(Thanks to "Lonely, Cold, and Empty 671112" and "Book Lovers 20191123092721288" for their support with monthly tickets)
Liu Banxia paid little attention to the rumors suddenly circulating within the Second Hospital, deciding to let them cool down on their own. Perhaps if he let them circulate for a bit longer, they wouldn't have any impact at all.
He was now focused intently on each surgery.
This was what truly mattered; performing successful surgeries was his fundantal duty. Whether it was gaining experience or training apprentices, the ultimate goal was to complete the surgery successfully.
Today's patient also had stomach cancer. The purpose of the surgery was to alleviate the patient's pain and fight for a chance to extend his life.
Walking into the operating room, Liu Banxia was pleasantly surprised to see Miao Rui and Huang Bo standing by the operating table.
"Teacher Liu, we've checked the patient's information thoroughly, and all preparations are complete. Anesthesia has been administered," Huang Bo said.
Liu Banxia nodded. "What's this, a surprise for ? You're actually first assistant for this one? I find it hard to believe you picked this surgery."
"Teacher Liu, I really did pick this one," Huang Bo maintained a straight face.
The people in the operating room suppressed their laughter.
Liu Banxia had made a prediction yesterday. Though Miao Rui was present today, Huang Bo was also there. And judging by Huang Bo's current position, he was indeed the first assistant.
"Of course, there was so luck involved," Huang Bo added, seeing Liu Banxia didn't respond. "Miao Rui and I both wanted this one, so we drew lots for it."
"In that case, do we need to find another one?" Liu Banxia asked.
"Teacher Liu, this one is enough for . The right-sided subtotal thyroidectomy this afternoon is fine too," Miao Rui hurriedly said.
"That's fine then," Liu Banxia said. "There aren't many difficult aspects to this surgery. The key lies in hand stability and anatomical understanding because it involves removing a large part of the stomach and dealing with nurous blood vessels."
"Since you've both chosen, just don't fight over it. Although I allowed you to pick any surgery, not all of them might suit your preferences."
"So, Huang Bo will be first assistant. Miao Rui, observe carefully and report the findings after we open the abdon. This way, you can both participate more actively. For this afternoon's thyroid surgery, you two will switch. Let's begin."
Huang Bo nodded promptly and began the laparotomy.
"Exploration reveals no ascites in the abdominal cavity and no tastatic nodules in the liver or greater ontum. There is a tumor approximately 6x6 cm on the lesser curvature side of the pyloric antrum," Miao Rui reported promptly after the abdon was opened.
"The tumor feels firm, has invaded the serosal layer, adheres to surrounding tissues, and has invaded part of the root of the socolon. Lymph node groups 7, 8, and 9 are enlarged, with no obvious abnormalities in the surrounding organs. Radical gastrectomy for gastric cancer is feasible, as is a distal subtotal gastrectomy with Billroth II anastomosis."
"The adhesions are quite severe. Which tissues need to be dissected?" Liu Banxia asked.
"The greater ontum, the root of the right gastroepiploic artery, the lesser ontum, and the hilum of the spleen. The duodenum also needs to be transected," Huang Bo answered.
"Not bad. Your preparation work is quite good," Liu Banxia said, sounding sowhat impressed. "It seems my judgnt was off; you really did choose this one."
The people watching were speechless. Can't they just focus on the surgery? Are they still pondering who picked the surgery? Even though it was determined by drawing lots, it was still a choice, after all.
"Miao Rui, add to that," Liu Banxia continued.
"Um...," Miao Rui hesitated for a bit before saying, "while dissecting the lesser ontum, we need to transect the right gastric artery and simultaneously perform lymph node dissection. When dissecting the splenic hilum..., we need to ligate the short gastric arteries."
Though he had only said a few words, sweat began to form on Miao Rui's forehead.
He knew the Demon King's test was coming. He wasn't sure if Huang Bo had been too anxious earlier or had simply felt it unnecessary, but now the Demon King was asking him to add to it.
"Alright, though there are so deficiencies, you two decide amongst yourselves who does the dissection work. When you reach a point where you're no longer confident, I'll step in," Liu Banxia said.
"Even though one of you is designated first assistant, you can switch roles. The important thing is to have a solid grasp of the knowledge. This is also part of your graduation exam, which is why each of you got to pick a surgery. The main goal is still to evaluate your operative skills."
"Basically, the entire surgical process is what you've just described. During the dissection, maintain stability and try to increase your speed a bit."
"Though this surgery has its difficulties, it's much less complex than yesterday's. It's mainly challenging because a large portion of the stomach needs to be removed, requiring more extensive tissue dissection."
"It's not that complicated. Just take it one step at a ti. I'll try to limit my involvent and only provide guidance. These are all basic procedures, just more of them."
Huang Bo promptly got to work, beginning the dissection of the greater ontum.
