Chapter 257: Surgical Footage Like a Horror Movie

Gu Lao was very familiar with the obscure diagnosis of Giant Hydronephrosis, even if others were not.

Being based in the Imperial Capital, where difficult and complicated cases from across the country congregate, and with a population base of over a billion, even the rarest diseases were quite ordinary to an old Expert of Gu Lao's level.

There is a legend in the medical world that the rumors of a janitor at Peking Union Medical College Hospital giving an accurate diagnosis for a rare disease at a glance are not entirely unfounded.

With an overwhelming number of difficult and complicated cases, many of which grassroots Doctors have never seen, as long as one sees enough, a janitor might not be unable to provide a diagnosis.

Gu Lao knew in his heart that surgery for Giant Hydronephrosis is quite difficult; he had not expected that Ji Xiang's surgery could reach this level.

"Giant Hydronephrosis..." Xu Zhuren was startled, then smiled, "It's probably less than 1000ml of hydronephrosis, and they just wrote it down randomly after hearing the diagnosis once."

"Little Xu, how many cases have you done?"

"Over ten cases, the largest one had 3000ml of fluid, and that surgery was incredibly difficult to perform," Xu Zhuren said with a hint of pride.

One can accurately judge the difficulty of a 3000ml Giant Hydronephrosis surgery just by hearing the volume of fluid.

As for the surgery before him, Xu Zhuren only smiled slightly, not caring at all.

The initial subtitles flashed by in an instant, and the surgery began.

There was no recording of the preceding process; the footage began from the moment the probe entered the abdominal cavity.

The moment the image appeared, Xu Zhuren was stunned.

The surgical field was completely filled with a large water sac, and his rich Clinical experience silently told him that the volume of hydronephrosis was definitely over 3000ml! It exceeded the volume of the surgery Xu Zhuren was so proud of.

With such a large volume of hydronephrosis, the local anatomical structures would have long been a complete mess; it might not even be easy to remove via laparotomy, let alone laparoscopic surgery.

After seeing the giant "water sac," Gu Lao's brow also furrowed.

"Little Xu, how does this patient's hydronephrosis volume look like at least 4000-4500ml," Gu Lao muttered.

"About that... is it a perspective issue?" Xu Zhuren was still a bit unconvinced.

He did not believe that a Standardized Training Student could perform such a difficult surgery.

"Probably not."

Gu Lao turned his head to ask the people from the First Affiliated Hospital Committee.

Soon, Bai Chuzhang came to Gu Lao's side, stooping so as not to obstruct others from watching the surgery.

"Bai Chuzhang, sit," Gu Lao patted the chair beside him, "Was this surgery performed by Xiao Ji?"

"He did more than half of it," Bai Chuzhang smiled.

"What do you mean?"

"The beginning, that is, the current operation, was performed by Liu Zhuren of our hospital's Urology Department," Bai Chuzhang watched the screen and introduced it to Gu Lao, "Liu Zhuren tried it, felt the difficulty was too high, and handed it over to Xiao Ji to complete."

Xu Zhuren was stunned.

The Director felt the difficulty was high and handed it to a Standardized Training Student to do... this sounded simply absurd and incomprehensible.

Gu Lao was noncommittal, only nodding slightly.

"Bai Chuzhang, how much is the fluid volume?" Xu Zhuren asked persistently.

"5200ml."

"!!!"

On the screen, the surgeon had already cut a small opening in the capsule of the Giant Hydronephrosis, and the Suction Device was inserted immediately to begin draining the fluid.

Based on the time and the size of the membrane, the 5200ml figure should be quite accurate.

Xu Zhuren's expression turned serious; he stared intently at the screen, more focused than when watching Zhou Tianbo's surgery.

He had performed surgery for Giant Hydronephrosis and understood the difficulty of the procedure very well.

It might not sound as high-end as some Tumor or organ transplant surgeries, but Xu Zhuren knew all too well where the difficulty of this surgery lay.

A patient having Giant Hydronephrosis meant the anatomical structure of the urinary system was abnormal, and with the Giant Hydronephrosis crushing the Kidney, the local adhesions were severe...

It took Xu Zhuren 6 hours to complete a 3000ml hydronephrosis surgery, and there were several times in the middle where he almost switched from laparoscopic to open surgery.

With nearly double the volume, the difficulty of the surgery was more than doubled.

After the fluid was mostly drained, Xu Zhuren took a careful look at the anatomical structures on the screen, and his experienced hands went cold.

In the surgical field, the patient's Kidney had already been pressed into a sheet, stuck to the peritoneum just like connective tissue.

How is this surgery supposed to be done! Xu Zhuren felt a bit lost.

He was highly skilled, and precisely because of that, a thought flashed through his mind: if it were him, he could never remove it using laparoscopy, and even with open surgery, he would need to be in peak form to pull it off.

Sure enough, just as Xu Zhuren thought, the surgeon began Blunt Dissection after clearly identifying the local anatomical structures.

As soon as they started, there was bleeding where the Kidney adhered to the peritoneum.

Bright red blood welled up, and the surgical field began to blur.

Recalling Bai Chuzhang's words, Xu Zhuren watched the surgical field intently, without blinking.

In Xu Zhuren's imagination, this step alone would take at least 10 minutes to manage, and he was very curious about how the surgeon would handle it.

Suddenly.

A Hemostatic Forceps landed on the adhered connective tissue, a Titanium Clip clamped it shut, and the Suction Device cleaned the blood away, solving the problem with lightning speed.

Ten minutes?

It didn't exist at all!

The Hemostatic Forceps seemed psychic, finding the small bleeding artery in the void and clamping it, with terrifying precision.

"This..." Xu Zhuren muttered.

"The person changed starting from this point," Bai Chuzhang smiled and explained.

Gu Lao sat up straight, his back rigid, his eyes fixed firmly on the screen.

Everything the surgeon did before was the norm, but in Bai Chuzhang's tone, Ji Yisheng's surgery seemed to be something extraordinary; he was very curious.

However, the act of carving flowers on stone appeared before Gu Lao immediately.

The surgery paused slightly, and the surgical field shook; it was likely that the surgeon had changed, and the original surgeon began holding the Endoscope.

Very quickly, the surgery continued.

The kidney capsule and peritoneum were adhered together, looking impossible to separate; even in an open surgery, with direct vision and using manual blunt dissection, the difficulty was extremely high.

However, with two hemostats alternating, Ji used electrocautery to lightly touch beforehand, invisibly "sealing" blood vessels that might potentially bleed.

Everyone stared in astonishment.

The way this surgery was performed was just too incredible!

The surgeon seemed to have the ability to foresee, dealing with tiny capillaries in advance, so the surgical field remained clean the entire time.

This...

The vast majority of people present were experts, and precisely because of this, watching a surgical video felt like watching a horror movie.

The air in the conference room solidified, and some people's legs were already trembling uncontrollably without them realizing it.

How on earth did he know!

The same question circulated in everyone's hearts.

Only at this moment did Director Xu understand the reason why Ling Tian went to the trouble of flying from Shanghai to the Imperial Capital to see him and explain things in person.

Although the other party was only a small Standardized Training Student, his level had already far exceeded... exceeded his own understanding!

"Bai Chuzhang, did you see with your own eyes the surgery performed by Doctor Ji?" Gu Lao suddenly asked.

His voice was slightly weathered, as if after watching less than 3 minutes of the surgery, all his energy had been drained, and he had aged twenty years.

(End of this chapter)