Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1004: The First Battle of the Central Surgery Department (Part 1)

At the Affiliated Hospital of Shanzhou Medical University, Gao Tiancheng walked into the demonstration room holding a thermos cup.

"Director Gao."

Chen Xingwu and others greeted Gao Tiancheng one after another.

"Morning."

Gao Tiancheng also smiled and greeted everyone: "It's quite early today."

"We must come and see Director Chen's surgery early." Chen Xingwu said with a smile.

"Director Gao, Director Chu Gaobo from the Shancheng Medical University Affiliated Hospital is also participating in the operation this time."

Zhang Kaiping smiled and said to Gao Tiancheng, "You haven't found an opportunity yet?"

"cut!"

Gao Tiancheng snorted disdainfully, "Chu Gaobo?"

"Can Chu Gaobo compete with me?"

Gao Tiancheng said, "Chu Gaobo wants to have surgery and he's going all the way to Kyoto. Do you believe me, I can just make a phone call and get Xiao Chen to come to our hospital?"

Everyone was stunned and burst into laughter.

They really couldn't refute Gao Tiancheng's words.

After all, Chen Yang came from their hospital, and when Chen Yang was in the hospital, he performed many operations in the hepatobiliary surgery department, so he had a close relationship with them.

Chu Gaobo still calls Chen Yang Director Chen when he sees him now, but Gao Tiancheng can still call Chen Yang "Little Chen".

That's the difference.

Of course, he could, but Gao Tiancheng didn't dare to call rashly. After all, Chen Yang is not as good as he used to be. This bond of friendship must be cherished and not used casually. After all, the less you use, the less it will be.

Chen Yang is a nostalgic person, but Gao Tiancheng cannot be ungrateful.

At this moment, Gao Tiancheng was just showing off in front of his own people.

"Okay, the operation has begun, everyone, please watch carefully..."

Gao Tiancheng had barely finished his words when Chen Xingwu hurriedly said, "Director Gao, you don't need to write a review this time, right?"

Everyone looked at Gao Tiancheng.

Last time I watched an operation, I wrote a 5,000-word review for each one. If I have to write the same one this time, it will be a life-threatening experience.

Although it is normal for doctors to write papers and medical records, no one wants to write a review after watching an operation.

"Tsk, Xiao Chen did remind me." Gao Tiancheng smacked his lips.

Chen Xingwu: “…”

Kyoto International Medical Center, operating room.

Under the shadowless lamp, the cold light focused on Ye Guoliang's open abdominal cavity.

The air was filled with the faint smell of burning from disinfectant and electrocoagulation. The regular and tense ticking of the monitor was the only constant background noise in the operating room.

Chu Gaobo, as the opening pioneer, moved steadily and neatly.

Years of surgical experience gave him a clear understanding of the structures within the abdominal cavity. He carefully freed the ligaments surrounding the left liver, the electric knife making a slight "sizzling" sound as it precisely severed the tiny blood vessels and connective tissue.

Chu Gaobo kept Chen Yang's instructions in mind and was extremely gentle when handling the round ligament of the liver, as if he was peeling off a rare treasure, preserving the umbilical vein structure that contained hope intact.

When the left liver was fully freed, revealing the hepatic portal area after physiological transposition, he breathed a sigh of relief, his forehead covered with beads of sweat. "Director Chen, Director Zhong, the first step is complete. The field of view is good, and the umbilical vein structure is well preserved."

"Chu Gaobo's level is quite good." Gao Tiancheng commented.

"Director Gao, Director Chu's level is more than just okay." Chen Xingwu said, "This level is very strong."

"It's just so-so." Gao Tiancheng would never admit that Chu Gaobo was awesome.

Among colleagues, who doesn’t have a competitive spirit?

"Very good, Director Chu, thank you for your hard work." Chen Yang's voice came through the mask, still calm.

Zhong Dongyang has replaced Chu Gaobo, and his eyes instantly became extremely focused, as if a hawk had locked onto its prey.

He picked up the delicate separating forceps and non-destructive tweezers, and like the most sophisticated instruments, he probed into the liver portal area, which was wrapped like a tangled mess by tumors and dense inflammatory adhesions. This step was truly a "dance on the tip of the knife."

"Keep up the suction... Be careful, there are heavy adhesions here... Set the coagulation to minimum... Bipolar..."

Zhong Dongyang's voice was deep and rapid as he directed his assistants and the instrument nurse. His movements seemed slow, yet they carried a strange rhythm. Every clamping and coagulation was precisely targeted at the most critical area.

The tough tumor tissue and proliferating fibrous connective tissue were peeled off from the walls of the portal vein and hepatic artery bit by bit.

The tension in the air almost solidified into substance. Everyone held their breath, fearing that any unnecessary movement would disturb Zhong Dongyang's concentration.

Time passed by minute by minute.

Suddenly, when a tumor tissue that was tightly adhered to the posterior wall of the portal vein bifurcation was being peeled off, a tiny nourishing blood vessel underneath ruptured, and dark red blood instantly gushed out!

"It's bleeding!" the assistant exclaimed.

"Don't panic!"

Zhong Dongyang's voice was calm: "Suction device! Small round needle 3-0 vascular suture! Finger pressure control!"

While speaking, Zhong Dongyang's left index finger quickly and accurately pressed above the bleeding point, and his right hand had already taken the needle and thread handed to him by the nurse.

In the blood-blurred vision and extremely small operating space, Zhong Dongyang's wrist was as steady as a rock. The needle tip accurately passed through the edge of the ruptured blood vessel, tied the knot, cut the thread... The movements were done in one go, and the bleeding was perfectly controlled within a dozen seconds.

"Huh..." A suppressed exhalation sound was heard all around.

Chu Gaobo's palms were sweating as he watched from the side, and he secretly admired Zhong Dongyang's calmness and superb skills.

"Director Zhong is also an amazing doctor."

Borg couldn't help but whisper as he watched the video.

This operation is more difficult than Wilson's, but it is still going smoothly. Although there were some minor accidents, they are still under control.

It is said that China has developed very well in recent years. Borg has witnessed this. In the medical field, China is growing very fast.

Zhong Dongyang continued the dissection, and the main trunk and left and right branches of the portal vein were finally "skeletonized" with great difficulty. However, the situation at the bifurcation was worse than what the image showed - the tumor eroded more than 70%, the wall of the tube became very fragile, and the color was abnormal.

"It cannot be preserved and must be removed and reconstructed." Zhong Dongyang made a prompt decision and looked at Chen Yang.

"Proceed as planned!" Chen Yang nodded.

The non-invasive vascular clamp accurately blocks the main trunk and left and right branches of the portal vein.

Sharp microscissors are used to quickly cut off the portal vein bifurcation invaded by the tumor.

After trimming the stumps, Zhong Dongyang picked up a 6-0 Prolene suture, thinner than a human hair, and began the challenging end-to-end anastomosis of the left portal vein to the main portal vein, and then the right portal vein to the main portal vein. His fingers were steady and deft, and the stitch length and margins were as even as if sewn by machine. Every stitch tugged at everyone's heartstrings.

The anastomosis is completed, the vascular clamp is released, and the blood flow fills up instantly. The anastomosis is flawless and there is no leakage!

"Pretty!"

Chen Yang smiled and praised: "Director Zhong's skills are becoming more and more sophisticated."

Zhong Dongyang smiled slightly and continued to deal with the right hepatic artery, which was completely wrapped by the tumor and could not be separated, and ligated and severed it.

The left hepatic artery was carefully protected.