novel for you Chapter 1005: The First Battle of the Central Surgery Department (Part 1)
Chapter 1005: The First Battle of the Central Surgery Department (Part 1)
"Director Zhong, the liver portal section is very well done!" Chu Gaobo flattered him, "I finally understand the gap between me and Director Zhong."
"Director Chu is joking."
Zhong Dongyang smiled and gave his seat to Chen Yang: "When you see Director Chen's operation next, you will know what the difference is."
Chen Yang held the knife in his hand, and his whole temperament seemed to have undergone subtle changes.
He held the ultrasonic knife, his eyes as calm as water, and fell on the plane of liver parenchyma that needed to be severed.
As Chen Yang began to operate, Chu Gaobo and Zhong Dongyang watched carefully, afraid of missing any details.
Many people watching the video are now concentrating and staring at the screen carefully.
What Chen Yang completed was naturally the most difficult part of the operation.
Looking closely, one can see that Chen Yang's movements are precise and efficient, yet they carry an indescribable sense of fluidity and beauty.
The ultrasonic blade seemed to come alive in his hands, and the high-frequency oscillation cut the liver tissue while accurately coagulating the tiny blood vessels.
When encountering a slightly larger tube, Chen Yang switches to using a vascular clamp to clamp it, and ligates or sutures it with silk thread, meticulously.
"Dr. Chen's operation has almost no unnecessary movements. Every step is aimed directly at the target. His prediction of the course of the intrahepatic ducts is astonishingly accurate." Chen Xingwu said with emotion as he watched.
"Especially in protecting the middle hepatic vein and its tributaries, his operation was textbook-level. While severing the liver parenchyma, he perfectly preserved this main vein and its main branches, which are crucial to the survival of the remaining left liver," added Gao Tiancheng.
"Yes, anyway, we are looking up to the great mountains." Ye Fangwen and others nodded.
Although the process of splitting the liver parenchyma is complicated, it appears to be orderly and incredibly efficient under Chen Yang's hands.
When the left half of the liver and the caudate lobe are completely removed, revealing the relatively "clean" liver bed and the clearly protected middle hepatic vein, left branch of the portal vein, and left hepatic artery, the operation has completed the most core and difficult part.
"Step three is complete. The liver bed is clean, key structures are intact, and there is no obvious active bleeding."
There was a subtle hint of relaxation in Chen Yang's voice, and the tense atmosphere in the operating room eased a lot.
"Director Chu, it's up to you." Chen Yang gave up his seat again.
This kind of surgery takes a long time and is difficult to perform, so the whole operation is like a relay race. Wilson's last surgery lasted for ten hours and fifteen minutes. If it were done by one person, how could he possibly handle it?
The last operation was mainly performed by Chen Yang and Borg. The two were responsible for the main part, and the others helped and coordinated with each other.
Chu Gaobo took a deep breath and went on stage again with a sense of sacredness.
Although Chu Gaobo completed the simplest part of this operation, he also participated in the most parts and it took the longest time. Of course, this is also the result of learning the technology, and he must put in the most effort.
Chu Gaobo carefully freed a sufficient length of the previously protected round ligament of the liver and the umbilical vein segment within it.
Under the watchful eyes of Chen Yang and Zhong Dongyang, he picked up a special, extremely thin vasodilator bougie and inserted it extremely gently from the distal end of the umbilical vein (near the abdominal wall end).
As he operated, Chu Gaobo felt the resistance of the bougie and carefully rotated and advanced it. When he encountered a blockage, he would first push through a thinner bougie, then gradually switch to thicker ones for gradual expansion. This process required immense patience and exquisite tactile feedback.
Time seems to slow down.
Finally, after several attempts, the bougie successfully passed through the entire blocked umbilical vein and reached the junction where it merged with the sagittal portion of the left branch of the portal vein! Chu Gaobo carefully withdrew the bougie and then used a microsyringe to inject a small amount of diluted methylene blue solution from the distal end of the umbilical vein.
I saw the blue liquid pass through the expanded tube smoothly and quickly flow into the left branch of the portal vein!
"It's working! Collateral circulation has been established!"
Chu Gaobo's excited voice trembled a little. This was not only the success of a surgical procedure, but also the verification of a wise treatment concept!
Chen Yang and Zhong Dongyang looked at each other, and both showed a relieved smile in their eyes.
This "surprise attack" plan was successful!
Finally, Chu Gaobo carefully re-examined the entire surgical field, confirming no active bleeding and that all vascular anastomoses were patent and leak-free. He placed drainage tubes and closed the abdomen layer by layer.
When the last stitch of the skin was completed, the electronic clock on the wall of the operating room showed that this thrilling and difficult operation lasted a full 8 hours and 23 minutes.
Outside the operating room, when the "In Surgery" sign went out and Chen Yang, Zhong Dongyang, Chu Gaobo and others walked out, Ye Guoliang's wife and son Ye Weiqiang immediately rushed over, their faces showing extreme tension and anticipation.
"Doctor...doctor...my father..." Ye Weiqiang's voice choked.
Chen Yang took off his mask, revealing a tired face with a gentle smile: "The operation was successful!"
Chu Gaobo also smiled and said, "Teacher Ye's vital signs are currently stable, and he has been sent to the ICU for monitoring. We have overcome all major difficulties, the tumor has been completely removed, and a new 'safety pathway' has been established for him."
"However, the next 24 to 48 hours are the most critical period after surgery, especially to prevent liver failure and bleeding. We will monitor closely."
"Thank you! Thank you Director Chen! Thank you Director Zhong! Thank you Director Chu! Thank you to all the doctors and nurses!"
Ye Weiqiang and his old mother burst into tears and were about to kneel down and kowtow, but were quickly supported by Chen Yang and Zhong Dongyang.
"This is what we should do. Let's go see Teacher Ye, but the ICU has visiting hours regulations." Chen Yang said in a gentle voice.
The family members expressed their gratitude profusely as they were guided by the nurse towards the ICU.
At the other end of the corridor, Dr. Evans, who had been paying attention to the situation here, walked over quickly, his face full of incredible shock.
"Doctor Chen! Doctor Zhong!"
Evans' voice rose with excitement. "I... I couldn't enter the operating room, but I got a general idea of what happened through the operating room's communication system... This... This is simply the pinnacle of surgical art!"
"Using the umbilical vein to establish collateral circulation... God, this is so imaginative! It's amazing! The patient's preoperative conditioning created the opportunity for surgery, and you performed a miracle on the operating table! Please allow me to express my highest respect to you!"
Chen Yang said calmly, "Dr. Evans, you're too kind. This is simply a comprehensive treatment based on a deep understanding of the disease and the human body. The miracle is created by the vitality of all the medical staff involved and the patient himself."
On the other side of the ocean, Borg was staring at the computer screen. It took him a long time to come back to his senses.
"It seems Chen has made a new attempt this time."
Ye Guoliang's surgery was more difficult than Wilson's, but it took less time, precisely because Chen Yang's plan was optimized.
"What a medical genius," Borg exclaimed.