novel for you Chapter 949 Climbing Mount Everest (Part )
Chapter 949 Climbing Mount Everest (Part )
In the operating room, Chen Yang changed into surgical clothes, put on gloves, and walked to the operating table with his hands raised.
Gloves are a system-drawn enhancement item that is puncture-proof and increases flexibility by 5%.
This pair of gloves is a magical tool whether used in conjunction with acupuncture or surgery.
After putting on the gloves, Chen Yang didn't feel anything, just like not wearing gloves, very comfortable.
The cold and strong shadowless light poured down, shrouding the operating table in the center in an almost sacred pure white light.
The air was filled with the pungent smell of disinfectant and tension, so strong that it seemed almost touchable.
Various cutting-edge monitoring instruments surround the operating table. Curves and numbers representing the rhythm of life jump on the screen. The regular ticking sound and the steady air delivery sound of the ventilator are intertwined, like a solemn prelude to a symphony of life and death.
Thomas Wilson lay quietly on the operating table. Under the effect of powerful anesthetics, he had fallen into a deep sleep, completely entrusting his body to the group of doctors who were about to fight for his life.
His abdomen was thoroughly disinfected and covered with a dark green sterile drape, leaving only a huge incision area extending from under the xiphoid process to below the navel, like the entrance to a battlefield about to open.
Borg, Chen Yang, Zhong Dongyang, Emily and David have all completed the most stringent surgical hand washing and disinfection, and are wearing dark green sterile surgical gowns, masks and goggles, and are ready at their respective positions.
In the observation room separated by huge floor-to-ceiling glass, Yuan Zhengmin, Wen Rongxian, Jiang Yan and many experts in hepatobiliary surgery and anesthesiology from Union Hospital and Mayo Clinic held their breath, their eyes fixed on the main screen images transmitted back by multiple high-definition cameras in the room.
"List......"
Borg exchanged glances with Chen Yang beside him, and the two reached a tacit understanding without words.
Then Borg calmly stretched out his hand, and his voice came through the mask, clear and powerful: "Scalpel!"
The instrument nurse slapped the scalpel into Borg's hand.
The sharp scalpel flashed a cold light under the shadowless lamp and landed precisely on the predetermined skin incision line.
Cut the skin, subcutaneous fat, anterior rectus sheath, separate the rectus abdominis, cut the peritoneum... Under Borg's skillful operation, the laparotomy process was smooth and quick, and each layer of dissection was clear and neat.
When the abdominal cavity was completely opened, the huge automatic abdominal retractor forcefully pulled the incision apart to both sides. The full view of the liver and the hideous tumor entrenched in the vital part of the liver were finally exposed to everyone without any cover!
"Hiss..." Even though the observation room was filled with experts who were accustomed to big scenes, at this moment they couldn't help but let out a suppressed, shocked gasp.
The images on the screen are not as shocking as what you see with your own eyes!
The tumor was grayish white, as hard as rock, with swollen blood vessels on the surface. It was like an evil living creature, firmly attached to the portal area of the liver.
It is more invasive than what is shown on the image, with a larger size and wider range, like a giant octopus covered with suckers. Its "tentacles" not only tightly wrap around the left branch of the portal vein (PV-L), the left branch of the hepatic artery (LHA), and the confluence of the left and right hepatic ducts, but also form extensive and dense adhesions with the surrounding diaphragm, lesser curvature of the stomach, and hepatogastric ligament. The left inner lobe of the liver has been significantly atrophied and darkened due to long-term pressure on the blood vessels, forming a sharp contrast with the relatively plump right liver.
"Fuck, the equipment at Kyoto Hospital is amazing. It's so clear."
"Borg is indeed a top international expert. His hands are very steady and his operation is very smooth."
Many doctors who were watching the operation were commenting in low voices.
“The situation is more challenging than expected.”
Borg's voice was clearly heard by everyone through the microphone: "The tumor has invaded a wide area, has a heavy degree of adhesion, and is hard in texture. Follow the predetermined plan and begin freeing it. Pay attention to delicate manipulation and control bleeding."
"The operation has officially entered the critical stage," Chen Xingwu said while eating melon.
The display screen showed the situation after the abdomen was opened. It was all bloody red, and the patient's internal organs and tumor could be vaguely seen inside, but Chen Xingwu ate very happily.
"Dr. Chen's cooperation is very good." Yan Kaiping took a bite of the apple and nodded.
Borg was the main surgeon, and Chen Yang, as his first assistant, was like his shadow, working closely with him. The two men's movements were so coordinated that it seemed as if they shared the same brain.
Zhong Dongyang and others act as solid support, responsible for providing optimal surgical field exposure and timely and effective hemostasis support.
Scalpels, fine bipolar electrocoagulation forceps, Metzenbaum scissors, peanut peels... In the hands of these top surgeons, they seem to be endowed with souls, and they navigate carefully and efficiently in the complex anatomical maze full of blood vessels and nerves.
Time passes silently in high concentration.
Sweat gradually soaked the edges of the surgical gowns and caps. Wang Lan, the circulating nurse, was quick to wipe the sweat off Borg and Chen Yang's foreheads with sterile gauze.
The only sounds left in the operating room were the subtle, crisp sound of the instruments colliding, the surgeon's concise and precise instructions ("electrocoagulation," "suction," "No. 4 silk thread ligation," "small gauze pad"), and the constant ticking sound of the monitor, symbolizing the continuation of life.
"The first thing we need to do is to separate the gallbladder. The gallbladder has shrunk to this state..."
As Gao Tiancheng watched, he explained to everyone: "The hepatoduodenal ligament was dissected and freed by "skeletonization": the portal vein (PV), common hepatic duct (CHD), and proper hepatic artery (PHA) were clearly revealed, and thin silicone tubes or vascular slings were pre-placed for easy blocking at any time. This step was relatively smooth and laid the foundation for subsequent breakthroughs. It was amazing."
"It's indeed a top team, with great cooperation. Dr. Chen has become even stronger." Chen Xingwu said with emotion.
"The real test begins now."
Gao Tiancheng said: "You can see that the adhesion between the tumor and the diaphragm is as dense as concrete. The adhesion between the tumor and the lesser curvature of the stomach and the hepatogastric ligament is equally stubborn. There are a large number of proliferating blood vessels and lymphatic vessels in between."
"Borg and Chen Yang are like clearing mines on a battlefield full of booby-trapped landmines. They must hold their breath and be very careful..."
While Gao Tiancheng was speaking, Chen Yang and Borg were using fine tweezers to lift tissues, electrocoagulation tweezers to precisely coagulate tiny blood vessels, and scissors or peels to separate adhesions at the millimeter level.
The "sizzling" sound from electrocoagulation to stop bleeding was heard from time to time, and a faint smell of burnt protein floated in the air.
At this point, progress has been quite slow, because every step is difficult and requires great patience and energy.
"We have reached the critical point!"
Gao Tiancheng stared intently and said, "The next step is to deal with the left branch of the portal vein (PV-L) segment that is wrapped by the tumor!"
At this moment, everyone's heart was in their throat, and in the observation room next to the operating room of Kyoto Hospital, one could hear a pin drop.