Surgery Godfather
Chapter 835 - 746: The intestines are soft, and the cecum is also soft.

Chapter 835: Chapter 746: The intestines are soft, and the cecum is also soft.

The operating room was prepped as Liang Fatty had already completed the anesthesia.

Liao Yiyi assumed a left lateral position, and by the time they were at Fuer, the nurses had already prepped the bowels for surgery, so they could proceed directly with the operation.

Tang Fei, accompanied by the standardized training student, disinfected and laid out the drapes, then donned her surgical gown and took her place at the operating table. She introduced the endoscope through the anus, gently advancing it in a retrograde fashion through the anal canal, the rectum, descending colon, transverse colon, ascending colon, until the camera finally reached its destination—the terminal ileum where the appendix communicated with the cecum.

Tang Fei located the internal opening of the appendix at this site, fixed the camera in position, and halted her manipulation, waiting for Yang Ping to take the stage.

What had preceded was just surgical preparation; the true operation would start from this point, and that’s when the camera was turned on.

Therefore, the entire surgical video consisted solely of endoscopic footage from within the intestinal tract and abdominal cavity, with no additional content.

Yang Ping scrubbed in, and Tang Fei as his assistant helped secure the camera.

The doctors in the teaching room were watching the live video on the high-definition screen.

The endoscopic ultrasonic scalpel began its work, making a small incision around the appendix fossa and extending in from this opening to start searching for and separating the appendix and its mesoappendix.

Without any hesitation, the ultrasonic scalpel dissected the appendix and its mesentery from the surrounding tissue; the appendix was already mostly necrotic and had perforated.

The ultrasonic scalpel served both as a dissection and a cutting tool, its dual functions interchanging with adept use, quickly and intact separating out the appendicular artery and vein.

An absorbable vascular clamp was placed on the appendicular artery, and the ultrasonic scalpel made a precise cut. Finally, along the inner wall of the cecum at the edge of the appendix fossa, the appendix was decisively and completely resected and then removed.

Each instrument under the scope was incredibly more dexterous than the surgeon’s fingers, operating with complete control, achieving what was intended and executed.

Just now, as the separating instrument gently teased the appendix, one could almost see the appendix and the surrounding organs adjacent to it in a 360-degree view, offering an excellent operative field.

Adhesions, once thought of as formidable as tigers, posed no threat to Yang Ping, for his instruments consistently worked through the loose interspaces, moving with ease as if in their natural element.

The appendectomy itself was simple, however, performing it endoscopically through the cecum was extremely difficult. Furthermore, the appendix’s adhesions, surrounding abscess formation, and intestinal tract adhesions made this operation extraordinarily complex and challenging.

Undertaking such a complicated case of acute appendicitis with this novel technique was something no one else dared to do, whether it was managing instrument manipulation, field of vision, or operational space, it seemed impossible.

The appendix, once completely removed, was bagged and sent off to the pathology department for examination.

According to medical routine, any organ or tissue excised from the human body must be sent for pathological examination.

After the removal of the appendix, a small incision remained at the site of the original opening on the cecum. Using this incision, Yang Ping’s instruments reentered the abdominal cavity to begin clearing out pus.

The endoscopic suction device alternated between suction and irrigation, starting a thorough, no-dead-angle carpet suction and irrigation.

This was actually the most challenging step of the surgery, even more so than the appendectomy, due to the restrictions posed by the operational space and field of vision. Because the instruments entered through the incision on the inner wall of the cecum, they couldn’t perform as freely as in open or laparoscopic surgeries, resulting in inevitable blind spots in visibility and manipulation.

Moreover, these blind spots were significant, making it fundamentally impossible to thoroughly manage the abscess and adhesions, which is why others dared not use this technique.

Director Fang watched the high-definition screen intently, not daring to blink, afraid to miss the most critical steps.

"I want to see how you manage the abscess and intestinal adhesions; the angle of the instruments is an objective difficulty, which you can’t simply overcome with proficiency."

