Surgery Godfather
Chapter 1034 - 853: Why is the surgery not bleeding, don’t scare me!

Chapter 1034: Chapter 853: Why is the surgery not bleeding, don’t scare me!

Unexpectedly, Professor Liang, accompanied by Yang Ping, came in to take a glance and inadvertently helped Director Long solve a major problem.

There was also surgery in Orthopedics, which Professor Liang wanted to observe, so he couldn’t stay long in the Pancreatic Surgery operating room.

Initially, Professor Liang entered to say a few words to Director Long; after this little interlude, he actually forgot what he had wanted to say. He thought about it for a long time and couldn’t remember. It wasn’t anything urgent or important, anyway.

"Professor Yang, I’m treating tonight. Make sure you remember and call all your Ward Department brothers," said Director Long keenly.

Director Long was serious about treating.

"Xiao Lu, later you tally the number of people and book a nice place in advance," Director Long instructed Dr. Lv.

Doctor Liao watched Director Long busy and sweating profusely, feeling somewhat embarrassed. She had always felt that Director Long was overly cautious, seemingly fearful and lacking courage.

In this surgery, Director Long had warned to have enough blood ready and had also suggested using Ex-Vivo Tumor Resection + Autologous Organ Transplant; otherwise, the tumor couldn’t be removed and it was easy to cut the blood vessels, especially those at the posterior side of the tumor. Once cut and they retracted, it would be very difficult to stop the bleeding.

Now that it actually happened, the typically self-confident Doctor Liao couldn’t help but feel upset, realizing the director wasn’t timid but cautious. In critical moments, the director was calm and composed, a true sign of great courage.

"Xiao Liao, come here, continue with the surgery. Switch to Ex-Vivo Resection, otherwise it’s too forced. I’ll assist you," Director Long handed the surgery back to Doctor Liao.

"Director---I’m sorry!" Doctor Liao scrubbed up again and returned to the operating table, feeling very regretful.

"What are you talking about? Which doctor doesn’t experience this? Without experience, how can you grow? It’s fine. Come on, let’s continue the surgery. Just make sure to prepare thoroughly in the future; you must never be careless in any surgery," Director Long stepped aside from the Chief Surgeon’s position, without any trace of blaming Doctor Liao. Intelligent people like Doctor Liao, having experienced this once, would know what it means to tread on thin ice, and that caution is the parent of safety.

The original traditional Resection was now changed to Ex-Vivo Resection and autologous reconstruction. Such a significant change in surgical method needed to be reported to the Medical Services Office. Director Long made the phone call, of course, with the Patrolling Nurse dialing for him, and then spoke a few words on loudspeaker. Lu Dong said he would come to the operating room to sign the papers.

Thus, the crisis in the Pancreatic Surgery was averted. In fact, such a tumor couldn’t be removed with the traditional surgical technique at all; it wasn’t about whether it was reluctantly done or not. It was perplexing why Director Liao had forcefully proceeded in this manner.

The Pancreatic Surgery continued. The surgery was significant, raising doubts whether Director Long could make good on his dinner invitation.

The Pancreatic Surgery at Xiehe Hospital ranked top nationally, so Director Long also performed Ex-Vivo Resections, but not very many.

"Professor Yang, did you do General Surgery before?" Director Long curiously asked.

Yang Ping was unsure how to respond, so he said, "I like to dabble in such operations in my spare time."

What kind of answer was that, Director Long thought, puzzled—what does it mean, ’dabble in it if interested?’

Upon leaving the Pancreatic Surgery operating room, Professor Liang and Yang Ping were up to date on Song Yun and Kong Weiquan’s surgeries, which were going smoothly. Yang Ping had nothing particularly to do, so he sat down in a corner of the operating room to chat with Professor Liang.

"Do you also study Pancreatic Surgery?" Professor Liang asked.

"I’ve had a little exposure," Yang Ping replied.

A little exposure? Today, just a few minutes on the operating table had solved a problem that even Director Long, a leading figure in national Pancreatic Surgery, couldn’t solve. His real capabilities went unsaid.

