What 80s or early 90s rap song is about a young black man telling his life of crime while he dying on the operating table?

The rap song you're referring to is "The Message" by Grandmaster Flash & the Furious Five, released in 1982. The lyrics tell a story about a young black man named Duke, who recounts his life of crime and the consequences that led him to his current state, lying on an operating table, close to death.