BXBX NOVEL Chapter 10: Triggering the Intermediate Mission
Today’s surgery is a subtotal gastrectomy, and it’s not just Chen Bingsheng performing it alone, he invited Zhang Zhixin, an attending physician from general surgery.
Zhang Zhixin and Chen Bingsheng are old classmates who came to the Second Provincial Hospital together after graduation. However, one went to general surgery, while the other stayed in emergency.
Nonetheless, this does not affect their collaboration, as they often invite each other to participate in surgeries.
This is because emergency surgeries are quite miscellaneous, covering a wide range, but it’s difficult for one person to complete a surgery from the general surgery system alone, so they need to invite doctors from other departments to cooperate.
Today’s surgery is just like that.
The surgery today is a subtotal gastrectomy, also known as a near-total gastrectomy.
In fact, the subtotal gastrectomy is not as simple as just cutting, it’s quite different from an appendectomy.
It mainly involves three steps!
The first is to mobilize the greater and lesser curvatures of the stomach.
Next is to sever the duodenum, then excise the stomach.
The final step is to reconstruct the gastro-intestinal tract.
Of course, the actual procedure is much more difficult than it sounds.
Chen Cang, as a novice, also has a very clear role!
Handling ties and knots, suctioning, and stopping bleeding;
Fawning and brownnosing, cleaning up the instruments.
Hey! That rhymes.
Ah… I must be a poet delayed by medicine.
After all, countless vivid examples like Lu Xun, Guo MoRuo, Yu DaFu, Madam Bing Xin, Madam Bi Shumin, Chekhov tell us that if one doesn’t succeed in medicine, one can switch to literature.
After all, the old ancestors also said, “A scholar practicing medicine is like catching chickens in a cage!”
The reverse should be about the same principle.
It’s just that my talents are limited, otherwise I would definitely be joining the ranks of Luo Dayou, Fei Xiang, Wang Leehom, Mao Buyi, and so on, who are all exemplary representatives of leaving medicine for art after graduating from medical school.
Ah…
It seems that those who study medicine are geniuses.
Zhang Zhixin studied general surgery, but he twisted his path and obtained a cosmetic surgery certificate. He’s said to have partnered with others to open a cosmetic studio, mainly performing double eyelid surgeries, eyebrow tattooing, opening the corners of the eyes, and administering hyaluronic acid injections. Rumor has it he’s making a killing!
The surgery is about to begin.
Chen Cang doesn’t understand this type of surgery very well, so he can only silently learn on the side.
Meanwhile, inside he’s staring at Zhang Zhixin with eyes that shine and can speak!
Not for any other reason!
Just wanting to scrape together a bit of skill…
[Operating Room Newbie: There’s a one percent chance of learning a skill from others!]
Chen Cang feels he should really get on good terms with Zhang Zhixin, learn some medical aesthetics, not for anything else, but so in the future he could give his girlfriend double eyelid surgery without spending money!
The surgery has begun!
First up is to open the abdomen for exploration!
Through an incision made along the midline of the upper abdomen, Chen Bingsheng leads the surgery.
After cutting through each layer and opening the peritoneum, the exploration begins!
Chen Bingsheng carefully observes, while Zhang Zhixin assists.
Chen Bingsheng: “No ascites, liver, gallbladder, pancreas, spleen, small intestine, and colon show no anomalies!”
“The stomach wall is smooth, slightly edematous, the stomach body is obviously enlarged, the perigastric lymph nodes are not swollen, there is an ulcer of 2 by 1 by 0.5cm at the lesser curvature near the pylorus, which is slightly hard and minimally adhered to the gallbladder, local scar formation with pulling and contraction causing stenosis of the pyloric canal with an internal diameter of about 0.5cm, the stenosed section is 2cm long, involving the duodenum, intraoperative definitive diagnosis is pyloric canal ulcer causing pyloric insufficiency obstruction, planning to perform a subtotal gastrectomy Billroth II anastomosis!”
