The operating theater of every hospital was similar. The operating theater here was bigger than Sea City and there were more doctors.
The interventional radiology suite was a special operating theater. It was used by the blood bank, the Department of Neurology, and the Department of Tumor Interventional Surgery.
As for the circulating interventional radiology suite, there was a separate operating theater. After all, there were a lot of patients with myocardial infarction and the volume of surgery was large enough to support it.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/demonstration-surgery_51573012549396581 for visiting.
After changing his clothes, Zheng Ren followed Department Chief Kong and came to the interventional surgery's operating theater.
Department Chief Kong had four groups under him and he was in charge of the administration. However, Department Chief Kong did not have that much energy. He only needed to take care of his own business.
In the operating room, the patients had already been sent up and the doctors were busy. Zheng Ren found the patient's 64-slice CT scan with 3D-image reconstruction and inserted it into the radiographic film viewer to read it carefully.
They were indeed the top Class Three Grade A Hospitals in the country. The quality of the 64-slice CT scan with 3D-image reconstruction was impeccable for Zheng Ren.
To be able to do this in just a few months, Zheng Ren was also very moved. He was moved by the basic qualities of the doctors there and the ability of Department Chief Kong to lead the team.
The patient's radiographic films were very typical. The cirrhosis nodules had turned into liver cancer. A few small blood vessels were very thin but Zheng Ren estimated that Department Chief Kong would be able to succeed in the selection.
Because it was only the transformation of the small nodules, the patient's alpha-fetoprotein did not even rise.
It was the benefit of daily physical examinations. If it was ten or twenty years ago, physical examinations would not have been common. When the patient had symptoms, then the examination would be carried out. Liver cancer, a malignant tumor with an extremely high degree of malignancy, was already very difficult to treat.
Therefore, liver cancer was known as the King of Cancer.
Zheng Ren looked at the radiographic films and understood the patient's condition. He quietly sat down and waited for the operation to begin.
"Boss, you're here!" The professor's voice came from outside the door.
"Keep your voice down. Surgery is going on inside," Zheng Ren said.
The professor immediately lowered his voice and stood behind Zheng Ren. He asked in a low voice, "Is it the TIPS surgery?"
"No, it's the interventional surgery for liver cancer," Zheng Ren said.
"What's there to see?" The professor was disdainful. "Boss, you have to realize that we don't have much time."
"I've brought up the surgery list. Why don't you go down and help Chang Yue?" Zheng Ren said casually as he saw that Department Chief Kong had already started the superselection in the operating theater.
"Boss, I'm a foreigner. It's already good enough that I can speak Chinese. To write medical records... I haven't done this stuff in decades." Rudolf Wagner felt a little wronged.
Indeed, the professor had countless people under him. He was only responsible for the surgery.
However, in Zheng Ren's case, his role seemed to have inadvertently become like Little Oliver's. He was also involved in all sorts of chores.
He was really helpless.
Chapter 637 - How Long Do You Think The Surgery Will Take?
Department Chief Kong's surgery was neither fast nor slow. His skill level was so high that he could not slow down even if he wanted to.
Perhaps in the eyes of others, Department Chief Kong's skill level was very high. However, in Zheng Ren's eyes, the surgery he performed could only be considered average.
That was a difference in the order of magnitude. It was not something that could be made up with years of surgical experience.
Even if surgical experience was compared, Zheng Ren had more time than Department Chief Kong to perform high-level surgeries in the operating theater without rest or sleep.
However, Zheng Ren just watched quietly. Department Chief Kong's surgery was not a problem and more than enough to complete the job. Zheng Ren would not jump out there and then just to show off his skills and suppress an old chief who loved and cared for him.
There were definitely people who would but not many. Something like that could be blamed on a lack of intelligence rather than having a high level of skill.
All six surgeries were completed around one o'clock in the afternoon.
Usually, Department Chief Kong rarely personally performed so many surgeries. Today was Zheng Ren's first day here, so Department Chief Kong personally performed six surgeries in a row.
After all, he was already old. He did not eat lunch at noon, so the lead apron he wore after six surgeries soon felt heavier.
"Boss Zheng, it's your turn." After coming down, Department Chief Kong said those words with a smile.
"Okay." Zheng Ren nodded.
The next patient was sent up. Zheng Ren inserted the radiographic films into the radiographic film viewer in the operating theater and used a familiar posture to read the radiographic films.
The patient was a 76-year-old male patient who had both cerebral infarction and myocardial infarction.
The diameter of the malignant tumor of the liver was a full six centimeters, and many blood vessels were involved in the blood supply. Among them was the internal mammary artery that Department Chief Kong mentioned.
The internal mammary artery was also known as the internal thoracic artery.
It was an important blood vessel that the cardiovascular surgery department had to select before the interventional surgery of the heart and coronary artery many years ago.
