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

Chapter 805 Liver Transplant Storm (Part )

In the morning, Borg performed a demonstration surgery. The large display screen in the conference room showed Borg's surgical process from multiple angles.

"As expected of him being the top hepatobiliary surgery expert in the United States, he is really amazing." Chen Xingwu discussed with Chen Yang in a low voice.

"Yeah." Chen Yang nodded and watched intently.

Laparoscopic minimally invasive surgery is still Chen Yang's blind spot in knowledge, so Chen Yang watched it very carefully.

However, laparoscopic minimally invasive surgery is nothing more than using equipment and instruments to replace some manual operations, which causes less trauma. Chen Yang does not completely fail to understand it.

Judging from the operation, Borg's level is indeed not low. The Orson Group invited Borg to perform a demonstration operation, and he is indeed a very suitable candidate.

To perform a demonstration surgery, one must first appear relaxed and fully demonstrate the advantages of the equipment.

In other words, this type of surgery is an advertisement for the equipment manufacturers. The doctor not only needs to demonstrate his or her own skills, but also the advantages of the equipment.

Borg's demonstration surgery ended at 11:20. Although it was not yet twelve o'clock, the morning meeting was also over.

The doctors went to the restaurant to eat. After the meal, Chen Yang and Tao Anping went to the consultation room of Shen Central Hospital.

This time the operation was performed in the operating room of Shenzhou Central Hospital, and Chen Xingwu and others were still watching the live broadcast of the operation in the conference room.

In the consultation room, everyone except Zhong Dongyang and the doctors participating in the operation were present.

"Okay, everyone is here, let's start the preoperative discussion."

Zhong Dongyang glanced at everyone and said, "Let me introduce them to you first. This is Doctor Chen Yang, and this is Doctor Tao Anping..."

After introducing Chen Yang and Tao Anping, Zhong Dongyang briefly introduced the doctors involved in the operation to Chen Yang and Tao Anping.

Liver transplantation is a highly complex surgical operation that involves multidisciplinary collaboration and precise division of labor, so a large number of doctors are involved in the operation.

In addition to Chen Yang, Tao Anping and Zhong Dongyang, there were five other doctors participating in the operation. Including the anesthesiologist, there were a total of ten doctors participating in the operation.

Zhong Dongyang was the chief surgeon, and Cui Langping, deputy director of the hepatobiliary surgery department of Shenyang Central Hospital, was the deputy chief surgeon of this operation.

"Chen Yang, you will be the assistant in this operation..."

After the introduction, Zhong Dongyang began to assign surgical positions. However, as soon as Zhong Dongyang opened his mouth, many doctors at the scene were stunned.

Especially Tao Anping who came with Chen Yang.

Tao Anpingyuan thought that since he came to participate in the operation, he would definitely be the first assistant. However, Chen Yang was young and not a professional, so he was just an idler.

For example, among the ten doctors participating in the operation today, those ranked lower will definitely not have a high level of participation, and some may even be there just to be on the safe side.

The little assistant is just a guy who does the work like pulling the hook and doing the suction and filling work.

Tao Anping believes that Chen Yang is a relative of Zhong Dongyang, and that he is therefore qualified to participate in such an operation and gain experience because of his relationship with Zhong Dongyang or because of his background.

After all, it is not easy to get into Chinese medicine, so there are quite a few doctors who have switched from Chinese medicine to Western medicine, and Chen Yang should be one of them.

Who would have thought that the first thing Chen Dongyang said was to let Chen Yang be the assistant.

"I understand, Director Zhong." Chen Yang responded.

Zhong Dongyang nodded: "Tao Anping will serve as the second assistant..."

No matter what the reason was for Zhong Dongyang to let Chen Yang participate in the operation, once the operation is done, Zhong Dongyang will definitely consider many aspects.

This time, Zhong Dongyang performed surgery at Shenyang Central Hospital. He was invited by both Shenyang Central Hospital and the conference organizer, so Zhong Dongyang only brought one assistant with him, Ye Fei, whom Chen Yang had met.

The main doctors performing the operation were all from Shenyang Central Hospital, with the exception of Chen Yang and Tao Anping who were temporarily added.

The deputy surgeon this time, Cui Langping, is the deputy director of the hepatobiliary surgery department of Shenyang Central Hospital. The other doctors are also doctors from the hepatobiliary surgery and vascular surgery departments of Shenyang Central Hospital.

Taking all factors into consideration, since Zhong Dongyang and Chen Yang had performed surgery together, Zhong Dongyang was clear about Chen Yang's level, so in Zhong Dongyang's opinion, it was most appropriate for Chen Yang to serve as the assistant.

It is naturally most beneficial for the surgeon to have someone he is familiar with and has good skills as an assistant.

"I understand, Director Zhong." Although Tao Anping had many questions in his mind, he did not dare to ask.

"Okay, now let's all familiarize ourselves with the patient's condition, and then begin the preoperative discussion..." After Zhong Dongyang made the arrangements, everyone learned about the patient's condition together, and then began the discussion.