"I’m with the Surgical Research Institute at Sanbo Hospital. It’s quite mixed; we do all kinds of surgeries: heart, brain, liver, gall, pancreas, everything. I’ve got another Pancreas, Small Intestine, and Stomach Organ Cluster Transplant surgery when I get back," Yang Ping elaborated.

"You do Organ Transplants?" Professor Liang exclaimed in disbelief.

"Sometimes, just for fun," Yang Ping replied casually.

Professor Liang’s eyes widened with Yang Ping’s response—doing it just for fun? Are you kidding an old man like me?

The doctors nearby, overhearing the conversation between Yang Ping and Professor Liang, were also stunned. What kind of person was this, performing all kinds of surgery and treating Organ Transplant like a leisure activity?

"I heard from Song Yun that you’re working on a new project in Spinal Surgery?" Professor Liang inquired.

"Yes, it involves using Epiphyseal Precise Stimulation and Blockade Technology to correct children’s spinal curvature."

"If your technology is successful, many children’s skeletal deformities can be treated with this method."

Epiphyseal Blockade Technology had already been used in correcting some skeletal deformities in children, but the applications were limited and rather basic—because the precise management of epiphyseal blocking was not mastered.

At that moment, a Doctor from the Pancreatic Surgery Department rushed to Yang Ping: "Director Long said to please come and check their surgery."

"I’ll be right there."

"I’ll come, too."

And so, Yang Ping and Professor Liang returned to the Pancreatic Surgery operating room. With Director Long back at the helm, it indicated the surgery was facing difficulties, prompting him to take over again.

The Blood Transfusion Department hadn’t yet resolved the blood issue. Relying on just four units of Red Blood Cells, such a major surgery wasn’t feasible. Although there had been no further Blood Vessel Retraction, the tumor’s complex vasculature caused severe bleeding during separation. Without controlling the hemorrhage and sufficient blood available, the surgery simply couldn’t proceed.

Having just witnessed Yang Ping’s expertise, Director Long hoped Yang Ping, with his sensitivity to vascular anatomy, could help by reviewing the images and pointing out a few critical blood vessels.

"There are too many blood vessels in the tumor, making it difficult to proceed; more challenging than expected," Director Long admitted.

Actually, the surgery suffered from inadequate preparation and a lack of sufficient blood. Doctor Liao had been a bit careless, which made the operation exceedingly difficult. If the preparation had been thorough, Director Long wouldn’t have faced such difficulty.

’Let me see?’

Yang Ping walked to the light box used for reviewing X-rays, where this time a doctoral student was specifically assigned to help change the X-rays.

’Indeed, three, four, five --- these dozens of blood vessels, intertwining from different directions, it’s tricky to make a move.’

’I just dealt with a few of them, there was no bleeding, I didn’t dare to proceed.’ Director Long was quite straightforward.

’Director Mi is still trying to find a solution.’ The patrolling nurse reported the progress; anyway, there was definitely no bleeding at the moment.

’How about I scrub in and take a look?’ Yang Ping volunteered.

Director Long couldn’t be more grateful: ’I really appreciate it, please come up and help us out.’

With Yang Ping on the operating table, at least if a larger blood vessel were damaged, with his recent hemostasis skills, he could help to immediately locate and clamp the vessel.

Yang Ping scrubbed in and stepped up to the operating table, where Professor Liang was resting in the corner. Director Long gave up his spot for Yang Ping to examine the situation. Upon inspection, true to his reputation as the head of pancreatic surgery at Xiehe, he had dealt with several blood vessels in such a short time without sufficient blood ready—this kind of surgery was something only a few hospitals in the country dared to perform, not to mention performing it to such a standard.

’There is an artery spurting blood here, small bend!’

Yang Ping took the curved plate vascular clamps, reached in, and clamped the small artery. Director Long promptly tied it off.

’Bipolar electrocoagulation!’

Yang wasn’t very satisfied with the hemostasis in the surgical area; by his standards, it had to be spotless inside.

After working magic with the bipolar electrocoagulation inside, the surgical area underwent a miraculous transformation. Compared to when he had first arrived, it seemed like there was no bleeding at all—it was spotless, looking very comforting to the eye.

’Professor Yang, with your hemostasis skills, any surgery would be an extra layer of safety,’ Director Long couldn’t help but exclaim.