Under special circ.u.mstances, the internal mammary artery would be branched out. Its terminal branches, such as the superior abdominal artery and the diaphragm artery, supplied blood to the liver through these branches.
This special situation included having a liver malignant tumor that secreted a variety of influencing hormones which caused the blood vessels in the body to spread and grow abnormally. They would then supply blood to the tumor.
It was more troublesome to embolize the internal mammary artery because it was very tortuous and had branches that supplied blood to the pericardium, thymus, and other organs. If the superselection was not in place, the embolic agent would run to other places and cause ischemic necrosis on the normal organs.
However, when the tortuous blood vessels were repeatedly super-selected, it was inevitable that the guide wire would constantly touch the blood vessel wall, causing the blood clots and plaques attached to the blood vessel wall to fall off. The situation that Department Chief Kong had described would occur.
It was an abnormal branch that was extremely troublesome, and the surgery's difficulty was quite high.
Zheng Ren read the scans seriously. A doctor sent the patient to the stage to do the preparatory work.
"Boss, I'll go with you?" Rudolf Wagner's hands were itchy. He lowered his voice and asked softly.
Although there were no TIPS surgeries that could be done, two interventional embolization surgeries for liver cancer could be considered a consolation prize.
"Sure." Zheng Ren nodded.
The professor happily went to wash his hands and change his clothes. The doctor who was about to go on stage was a little puzzled. He looked at Department Chief Kong who was outside.
Department Chief Kong waved his hand and called him out.
"Just take a good look," Department Chief Kong said.
"Chief, who is that foreigner?" the young doctor asked.
"Professor Rudolf Wagner from the medical
center at the University of Heidelberg in Germany," Department Chief Kong said. "He's here to do a Nobel Prize project with Boss Zheng."
The young doctor clicked his tongue. Whether it was an internationally renowned professor or the legendary Nobel Prize, they were all unreachable existences to him.
He looked enviously at Zheng Ren who was reading the film. He sighed in his heart. When Boss Zheng came over a few months ago, he was still a junior doctor. He did not expect that after a few months, he would be so amazing.
"Go and inform the others. Tell them that Boss Zheng is doing a demonstration surgery. If they want to see, they can come," Department Chief Kong said.
"Okay." The young doctor quickly went to inform the others.
Clinical demonstration surgeries were very rare. Usually, during large-scale academic conferences and when the higher-level hospitals set up training courses, high-level doctors would give demonstrations.
For example, at some higher-level academic conferences, famous international experts, professors, and scholars would be invited to give surgery demonstrations. They would also leave behind video information for other doctors to learn from.
However, that kind of opportunity was really too rare. It only happened once in a very long time, and the doctors treasured it very much.
After the professor finished disinfecting, more than a dozen people squeezed into the operating room.
During the ward round, everyone had seen Zheng Ren. They all knew that he was the doctor who had performed the prostate embolism a few months ago.
However, this time, the young doctor came here again as a Nobel Prize candidate. His role changed so quickly that it made people dazed.
"Department Chief Kong, is Boss Zheng going to superselect the internal mammary artery?" a professor leading the group asked in a low voice.
"Yes, I talked to Boss Zheng when I went on stage. He agreed to do two demonstration surgeries," Department Chief Kong said.
The professor who asked this question was surnamed Zhao. He was the professor leading the group under Department Chief Kong.
After listening to Department Chief Kong, Professor Zhao was a little unhappy but felt a little strange, so he did not say it out loud.
The young man was arrogant and despotic. That was because he had an unstable personality. Why was the old chief also fooling around? Did he really think that the young man was a genius who could win any surgery?
A few days ago, Professor Zhao, who was leading the group, tried to embolize the internal mammary artery. Finally, after three hours of superselection, the surgery was completed.
But after the surgery, the patient developed blurred vision and other neurological symptoms.
After he left the stage, he was immediately sent to the Neurology Department for thrombolytic treatment. The patient had not fully recovered until now.
It was extremely difficult to embolize the internal mammary artery. Professor Zhao had experienced it firsthand.
Department Chief Kong said that Boss Zheng wanted to perform a demonstration surgery. Although he had already mentally prepared himself, he still did not believe it when he saw Zheng Ren and Professor Rudolf Wagner preparing to begin the surgery.
According to Department Chief Kong, if Boss Zheng could perform a demonstration teaching surgery, what would be the difference between their skill levels?
Boss Zheng did have some ability. He could embolize the prostate capillaries and create a medical model where the surgeon performed a 64-slice CT scan with 3D-image reconstruction before the surgery.
However, Professor Zhao still did not believe that his level of interventional surgery was so much higher than his.
Observation would be enough. Whether it was real or fake, one surgery would be enough to prove it.
Su Yun glanced at Professor Zhao from the side. When he saw that he did not speak, he felt a little regretful. Why were these people so cautious? He was so bored that no one jumped out to ask for a beating.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/how-long-do-you-think-the-surgery-will-take_51573014176782327 for visiting.
