The Surgeon's Studio
Chapter 56
There were severe adhesions around the gallbladder, wrapped in the omentum and a capsule formed by exudative inflammation, without any clear view of its anatomical structure,
Zheng Ren continued making two incisions—one below the xiphoid process and another two centimeters below the costal margin on the anterior axillary line—without hesitation after observing the condition of the peritoneal cavity through the laparoscopic camera.
Liu Tianxing smiled disdainfully as, in his opinion, Zheng Ren’s consecutive movements had a completely different meaning.
Most experienced surgeons would give up on laparoscopic surgery and resort to open cholecystectomy after seeing such severe adhesions.
The operative view in open surgery was more direct, after all.
Watching Zheng Ren’s dexterous finger movements and blunt separation techniques with a pair of hemostatic forceps, Liu Tianxing did not doubt that the man could complete an open cholecystectomy.
However… he was just a young man, after all. Adversity was a precious fuel for greatness, but in the medical field, especially in its current harsh environment, any mistake made during a surgery would damage the surgeon’s reputation forever.
Liu Tianxing went down memory lane and a figure appeared before him.
It was that of an outstanding student with decent behavior and skill at surgery, but was also slightly arrogant at times.
What happened to him in the end? He was sent to a suburb to raise rabbits.
Young men were impulsive and radical. They simply did not understand that discretion was the better part of valor.
Time was required to understand that public opinion could obscure the actual truth.
During the period of the Republic of China, Liang Qichao was diagnosed with a malignant renal tumor after experiencing hematuria, undergoing nephrectomy afterward. The surgeon was the director of Union Medical College University and a demon from the urology surgery department at the time.
The result? There was a small tumor located on the right kidney and postoperative pathology determined that it was benign. However, his hematuria persisted and the symptoms were not alleviated despite surgical treatment.
The surgeon did not resect the wrong kidney and Liang Qichao agreed. Based on current diagnostic standards, he had probably been suffering rare autoimmune nephropathy, but it was impossible to diagnose this disease at the time due to limited diagnostic abilities and resources.
Liang Qichao acknowledged that result, but his students and friends remained unconvinced.
All of them were literati with great influential power, so new rumors were handed down that the demon from Union Medical College Hospital had resected the wrong kidney during the surgery on Liang Qichao, which had damaged Union Medical College Hospital’s reputation since then.
That had happened in the era of the Republic, but what about now? There were actually plenty of irresponsible reports about anal suturing and other random things as well.
Chief Surgeon Liu smiled lightly and picked up his phone.
“Little Wang, it’s me, your Brother Liu.
“Yes. There is something I need to tell you. I’ve a subordinate who disobeyed direct orders from his superior and is currently performing a surgery that he can’t possibly do well with his standard yet. He has someone powerful at his back but is actually acting with utter disregard for human life.
“Yes, that’s true. I’m very angry as well, but there’s nothing I can do about it. I even had a myocardial infarction due to rage and I’m hospitalized for observation right now.
“Yes, that’s exactly what I mean. This immoral phenomenon mustn’t be condoned and justice needs to be served so that the public in Sea City will believe in our medical system again!
“Alright, thank you very much.”
After hanging up, Chief Surgeon Liu smiled. “This kind of person should be punished via public humiliation.”
Cen Meng was obviously distracted and did not respond. His face sank and appeared slightly pale under the light.
‘Little Cen, what kind of attitude is this?’ thought the annoyed Chief Surgeon Liu, but he merely expressed his dissatisfaction with just a word. “Huh?”
“Chief… chief, he is separating…” Cen Meng stuttered.
Chief Surgeon Liu had forgotten to watch Zheng Ren’s surgery while focusing on the phone call earlier.
This was the kind of surgery that even he had found particularly difficult to deal with, so was it necessary to watch any further?
He raised his head and saw that Zheng Ren was performing blunt dissection of the adhesions around the gallbladder with the dexterous manipulation of both the laparoscopic dissecting forceps and grasping forceps as if they were extensions of his bare hands.