Let me see how these blood vessels are arranged, Yang Ping thought, lifting several vascular clamps with traction threads, observing the progress of the surgery that Director Long had made and planning the next step in detail.

’Scalpel!’

The instrumental nurse hesitated slightly, Yang Ping knew he had startled her; this was not an area where one could freely use a scalpel.

’I’m used to dissecting with a scalpel.’

Only then did the instrumental nurse pass it over.

With a toothless clip in one hand and a scalpel in the other, Yang Ping began to separate the tumor, searching for its blood supply. Watching the forceps and scalpel in Yang’s hands, Director Long felt a bit dizzy—the speed was too fast, the movements delicate yet bold, not at all like his own tentative approach. Yang’s scalpel moved as if it were in an uninhabited area, unreservedly.

Yet his incisions were precise, one blood vessel after another was dissected out, followed by clamping, tying, or suturing, as if Yang had planted the blood vessels himself and was now simply digging them back out.

’Place a curved plate next to me, inside put a bipolar electrocoagulator, two small curved vascular clamps.’

Yang Ping’s surgical habits were such that to avoid repeated handing of instruments, the commonly used ones like bipolar electrocoagulation and clamps were kept on the curved plate accessible for frequent alternation, allowing him to take them himself.

So there he was, Yang Ping with forceps in his left hand and the bipolar electrocoagulator in his right, ice his left hand, quickly switching between the instruments.

The scalpel and forceps worked together to dissect; whenever they came across a blood vessel, regardless of size, the scalpel made sure to separate a section of the vessel, revealing it quite clearly. Then, the instrument in the left hand would switch to the vascular clamps, clamping down on both the distal and proximal ends of the vessel, with the scalpel cutting in between.

If it was a finer blood vessel, the instrument in the left hand would then be exchanged for the bipolar electrocoagulator to cauterize it; if it was a larger vessel, Yang would remind Director Long to tie it off or suture it.

The curved plate was placed within easy reach of the left hand. Yang never took his eyes off the surgical area and didn’t look at the plate, yet during the rapid exchange of instruments, he never grabbed the wrong one, nor did he ever need to try twice to get it right.

This marvelous operation, even for the seasoned doctors from Xiehe who had seen plenty, was something they were witnessing for the first time. They all crowded around the operating table, and the crowd pushed closer to the limit as they began to jostle one another.

What was even more extraordinary was Yang’s ability to freely choose which instrument to use in each hand, entirely dictated by the needs of the surgery. It had just been a right-handed scalpel and left-handed other instruments, and now it immediately switched to a left-handed scalpel and right-handed other instruments.

The instant he switched, Director Long was startled. Using a scalpel in this area was quite risky, and now that Yang was holding the knife in his left hand, how could one not get tense? But Yang’s left hand was as agile and steady as his right.

Seeing that Director Long could keep up with the pace, Yang Ping began to go all out, his speed increasing more and more.

’Professor Yang, slow down---slow down---’ Director Long kept reminding.

As the pace picked up, Director Long started to struggle a bit. Moreover, Yang’s frequent instrument changes were dizzying.

In fact, the first time anyone scrubbed in with Yang Ping, most had this reaction, feeling dizzy; Song Zimo was fine, having followed Yang all along, but Xu Zhiliang, Xia Shu, Song Yun, Su Nanchen, and the rest, who hadn’t been made dizzy by this?

These watching doctoral students were having their eyes opened—where else had they seen surgery performed like this before?

As an assistant, Director Long could see everything clearly in the surgical area. Since Professor Yang took over the table, the field had been spotless, no bleeding to be seen, not even the need for the symbolic press of gauze to soak up blood—it seemed like surgery and bleeding were no longer related, as if there was no such thing as bleeding.

An unsettling thought crossed Director Long’s mind, the surgery felt like dissecting a cadaver, why was there so little bleeding?

With this thought, Director Long had a sinking feeling in his heart, and he immediately looked up: ’Anesthesiologist! The patient’s vital signs.’

The anesthesiologist, curious and craning his neck amidst the crowd, turned his attention back to the guard screen upon Director Long’s reminder. The patient’s vital signs were good, and the blood pressure had stabilized, no longer dropping.

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