Free Web NovelChapter 1078: Chapter 1078: Blind Dissection?
(Thanks to travel and fitness enthusiast, reader 20201019102232756803108, Tui Dao Shi Xingfu, Qi Feilan, cooler_bj for the encouragement from the monthly ticket)
Two consecutive TaTME surgeries, sure stirred quite a commotion in the emergency center.
These are teaching surgeries, so the basic information of the patients’ conditions has already been made public. Many people familiar with Liu Banxia were quite worried, the difficulty level is somewhat high.
Especially the first surgery where the tumor is relatively large, not only making the extraction tricky, but also challenging during the operation.
The space in the intestines is limited, the patient’s body index is slightly overweight, and the tumor is large, undoubtedly making this surgery exponentially more difficult.
This is not a simple 1+1=2 equation, it’s a geometric growth. A slight carelessness could lead to a change in the surgical method. Another carelessness could result in some minor issues during the surgery.
Precisely because the first surgery is challenging, it has drawn more attention.
"What were the tumor marker screening results for yesterday’s patient?" Liu Banxia asked on the way to the operating room.
"The result was negative, we’ll have to do a combined chest and abdominal enhanced CT," Li Hao replied promptly.
"It’s quite uncanny, everything is piled up. Surgeries are piled up, misdiagnoses are also piled up. Can’t we just happily finish the work, it’s really worrying," Liu Banxia muttered.
"Teacher Liu, should we conduct more comprehensive physical examinations during future consultations?" Li Hao asked tentatively.
"Ideally, yes, but during consultations we must adapt flexibly. If visual assessment is inconclusive, we’ll conduct a submandibular lymph node palpation," Liu Banxia replied.
"Being a bit more cautious can be somewhat helpful, otherwise with so many cases, it’s really easy to miss a diagnosis. This serves as a reminder to me, otherwise I might have been careless yesterday,"
The six small assistants nodded in agreement, this case indeed warrants reflection. If lung cancer is mistaken for multi-cavitary cerebral infarction and treated as such, it could affect subsequent treatment.
Chatting along the way, they arrived at the operating room, the observation room was already packed.
"Thank you, everyone." Liu Banxia greeted.
Regardless of whether they’re here to learn or for the excitement, it’s their respect to come over. Since he is a chief physician, he lowers his posture a bit.
The patient was also wheeled in at this time.
"Verify the patient information," Liu Banxia instructed.
Huang Bo is the attending doctor for this patient, so he took on the task.
After verifying, Liu Banxia was about to notify Xu Jie to begin anesthesia when the patient gestured.
"What’s the matter? Still worried?" Liu Banxia stepped forward and asked.
"Director Liu, I’m not worried. What I think is, since you said this surgery isn’t easy, I’ve chosen to trust you," the patient said.
"When it actually happens, whatever you think is suitable for us to do, we should do. If the anus truly can’t be preserved, then we won’t preserve it."
Upon hearing the patient’s words, the people in the observation room were quite moved.
Such a trusting relationship is rare, you could say the patient has fully handed over the authority to Liu Banxia.
This is unconditional trust in the lead surgeon.
"Don’t worry, today I’ll be sure to perform a beautiful surgery for you. Personally, I believe your situation is manageable, just rest assured," Liu Banxia assured.
The patient nodded, and the anesthesia began.
"The challenge with this surgery lies in the large size of the tumor, making excision and extraction a bit laborious." Once the patient was successfully anesthetized, Liu Banxia stated.
"However, this highlights a significant feature of TaTME surgery, which offers considerable convenience in anus preservation. With a large tumor close to the anus, cutting from the outside inward is very difficult without clear margins for preserving the anus."
"Huang Bo, start preparing. Today’s tight schedule demands we finish this one and quickly move to the next. Afternoon emergency knowledge teaching must also be prepared well,"
Upon hearing Liu Banxia’s instructions, Huang Bo started preparing again.
Observers in the room and those in front of computer screens also grew tense, this surgery is quite risky. If successful, it’s a sight to behold, but changing the surgical method or failing could lead to a different outcome.
"Why did you come here?" Chen Zhenxing asked with surprise when he saw Zhou Shuwen entering the office where he was watching.
"Originally I wanted to go to the observation room, but it’s too crowded inside, and I don’t want to give Banxia pressure, so I figured I’d come to you," Zhou Shuwen said with a smile.
"A few days ago, the city station sent another invitation to our emergency center, planning to do another interview with Banxia. I was hesitant at the time, but if this surgery succeeds, should I arrange it?"
"You can decide these things yourself, but isn’t this guy avoiding attention lately?" Chen Zhenxing asked curiously.