Basically, the gallbladder had been freed while he was on the phone…
This… How could he be so skilled?! Was this not his first time performing laparoscopic cholecystectomy?!
Blood started surging to Chief Surgeon Liu’s brain and caused his vision to become blurry, so he quickly shut his eyes and calmed his emotions.
At the same time, comments proclaiming ‘666’ flooded the live broadcast room in Xinglin Garden.
[He is so good with the forceps, it’s like he is performing surgery under direct vision.]
[Who said this demon doesn’t know how to perform laparoscopic surgery? This operation is by far the best surgery that I’ve ever seen.]
[Those movements are nimble. I wouldn’t even dare lyse the adhesions with a scalpel. Is he not afraid of damaging the hepatic duct at all?]
[Young man, your low standard limits your imagination. You can learn a lot from this video.]
In the livestream, the gallbladder, sticky mess around it and all, as well as the anatomical structures of the triangle of Calot had been exposed after merely a few minutes of manipulation with the grasping and dissecting forceps.
Everything had become clear and distinct.
With that, the difficulty of the surgery dropped from an S rank to a D rank. A surgeon with any kind of experience with this sort of surgery would be unlikely to make a mistake with such clear anatomical structures.
[That was impressive. The adhesions were so severe but it took him only a few minutes to completely expose the underlying structures.]
[This separation process can be written into medical textbooks as every step was done very clearly. I assume the surgery can be finished within the next five minutes.]
[It seems like a dream, I’m asleep right now. From the moment the laparoscope was inserted until now, it has only been around eight minutes and the surgery is finishing soon.]
Yes. The surgery was almost over.
Zheng Ren had tackled every complicated issue in the surgery in a very simple manner within a few minutes. The only thing he needed to do right now was to separate the gallbladder from the gallbladder bed with an ultrasonic dissector, clamp the cystic duct and cystic artery, and finally remove the gallbladder.
The surgery was uneventful with an estimated blood loss of less than 10 milliliters. Any possible doubts were handled without hesitation, the manipulation was done confidently and the whole process was smooth sailing.
Only experienced surgeons who had performed hundreds of similar operations would understand how skillful this surgeon was in these few minutes of performance.
Excellent knowledge of anatomy, proficiency in surgery, stable hands, meticulous personality… and expertise in laparoscopic surgery.
That was amazing!
It was truly outstanding!
Innumerable comments going ‘666’ overwhelmed the live broadcast room in Xinglin Garden.
It was a pity that the website was not meant for entertainment and had no virtual gifts in the system. Otherwise, even if Zheng Ren had kept quiet about it, he would have earned more than ten thousand yuan in profit for a surgery completed within twenty minutes.
In the special demands ward, Chief Surgeon Liu closed his eyes and tried to calm his chaotic mind and heart.
‘Don’t be angry. Don’t be nervous,’ Chief Surgeon Liu warned himself. This body belonged to him. What would he do in the future if something went wrong with it due to rage?
He felt calmer a few minutes later.
Silence hung in the air and the only sound that reached his ears was Cen Meng’s heavy breathing.
Chief Surgeon Liu lacked the courage to open his eyes and watch the surgery progress; he worried that his blood pressure would skyrocket again after witnessing Zheng Ren’s proficiency in lysing the adhesions around the gallbladder and in the triangle of Calot.
“Little Cen, is his surgery going smoothly?” asked Chief Surgeon Liu.
“…” Cen Meng remained silent because he was unsure how to respond to that question.
“How is it?” Chief Surgeon Liu was displeased.
“Chief… Chief Surgeon Liu, the surgery is complete,” answered Cen Meng softly after a few moments of hesitation.
What? Finished?
No way!
That was impossible!
Chief Surgeon Liu ignored his control of his blood pressure and snapped his eyes open, only to see that the image on the television was way beyond his expectations. It was not adhesiolysis, the separation of the gallbladder from the gallbladder bed, or even the clipping of the cystic duct and artery with an absorbable or titanium clip.
Zheng Ren was aspirating the residual bile in the gallbladder fossa with an aspirator…
That was… too fast…
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