Chapter 1154: Chapter 916: Director, I’m Feeling a Bit Unwell_2 Chapter 1154: Chapter 916: Director, I’m Feeling a Bit Unwell_2 As soon as Yang Ping arrived, everyone prepared to move a stool for him to sit, but a sharp-eyed patrolling nurse hurriedly delivered a stool.
“Blood pressure is not very stable and keeps failing to rise,” the anesthesiologist said with concern.
At this point, it was a case of trying to save a dying animal; with severe shock, if surgery wasn’t perford to remove the lesion, the blood pressure would never rise.
“With unstable blood pressure, we need to speed up the surgery as much as possible,” Yang Ping nodded.
Director Fang was well aware of his limitations; the difficulty of such surgery was imnse, and if he were to be the chief surgeon with Yang Ping’s guidance, he would certainly not be as quick as Yang Ping. Now was not the ti for study when a life was at stake, and Director Fang had the sense to recognize that.
“Professor, you take the lead!”
Director Fang was not afraid of taking responsibility; he truly feared that his own speed would delay the treatnt. Elective surgeries could be perford slowly, as long as the duration was not too excessive and the quality assured, which generally would not affect the surgical results. But in ergency surgeries, every second counted, and how could he afford to be slow? A minute faster or slower could an the difference between life and death.
“I’ll do it! The patient’s blood pressure keeps failing to rise; this low perfusion state, if maintained, will soon lead to multiple organ failures.”
Yang Ping decided to be the chief surgeon himself, aiming for a swift and decisive operation.
Graduate student Xiao Chen, ntored by Director Fang, along with another young doctor, had already scrubbed their hands, and they began to disinfect and spread the drapes.
Yang Ping had consistently maintained regular surgical training in the System Operating Room, so his research hadn’t detracted from his surgical practice; his surgical skills continued to improve. Moreover, the cases used for System Operating Room training were becoming increasingly difficult.
For a complex and challenging surgery like Jiang Li’s, Yang Ping previously needed the simulation capabilities of the System Space, but now he no longer needed the simulation feature. What were considered complex cases in reality were, for Yang Ping, rely simple surgeries.
The preparations for the surgery were nearly complete, and Yang Ping and Director Fang went to scrub in and dress for surgery.
“Dr. Luo, please keep a close watch on the blood pressure,” Yang Ping requested of the anesthesiologist, Dr. Luo.
“Don’t worry!”
Anesthesiologist Dr. Luo may have said not to worry, but he felt uneasy inside.
Dr. Luo was about the sa age as Liang Fatty; he was under trendous pressure, initially hoping to impress in front of Yang Ping and perhaps be handpicked by Professor Yang for the Surgical Research Institute, a move that would propel his career to new heights. However, the very first surgery he was assisting Professor Yang with was under these circumstances, not conducive to showcasing his skills. What if a life-threatening situation arose during the procedure?
Yang Ping used a right upper abdominal rectus incision, cutting through layer by layer until he reached the abdominal cavity.
“I heard she’s been to Nagchu in Tibet? That’s the place with the highest incidence of liver hydatid disease in the world.”
“There’s an anesthesiologist from our departnt who just went on a mission to Tibet, particularly to Nagchu.”
“Actually, so parasitic diseases are not just contracted from high-risk areas but also from eating raw animal ats.”
“After administering anesthesia to a patient with cerebral cysticercosis once, I’ve never dared to eat raw fish slices again.”
“And yet many people still eat them.”
The anesthesiologist and the patrolling nurse were chatting. Professor Yang’s surgery was swift and steady, inspiring confidence in those who watched.
The liver was exposed, a massive and misshapen organ filling the entire surgical field, pushing the surrounding organs to one side.
Yang Ping used a suction tube to remove cystic fluids that had leaked into the abdominal cavity, which had triggered peritonitis and consequently an allergic shock.
The ruptured cyst was only a portion of the problem, there were also remaining unruptured cysts. Yang Ping continued the separation; these white cysts of various sizes were cramd together, bulging and densely packed, a sight that made one’s scalp tingle — although Yang Ping himself was unfazed.
This was not a liver; it was a veritable nest of parasites.
As an experienced hand, Director Fang served as an assistant, but the two younger doctors assisting him were witnessing such a scene for the first ti, feeling an extre discomfort inside.
The young Doctor serving as the assistant, Xiao Zhou, was already feeling his stomach churn as if acid was constantly welling up. Sweat began to seep from his forehead, though he was embarrassed to ntion it.
Finally, Xiao Zhou could no longer bear it, “Director, I’m feeling a bit unwell!”
Seeing the slight sweat on his forehead, Director Fang knew that this was nausea from the disturbing images of the surgical field, “How embarrassing is that? You’re still involved in surgery and you have no immunity like this! Go and rest aside, and don’t co back until you’ve got a grip.”
