Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
Seen through a laparoscope, a liver was very beautiful. This was especially true when a person watched a hepatectomy through the screen. The liver was light pink, and it looked extremely lively. It looked like an inflamed gallbladder who was spreading its wings and protecting its egg.
However, when it came to open surgeries, the liver did not usually look beautiful.
Cirrhosis and blackish tissues were extremely common sights in open liver surgery. This was especially true when the incision made was small, as when a surgeon looked at the liver from above, he could only see a part of the liver. And this part would usually be covered in blood a few seconds into the surgery.
In short, laparoscopic liver surgeries could still somehow be considered elegant, but open liver surgeries usually had no aesthetic value at all.
If laparoscopic liver surgeries were likened to a football match, open liver surgeries would be similar to fights resulting from people staring at someone else for too long.
The gauzes would be full of blood clots, the retractors would be covered in blood, and there would be blood stains on the surgeons’ gloves. Because of this, open liver surgeries could even be said to be a little gory.
Perhaps, the surgeon’s determined eyes were the only bright spot in the operating theater.
Zhang Anmin stayed silent throughout the course of the surgery.
Even though he was under massive pressure, Zhang Anmin not only wanted to complete the surgery, but he also wanted to do it well and put on a beautiful performance.
Of course, Zhang Anmin had no intention to voice out his thoughts. He merely carried the burden on his shoulders all the while and stayed fully focused on the surgery.
An excellent surgeon was taking him by the hand and guiding him, and this excellent surgeon was even standing opposite him to serve as a backup. Moreover, a couple of dozen doctors were gathered in the visitation room and spending two hours of their time to watch him operate. Such an opportunity was hard to come by.
Truth be told, for some doctors, an opportunity to prove himself like this happened only once in a lifetime. And sometimes, they would fail to prove their worth.
“Hemostatic forceps.” Zhang Anmin suddenly spoke, and he was surprised by how hoarse his voice sounded.
Ling Ran raised his head to glance at Zhang Anmin. He then lowered his head to glance at the surgical field.
He did not really understand what was going on in Zhang Anmin’s mind right now, but he had no intention of interfering with Zhang Anmin’s maneuvers or even the impromptu decisions Zhang Anmin made during the surgery.
This was Zhang Anmin’s time to shine. Ling Ran was well aware of this, so he did not impose his way of doing things on Zhang Anmin. Instead, he let Zhang Anmin do things his way.
Zhang Anmin glanced at Ling Ran a little diffidently. When he realized that Ling Ran had no intention of stopping him, he immediately felt relaxed.
For a short while, he deviated a little from the steps that they had decided on beforehand. It was not a huge deviation, and he only made some slight changes. Zhang Anmin felt that if he interrupted the blood flow earlier, it would make his maneuvers even smoother.
This was his first time acting as a chief surgeon in a hepatectomy, and Zhang Anmin knew that he was taking a risk by doing this.
Most senior doctors required the same thing from their subordinates— obedience.
Doctors who wanted to deviate from the rules must be capable enough to do so, or they would be cursed so horribly by senior doctors that their ears would start bleeding. In this world, most doctors were not extraordinarily talented.
In the field of medicine, idiotic people deserved to get scolded, and stupidity was a sin. As for doctors who experimented on patients even though they were not talented and ended up putting the patients’ lives in danger, they were practically demons.
However, at that very moment, a moment that could be considered the most important moment in his life, Zhang Anmin the attending physician wanted to know if he was a mediocre doctor who could only be obedient all his life or…
Ling Ran did not stop Zhang Anmin.
Lu Wenbin, who was acting as first assistant, did not stop Zhang Anmin either.
The doctors in the visitation room, too, continued watching the surgery quietly.
The monitor let out a long beep as usual, and there was not the slightest change to the patient’s vitals. This showed that the patient’s body did not protest to Zhang Anmin’s disobedience.
Zhang Anmin could not help but arch an eyebrow.
The surgery went on, and most of the people did not even notice the difference.
“Ultrasound knife.
“Aspirate.
“Gauze.”
Zhang Anmin was totally immersed in the surgery. He went about the surgery according to the steps that had been agreed upon beforehand—most of them, anyway—and things were going more and more smoothly.
All the information Zhang Anmin obtained during the preoperative consultation had been deeply ingrained in his mind, and Zhang Anmin had privately gone through the steps of the surgery countless times in his mind.
