When the Doctor Uses A Hack

After the surgery ended,

one director after another felt the itch to improve.

They realized they had finally found a mentor, so how could they let him go so casually?

At their level, advancing further was quite difficult, and they all needed guidance from an expert to make a breakthrough!

So, one director after another took turns.

At this time, Lu Chao actually wanted to play hooky, as this rare opportunity, with both Dr. Chen and Austar present, would give him so much valuable advice!

Unfortunately,

seeing the directors around him eager to try, Lu Chao had no choice but to give up his spot.

"The next surgery is a laparoscopic subtotal gastrectomy, Dr. Chen, I hope you can provide plenty of guidance!" Director Li looked at Chen Cang.

Chen Cang nodded and smiled, "Let's learn from each other."

In fact, Chen Cang's mind was preoccupied with something else!

Why hadn't his skill-stealing ability triggered yet?

Helpless!

The surgery continued, and Chen Cang's understanding of subtotal gastrectomy, especially the gastroenterostomy, was spot on.

Even though it looked like Director Li was performing the surgery, everyone could see that he was just a puppet!

In other words, he was doing whatever he was told to do!

Chen Cang's laparoscope had turned into a conducting baton at this moment.

However, the immersed Director Li was thrilled. Every bit of advice from Chen Cang was direct yet insightful, going beyond the surface to the essence!

This deeply touched him!

Therefore, the astute Director Li took his time with the surgery, asking about every single doubt, from choosing the location for the gastrectomy to the suturing technique...

After the surgery ended, Chen Cang felt a bit parched.

The others naturally picked up on Director Li's "cunning plan" and decided to start imitating it!

But Lu Chao regretted it!

He had operated a bit too quickly and on a simple surgery at that. He had wanted to show off in front of Dr. Chen, but now he sighed... what a miscalculation!

[Ding! Skill theft successful, master-level biliary tract repair technique acquired.]

Upon hearing the notification, Chen Cang was elated!

Biliary tract repair surgery?

Although it wasn't the [Bilioenteric Anastomosis] Chen Cang most wanted, the biliary tract repair was still pretty good, especially at a master level.

One shouldn't be too greedy!

Chen Cang looked at the people around him, pleased, and said with a smile, "Who's next?"

...

...

When Chen Cang arrived, he didn't bring a cup. However, before he could say anything, he saw a director rushing in with a cup of water.

"Dr. Chen, here's some water!"

The other directors were momentarily stunned, then it dawned on them.

Of course, if Dr. Chen was thirsty, it would be bad for them. If he didn't feel like talking, wouldn't that be a waste?

So!

The surgery proceeded leisurely.

Chen Cang was well taken care of. The lunch was luxurious, even more so than what Director Lu had, as everyone made sure he was well-fed and hydrated.

By three in the afternoon, Chen Cang had finally taught all the laparoscopic techniques he had planned.

When leaving, the directors were reluctant to see him go, even more determined to do a good job with the illustrations for the book.

Chen Cang sat in the car, feeling contemplative.

He had finally learned Austar's skill today.

But it still wasn't the Bilioenteric Anastomosis, which puzzled Chen Cang.

Instead, it was a near-perfect biliary tract repair technique.

Chen Cang felt somewhat depressed.

Today afternoon, he successfully "stolen" skills twice, an incredibly high success rate, yet sadly he only acquired one skill.

It made Chen Cang quite reflective.

Austar also gained some insights from this experience and headed back to the hotel early.

After returning to the hospital, Chen Cang went back to the duty room.

He lay in bed with his eyes closed and directly learned the two skills he had acquired.

But then!

Right after Chen Cang had learned both skills, he suddenly froze!

He wasn't astonished by Austar's ideas!

But rather, he was somewhat taken aback by Director Li's thoughts...

Although it was only a master-level biliary tract repair, Chen Cang gained a lot from it!

At this point, one cannot help but talk about the miraculous aspect of the "stealing" skill.

After "stealing" a skill, one often gains the original possessor's thoughts and insights about that surgery.

That was quite magical.

Now, when Chen Cang looked back at holding the laparoscope again, he suddenly felt a surge of excitement.

He couldn't help but sincerely exclaim, this is truly a wonderful thing!

What were Director Li's thoughts?

Biliary tract repair surgery aims to maintain the natural bile duct pathway to restore physiological function.

And only by better preserving the integrity of the bile duct can bile enter the duodenum along the natural pathway.

It also maintains and utilizes the sphincter's function at the end of the biliary and pancreatic ducts, not only for physiological regulation but particularly to avoid the various harms caused by intestinal fluid refluxing into the biliary tract.

The good structure and function of the distal bile duct and sphincter are another fundamental element.

And if the natural bile duct is destroyed for a bilio-intestinal anastomosis, no matter what, it cannot match the natural bile duct anastomosis's effectiveness.

So, the question arises!

If there are so many problems with bilio-intestinal anastomosis!

Then, can we find another way, repairing the damaged bile duct as much as possible to restore the biliary tract's own function, and thus avoid a bilio-intestinal anastomosis?

When Chen Cang saw this concept, he instantly had an epiphany.

Right!

Actually, what is a perfect surgery?

As long as it is a surgery, it definitely involves damaging the original structure to reconstruct a new one.

The human body has already matured to form such tissues and shapes.

Whether it's the gallbladder or appendix, they have irreplaceable functions.

And a cholecystojejunostomy comes with its own set of risks!

Common complications post-surgery include bleeding, bile leak, and blockages at the anastomosis site.

The long term can lead to recurrent biliary calculi, ascending infections resulting in biliary infections, patients suffering from repeated fevers, even cholangitis, jaundice, and so on.

The existence of these problems makes the anastomosis even more challenging.

Rebuilding the digestive tract, both bilio-intestinal and pancreatico-intestinal anastomoses, becomes extremely important.

If after reconstruction complications are increased, then what's the point?

Chen Cang suddenly felt that Director Li's idea had provided him with immense benefits!

If the bile duct is usable and there's no need to destroy the natural end of the biliary tract, could a bile duct repair surgery be used instead of a bilio-intestinal anastomosis?

The pancreas included!

Thinking this, Chen Cang could no longer restrain his thoughts, quickly got up, took out some paper, drew the biliary tract, and began to analyze it.

He felt this approach was feasible!

A novel approach that effectively solved the shortcomings of bilio-intestinal anastomosis.

However, he soon discovered a problem!

That was his lack of understanding of bilio-intestinal anastomosis.

Only with thorough understanding could he better devise a completely new approach!