Zhang Zhixin nods: “Okay!”
Chen Cang: “Boss Chen is amazing!”
Nurse Qin Lele: …
Nurse B: …
Chen Bingsheng’s professional dedication was still very impressive; he frequently performed this type of surgery, so naturally, he didn’t feel too much pressure.
However, he still glared at Chen Cang, “Next time I won’t call Dr. Zhang anymore, you’ll assist me instead, so you’d better watch closely this time.”
Zhang Zhixin sighed, “Are you tired of sharing the money, huh? Ha! Men!”
Actually, the atmosphere inside the operating room wasn’t as serious as one might imagine; jokes were often exchanged here and there.
Moreover, as a secluded space, an operating room was always a hotbed for gossip!
The gynecology operating room, in particular, was known as the king of hospital gossip!
From speculating whose child belonged to whom to murky relationships between doctors and nurses, even to unclear ties between certain leaders and the staff.
……
Chen Cang was genuinely impressed by Boss Chen’s expertise a moment ago; a string of professional terms had rolled off his tongue, raising his cool factor by more than a notch!
But…
Through Chen Cang’s eyes, it was quite another story. If those words had been spoken by Chen Cang, it might have gone something like this:
“[Liver],[Gallbladder],[Pancreas],[Spleen],[Small Intestine]green and unremarkable, [Stomach]a red elite monster, the cause for redness found at the lower curvature of the stomach! [Pyloric Canal Ulcer causing incomplete pyloric obstruction: lv39 pyloric ulcer obstruction monster, standard monster, characteristics: Ulcer mildly adhered to the gallbladder, local scar formation pulling and contracting, causing narrowing of the pyloric canal, affecting the duodenum! Recommendation: excision!]”
Wow, seeing a level 39 wild monster active there filled Chen Cang with excitement; after all, this was a high-level monster, rich in experience!
Too bad he could only watch.
However, Chen Cang watched intently. Every surgery was an opportunity to learn, and Chen Cang would not pass up such a great chance to learn.
First came the dissection.
The stomach wasn’t just hanging inside the belly like a light bulb.
It had various mesenteries, ligaments, blood vessels, and autonomic nerves distributed around it, securing the stomach within the abdominal cavity; otherwise, a little walk after eating could result in a prolapsed stomach.
The first task was the dissection process, which was the most demanding of technical skill and patience.
Chen Bingsheng carefully lifted the stomach and made an incision in the avascular area slightly left of the greater curvature to open the gastrocolic ligament. Then, within the arc of vessels, he continued dissection and cutting of the gastrocolic ligament toward the left…
The surgery went smoothly, and he coordinated even more proficiently with Zhang Zhixin.
…
After the surgery was completed, it was time to clean the instruments and then close the abdomen.
Chen Bingsheng stood up and gave Chen Cang a look: “Suture.”
Chen Cang snickered: Mere mortals, the time to witness a miracle has come!
Today you’ll see my improvement.
Chen Cang picked up the suturing needle, which had already been threaded by a nurse. Chen Cang’s handling of the needle and thread was much smoother than yesterday. Plus, the abdominal skin was naturally flat, without too many twists and turns, allowing the suturing needle to dance back and forth like a butterfly threading its way across the belly.
Indeed, Chen Cang felt a clear difference after feeling his skill had increasd by +1.
It wasn’t long before the suturing was finished.
Chen Bingsheng took a look and involuntarily paused, curiously staring at Chen Cang: “Not bad.”
Zhang Zhixin, on the other hand, chuckled, “Little Chen, your hands are suited for surgery! This suture is quite good, but… it’s still lacking a bit. You have the talent, just need a bit more technique.”
Suddenly, Zhang Zhixin turned and asked, “Little Chen, are you on duty tomorrow or the day after?”
Chen Cang turned to see a question mark forming above Zhang Zhixin’s head!
Is there a quest?!
[Ding! Your suturing has caught the attention of a mid-level NPC, a detailed chat might lead to a quest.]