Surgery Godfather

Chapter 254: Chapter 0238: Turn on once, Sixty Thousand US Dollars

Exactly, this was independent operation with both hands, which many people have realized by now.

Separating the left and right hand to perform different tasks could save time.

Indeed, he was a world-class surgeon, living up to his reputation.

This technique of operating independently with both hands astounded all the doctors present.

Being able to witness a world-class master’s surgery, the gains from this conference exceeded expectations.

Ou Lichun had been waiting for his classmate to take the stage, but to his disappointment, he never saw him appear.

However, the surgery performed by Song Zimo just now impressed him greatly. Sanbo Hospital is really advanced, and he envied that his friend has found such a good hospital.

Even working as a temporary worker would be good, considering it as several years of advanced study. Staying in such a hospital for a few years could rapidly improve one’s skills. Professor Han Jianguo really built up the orthopedic department of Sanbo Hospital to be very powerful.

The trauma surgery system in Sanbo had already aligned with the international advanced trauma system. The doctors have all undergone whole body trauma surgery training. As long as there was trauma, they could perform the operation.

Just now, Song Zimo dealt with the tear on the ascending aorta under thoracoscopy, which was truly the level of a top professor from a top domestic hospital.

In Ou Lichun’s province, even the provincial hospitals wouldn’t dare to open the mediastinum under thoracoscopy and deal with the tears in the ascending aorta. They just don’t have that ability.

“What is this surgery demonstration about? It’s overreaching, now they have to invite someone else to come up to the stage, isn’t that embarrassing?”

When there are many people, there are many opinions. Some understood that saving lives was important; some emotional ones started making a fuss.

Diretor Zhang, Ou Lichun’s superior, was such a person. He probably didn’t understand the surgery, yet already started to criticize it.

“This surgery is so rare and the difficulty is high, for the patient’s sake, it was decided to proceed like this!” Ou Lichun explained.

After all, his classmate works at this hospital. If Director Zhang criticized it to the point of no return, it would be embarrassing for him as well.

“What’s so tough about this surgery? Just find someone experienced, open the abdomen, ligate to stop the bleeding, or if really needed, remove the aneurysm. It’s not that complicated.”

In addition to being disgruntled, Director Zhang began to discuss the surgical plan with confidence.

In reality, he only had experience with spinal, limb, and pelvic trauma. He had no experience at all with abdominal trauma, which was performed by general surgeons at their hospital.

Ou Lichun knew very well that no one present could handle this surgery, mainly because they had never encountered it and they hadn’t conducted targeted research on it.

Some top professors in top domestic hospitals sometimes encounter rare and complex cases and would refer patients to or ask for help from doctors who specialize in these procedures. This is a responsible attitude!

Why? Because different hospitals, even each professor focuses on different fields of study. For instance, when it comes to complex cases related to the upper cervical spine, many have to ask for help from professors from the Sanbo Hospital in Beijing and the Southern Military Region Hospital.

Why? These two hospitals, one in the north and one in the south, have the deepest research and most surgical experience in the field of upper cervical disease and injury. Even the famous Xiehe Hospital must admit defeat in this field.

Experience! It needs to be accumulated! Rome wasn’t built in a day!

Ou Lichun understood this very well. Therefore, he totally understood Sanbo Hospital’s decision. After all, Takahashi from Tokyo University Hospital, who had the most extensive research and experience with this rare case, was sitting right here. It wouldn’t make sense not to ask for his help and insist on doing it oneself.

“Look, the young chief surgeon just now, he clearly got in through connections, he’s just a vase—useless. If he can’t do it, then he shouldn’t go on stage. He embarrassed himself and now he’s been pushed aside. He doesn’t even have the position of assistant anymore.”

Once Director Zhang started talking, there was no stopping him. It was refreshing to criticize others, especially when one can do it irresponsibly.

Anyway, if Sanbo Hospital invited Director Zhang to be a department head, he would be able to overturn Tokyo University Hospital in three days, look down upon the whole world in five days, and unlock the mystery of eternal life in ten days.

Outside the conference hall, few people were coming out.

During the noon break, all the exhibition stands were bustling for a while. Now for the entire afternoon, only a few people came out.

Occasionally, a few people came out because they were hungry. They grabbed something to eat from the snack table to fill their stomachs.

These exhibition stands were just there to maintain a presence. It’s almost impossible to sell products just by showcasing them. Medical device marketing follows the most traditional route. @@novelbin@@

The medical device sellers sitting idly by would also inquire about the progress inside whenever they could. They heard that the Sanbo Hospital ambulance was blocked, that they had encountered a challenging operation, and that a Japanese person had been called up.

They all knew that Manager Yu from Jiemai, who had studied medicine, was actively teaching his subordinates. He was excitedly explaining: “This tumor is a spider angioma. Such a huge angioma is very challenging. It’s full of blood vessels that grow in a disordered way—”

Huang Jiacai, holding a paper fan in the middle of winter and fanning himself, looked like a madman, which was something Gan Fengyi couldn’t stand.

Su Nanchen and Cheng Liquan came out for a breath of fresh air. After watching the surgery for so long, they were a bit tense and needed to relax. They also made some coffee to refresh themselves.

“Why isn’t Doctor Yang performing the surgery?” To Yang Ping, Cheng Liquan regarded him as a god-like being.

Cheng Liquan knew that Yang Ping’s career was built upon trauma orthopedics, this also fell within the scope of trauma surgery. Since Song Zimo was performing thoracoabdominal trauma surgery, and was given full-privilege access, there was no reason that Yang Ping should not proceed as well, considering Song Zimo was only Yang Ping’s assistant.