Zhou Shuwen nodded, "Indeed, he has his concerns and doesn’t want to stand out too much. But this time, with emergency knowledge going into schools, and the NOSES technique being promoted, he can hardly avoid standing out."
"Do you think he can manage this surgery?" Chen Zhenxing asked.
"Honestly, I have no confidence at all. That’s why I didn’t dare to watch it in my office and came to you instead," Zhou Shuwen said.
"Originally, I wanted him to change the surgical procedure because the current operation is too risky. If it fails, it could negatively impact the promotion of the new technique."
"But this kid, sometimes he seems reckless and a bit crazy, yet he’s always very cautious when it comes to patient issues."
"This patient’s indicators are just slightly above standard. If his operation can be more precise, I think it might still be possible, so I didn’t stop him."
Chen Zhenxing nodded, "Let’s see how he operates then, I’m already sweating for him."
Not only him, but Liu Banxia, who was the chief surgeon, felt the same.
Ding! High-Strength Stabilizer Potion exchanged successfully, consuming 50 Glory Points
Ding! Consumed High-Strength Stabilizer Potion, effects last for 3 minutes. Gained 8 Mental Points, understanding, memory, and concentration increased by 57.14%. Gained 8 Strength Points, instrument mastery, and instrument effectiveness increased by 81.40%.
The potion was a major reason for him choosing this procedure. With the potion’s support, he could focus better, and his instrument operation became more refined.
Now, he is immersed in the world of surgery, reaching a state of real focus without distractions.
"Sigh... I don’t even know how to talk about him," Wei Yuan sighed.
"I’m just here for the spectacle. There’s no hope for me to master such a surgery. Every little cut has to be precise without a sliver of deviation, it’s almost like neurosurgery," Zhang Yun also commented.
"I think this surgery might not be very effective as a teaching surgery. It’s too difficult; you have to reach his current level of operation," Wei Yuan said.
"However, for the Little Six and the interns, it’s still very effective. It allows them to witness more advanced and precise operations, setting a small goal for themselves."
"You’ve also gotten used to calling them the Little Six?" Zhang Yun asked with a smile.
"Isn’t that what Banxia always calls them? Everyone’s gotten used to it. Even they’ve accepted it themselves. Sometimes it feels like Teacher Liu is just playing when teaching them."
"But you have to admit, in their playful manner, their skills have improved significantly. Given time, they will all become pillars of support."
"Talent is important, but so is hard work. Wow, there’s no surgical field over there, just a tiny bit showing. Is he cutting blindly by referring to the colonoscopy image?"
"I think so too. Truly, a master dares greatly," Zhang Yun marveled.
"I just envy his hands. How can he perform such delicate operations? I wish I were younger so I could learn from this kid too."
Zhang Yun captured everyone’s sentiments well.
Even ordinary operations of TaTME are challenging, let alone today’s exponentially heightened difficulty.
Nonetheless, Liu Banxia continued to operate tenaciously. Although not as fast as in previous surgeries, the current results remained as precise as if they were programmed.
That’s why Zhang Yun said it was like performing neurosurgery; there really can’t be any deviation.
Ding! High-Strength Stabilizer Potion exchanged successfully, consuming 50 Glory Points
Ding! Consumed High-Strength Stabilizer Potion, effects last for 3 minutes. Gained 8 Mental Points, understanding, memory, and concentration increased by 57.14%. Gained 8 Strength Points, instrument mastery and instrument effectiveness increased by 81.40%.
Liu Banxia consumed another bottle of potion.
In terms of effects, the potion really worked wonders.
The only downside is the short duration, only lasting three minutes. Once the potion’s effects wore off, he felt strained, so he took another dose.
From a cost-benefit perspective, this surgery was a loss for him. Even if he only used the potion during the most crucial operations, the time wasn’t short either.
He estimated it would take at least four to five bottles. At fifty Glory Points per bottle, that adds up quickly.
But what about the patient? The prognosis for TaTME surgery is the best because it not only removes lesions but also minimally affects anal function.
For the patient, he was willing to take the loss.
After all, he is also a beginner and has to pay some tuition.
Now, his mind was quite relaxed, but everyone watching felt their hearts tighten. Even the people in the observation room forgot to discuss, their eyes glued to the screen.
They might not master it, but it didn’t stop everyone from appreciating it. Judging by Liu Banxia’s current operations, they honestly didn’t know how many in the hospital could complete it.
Probably countable on two hands, and that’s considering all the surgeons present.
The more he operated, the smaller the space inside the colon became, making it more challenging. Yet, Liu Banxia showed no signs of panic, maintaining the same rhythm and speed as at the start.
This level of mental resilience and stability had already earned him a lot of admiration.