The observers in the gallery were deeply impressed. They had seen Liu Banxia grant these interns considerable autonomy yesterday, and today he was giving them even more control.
His intentions were quite clear: he wanted these two interns to perform as much of the operation as possible.
Even though it was just basic tissue dissection, could it really be as easy as Liu Banxia made it sound? No one without a certain level of technical skill could manage it.
From the current situation, it seed Liu Banxia might only perform so of the suturing.
This required skill; if no complications arose during the dissection, the crucial part would be the suturing of certain tissues.
Good suturing ensured faster healing, without effusion, ischemia, or fistula formation.
They had witnessed Liu Banxia's suturing skill yesterday, so his earlier statents weren't empty boasting—he truly had the capability.
And what about these two interns? They didn't show much nervousness or excitent.
This indicated they had thoroughly committed the entire surgical procedure to mory; there wouldn't be a situation where they perford half the surgery and then didn't know what to do next.
This was quite common among interns, who rarely had opportunities for hands-on surgical practice. When acting as the chief surgeon, it was easy for them to be forgetful or miss steps.
Looking at the people around who were watching intently, many of them were truly realizing their own shortcomings.
This was the second group of interns performing today. That they could improve their skills to such a level in just one year was truly admirable.
At the sa ti, they were curious as to how these interns had managed to rapidly accumulate so much relevant surgical experience.
For many, thoroughly mastering even one surgical procedure within a year was a challenge. How did Liu Banxia teach them?
"Xu Yino, stop hiding in the back," Liu Banxia said, glancing at the observation room. "Think about it. If you were the chief surgeon, how would you operate? Don't just be a re spectator."
The people in the observation room turned their heads and saw Xu Yino in the corner, wearing a mask. Xu Yino had no choice but to squeeze to the front.
"Xu Yino, how do you rember so many surgeries?" a curious intern from the Inpatient Departnt asked. Hearing this, the others nearby also turned their attention to her.
"Well...," Xu Yino replied, "how could I rember so many? Although I've participated in many surgeries, there are still limitations."
"Most often, it's rote morization, or Teacher Liu will guide us on the surgical procedures for nearby organs while we're assisting in a laparotomy."
"You have no idea; we were almost driven crazy. You could be performing a laparoscopic cholecystectomy, and if the mood struck him, he'd suddenly quiz you on the steps for an inguinal hernia repair."
"He emphasizes anatomy the most, saying it's the foundation for us surgeons. Without sufficient specins or surgeries for hands-on practice, we just have to repeatedly watch videos and then visualize the process in our minds."
"You can't just muddle through, because you never know when the Demon King will quiz you or when he'll let you operate directly. Take Huang Bo and Miao Rui, for example; they were up half the night yesterday studying this very surgery."
Those listening gasped; it seed they had a montary insight into why Liu Banxia's interns mastered skills so quickly.
Indeed, the chance to operate was a matter of luck, and the surgeries one got to participate in might not be the ones where practice was most needed. But under Liu Banxia's uniquely rigorous and high-pressure teaching style, anyone who persevered was bound to make significant progress.
It wasn't just interns watching; several attending physicians were also present. They also trained interns, and they could feel the glaring gap.
Even if those practice sessions were purely 'visualized,' such training was undoubtedly beneficial for actual surgery.
Furthermore, Liu Banxia perford many surgeries, allowing his interns to observe extensively. When they compared these observations with their visualized procedures, their rapid improvent beca understandable.
"You're both doing very well so far," Liu Banxia said with a smile. "Just stay steady. Even if it takes a bit longer, we only have one unilateral thyroidectomy this afternoon. You two treat everyone to a good al at noon, and that will cover it."
"Don't worry, Teacher Liu," Huang Bo said. "The pig's trotters are on us; eat as much as you like. I told Manager Zhou at breakfast this morning that they had to be braised perfectly."
"I'll arrange dinner tonight," Miao Rui quickly stated.
"For the sake of the pig's trotters, I won't say more," Wang Lei said with a smile.
"Next is the dissection of the lesser ontum," Liu Banxia continued. "It's important to note that the lymph nodes along the hepatoduodenal ligant, celiac trunk, and common hepatic artery need to be cleared before transecting the right gastric artery."
This was Liu Banxia's intraoperative guidance.
Of course, Miao Rui and Huang Bo's skills weren't as polished as those of senior attending surgeons. However, with Liu Banxia's occasional reminders, they could manage to complete this surgery.
For these two, the experience gained from this single surgery would be far more valuable than acting as first assistant in several others.
What Liu Banxia was doing now seed to be precisely what a supervising physician should do. But when it was their turn, would they be able to trust their interns as much?
This was a thought now shared by many of the attending surgeons present.
They were also beginning to realize that if they wanted to achieve real results, the old ways of superficially training interns were no longer sufficient.
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