Director Fang spoke impatiently; he was most annoyed with such squeamish students who couldn’t hold their ground even in the face of a slightly disgusting scene.
With no other option and incapable of holding it any longer—which would not have been good if he were to vomit on the Operating Table—Xiao Zhou hurriedly stepped down, and another Graduate Student imdiately went to scrub in and fill the gap.
Liver hydatid disease was not as horrific as cysticercosis. Anyone with a phobia of clusters would faint upon seeing the X-rays of cysticercosis because the X-rays showed dense, fibrous masses of white cysticerci calcifications in the patient’s muscles of the limbs. Such X-rays, once seen, are never forgotten.
As the dissection progressed, the liver and surrounding tissues eroded by the hydatids were quickly exposed. Inside were all white follicle-like hydatid cysts, pressing against each other, looking extrely horrifying.
This was no longer a liver, but a mass of worms and cysts: countless white objects, indistinguishable as worms or cysts, were crowded and piled together.
“When I was a child in the countryside and went to the toilet, I saw heaps of maggots rolling over each other. That’s the sa feeling I’m getting now. I think so people actually eat maggots for food.”
Director Fang’s Graduate Student, Xiao Chen, calmly stated.
Hearing Dr. Chen speak like this, Xiao Zhou, whose stomach had only just settled, now felt it churn again. He simply could not help but start to retch in a corner, prompting Director Fang to look up and say, “Who will accompany him outside for a break? As a Surgeon, one must be immune to these things. You should be indifferent to the sight and ideally be able to eat a bowl of pig liver after the Surgery—that’s the mark of qualification.”
Turning his head, Director Fang also scolded Dr. Chen, “Could you please talk less and not only choose the most disgusting things to say? The maggot you’re talking about is at maggot, which is cultivated under sanitary conditions. Is that the sa as the maggots in your toilet with the feces? Your brain seems to be infested with maggots.”
“Director, I was just speaking my mind,” Xiao Chen hurriedly explained.
“I’m begging both of you, could you please not talk about this? I’m feeling like vomiting right now.”
The Patrolling Nurse imdiately stopped Director Fang from continuing this nauseating topic.
The liver has many blood vessels, and due to the extensive hydatid erosion, it is easy to accidentally damage a vessel and cause significant bleeding. The three hepatic portal veins and nerves are complex and interwoven.
Yet, Yang Ping’s dissection was exceedingly skillful. He had encountered all sorts of pathological dissections, so this Surgery appeared quite effortless to him.
In pursuit of speed, Yang Ping’s actions were rapid. When Director Fang could not keep up with the rhythm, Yang Ping had no choice but to proceed on his own.
Suddenly, before Director Fang could react, Yang Ping had already dissected the entire liver. With the removal of the liver, his view beca much clearer, making it easier to remove the surrounding hydatid-affected tissues.
Yang Ping directed Director Fang to another Sterile table to process the excised liver, trimming off the affected lobes and preserving the healthy ones for autotransplantation. anwhile, he and Dr. Chen dealt with the hydatid-infested tissue in the abdominal and thoracic cavities.
To avoid contaminating the normal organs and tissue, Yang Ping carefully isolated the surgical field from the surroundings with gauze.
How could this girl be so severely ill? What number of years had it developed to reach this stage? It had only been a year since his trip to Tibet; how could the illness have progressed so rapidly?
Yang Ping opened the diaphragm upward, entering the chest cavity, allowing for an easy cleanup of all the hydatids, cysts, and invaded tissues in front, behind, left, right, above, and below the liver. He then thoroughly rinsed the area with saline solution.
Afterward, Yang Ping and Director Fang worked together on the liver. Director Fang was already familiar with autotransplantation of the liver, which included clustering organ transplantation from within the abdominal cavity. If not for the ti constraints, Director Fang would have really liked to be the Chief Surgeon on this case. However, by working with Yang Ping, Director Fang was also able to learn a great deal.
Autotransplantation of the liver was considered an extrely difficult Surgery for others, but it was quite simple for Yang Ping. It was rely a matter of anastomosing a few ducts, including several blood vessels and a bile duct. Regardless of whether it’s an allogenic or autologous liver transplant, to minimize the risk of bile stasis, Yang Ping not only anastomosed the bile duct but also ticulously anastomosed the tiny bile ducts.
This ensured the most unobstructed bile duct system possible, reducing the chance of complications associated with bile stasis to a minimum.
As for the anastomosis of the hepatic veins, Yang Ping was also very ticulous. He considered not only the number of vein connections but also strived to maintain the pressure of the original hepatic vein circulation.
At the Sterile table, Yang Ping and Director Fang swiftly completed the liver lobectomy. Out of the liver’s five lobes, only two healthy ones remained. Now, these two lobes were about to be replanted in the patient to continue functioning.
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