Chapter 490 - 357: The Most Difficult Joint Surgery (Part 2)
Chapter 490 - 357: The Most Difficult Joint Surgery (Part 2)
The third day, 10:00 a.m.
Inside the operating room of the intensive care unit, the patient Charier has already been wheeled in.
Qin Feng and the chief director were in the conference room downstairs, holding the latest CT and examination reports, conducting the final consultation.
The condition was complicated, but Qin Feng, as the person in charge, had the final say.
After confirmation, to ensure the patient’s vital signs remain stable during surgery and to minimize the risks of long-duration surgery, it was decided to initially have Director Mei Fang from Urology cooperate in opening the case.
Vital signs maintained by medication won’t last long if an accident occurs.
Therefore, as much as possible, the greatest risk should be avoided first. The patient’s life and death depend on the surgery.
"Alright everyone, let’s get ready."
Qin Feng put down the report and the adjusted surgical plan in his hand, smilingly said to everyone.
"Director Mei, let’s go in first."
"Alright."
With that, the two led their respective doctors towards the operating room.
Behind Qin Feng was Zhang Qingquan, who looked excited!
This time, he did not expect to follow such a major surgery, one of the largest surgeries he had seen since joining Peking Union Medical College Hospital!
Such a rare learning opportunity is indeed moving!
Rumbling~
Entering the operating room, the four people began to wash and disinfect, then stepped into the surgery area, donning sterile gowns.
"Start the anesthesia."
Qin Feng looked at the middle-aged man sitting in front of the machine, the chief anesthesiologist: Guo Zhong.
"Alright."
At the sound of the voice, the patient began to undergo general anesthesia.
Two minutes later, the patient was completely in a deep unconscious state.
Qin Feng and Director Mei took the lead positions, with their first assistant beside them.
Of course, this time choosing Zhang Qingquan was intentional on Qin Feng’s part.
After all, being an associate director in the emergency department, in Director Meng Dawei’s view, was just a transition; he would eventually return to the critical care unit.
But people can move, the emergency department should not collapse too quickly.
Looking at the entire emergency department, Zhang Qingquan is the most suitable person to take over as deputy director, and even the future leader of the emergency department.
Capable, quick learner, willing to endure hardship.
Such a person is suitable for emergency medicine!
"Surgery start time is 10:08 a.m., November 28, 2022, patient Charier, surgery for hydatid cyst removal and...."
"Surgery begins."
"Scalpel."
Qin Feng first performed the laparotomy, taking the scalpel, the patient was in the lateral position.
The blade cut through, creating a standard longitudinal incision.
"Electrocautery."
Director Mei Fang from Urology took the electrosurgical knife, starting the blunt dissection, cutting through connective tissue, layer by layer.
When the kidney was exposed in the surgical field, everyone present took a sharp breath.
"The extent of invasion is even more severe than on the CT."
Mei Fang frowned, her voice heavy.
Qin Feng, however, remained calm because he had experienced this scenario nearly a hundred times in the simulated operating room.
Numerous cauliflower-like hydatid cysts filled with fluid adhered to the upper half of the right kidney, almost completely covering it like a malignant tumor.
Seeing this, Mei Fang hesitated to proceed, after all, this was the first time she encountered such a situation.
The difficulty is high!
"Director Mei, I will remove the kidney, please assist me in the separation and blockage."
Qin Feng looked up at her, his tone calm,
"Director Gu, I will need your help later."
"Alright."
Deputy Director Gu Fan from the Interventional Department nodded, not refusing.
"Alright then..."
Mei Fang nodded, which was previously agreed upon with Qin Feng.
Soon, the operating room returned to silence again, Qin Feng’s gaze became sharp, his pupils slightly contracted, the hydatid cysts before him were enlarged and clear.
Buzzing~
The sound of the electrosurgical knife resounded, Mei Fang smoothly separated the renal pelvis, while Qin Feng separated the renal calyx region, releasing and pulling back the upper kidney section.
minutes...
minutes...
hour...
hours...
"Prepare to remove the kidney segment."
Finally, this right kidney was separated, the blood vessels successfully blocked, hydatid cysts undamaged.
Qin Feng made a decisive incision, directly severing the upper segment of the kidney, the blade sliding neatly along the cyst’s edge.
At this moment, in the observation room outside the surgery suite, Vice President Yuan Bin sat at the front, with over a dozen leaders from various departments and administrative sectors, including directors who would be coming on stage later, seated behind him.
They were all focused on this surgery, even the director had personally called to inquire.
This showcases the importance of this surgery, it’s not just a matter of life, but also the reputation of ’Peking Union Medical College.’
"It’s truly precise and neat."
Sitting next to Liu Guo, Director Sun couldn’t help but twitch his eyelid and softly expressed his amazement at the sight.
"Haha, Qin Feng’s surgical ability is indeed very strong, even our Director Meng values it highly."
Liu Guofeng smiled faintly upon hearing this,
"Being proficient in highly challenging multi-department surgeries is something that is rarely found at our hospital, even throughout the years, isn’t it?"
After speaking, he stood up; it was now his turn.
Director Sun had to admit, this skill is indeed exceptionally strong.
...
With part of the Interventional Department completed, the kidney portion came to an end.
Next, is the cardiac part.
Subsequently, Liu Guofeng, with an assistant, entered the surgical area.
They began to clean all the hydatid cysts around the pericardium and a few parts of the arteries.
This part wasn’t very difficult, Qin Feng remained in the operating room, sitting on a bench on the side, closing his eyes to rest.
The cardiac part would take about three hours, this time was for him to gather strength.
Because next, is the most difficult, the liver!
Liu Guofeng’s skill was indeed strong, and his speed at liberating was very quick.
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