That’s what Director Fang thought.

The following operation, however, completely shattered Director Fang’s expectations.

The suction device under the scope functioned both as a blunt dissection tool and as a suction/irrigation tool; mysteriously, the bowel, under the gentle operation of the instruments, slowly revealed itself entirely within the visual field without a trace left hidden.

The suction device thoroughly irrigated and suctioned the area around the abscess, even expanding the cleanup to the surrounding normal areas; to Director Fang’s surprise, at the end, the entire field of vision became clear and clean, free from any impurity.

"How could this be?"

"How could his camera and instruments have no blind spots?"

While Director Fang was puzzling over this, the handling of the intestinal adhesions seemed just as magical; it was as though blind spots didn’t exist, with the bowel seemingly moving under the field of vision one section at a time, and the adhesions gently being dissected by the ultrasonic scalpel.

Director Fang didn’t even see the ultrasonic scalpel using any energy; it was used as a purely mechanical separating forceps throughout, effortlessly parting all present adhesions.

What followed was an orderly and thorough irrigation, leaving the entire abdominal cavity spotlessly clean.

The bowel, which seemed jumbled initially, was completely counterbalanced after the procedure.

Perfect! A most satisfying and exhilarating sight to behold.

Any surgeon watching this operation would instantly feel that the postoperative outcome was sure to be excellent.

It was only relatively recently that Director Fang had started performing appendectomies using an endoscopic approach through the cecum, with only three cases under his belt and greatly lacking in experience.

This surgical approach was new nationwide, with many hospitals only just starting to perform it.

Whether in Beijing or Shanghai, this innovative surgical approach had only recently been initiated, with few cases accumulated, and some having just achieved their initial successes.

As for Fuer claiming to perform this kind of surgery, it was likely just a way to save face. Whether they had truly embarked on it remained an open question.

The small incision on the inner wall of the cecum, the remnant of the appendectomy, was meticulously stitched closed and sealed tight.

The instruments were withdrawn—a procedure as smooth and silky as their insertion, rapidly shuttling out through a safe interval.

Just as the instruments had retreated into the ascending colon, the video ended, and the screen went dark.

The surgeons from the General Surgery Department felt as though they had just watched a blockbuster movie, hungry for more, exchanging puzzled glances with their colleagues, hoping for answers.

Because what they saw differed from what they had initially imagined.

This kind of surgery was supposed to be slow and cautious. However, Yang Ping’s operation was distinctly swift.

What they couldn’t comprehend was how Yang Ping managed to overcome both visual and operational blind spots; after all, he was using the same endoscopic system as the hospital, so having no blind spots seemed impossible.

From the perspective of a surgeon, it’s easy to think of this kind of objective blind spot, but today’s surgery obviously didn’t have any.

Everyone looked at Director Fang, and he, knowing what they wanted to ask, blushed slightly, "I don’t know either; ask Professor Yang when he’s free."

An endoscopic appendectomy through the cecum, dealing with extensive abscesses and adhesive intestinal tubes, was actually done faster and more effortlessly than an open surgery I would do.

This kind of blow made Director Fang completely forget the humiliation of "herding sheep."

"Tang Fei, you come and withdraw the scope and equipment."

Yang Ping pushed the equipment to the ascending colon, stopped operating, and handed over the remaining work to Tang Fei and the standardized training student, then he took off his surgical gown and returned to the teaching room.

"Professor Yang, how could your scope see the entire abdominal cavity, and the equipment could handle targets throughout the abdominal cavity?" Director Fang couldn’t help but ask when he saw Yang Ping enter the teaching room.

Yang Ping said with a smile, "Director Fang, the intestinal tube is soft, and the cecum is naturally soft as well."

"Professor—"

Yang Ping was interrupted mid-sentence by Song Zimo’s call at the door; he had to leave.

"Let’s talk some other time." Yang Ping stood up and left.

What does it mean?

The intestinal tube is soft, and the cecum is naturally soft too?

