen Cang, do you know⦠what kind of patient this is? What is this disease?â
Chen Cang sighed and looked up at them: âIâm afraid weâre in trouble, this is a rare and difficult complication of the gallbladder, called Mirrizi syndrome. Before surgery, itâs impossible to find any abnormalities in such patients, their symptoms are not much different from those of ordinary chronic cholecystitis and cholelithiasis, even less obvious!â
Upon hearing this, both were abruptly taken aback.
Not to mention anything else, just the English letters alone seemed daunting.
Zhou Xiaodong suddenly came to a realization; he had heard about this condition: âThis is Mirrizi syndrome?â
However, Zhou Xiaodong only faintly remembered his mentor Qian Liang mentioning this disease during school, one of the most difficult gallbladder removal surgeries!
With this in mind, Zhou Xiaodong felt a chill in his heart!
Qin Yue couldnât help but ask, âWhat is this thing?â
Chen Cang calmly nodded, âThis is a rare disease, a very uncommon complication seen in chronic cholecystitis and cholelithiasis, a syndrome!â
âMirrizi syndrome refers to a clinical syndrome characterized by cholecystitis and obstructive jaundice caused by the cystic duct stone or stones at the neck of the gallbladder that consequently compress the common bile duct or hepatic duct, leading to a narrowing of the hepatic duct.â
âThis condition is relatively rare in clinical practice, with its pathological basis in cystic duct or neck stones that are lodged and inflamed; these patients typically have a protracted medical history.â
âPersistent lodgment and compression by larger stones at the infundibulum and neck of the gallbladder can cause narrowing of the common hepatic duct or cholecystocholedochal fistula, as well as recurrent episodes of cholecystitis and obstructive jaundice.â
Right after Chen Cang finished speaking, Zhou Xiaodong eagerly nodded, âThatâs right! The patient indeed has a history of recurrent cholecystitis, and the liver function has shown a significant increase in serum bilirubin, including marked elevations in ALT and ALP!â
In that moment, Chen Gangâs stature rose significantly in their eyes, even the scrub nurse was dumbfounded.
This is a master!
An absolute expert!
Nailed it at a glance; he identified the disease straight away.
Seeing is one thing, but can he do it?
By this time, Chen Cang had already watched the demonstration several times and knew it by heart, he said to the others, âDr. Zhou, you help me hold the âMirror,â Iâll perform the surgery, letâs get started; we canât just keep the patient waiting!â
Zhou Xiaodong hurriedly nodded!
If Chen Cang could do it, that would be greatâ¦
The feeling of despair just now was too frightening.
Butâ¦
Could Chen Cang do it?
Zhou Xiaodong himself felt apprehensive, âCan you⦠really do it?â
âThis is Mirrizi syndrome!â
It wasnât that he didnât trust Chen Cang but the surgery was truly dangerous and difficult!
It was definitely not that easy.
Chen Cang turned around, âIs there any other way?â
The question left Zhou Xiaodong speechless.
Right, is there any other option?
Still, Zhou Xiaodong reminded him, âCan you do it? If you canât, you should find someone else because if thereâs an accident, you⦠you canât bear the consequences!â
Hearing Zhou Xiaodong say this, Chen Cang couldnât help but smile, âDonât worry, I can do it!â
Chen Cang looked at the complex abdominal cavity; without âmentor guidance,â he would have been shaking with uncertainty!
The first step was still to separate the messy gallbladder triangle, where the Calotâs triangle was swollen, with fibrotic tissue and a thickened cystic duct prone to bleeding upon touch. In such conditions, it would be impossible for the ordinary person to dissect the boundaries of the cystic duct, cystic artery, and common bile duct.
This was also the main reason Zhou Xiaodong hesitated to make a move!
If it caused bleeding, that would be a big problem.
Zhou Xiaodong asked cautiously, âCan the gallbladder triangle be separated? If not⦠Iâ¦â
Chen Cang shook his head and directly said, âGive me the electrocautery hook!â
Zhou Xiaodong, anxious and doubtful yet hopeful, after a struggle, handed the electrocautery hook to Chen Cang.
Chen Cang took over the electrosurgical hook, carefully opening the peritoneal covering of the gallbladder in both the anterior and posterior triangle, fearing any damage to the cystic duct.
âSuction!â
Chen Cang used the suction device to scrape, and at this moment, the cystic duct, cystic artery, and common hepatic duct were still very unclear, impossible to see properly!
Chen Gangâs set of operations was already very difficult, and despite his cautious and earnest effort, was it still not possible?
Zhou Xiaodongâs heart had already sunk to the bottom of the sea, while Qin Yue stared intently at the monitor, her lips silent, but her heart racing with apprehensionâthe dissection of the gallbladder triangle was too terrible, proving extremely difficult to separate!
