Chapter 269: The Diagnosis Was Right, the Surgery Wasn't Difficult (Alliance Leader CAA Spicy Hot Pot)

The spleen surgery was already finished, and the Patient was still lying on the operating table, open.

Wu Zong said politely, "Teacher Lu, do you think he can take over?"

Lu Gang felt a bit annoyed, but he couldn't show it; he shook his head silently, then nodded immediately after.

He kept staring at the slightly rough CT images on the screen, feeling increasingly uncomfortable.

Ji Xiang was truly lucky; he had actually encountered a Three in Ten Thousand Possibility, and Lu Gang felt unconvinced in his heart.

As for the surgery, Lu Gang hesitated for a moment; there was definitely a problem, and although he didn't yet believe it was a Ureteral rupture, it wouldn't hurt to take a look.

Seeing him nod, Wu Zong didn't stand on ceremony and beckoned Ji Xiang to take the surgery.

He was very straightforward; he scrubbed in, performed disinfection, and laid out the drapes all by himself, showing no intention of treating Ji Xiang as a Standardized Training Student.

The Angiography showed that both ureters were completely ruptured, making it impossible to insert a Ureteral Stent.

The objective evidence from the Clinical examination proved the correctness of Ji Xiang's statement.

"The bilateral ureteropelvic junctions are completely ruptured," Wu Zong said softly.

Just as Ji Xiang had said earlier, if they had left the table after diagnosing it as a Kidney contusion and then found they couldn't drain any urine...

That would be a disaster!

The Patient would have to be put through the wringer all over again.

Having just barely recovered from Hemorrhagic Shock, they would immediately have to undergo Anesthesia, another surgery, and another blow.

This was completely different from the trauma caused to the Patient by doing it now.

Wu Zong let out a breath; although misdiagnosis was a high-probability event, having Doctor Xiao Ji there to provide the correct diagnosis directly was clearly more reassuring.

Lu Gang's eyelids twitched incessantly.

Facts proved that what Ji Xiang said was indeed correct; he couldn't understand it at all, so he turned back to take the emergency films and look at them carefully.

After looking carefully many times, Lu Gang still believed the image was an artifact and absolutely not something like a urinoma.

Without a follow-up, comparative CT, if he were given another hundred chances, he would still misdiagnose this Patient.

Lu Gang had no choice but to accept it; the iron-clad facts were right in front of him, and if he were stubborn, he would end up in a miserable state.

Moreover, Lu Gang belonged to the academic school; if he was wrong, he was wrong. With the objective evidence laid out there, he didn't think about how to save face.

He just couldn't understand—he racked his brains and still couldn't understand why Ji Xiang was so certain that the Patient's bilateral ureters were ruptured.

Ji Xiang didn't know, and didn't care about Lu Gang's feelings. He was the old Lu from the Medical Affairs Department, not that Zhou Jiaoshou encountered in Empathy.

After exchanging a few polite words with Wu Zong, Ji Xiang stood in the surgeon's position, feeling refreshed.

The surgery was not difficult, at least not for Ji Xiang.

Plus, having trained on over a dozen cases in the System Operating Room, Ji Xiang could pull it off perfectly.

Ji Xiang transected the ureter at the lower end of the stricture, then removed a segment of the stenotic ureter for pathological examination and ligated the stump.

The distal ureter was placed behind the aberrant vessel, an elliptical incision was made at the lowest point of the renal pelvis, and a Ureteral Stent and a Drainage Tube were inserted through the renal parenchyma.

Subsequently, Ji Xiang performed a flap anastomosis between the ureter and the renal pelvis.

"Xiao Ji, this flap anastomosis you did is truly excellent." Wu Zong helped Ji Xiang with Tying Knots, watching the Needle Holder in Ji Xiang's hand weave back and forth within the narrow space, occasionally reflecting the light of the shadowless lamp, looking extremely dashing.

Ji Xiang smiled; he could perform a minor procedure like a flap anastomosis with his eyes closed.

"Xiao Ji, at the time, I really didn't see where the problem was. How did you diagnose it?" Wu Zong asked humbly.