Any doctor knows that the intestinal tube is definitely soft, and the cecum, being a part of the intestinal tube, is definitely soft too. Is there a problem?

Director Fang scratched his head, looking at the surgery made his head hurt.

"Director, what did Professor Yang just say?" A General Surgery doctor asked.

Director Fang said irritably, "The intestinal tube is soft, the cecum is naturally soft too."

The questioning doctor was baffled; what did Director Fang’s words mean?

Director Fang’s phone vibrated. His old classmate from Fuer wanted to come observe the surgery and learn, as it was new technology, and using new technology to perform such a complex appendectomy was exciting just to think about.

"The traffic is terrible, I’m not even halfway there. Is parking convenient at your hospital?" Fuer’s doctor spoke anxiously.

Director Fang sighed, "Don’t come, turn back."

Fuer’s doctor was bemused, "What’s going on?—"

Remembering his old classmate’s anguished tone, the epiphany came instantly. Could the patient have died? Not even getting a chance for surgery, ah, what a regret, what a pity, Fuer’s doctor thought, lamenting he hadn’t persuaded the family to have the surgery earlier, potentially saving a life so easily lost.

"Well—I’ll head back then, we’ll catch up another time." Fuer’s doctor felt bitter and distressed inside.

Director Fang hung up, a cold sneer in his heart: He really doesn’t know the situation here; while he’s making his way, they’re already starting to clean the operating room, and he’s driving over to watch a surgery? He’s seen nothing of the world yet.

"Director, what did that sentence just now mean?" The General Surgery doctor beside him had thought for a long time and still didn’t understand.

Director Fang stared at the doctor, "You better ponder it slowly, learn to use your brain, expand your thinking, understand? Don’t ask about everything."

The doctor could only nod.

Liang Fatty administered the anesthesia dosage with great precision, and not long after the surgery, Liao Yiyi began to awaken from the anesthesia. The first thing she saw was Liang Fatty.

"The surgery is finished, there won’t be any scars," Liang Fatty said, wiping her tears.

Liao Yiyi was somewhat dazed, but she understood Liang Fatty’s words, nodding her head as she reached out her hand aimlessly and grabbed Liang Fatty’s hand, feeling immediately reassured.

---

The Family Waiting Area.

Just as Liao Yiyi’s parents were anxiously and uneasily waiting, the doors of the operating room finally opened, and Liao Yiyi was wheeled out.

"Yiyi, how are you!"

The anxious parents immediately rushed over, holding onto the handrails of the gurney.

"Everything went smoothly; the surgery was perfect. There was neither a cut nor hole made; there won’t be a single scar," declared Liang Fatty with pride.

Liao Yiyi’s parents were overjoyed by this news, feeling a sense of relief after a close call. Now, seeing their awake daughter, all they wanted to do was cry.

"Xiao Liang, I really thank you this time," said Liao Yiyi’s father, grasping Liang Fatty’s hand, unable to let go for a long while.

"Yiyi, can you hear mom and dad talking?" Liao Yiyi’s mother asked, touching her daughter’s face.

Liao Yiyi nodded, but speaking was very difficult for her, having just undergone surgery.

"Dr. Liang, thank you so much," Yu Yihan also expressed gratitude on behalf of Liao Yiyi.

Everybody took Liao Yiyi to the ward, where Head Nurse Cai had already arranged a suite room in their department, personally receiving Liao Yiyi with the nurses.

"Dr. Liang, I heard you’re a relative, so I prepared the room in advance. You can stay in this suite," Head Nurse Cai said, helping to push the gurney as well.

Some patients passing by in the corridor also curiously wondered who was important enough to stay in this suite room. In Comprehensive Surgery, not just anyone could stay in this suite room; money was not enough, only with Professor Yang’s consent was it possible.

The success of the surgery, the enthusiasm of the doctors and nurses, and the luxury of the suite room left Liao Yiyi’s parents very much gratified.

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