Although they are said to be familiar, in fact all the doctors are already familiar with the patient's condition, including Chen Yang and Tao Anping.

After Zhong Dongyang agreed to let Chen Yang and Tao Anping participate in the operation last night, the patient's information had already been sent to Chen Yang and Tao Anping.

After all, such an operation is not a joke. If the doctor is not allowed to understand the patient's condition in advance, he is playing with the patient's life.

.......

The exact time of the operation is 2:20 p.m. The specific time of this type of operation is determined based on the delivery time of the donor.

At two o'clock in the afternoon, the hotel's conference hall was already crowded. Doctors in the hepatobiliary field who came to attend the meeting sat down in the conference hall, waiting and discussing.

Being able to watch Zhong Dongyang’s live surgery is also a rare opportunity for many people.

Xia Hongliang and Lin Yi sat at the very back of the conference room. Today they were mainly there to watch Zhong Dongyang's surgery. The front rows still had nameplates, and people sat randomly in the back rows. It didn't seem out of place for Xia Hongliang and Lin Yi to sit there.

When the time approached 2:20, the scene of the operating room appeared on the display screen in the conference room. The doctors were making preparations and the operation was about to begin.

Operating room of Shenyang Central Hospital.

The smell of disinfectant lingered in the operating room. Chen Yang and others wore masks, raised their hands, and walked to the operating table.

Although he was wearing a mask, Lin Yi and Xia Hongliang in the conference room recognized Chen Yang at first sight.

"Doctor Chen is an assistant?"

Xia Hongliang looked at Chen Yang's position, a little bit unbelievable.

To serve as an assistant in this level of surgery, one usually has to be an associate chief physician in the relevant field, or at the very least a senior attending physician.

Chen Yang was actually an assistant in this operation?

"It should be." Lin Yi nodded.

Although they are not professional surgeons, they can probably see something.

At the meeting, in addition to Lin Yi and Xia Hongliang, there were also many doctors making guesses.

"The chief surgeon is Director Zhong, and the deputy chief surgeon should be Cui Langping from Shenyang Central Hospital. Who is the first assistant?"

"Not sure, judging by his eyes, he should be quite young."

While everyone in the conference room was talking, the operation had already begun.

Chen Yang stood in the first assistant position, his eyes swept across the donor liver on the operating table - it was a liver taken from a brain-dead patient, with a rosy color and clear texture, but it was slightly cold in the cold preservation fluid.

"Prepare for liver implantation." Zhong Dongyang's voice was as steady as a bell. Amid the crisp sound of gloves colliding with instruments, Chen Yang noticed that there was a slight twist in the stump of the portal vein in the patient's abdominal cavity.

This is a patient with decompensated hepatitis B cirrhosis. His history of three major gastrointestinal bleedings is shocking in his medical records. At this moment, the patient's life depends on this transplant operation.

"Doctor Chen, you will be the lead surgeon for the portal vein anastomosis." Zhong Dongyang suddenly spoke, his eyes peeking out from under the edge of his surgical cap, "Let's follow the plan we discussed last night."

When Zhong Dongyang finished speaking, Tao Anping was startled again and subconsciously glanced at Chen Yang.

There was also a barely audible gasp in the operating room.

Portal vein anastomosis is one of the core steps in liver transplantation. Especially for young doctors who are participating in such operations for the first time, the pressure is like dancing ballet on a tightrope.

Chen Yang nodded and pinched the 11-0 microsuture with his fingertips. Under the microscope, every endothelial cell at the end of the blood vessel was clearly visible.

"Note the variant branches of the portal vein supplying the liver."

Chen Yang gently reminded his assistant, and used forceps to accurately clamp the everted blood vessel wall: "Three-point positioning method, sew the center of the back wall first."

The suture passed through the blood vessel like a gossamer, forming a perfect arc under the magnifying glass. When the first stitch was tied, the portal vein pressure value on the monitor began to slowly drop, indicating that blood flow was being restored.

Just when Chen Yang had just completed this part of the operation, Chen Yang noticed a flash of golden light in front of his eyes, and he actually got a golden treasure chest.

"The operation hasn't even been completed yet, and I've already gotten a golden treasure chest?" Chen Yang was a little puzzled.

Although he was puzzled, Chen Yang did not have time to think about it and continued the operation.

"it is good."

Someone in the banquet hall couldn't help but make a sound.

"This level is not bad. Considering his age, it is not easy for him to have such a level at such an age."

"I don't know which hospital this doctor is from. Could he be a student brought by Director Zhong?"

"Dr. Chen is so awesome."

Chen Xingwu couldn't help but say, "As for this operation, there are only a few young doctors in the field of hepatobiliary surgery who can do it."

"Director Chen, you can't do it either?"

Chen Xingwu sat with Lin Yi and Xia Hongliang. Upon hearing this, Xia Hongliang smiled and asked Chen Xingwu.

"I can't reach Dr. Chen's level." Chen Xingwu nodded.

