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Chapter 159: 0156 Did the surgery go wrong?

~7 min read 1,278 words

0156 Did the surgery go wrong?

What surgery? Zheng Ren exclaimed in surprise. Being number one in the world—he had never even imagined it.

Prostate interventional embolization therapy, Director Pan said with a smile.

Prostate…… Is that even considered a disease?

Zheng Ren's elated mood plummeted to the bottom in an instant.

Little comrade, what's with that expression? Director Pan put on a stern face and said.

Nothing. Zheng Ren lowered his head and quickly changed clothes.

Think about it—so many elderly comrades, for the founding of New China, they poured their hearts out, grew old, shouldn't they have a better quality of life? Director Pan's expression was very solemn.

Zheng Ren thought, that makes sense. Elderly men with severe prostate hyperplasia—truly worse than death.

Ordinary soft urinary catheters can't pass; a metallic urethral probe is needed.

In the ER, when dealing with those ruffians who pretend to be dead and refuse to get up, a few urethral stimulations are enough to make a big guy beg for mercy—let alone a urethral probe.

But the prostate has no supplying blood vessels, Zheng Ren recalled from the anatomy textbook, saying hesitantly.

There are no large supplying vessels, but the capillary network still exists, Director Pan, clearly having done his homework, said. Especially in patients with severe hyperplasia, the capillaries thicken and enlarge, making interventional embolization worth a try.

Uh…… Zheng Ren was still clueless, but since Director Pan said so, going to the capital for a look was fine. After all, it was Professor Pei and Director Pan's good intention, though Zheng Ren wasn't particularly optimistic about this procedure.

Even the blood vessels feeding liver cancer are hard to find, let alone the prostate.

After quickly changing clothes, Zheng Ren rushed out of the changing room ahead of everyone, saying, I'll go put on the lead clothing.

Director Pan smiled and shook his head.

From the system space he took out radiation‑shielding lead clothing converted from radiation energy; after putting it on, Zheng Ren finally breathed a sigh of relief.

Arriving at the operating room, he saw Su Yun had already laid out the surgical drapes and was chatting with Zheng Yunxia.

Interventional surgery for liver cancer uses local infiltration anesthesia; anesthesia is administered near the femoral artery at the groin, then puncture is made.

It can be said that this is minimally invasive to the extreme—like an IV drip—every maneuver depends entirely on the surgeon's skill.

There are downsides, though: the surgeon bears a lot of X‑ray exposure, while the patient doesn't mind; a single procedure takes at most a few tens of minutes of fluoroscopy time, and the next one might not happen for a while.

And the doctor might have to do another case right after, accumulating a much larger radiation dose.

Fortunately, Zheng Ren has the system equipment, so he doesn't need to worry about that.

Seeing Zheng Ren approach, Su Yun asked, Shall I do the puncture?

Mm. Zheng Ren nodded, responded, began scrubbing his hands, disinfected them, and donned sterile gown.

By the time he stood at the operating table, the puncture was already done; the arterial sheath was neatly laid out, the guidewire had advanced about ten centimeters, and Su Yun, standing as assistant, held the guidewire, waiting quietly for Zheng Ren to start the surgery.

Having an assistant felt really good; Zheng Ren once again praised it in his heart.

In Xinglin Yuan, the live broadcast began.

【The great god hasn't been streaming much lately—do you know why?】

【Probably because there are no new surgical patients—he keeps repeating the same procedure, and we're getting bored of watching it.】

【Exactly—every surgery he's done before already has a video recording.】

【You haven't noticed that all the video recordings disappeared three days ago? From now on, when he streams, watch closely—the great god won't be giving away his skills for free.】

【Yikes! How did I miss that? Good thing I saved them. Is the great god planning to sell his surgery‑stream recordings?】

The chat in the Xinglin Yuan live‑stream room flew wildly; gradually everyone here got to know each other, especially those who posted comments rapidly—clearly they were junior doctors, though we didn't know if a big shot stood behind them.

【This time…… wow, it's actually liver cancer!】

【Don't make a fuss—interventional treatment for liver cancer may be uncommon, but it's definitely not rare.】

【Indeed, interventional surgery is one of the most effective treatments for liver cancer, and radiofrequency ablation is claimed to be as effective as surgical resection.】

【In a small town without an interventional department, it's a headache. After watching the great god's surgery, I even want to switch specialties and learn interventional radiology.】

【Wearing thirty‑to‑forty‑pound lead clothing to operate, needing a steady hand and sharp eyes—can you do that? Don't dream, kid; stick with surgery, a field with a bright future.】

During the broadcast, the operator was blindly advancing the microcatheter; there wasn't much to see, so everyone was just killing time.

Soon the view switched to the operator's position, and the screen image appeared in the stream.

【Huh? That's not right.】

Normally, once surgery starts and no unexpected events occur, everyone tacitly posts fewer comments, because comments would obstruct the view of the surgery. Especially those tiny angles and maneuvers—that's where the essence lies.

But once the image appeared, a single line of comment showed up all by itself.

Looking at the ID, it plainly read Intervention Department Doctor—too obvious.

Someone recognized him; he was probably another intervention department doctor, constantly complaining about the hardships of being an intervention doctor—a person you don't know.

Fortunately there are relatively few intervention department doctors; if all the general surgeons did the same, it would be indistinguishable from having no ID at all.

【What happened? Do tell.】

【Yeah, I didn't notice…… wait, aren't we doing liver cancer? Why are we heading for the gastric short artery?】

【Am I seeing wrong? Are we supposed to embolize the gastric short artery, then do a major gastrectomy?】

As the microguidewire advanced, not only the intervention department doctors but also other general surgery physicians sensed something was off.

The normal arterial course and basic anatomy are known to everyone.

Liver cancer, interventional surgery—shouldn't we be embolizing the branches of the hepatic artery that feed the tumor? Why is he heading for the gastric short artery?

【Intervention department doctor, tell us—does occluding the gastric short artery cause any problems? Is it like the uterine artery?】

As the direction of the microguidewire was confirmed, everyone's doubts grew larger.

Since few understood, they all started asking the intervention department doctor.

【Unlike the uterus, once the gastric short artery is blocked, it will cause ischemic necrosis of the stomach in a short time. The result: it must be resected!】

The intervention department doctor rarely ends a sentence with an exclamation mark.

Not even one exclamation mark was enough; he posted three more to express his deep‑seated shock.

If the live broadcast number is broadcasting for the first time, everyone will think it's a novice, the Shou Bing is botched.

But after several dozen days, with over a hundred Shou Bing live broadcasts, everyone who had ever doubted the live broadcast number has been mercilessly slapped in the face.

Now, no one dares to say that the practitioner's Shou Bing is botched. Under normal circumstances, anyone who dares to say that will, within three Minute, receive a loud slap that will land on the face.

【Does Da Shen have any new intentions?】

【I don't know either……】

【Let's just watch quietly; I have absolute trust in Da Shen.】

Bullet comments are few, and the atmosphere in the live broadcast room gradually becomes stagnant.

◈

End of Chapter

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