"The density is different. Although it looks very blurry, considering the Patient had Hemorrhagic Shock after the injury and had insufficient blood volume..."

Ji Xiang "relayed" what the System NPC had said to Wu Zong, leaving Wu Zong and Lu Gang, who was facing the film viewer, stunned.

They were both experienced in Clinical practice; although their level of reading films was average, they understood whether what Ji Xiang said made sense or not.

He hadn't expected Ji Xiang to be so formidable at reading films; Wu Zong was deeply impressed.

He deeply lamented his own good fortune; fortunately, he had chosen to stand on Ji Xiang's side without hesitation during the "dispute" between Ji Xiang and Lu Gang.

Otherwise, although it wouldn't count as Medical Malpractice, a second surgery would have been inevitable, and he would have felt uncomfortable to some extent.

Being a Doctor is just like that; what famous physician doesn't have a few hundred misdiagnoses behind them? But within the scope of one's ability, one must strive to do the best.

Standing with Doctor Xiao Ji is definitely the right choice!

Wu Zong reinforced this viewpoint in his heart once again.

Although Ji Xiang did not use 【Superior Doctor's Gaze】, Wu Zong directly caught the skill from the void and actively became the subordinate Doctor.

Casting aside all concerns, Wu Zong was still very skilled at being an assistant.

He helped with cutting sutures, suction, and hemostasis, and the surgery proceeded very smoothly.

After Ji Xiang finished the flap anastomosis, he placed rubber drains around the renal pelvis and beside the anastomosis, and fixed the stent and the Drainage Tube with Absorbable Suture.

"Warm Saline." Ji Xiang reached out.

The Instrument Nurse was startled, "So fast?"

"Uh..." Ji Xiang was also stunned for a moment.

Recently, Tang Yan had been assisting him in surgeries. She had gradually figured out which step he was at and what kind of cooperation he needed. Although the surgery wasn't as smooth as in the System Operating Room, it was much more comfortable than working with others.

If Tang Yan were here, she would have handed over the warm Saline the moment he raised his hand. It was like an old married couple; they didn't even need eye contact.

"It's already finished; let's irrigate and close the abdomen to leave the table." Ji Xiang didn't complain, just felt a little wistful.

Tang Yan was still more convenient to work with.

"Doctor Xiao Ji, impressive," the Instrument Nurse said with a beaming smile, "I thought it would take at least three hours to get off the table. It's only been forty-some minutes; it won't delay lunch."

"The diagnosis was right, so the surgery wasn't actually difficult," Ji Xiang smiled.

The Circulating Nurse trotted off to get the warm Saline, thinking about lunch, and since Ji Xiang was very serious and basically didn't joke around, no one was in the mood for idle chatter.

After irrigation and exploration, there was no active bleeding, and Ji Xiang began to close the abdomen.

"Xiao Ji, it's fortunate that we discovered it," Wu Zong let out a long breath, "The Kidney Resection rate for patients with early diagnosis and treatment is 4.5%, while in patients with delayed diagnosis, that figure is as high as 32%. Is that so?"

"Yes."

The data Wu Zong mentioned was very accurate, and the basic skills were solid; Ji Xiang finished the last stitch and flicked the thread end into Wu Zong's hand.

"Under normal circumstances, 50% of patients are misdiagnosed, but I feel the misdiagnosis rate is even higher than that figure, perhaps even reaching 90%."

Wu Zong did not think Ji Xiang was bragging, but these words took on a different meaning in Lu Gang's ears.

90% of patients misdiagnosed, and then what? Is this kid being sarcastic toward me?

Ji Xiang was able to provide the correct diagnosis; if this isn't showing off, then what is!

In an instant, Lu Gang, who prided himself on being professional and academic, almost entered Inner Mode and nearly lost his temper.

It's too much; he only got one diagnosis right, what is there to show off about!

Lu Gang glared fiercely at Ji Xiang's back.

It was just that the light from the shadowless lamp was a bit cold and somewhat blinding.

(End of this chapter)