Even the veteran teachers from the Second Affiliated Hospital of Xiangya might not necessarily�
Was Chen Cang being too reckless?
How dare he take on such a surgically challenging case!
Wasnât this just looking for trouble?
Chen Cang was not discouraged; instead, he had a burst of inspiration, picked up the electrosurgical hook, and started by freeing the gallbladder from its liver bed.
Then he continued to dissect towards the triangular area, after freeing the gallbladder from the liver bed, he carefully dealt with the cystic duct and cystic artery inside the triangle.
At this moment, Zhou Xiaodong felt so anxious watching that his hands holding the camera began to sweat!
It was too dangerousâ¦
Zhou Xiaodong couldnât help but turn his head to look at Chen Cang, who seemed unfazed, as calm and composed as a gentle breeze or still water.
His actions were very delicate, a push, a nudge, a coagulation, a separation, just right!
The technique was incredibly clever.
Zhou Xiaodong watched, utterly astonishedâ¦
Finally!
After nearly twenty minutes, he successfully freed the gallbladder triangle!
It was a success!
Once the gallbladder triangle was separated, the surgery was practically half done!
It was so difficult!
Zhou Xiaodong looked up at Chen Cang, his eyes filled with disbelief.
How could he have separated it?
That was so strong!
Zhou Xiaodong watched Chen Cang meticulously continue the next step of the surgery and found himself momentarily spellbound.
Because⦠at that moment, Chen Cang seemed to embody a chief physician, whose composed and confident demeanor captivated everyone in the room, from the nurses to Zhou Xiaodong and even Qin Yue!
Qin Yueâs wide eyes blinked, her gaze flickering with admiration that screamed: Chen Cang is freaking awesome (voice crack)!
The process looked simple, but it was actually incredibly complex, and every step taken by Chen Cang was awkward. If it werenât for the constant prompts from the system, he couldnât have done it.
This gallbladder was a level 45 boss monster, while he was only a level 15 junior resident. It wasnât supposed to be so easy!
This wasnât just a mismatch in levels; a slight misstep could have caused further injury to the patient.
Mirrizi syndrome is generally not something a regular doctor at a tertiary hospital could handle; at minimum, it required someone of Zhang Youfuâs caliber.
Now came the most crucial work!
Chen Cang first made an incision at the gallbladderâs Hartmannâs pouch and suctioned out the bile.
Then he removed the impacted stone!
The stone was large, lodged in the neck, a full 20mm!
Seeing the stone removed, Zhou Xiaodongâs heart, thumping wildly, finally settled.
The remainder of the surgery was the removal of the gallbladder, dissecting toward the right side of the common bile duct. If Hartmannâs pouch was densely adhered to the right side wall of the common bile duct, that portion of the gallbladder wall was preserved, and the gallbladder mucosa was cauterizedâ¦
The surgery proceeded smoothly, the hardest part was over, and the rest of the work was simple!
[Ding! Congratulations, you have defeated a level 45 boss gallbladder monster! Experience +3000; Cholecystectomy experience +5000 (continue to level up to master); RMB +3000; You have obtained: a pair of Sternâs gloves.]
[Ding! Congratulations, you have leveled up to 16! Skill point +1!]
[Ding! Congratulations, you have leveled up to 17! Skill point +1!]
Chen Cang was stunned, he had leveled up twice in a row.
Mainly because he was already close to leveling up, the 3000 experience immediately brought him up to level 17!
He now had 7 skill points.
The surgery was completed!
It was close, but without incident.
Zhou Xiaodong felt as if he had been drained of all strength, overwhelmed by the feeling of a narrow escape. He was at a loss for words to express the excitement in his heart!
Words failed to convey his inner turmoil!
If it werenât for Chen Cang, it was difficult to imagine what would have happened.
The patient had been in grave danger, and he would have certainly been held accountable, perhaps for a lifetime!
[Ding! Zhou Xiaodongâs favorability +20!]
Raising his head to look at Chen Cang, Zhou Xiaodong took his hands and, with a determined gaze, sincerely said, âDoctor Chen! Thank you, truly! Youâve saved the patient and also saved me, preserving my career. I canât thank you enough for this time. I owe you a great debt, and should you ever need my help, just say the word!â
Fortunately, Zhou Xiaodong was articulate and said a lot. If it had been Sister Xiao, a straight-up âsecond parentsâ wouldâve sufficed!
Chen Cang smiled: âItâs nothing, weâre all colleagues. Go wash up and clock out!â
It was already 1 oâclock in the morning, and if it hadnât been for the excitement of this surgery, they would all have been dead tired by now!