Chapter 167

Many people felt regret, wondering why the surgery live broadcast was canceled. If there were a recording, regardless of success or failure, the surgery would be reviewed a hundred times.

【Hybrid surgery…… I've only heard of it, never actually seen it.】

【Good, at least you've heard of it. I just found out via Baidu that hybrid operating rooms exist.】

【Only large tertiary A-level hospitals in big cities would have hybrid operating rooms, and they'd have to be newly built. Before expansion, Xiehe, Fuwai, and Huaxi didn't have hybrid operating rooms.】

The barrage was sparse; young doctors with the barrage open had no mood to chat, fully focused on watching the surgery.

In the broadcast view, a pair of hands appeared steady, performing cross-hand operation; the right hand twisted the microguidewire quickly, and in less than a minute the view switched to the operator's front screen.

The microguidewire was in place, the microcatheter entered, then angiography followed.

Unlike before, no super‑selective catheterization of third‑ or fourth‑order vessels. In the broadcast, the catheter injected contrast into the aorta.

Was it too rushed? Or why?

After the high‑pressure injector pushed the contrast, Zheng Ren stopped operating and intently watched the image opposite.

Since the bleeding site was unknown, this was the only way.

Although it would cost a little time, in the whole procedure it would save a lot of time and increase the chance of success.

10 seconds……

20 seconds……

Time trickled by; the X‑ray imaging device stayed on, converting the flow of contrast in Miao Xiaohua's body into images, frame after frame appearing before Zheng Ren's eyes.

Here!

Finally, at the 23‑second mark, Zheng Ren found the bleeding point.

Left gastric artery!

They withdrew the interventional surgery sheet; Zheng Ren and Su Yun quickly laid a new sterile sheet, scrubbed, and prepared for laparotomy.

In Xinglin Yuan, many were puzzled.

【Pancreatic pseudocyst? A rare disease—what was the operator looking at just now?】

【Don't understand, same question.】

【I guess the operator was observing the bleeding point. Judging by the position, it's bleeding from the left gastric artery; the operator did an angiogram to locate the bleed, but because the patient's blood pressure was too low, the contrast was too faint, so only experience could be used to judge.】

【Wow… this kind of surgery still relies on experience—how many rescues would one need? The blood pressure can't be measured, heart rate is already 160/min, atrial fibrillation has appeared, the heart probably can't hold up. Just thinking about facing such a rescue gives me a headache.】

【What next? Why not embolize?】

【Brother, this is the left gastric artery—if you embolize the main trunk, most of the stomach dies. If the embolic agent drifts into the superior mesenteric artery, most of the colon dies; that's not saving a life, it's killing.】

【Are we going to open the abdomen now? Can surgery still be done like this? It's almost miraculous. If it were us, we'd do an exploratory laparotomy; whether we could quickly find the bleed… really comes down to luck.】

【Not bad—I just returned from further study in the capital, half a year, and I've seen a few hybrid surgeries. But I've never actually faced such a critical situation as the operator is facing.】

In the surgery livestream room, the barrage flew wildly; the patient's rising heart rate and falling blood pressure tugged at the hearts of every doctor watching the broadcast.

Feeling the same, the doctors present who had watched the broadcast had mostly participated in rescuing critically ill patients; each put themselves in the scene, their heart rates rising with the patient's, palms slick with sweat.

The tenser it got, the more they needed to crack a couple of jokes.

Otherwise, the tense atmosphere in the operating room would crush people.

This is a habit cultivated over years by the doctors watching the live broadcast.

……

Haicheng City First Hospital, inside the interventional hybrid operating suite.

Zheng Ren quickly tore off the sterile gown, tossed off a line about an incision lateral to the left rectus abdominis, straight away removed the lead clothing, and scrubbed again.

Zheng Ren had only briefly encountered pancreatic surgery in the System Space, without systematic study.

Now, surgery for acute and chronic pancreatitis has received fundamental treatment thanks to the successful development of somatostatin‑14.

The effect of drug‑based conservative therapy is better than surgery; who would volunteer for an operation with a 30% mortality rate?

So Zheng Ren never imagined that one day he'd have to face pancreatic surgery himself.

Fortunately!

Like a squirrel storing nuts for winter, Zheng Ren had stockpiled many skill points and experience points.

Although the system had recently issued no missions, Zheng Ren still had experience points to spend.

At the moment he scrubbed again, Zheng Ren converted the radiation energy from the lead clothing back into the System Space, then quickly began tallying his "inventory".

These days, the main quest had been run back and forth a few times; General Surgery skill had reached 3,246 points, and the inventory held 2,025 free skill points.

Zheng Ren unhesitatingly invested 1,754 points into the General Surgery skill tree.

A gentle breeze brushed his face; Zheng Ren felt his body lighten, his mind filled with countless familiar scenes. His fingers twitched slightly, becoming much more nimble.

Is this what it feels like to be a master of General Surgery? It hardly feels like a radical transformation.

Gazing at the remaining 271 free skill points, Zheng Ren coldly shifted his gaze and began to purchase surgery time.

After a period of accumulation, experience points broke 250,000.

Not much, but it should be enough.

After all, overall General Surgery skill had entered the master level.

Zheng Ren bought 200,000 points of surgery time, 55.5 hours of system training, and formally began.

The system operating room rose from the ground; the experimental subjects were positioned and awaited surgery.

Every case was a pancreatic‑related experimental subject; Zheng Ren naturally started with pancreatic pseudocysts.

The difficulty of pancreatic surgery is similar to liver surgery, even slightly higher.

After all, the pancreas's anatomical and physiological structures possess special properties.

In over fifty hours, Zheng Renye merely completed fewer than a hundred pancreas Shou Bing, and that's pure Shou Bing time, not even requiring abdominal closure.

……

Zheng Ren went to scrub his hands; Su Yun didn't even have time to take off her surgical gown, wearing the lead clothing she proceeded directly to disinfect.

Head Nurse began to open the laparotomy pack, while another instrument nurse had already scrubbed hands, put on surgical gown, and began to lightly touch various instruments.

Counting is one of the tasks that instrument nurses must do. The counts of preoperative and postoperative instruments, consumables, and gauze must match; otherwise, if something is left inside the patient's body…… that would be a serious medical accident.

Su Yun disinfected, laid out the first surgical drape, turned and left, pulled off the sterile surgical gown, needed to take off the lead clothing, prepared to scrub hands again. At the same time, Zheng Ren wore a surgical gown, began to lay the second sterile drape, almost seamless, cooperating with tacit understanding, perfection reached its peak.

"Scalpel." Zheng Ren laid out the drape, reached out and said.

Because Zheng Ren's side was too fast, the Head Nurse and the new instrument nurse had not finished their counting work, and were interrupted by Zheng Ren's words.

"Give him a curved forceps, a scalpel, and a piece of gauze; we'll continue counting." The Head Nurse glared at Zheng Ren, but Understanding his anxious mood, arranged it.

"Also need the suction device, and put on gloves."

This coordination, the level of tacit understanding is much worse than coordinating with Xie Yiren.

But at this moment, little Xie Yiren was squatting in the corner of the operating room, crying, and could not come up to assist with the surgery.

Zheng Ren disinfected again, then picked up the scalpel, held it like a pen, hand rose and blade fell, cutting a longitudinal incision over 15 cm long beside the left rectus abdominis of Miao Xiaohua.