Surgery Godfather -
Chapter 1054 - 865 - Dean Xia’s Basketball Replica
Chapter 1054: 865 Chapter Dean Xia’s Basketball Replica
Modified cluster organ transplantation within the abdominal cavity refers to transplanting a cluster of organs, including the stomach, pancreas, duodenum, and small intestine, as a whole unit, apart from the liver. This type of surgery is much more complex compared to transplantation of a single organ, and currently, few hospitals can perform it.
Therefore, there is a high level of enthusiasm for observation. The entire General Surgery Department came out today, and doctors from other departments also visited. After all, such a high-technical surgery is rarely seen.
"Xiao Chen, the teaching room is broadcasting live, right? Is the picture clear?" Director Fang asked Doctor Chen below.
Doctor Chen is a graduate student of Director Fang and is one of the few doctors allowed to observe in the operating room. However, he is responsible for maintaining the live broadcast in the teaching room, so he also runs back and forth.
"It’s very clear, it’s broadcasting right now. The scene is incredibly crowded; everyone is craning their necks staring at the screen, saying the chief surgeon’s skill is top-notch." Doctor Chen didn’t forget to flatter his mentor.
Director Fang said cheerfully, "Oh really? Keep an eye on it. If there is any issue with the video, go straight to the computer department’s on-duty staff, don’t be shy. Also, get some late-night snacks for everyone. Don’t just sit there, I’m treating."
The teaching room isn’t sterile, so like the resting room and dining room of the operating room, you can take off your mask and eat.
Doctor Chen immediately took the order and went off to arrange it, contemplating bringing up his own difficulties later since his mentor is in a good mood today.
Director Fang continued the surgery. Pan Doudou’s damaged organs were indeed very difficult to resect, no wonder Director Luo struggled for a long time without cutting anything. If it wasn’t for Yang Ping guiding Director Fang, Director Fang himself would not have been able to proceed,
The steps of the surgery were very clear, pleasing to the eye. Neither fast nor slow, the surgery was steady. After all, Director Fang was passively following Yang Ping’s lead, so a very quick speed was certainly unattainable, but the current pace was already rare and soon, the pancreas, stomach, duodenum, and small intestine were successfully resected.
Now starting the transplantation of the donor’s organs into Pan Doudou. The most critical step of organ transplantation is the vascular anastomosis, which restores normal blood supply, getting it to survive is the key.
The blood vessels of visceral organs in the abdominal cavity are relatively thick, unlike limb reattachment and coronary bypass that require the anastomosis of finer vessels. Moreover, if it’s a beating-heart coronary bypass, the heartbeat could interfere with the surgery. None of these issues arise in the current transplant of the abdominal organ cluster.
For this surgery, Director Fang also made ample preparations in advance, purchasing countless boxes of cherries for the Surgical Research Institute’s doctors and nurses, allowing him to practice vascular anastomosis in the training room. Later, he practiced several times with pigs in the experimental building, so he had enough experience under his belt, or else even Yang Ping wouldn’t be able to guide him.
The most difficult part of the abdominal organ cluster transplant is the transplantation of the small intestine because the small intestine is a highly immunogenic organ with numerous lymph nodes, which makes it very prone to rejection. Furthermore, with the intestinal tract rich in various bacteria, the risk of infection is high, which adds to the complexity of the surgery, hence attracting so many observers.
The combined resection of the pancreas and duodenum is a major surgery in General Surgery, a landmark surgery of the General Surgery Department, and the resection and transplantation of the pancreas, stomach, and duodenum are even more challenging.
In fact, any heterogeneous organ transplantation faces the issue of rejection and requires anti-rejection treatment. The medications for anti-rejection often cause hyperlipidemia, hypertension, hyperuricemia, and even issues like bone marrow suppression, leading to a reduction in white blood cells and platelets, suppressing the patient’s immune system and leading to infections. However, these complications are trivial compared to life itself.
During the vascular anastomosis, Director Fang was rather worried, as Yang Ping could only help steady the blood vessels but couldn’t be of much help. Director Fang was a bit unsure about this step because he ultimately had to do the sewing himself, not like the resection just now where all he had to do was keep cutting and then continuously ligate the blood vessels.
Director Fang steeled his nerves, trying to encourage himself, "It’s not like reattaching a severed finger or performing a coronary bypass, what’s there to fear? These blood vessels are thick enough, what’s the worry about?"
Seeing that Director Fang was lacking a bit in confidence, Yang Ping delicately clamped the adventitia of the vessel’s orifice with toothless clips and handed it to Director Fang for trimming. Director Fang tried it out and found this feeding method incredibly comfortable, always at the perfect angle. Director Fang could easily trim the adventitia of the vessel’s orifice in the most comfortable and natural position. And as he trimmed, Yang Ping continued to lift new adventitia to his scissors, the coordination of the two toothless clips was simply superb, allowing Director Fang to smoothly even out the adventitia all the way around in one go.
This operation was much easier than imagined. Now starting with the vascular anastomosis, it was the same, Yang Ping positioned the ends of the vessels at the optimal angle, so Director Fang only needed to insert and withdraw the needle at the most natural angle, with no need to worry about anything. Even if Director Fang’s angle was off for one stitch, Yang Ping would adjust the blood vessel wall to accommodate Director Fang’s sewing, instantaneously finishing the stitching on one side.
It was like playing table tennis where every ball is delivered to your most comfortable receiving position, with the height and distance beyond reproach. You just have to stand still and lightly block with your hand, sending the ball over.
Director Fang’s confidence surged as he smartly caught on to Yang Ping’s feeding routine. Thus, he took the initiative to suture the easier parts himself and for the more difficult parts, he simply positioned the needle and allowed Yang Ping to bring the vessel to the needle.
The blood vessels supplying the pancreas, stomach, duodenum, and small intestine were quite complex, with several dozen large and small ones. Director Fang had feared he wouldn’t perform well in front of so many people. The first half of the surgery had gone beautifully, but if he stumbled in the second half, it would be quite embarrassing.
But now, with Professor Yang on the other side, there was no chain to drop. Director Fang decided to step to Professor Yang’s rhythm and stride towards the peak of academic heights.
Not just the vessels, Director Fang was also extremely confident in reconstruction of the pancreatic duct.
Even the suturing of some nerves seemed very easy with Yang Ping’s assistance.
The surgeons from the General Surgery Department in the demonstration room, seeing the fluent movements on the screen, those with high professional titles could discern some secrets, while the younger doctors just noticed how incredible Director Fang was performing today, the heterogenous organ transplantation in the abdominal cavity proceeding so smoothly.
It was like watching others play table tennis, only perceiving the indistinguishable back and forth, not noticing someone was deliberately feeding easy shots.
The higher-titled General Surgery doctors could clearly see that it was quite comparable to the way Dean Xia used to play basketball. Back then, Dean Xia was impressively forceful, always scoring through crowds, frequently winning applause from the spectators, until Professor Zhang Zongshun took the role of the main referee and extinguished Dean Xia’s legend. Dean Xia struggled to score throughout the game and almost got ejected from the match, while the ’Best Player’ and ’Scoring Champion’ awards he usually won were reluctantly passed to another.
Even now, whenever Dean Xia plays basketball and sees Professor Zhang Zongshun, his legs shake and he can’t even hold the ball steady.
Watching Director Fang’s surgery today, how similar it all feels, it’s just like being spoon-fed, simply getting a spoonful right into your mouth.
PS: I’ve caught a cold today and don’t have any backup Chapters, so this is all I can publish. Thank you, everyone!
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