He looked at the screen and saw that Zheng Ren had already started the super selection. He shook his head slightly and sat on the sofa in the corner of the operating room.
"Su Yun, why aren't you watching the surgery?" Department Chief Kong noticed something strange. When he turned around and saw Su Yun playing with his phone listlessly, he asked that question.
"There's nothing to watch. It's boring," Su Yun said.
"Hehe, how are your own skills?" Department Chief Kong asked jokingly.
"You were the one who qualified me for my interventional surgery. What do you think of my skill level?" Su Yun said.
"You're fine, Su Yun." Department Chief Kong waved his hand.
Su Yun was helpless. He usually criticized other chief residents but that was it. Who else could say anything?
However, he still had to maintain respect for an old chief like Department Chief Kong.
"How long do you think boss Zheng's surgery will take?" Department Chief Kong asked.
"Twenty-five minutes."
Chapter 638 - Go And Try
Professor Zhao's expression changed and he subconsciously said, "That's impossible!"
"Oh? How is that impossible?" Su Yun had a teasing look on his face. He picked up his phone and saw that the screen in the operating room lit up. Zheng Ren had already started to step on the line to carry out the superselection and the timer had just started.Find authorized novels in , faster updates, better experience, Please click #'s-studio_16489637605120805/go-and-try_51573016324266004 for visiting.
Professor Zhao was a little embarrassed but still maintained his demeanor. He thought to himself, 'Where did this brat come from? Why was Department Chief Kong so polite to him?'
Perhaps the brat really was something.
"Little Zhao, watch the surgery carefully. Boss Zheng might finish it in twenty-five minutes. Don't regret it if you miss anything." Department Chief Kong did not want to have any disputes. He was in his main hospital and just a human. If anything unpleasant were to happen, the first person to be troubled was his chief.
Professor Zhao smiled and nodded to indicate that he would not argue with Su Yun. After that, he immediately focused on the LCD screen in the operating room.
On the screen, a black line was constantly moving. It was the development of the micro-guide wire.
He actually used local medical supplies. Did he not know that the domestic micro-guide wire was hard and not easy to use? The young man was blinded by greed. He did not know how much benefit China Changfeng Microinvasive Surgery had given him. Professor Zhao looked at the micro-guide wire and thought of that to himself.
The hepatic artery branch, the superselection at the eighth segment of the liver, was completed in one go. In the blink of an eye, the micro-guide wire entered and began to administer medicine.
The technique was not bad but for someone who could get Department Chief Kong's approval and perform a prostate embolism, this kind of place was not difficult at all.
However, Professor Zhao looked at the screen more seriously. He did not believe in the nonsense that the surgery would be done in twenty-five minutes. Most importantly, Su Yun had actually started the timer and did not wait for the time when the surgeon chose the internal mammary artery.
Did he really think that choosing the internal mammary artery was that simple? Was it child's play?
It was such a joke.
However, it was said that the person in front of him had performed a heart transplant on a mouse during his postgraduate period. He was also an amazing person in the future. Although he did not know whether it was true or not, it was not appropriate to offend him too harshly.
Professor Zhao looked at the screen. After a short period of blind operation, the screen 'moved' again. The micro-guide wire was in position again? The operation was very fast!
He was stunned for a moment. When he took a closer look, the micro-guide wire had already advanced into the second vascular supply of the liver malignant tumor.
The vascular supply from the hepatic artery on this vascular wall was much thinner and more tortuous. The difficulty of super selection had increased exponentially.
That was Professor Zhao's own judgment. However, from the operation process, the so-called difficulty was not obvious whatsoever.
The micro-guide wire continued to move forward smoothly. At every crooked position, the micro-guide wire had subtle movements that were almost invisible to the n.a.k.e.d eye.
If it were not for the fact that the expert in the field had a very deep understanding of the surgery and the chief surgeon had not done countless surgeries with plenty of surgical experience, he would not have noticed such subtle movements at all.
Just like the previous blood vessel, the micro-guide wire entered before the medicine was injected and the vessels were embolized.
This... It was way too fast.
Professor Zhao was stunned.
He realized that there was a huge gap between him and the young undergraduate who had parachuted in to perform the surgery. Not long ago, he was still the emergency department's chief resident.
However, he instinctively denied this.
It was not a gap, this was a freaking chasm!
Even at Professor Zhao's level, he was able to realize how big the gap was between him and the surgeon.
It could not be. A few months ago, when he was doing the prostate embolization, he had also seen it. It was just that the technique was more delicate and he was more daring. Speaking of the gap, Professor Zhao really did not think that there would be such a huge and insurmountable gap.
What kind of movements did his hands make at that time to be able to do it so smoothly...
Professor Zhao was stunned for a moment and soon woke up. When he looked at the screen again, the third blood vessel of the tumor had already been embolized.
The Surgeon's Studio c1-799 Page 304