However, during the actual surgery, all the changes brought about by every single maneuver might very well affect the next step. Zhang Anmin had to make decisions continuously throughout the surgery. He could either change things up, continue as planned, or ask Ling Ran for help.
Zhang Anmin tried his best as he hoped that he did not have to resort to the last choice.
The surgical field looked a little messy.
There was a lot more bleeding compared to the surgeries where Ling Ran acted as chief surgeon. There were also plenty of gauzes on the surgical field, to the point that it was affecting his maneuvers a little.
Zhang Anmin exerted slight force on the gauze. He then asked for a surgical thread and started predicting the spot where he would be slicing off the chunk of tissues that had to be removed.
He did not dare to pull off the chunk of tissues with his hand using blunt force. Hence, he was mainly relying on an ultrasound knife and the aspirator to remove the diseased portion of the liver.
Zhang Anmin was quite familiar with this maneuver.
He had been working as a doctor for ten years in a large hospital like Yun Hua Hospital. Hence, he had used an ultrasound knife for a couple of dozen times. Right now, he followed the strategy that was decided during the preoperative consultation and dialed the ultrasound knife up to a high frequency. He then looked at the liver a little anxiously.
The bright red and bloody liver seemed to tremble a little, as if it was a little scared of Zhang Anmin because he was carrying out a hepatectomy for the first time.
Zhang Anmin could not help but look at Ling Ran.
Even though he was an attending physician in the Department of Hepatobiliary and Pancreatic Surgery, before Zhang Anmin met Ling Ran, the number of times he had the chance to participate in liver surgeries could be counted on the fingers of one hand.
As the second assistant of the surgery, there was no need for Ling Ran to keep a close watch on the surgical field. At this moment, he was looking calmly at Zhang Anmin.
To Ling Ran, even though he believed that such a surgery could be considered difficult, it could also be considered easy.
It was a standard left lobe hepatectomy, and the patient was simply suffering from hepatolithiasis. The patient’s liver function was otherwise excellent, and at fifty years old, the patient was considered young. This could be considered the simplest form of hepatectomy.
As Ling Ran had carried out more than five hundred hepatectomies before, he could come up with a multitude of ways to go about this surgery. He merely wanted to see which surgical plan Zhang Anmin would go with.
Zhang Anmin slowly became calmer too.
Internally, Zhang Anmin was even thinking about how Ling Ran would gladly take over the surgery if he were to mess up.
As Zhang Anmin entertained this thought that was totally out of place, he raised the ultrasound knife and aimed at the position which was 0.2 inch away from where the blood flow was interrupted. He said, “I’m going to start slicing off the chunk of tissues.”
Both the nurses and the anesthetist perked up.
Lu Wenbin and Ling Ran’s expressions did not change.
Even Lu Wenbin had acted as assistant in more than two hundred cases of hepatectomy. On average, Ling Ran was capable of carrying out a hepatectomy in an hour or two. If Lu Wenbin were a football player, he would have been one who had participated in more than two hundred football matches. Even though he would not yet be capable of astonishing everyone with his impeccable football skills, he would have been a little numb to the happenings in the football field.
“Aspirator.
“Ultrasound knife.
“Aspirate.
“Scalpel.
…..
Zhang Anmin alternated between the aspirator and ultrasound knife, and he sealed every single blood vessel he encountered that was thicker than 0.001 inch.
The operating theater was as quiet as an operating theater, but the doctors in the visitation room were making so much noise that it was as if the visitation room had become a wet market.
“Wow, motherf*cker!”
“What the f*ck!”
“Who is this chief surgeon? His surgery is exhilarating to watch!”
“His name is Zhang Anmin. He would probably become an associate chief physician of the Department of Hepatobiliary and Pancreatic surgery in the future, and the Emergency Medical Center is planning to begin an in-depth collaboration with the Department of Hepatobiliary and Pancreatic Surgery.” Huo Congjun’s piercing voice echoed throughout the visitation room, and he provided everyone with an extremely interesting topic of conversation.
“How can the Department of Hepatobiliary and Pancreatic Surgery collaborate with the Emergency Department?”
“We’ll need to fine tune the details, and after we obtain proof that the model of our collaboration is an excellent one, we will invite everyone over to take a look and find out more about it.” Huo Congjun was basically openly admitting that after he figured out this mess, he would be inviting everyone over so that he could show off in front of them.
Everyone nodded in unison, and they believed that Huo Congjun was so good when it came to administrative affairs that he could rival the hospital management.
