Chapter 235: The Use of Acute Observation (Bonus Chapter for the Alliance Leader, the Super Awesome Dad)
The Anesthesia Doctor in the System Operating Room began to administer anesthesia to the Simulated Human.
The System NPC stood before the film viewer with hands behind their back, examining the films as if reading a face.
The only step omitted here was verifying the Patient's information; Ji Xiang had performed many surgeries in the System Operating Room and had long known this point. Distinguishing between inside and outside the System Operating Room was a key point.
In reality, one must insist on verifying information to avoid cutting the wrong organ, just as Liu Zhuren had Obsessive-Compulsive Disorder.
Scrubbing in, draping, and starting the surgery.
The Simulated Human's general anesthesia was complete; they were placed in a lateral decubitus position, and the angle of the operating table was adjusted with the middle section raised so that the affected Kidney faced upward.
The surgical area was disinfected, and Ji Xiang stood in the assistant's position.
The System NPC made three incisions in the Simulated Human's waist: the first incision was 2cm above the iliac bone, the second was located at the lower edge of the ribs, and the third was on the side of the lumbar muscle; each incision was about 1cm, and the laparoscope was inserted.
Establishing pneumoperitoneum.
Just after entering the abdominal cavity, Ji Xiang discovered where the difficulty of the surgery lay.
The renal capsule and peritoneum were severely adhered, and coupled with the fact that it was a Laparoscopic Surgery, the field of vision was limited—there was almost no surgical field!
If Ji Xiang were to perform this surgery himself, even if his Urological Surgery skills were all at Level 7 or above, it would still be extremely difficult.
"Look, this is the difficult part here." The System NPC used forceps to point at the location of the adhesion.
"I understand, Teacher. The adhesion is more severe than I imagined; no wonder successful reports of laparoscopic surgery only appeared in 1991."
"The surgery reported back then didn't have such severe adhesions; it just provided a line of thought." As the System NPC spoke, they began Blunt Dissection.
Although it was a laparoscopic surgery, the operator controlling the laparoscopic forceps and separating with their hands were two completely different concepts, yet the System NPC's technique was precise to the Extreme Point.
Seeing the renal capsule and peritoneum fused together with absolutely no gap, the NPC's forceps were still able to accurately find the location of the crevice every single time.
Clamping, electrocautery, and Blunt Dissection—no matter how difficult it was or how limited the field of vision, the surgery was still performed step-by-step in an orderly and clean manner.
After more than twenty minutes, the almost impossible task was completed under the hands of the System NPC and before Ji Xiang's eyes.
The System NPC found the renal artery and vein on the dorsal side of the Kidney and used specialized locks and forceps under the laparoscope to perform Ligation on the renal artery and vein.
The most difficult step was the Blunt Dissection; after that, the surgery sped up.
After the blood vessels were ligated, the System NPC proceeded with bold strokes to cut and separate the tissues around the Kidney, removing the fascia and ligaments connecting the Kidney. The Kidney was then completely freed, and the Ureter was cut at the lowest end.
A 4cm incision was made in the abdominal wall to remove the Kidney.
Irrigation, suturing, and the surgery ended.
Watching the entire surgery, it seemed calm and without any difficulty, but Ji Xiang weighed his own level and felt that it would be extremely difficult for him to perform.
He estimated that the System NPC's surgical skills in all departments should be Level 9, or perhaps even reached the pinnacle.
"You do the next one." The System NPC took off their gloves.
"Alright."
The Simulated Human from the first surgery was sent out, and a second Simulated Human was brought in.
The preliminary steps were exactly the same; after Ji Xiang finished separating the adipose tissue, he saw the peritoneum and renal capsule adhered together.
Although his surgical level did not catch up to the System NPC, it was still extremely high; he separated it bit by bit with patience, yet a slip occurred in the middle.
During one separation, Ji Xiang's force was slightly too strong, the adhesion point was torn, and a small capillary began to bleed.
The surgical field suddenly became blurred.
"Here, you need to use the skill—'Acute Observation'." The System NPC took over the long hemostatic forceps to begin stopping the bleeding, explaining the technical details to Ji Xiang as they did so.
Acute Observation—when using this skill, naked-eye resolution is increased, and resolution and refresh rate are improved.
This was the active skill reward given by the System after Ji Xiang broke the record over a hundred times during the grand competition.
Ji Xiang had always thought it was needed for Interventional Surgery, but since he hadn't even used it for the more difficult Level 4 branch artery Super-selection in Interventional Surgery, it had remained idle.
If not for the System NPC's reminder, Ji Xiang would have forgotten that this skill even existed.
He hadn't expected that such a "high-end" skill could also be used in non-interventional surgery.
"Look, pay attention to the screen." The System NPC reminded him.
Ji Xiang focused on the laparoscopic screen as the System NPC began Blunt Dissection using two long hemostatic forceps.
This time, the System NPC performed it very slowly, explaining as they went.
"Here, you should use the skill for the whole process first."
"Teacher, it requires Surgical Points..." Ji Xiang said with distress.
Surgical training required Surgical Points, which was a "money-burning" major project; even though Ji Xiang had some small savings now, he could not afford it.
"Nonsense, if you have Surgical Points and don't use them, are you keeping them to hatch eggs?" The System NPC scolded.
As if an enhanced, super-enhanced version of 【Superior Doctor's Gaze】 had fallen upon him, Ji Xiang stopped talking back and immediately used the active skill—Acute Observation.
The skill was activated, and on the screen, the System NPC's movements began to stutter from their previous fluidity.
Dissected frame by frame, Ji Xiang was instantly mesmerized.
So that's how it is!
In just an instant, Ji Xiang understood what the System NPC meant.
In a single frame of the image, Ji Xiang clearly saw the capillary buried in the connective tissue.
At the same time, the forceps in the System NPC's hand landed exactly on the capillary, and electrocautery was performed to stop the bleeding before the vessel had even torn.
Preventing trouble before it happens, doing all the work in advance—this was the difference between the System NPC and himself in performing surgery!
Although consuming Surgical Points made Ji Xiang feel a bit overwhelmed, he had no time to feel the heartache and focused intently on the System NPC's surgery.
Every time, the System NPC was able to find the location of the blood vessel in a flash and stop the bleeding in advance.
This skill was simply too useful when used during Blunt Dissection, completely exceeding Ji Xiang's previous "stereotypical" prejudice.
With or without Acute Observation, the surgery differed by several levels; Ji Xiang became happier the more he did it, as the improvement of technical level surely brings joy to one's heart.
The surgery was completed once again in a calm manner.
After the surgery, Ji Xiang did not rush to start the next one after sending the Simulated Human away.
The skill time had already ended, but the insights surged over like a tide.
The System NPC did not urge him either; he seemed to understand very well what Ji Xiang was thinking at this moment, just quietly waiting with patience.
After a long time, Ji Xiang began to ask about technical details.
His Comprehension was very high; although Ji Xiang had added all his free points to Luck, his base attributes were already high, and he always got straight to the heart of a problem.
The System NPC answered every one of Ji Xiang's questions, and after a long period of reflection, Ji Xiang began the next surgical training.
After a few surgeries, the System NPC said, "Go back first, and come again later. Skill"
Ji Xiang still felt unfulfilled, but he respected the System NPC's opinion and left the System Operating Room.
(End of this chapter)
End of Chapter