In the operating room, suddenly, an abnormal flush appeared on the surface of the donor liver.

"The perfusion pressure is too high." The anesthesiologist's voice suddenly sounded.

Chen Yang immediately noticed a slight tremor at the anastomosis of the hepatic artery, which seemed to be hiding some dangerous rhythm. He leaned over to get closer to the surgical field, and under the magnifying glass, he saw several irregular plaques protruding from the intima of the artery - arteriosclerosis that was not shown in the preoperative imaging!

"Director Zhong, there may be a risk of turbulence when anastomosing the hepatic artery." Chen Yang said calmly, "It is recommended to temporarily block it and use a microanastomosis patch instead."

The forceps in Zhong Dongyang's hand stopped in mid-air. As the lead surgeon, he rarely changed the established plan during the operation, but at this moment, the color change of the donor liver could not be ignored.

"Listen to Dr. Chen and prepare a 5mm vascular patch."

The operating room was busy, and Chen Yang took advantage of the free time to open the golden treasure chest he had just obtained.

Over such a long period of time, Chen Yang has accumulated quite a few gold treasure chests, but the one today was a bit strange.

As Chen Yang opened the golden treasure chest, the system prompt sound also sounded in Chen Yang's ears.

【Precise positioning for liver surgery】

It turned out to be a skill book, and a surgical skill book at that, a skill book needed for the hepatobiliary surgery he was performing.

"This system..."

Chen Yang was stunned.

It's like when you are playing a game and you are completing a mission and need a certain item, but the item just happens to drop when you are killing a monster. It's a weird coincidence, a weird coincidence.

Without time to think, Chen Yang immediately used the skill book, and the skill book turned into light and electricity and merged into Chen Yang's body.

"Dr. Chen."

Chen Yang took the patch handed to him by his assistant and immediately used the "Precise Positioning of Liver Surgery" skill that had just been opened in the treasure chest.

"Silver needle." Chen Yang suddenly shouted.

The instrument nurses and assistants nearby were all stunned for a moment.

Zhong Dongyang glanced at Chen Yang and nodded.

Chen Yang brought the silver needle into the operating room when he entered it, but the nurses were a little surprised just now.

Among the doctors who are performing surgery and shouting "silver needles", Chen Ying should be the first one.

Chen Yang took the silver needle and stabbed it out, hitting the best blood flow channel!

When the patch anastomosis is completed, the redness on the surface of the donor liver quickly fades away and turns into a healthy light pink.

"Pretty!"

Zhong Dongyang couldn't help but praise it.

"Fuck!" Xia Hongliang cursed.

Lin Yi's eyes also widened.

"What operation is this?"

In the conference hall, many experts were stunned. Using silver needles and traditional Chinese medicine acupuncture techniques during surgery?

Can silver needles be used like this?

Many people whispered that Chen Yang's operation today opened a new door for many doctors.

"Walter?"

In another smaller private room, leaders of Borg and Orson Group, as well as several foreign experts were also watching the live broadcast of the operation, but they were not in the conference room.

Seeing this scene, Borg subconsciously exclaimed.

Zhong Dongyang praised Chen Yang and continued to focus on the bile duct anastomosis. However, just as the common bile duct anastomosis was about to be completed, the suction device suddenly sucked out a stream of bright red liquid.

"Bile duct bleeding!" Tao Anping exclaimed.

Chen Yang immediately saw bleeding from the hepatic artery branch behind the anastomosis, and a very thin stream of blood was spreading along the bile duct wall.

For a moment, the faces of many people in the conference room and the operating room changed. Bleeding in the late stage of this operation is extremely dangerous. If not handled properly, it may cause bile leakage or hepatic artery thrombosis.

"Microforceps, 7-0 prolene line." As Chen Yang stretched out his hand, he once again used the skills in the skill book he had just drawn to accurately position the weapon.

Soon, Chen Yang locked the bleeding point. It was a wound thinner than a hair, hidden at the angle between the bile duct and the artery. The needle in Chen Yang's hand rotated like a ballet dancer, completing the "8" suture in the narrow gap, and the blood stopped dripping.

Zhong Dongyang and Cui Lang Ping were stunned.

In the banquet hall, many doctors exclaimed again.

"How did he locate the bleeding point so quickly?"

"This talent is too amazing, isn't it?"

Zhong Dongyang looked at Chen Yang again and couldn't help feeling a little relieved. Fortunately, he agreed to let Chen Yang participate in the operation and even arranged Chen Yang as an assistant.

In such an operation, the authority and responsibility of an assistant are not small and he is responsible for many things, so Chen Yang can also deal with some emergencies in a timely manner.

"It really takes talent to be a doctor." Chen Xingwu sighed in a low voice.

Sometimes, some things are just feelings and talents. For example, when it comes to finding the bleeding point, Zhong Dongyang might feel overwhelmed for a while, but Chen Yang can find the bleeding point quickly and accurately.

Chen Xingwu didn't know that Chen Yang was a cheater, so he could only naively think that it was a talent.