Such a surgery, was being needlessly dragged out, it was frustrating. It would be much better to let Yang Ping do it immediately and resolve it quickly.

In Cheng Liquan’s eyes, no matter what kind of surgery it was, Yang Ping would solve it quickly, much like performing an arthroscopy.

Su Nanchen saw through things more clearly than Cheng Liquan: “This vascular tumor is too tricky to handle. This is not a matter of skill level anymore, it requires specific experience and advanced equipment. The Japanese have been studying this kind of surgery for years, I have been to their hospital to learn. They utilize a host machine from a trauma surgery auxiliary system and have specially built various tumor structure models, among which there is an image construction computational model for vascular tumors. It has undergone several improvements and is very advanced. They don’t need their own machine to collect images, any CT, MRI or infrared imaging collected anywhere in the world can be sent to them for computerized modeling. It can display every single blood vessel of the vascular tumor clearly, there is no room for error. Our usual CT angiography reconstruction, if you look at that image, there are artifacts, distortions, mixed together, and you can’t clearly see, even the number and direction of the main vascular sources can’t be thoroughly understood, let alone be of much help in guiding the surgery. Their imaging can guide out the blood vessels one by one, this way, the surgery can achieve a very high success rate. This system was cooperatively built by Toshiba Corporation and Tokyo University Affiliated Hospital. Even when their hospital uses it, approval from Fujiwara Masao is required. At present, it is at the experimental stage. It uses a giant computer as the host and the startup cost for one usage is over 60,000 U.S. dollars.”

“Ah, I see what you’re saying. Without sufficient support, even skill falls flat.” Cheng Liquan understood.

“When Director Han made this decision, he took many things into consideration. If he was careless and let Yang Ping take over without thinking, what if it didn’t work out and the patient died? There’s no turning back in a surgery, you see. That’s why Yang Ping did not operate first on this patient, instead Song Zimo went first, giving him enough time to plan the surgical approach. Even when the CT reconstruction image hadn’t come out yet, based on the cross-sectional images, Director Han probably had already estimated the abdominal situation and realized the difficulty of the surgery. He had contacted the Digital Orthopedics Institute of Nandu Medical University, but they responded that they couldn’t construct a clear and accurate blood vessel structure—” Su Nanchen knew even more about the details than Cheng Liquan.

So much thought for just one surgery!

As the industry rumor goes, everyone says Han Jianguo is very sharp. It seems that he really is.

“The Japanese do have some impressive technology!” exclaimed Cheng Liquan.

Su Nanchen drank a cup of coffee, “More than that, many of their technologies are leading the world—”

“Boss Cheng, hello!”

Doctor Wan just came out and bumped into Cheng Liquan, Cheng Liquan asked, “Doctor Wan, how are things inside?”

“Sasaki seems to have run into trouble, it’s difficult to operate within the amniotic fluid. He moved part of the fetus out of the amniotic fluid which caused some agitation in the fetus, and the reconstruction of the hepatobiliary pancreatic duct system is a bit obstructed. Takahashi found the eighth blood vessel, but that also posed some difficulty. The more vessels they look for, the more time-consuming it becomes. The vascular reconstruction image from Tokyo has been sent over, but Takahashi still hasn’t found the ninth one.” Doctor Wan reported the latest progress to his boss.

“Let’s go back inside again, it seems that all the surgeries showcased in this conference are once-in-a-century cases.”

“Some things just coincide!”

“Let’s go, let’s go in!”

“I want to see what this image from a machine that costs $60,000 to start up once looks like.”

—

The patrol car drove past the emergency department door of Sanbo Hospital, and the ambulance team finally returned to Sanbo.

The six patients brought back by the ambulance have arrived at the emergency department and will be immediately sent to the operating room.

There are only two operating tables with CT scanners, one of which is currently in use, leaving only one left.

Director Xiong sent the patient with craniocerebral injury to the operating room equipped with a scanner, and the other five were sent to the Imaging Department for CT scans.

After briefly stopping in the emergency department, the resuscitation trolley continued transfusion and fluid replacement, the nurses checked the blood bags and replaced them at an impressive speed.

Head shaving, preoperative blood tests, electrocardiograms were all completed on the ambulance. All test results were neatly included in the case and on return to the emergency department, the data was also transferred to the hospital’s electronic system.

All the resuscitation trolleys made a brief stop, within two minutes they set off again – some to the operating room, others to the Imaging Department. Four staff members per patient – two pulling, two pushing – with doctors and nurses on either side, they moved like race cars.

Xiong Sihai stood like a giant in the center of the hall, directing and dispatching the operations. There were dedicated staff holding the emergency elevator, with one elevator transporting two resuscitation carts at a time.

Director Meng of the Imaging Department was personally overseeing operations, all of the professional image viewing screens in the doctor’s office were turned on, with dozens of doctors busily reading the scans.

They divided the scans by sections, then consolidated the findings. Once an image was interpreted, Director Meng and several senior chief physicians reviewed it, and then released the report.

Operating Groups A, B, C and the reserve team were all on deck.

Director Tian, Dr. Zhong, Dr. Jin, Director Bai, Director Ouyang, Director Ding, all had to be on the stage, six operating rooms were opened at the same time.

Elite personnel from neurosurgery, thoracic surgery, general surgery and urological surgery were also put into action.

Teams worked together skilfully, with one team responsible for each patient. Rescues were carried out in an orderly manner, and Dean Xia, along with his office staff, went from the emergency department to the imaging department, then to the operating room, co-ordinating the cooperation of departments to provide strong logistical support at any time.

—

Su Nanchen and Cheng Liquan had already returned to the meeting room.

The image worth $60,000 had been transmitted from Tokyo and was displayed on the big screen.