Chapter 168: 0165 Life and Death Speed (Middle)

Zheng Ren didn't have time for blunt dissection; this cut was extremely vicious, in one stroke severing the skin, subcutaneous tissue, and fat layer completely.

Next, violent blunt dissection of the muscle quickly revealed the peritoneum.

【This godlike knife skill seems like it came from two hundred years ago, simple and brutal……】

【Are you referring to the meme about a surgery in which three people died?】

【That happened many years ago; I think the surgeon assessed that if the bleeding point wasn't stopped soon, they'd probably have to immediately open the diaphragm and manually perform cardiopulmonary resuscitation, which is why they were in such a hurry.】

The doctors in Xinglin Yuan understood Zheng Ren's ruthless cut, while at the same time their hearts rose to their throats.

When surgery first appeared, lacking anesthetic drugs, operations emphasized speed. Thus there was an amputation where the surgeon, with one chop, cut off the patient's leg and nicked his own hand and the assistant's hand.

Later, that doctor, patient, and assistant all died from infection.

The mortality rate reached 300%; this surgery is dubbed the highest-mortality surgical procedure in history.

Modern surgical practice has been moving toward minimally invasive techniques, so such a situation originally would never happen again.

The viewers of the surgery livestream never expected to see such a violent, two-hundred-year‑old‑style surgical operation in the Xinglin Yuan livestream room.

Zheng Ren slapped the knife onto the sterile drape on Miao Xiaohua's leg, then picked up the curved forceps and a sheathed suction device.

As the curved forceps punctured the peritoneum, the suction device was inserted.

Dark‑red blood, still warm, was sucked out.

A few seconds later, without waiting for the remaining blood to be sucked clean, Zheng Ren prepared a film cover and immediately opened the peritoneum.

Stomach…… colon…… behind……

The bleeding point was correctly judged; Zheng Ren hesitated not, directly probing with his hand in the pool of blood to locate the pancreatic cyst, and feeling the left gastric artery to compress and stop the bleeding.

Su Yun had just finished scrubbing and changing clothes, then took the position of first assistant.

In his mind, the surgery should still be at the skin‑opening stage, but when he arrived he saw Zheng Ren performing manual hemostasis.

So fast?! Su Yun stared for a moment.

What level is Zheng Ren's surgical skill? Su Yun had thought he already understood, but he hadn't expected that even before this was not Zheng Ren's limit!

How long has the operation been open? Ten seconds or twenty? How has manual hemostasis already been achieved?

Where exactly is this guy's limit? Su Yun stared for a few seconds, looking astonished at the busy Zheng Ren, full of doubt.

"You, hold it." Seeing Su Yun not moving, Zheng Ren said directly.

His tone was very firm, leaving no room for doubt.

Purely the tone of a senior doctor.

Su Yun spaced out for a moment, then realized he had been dazed.

This is a rescue, an emergency rescue; a single oversight could possibly lead to the patient's death.

He quickly stepped forward, took the first‑assistant position, and felt the left gastric artery with his hand.

Zheng Ren immediately withdrew his hand, picked up the knife, opened the anterior stomach wall, and made a longitudinal incision along its long axis, about 6 cm long.

Because the bleeding from the left gastric artery had already been stopped manually, Zheng Ren was a bit more composed than before.

But unchanged were speed, accuracy, and stability; his technique was seasoned, flowing like clouds and water.

Su Yun watched Zheng Ren's technique intently, growing ever more bewildered.

Previously seeing Zheng Ren operate, he was indeed impressive, but he didn't think he couldn't surpass him.

As a so‑called "genius" who masters any surgery after one look, how could he possibly meet an opponent he couldn't surpass in a place like Hai Cheng?

If anyone had told Su Yun this before, he would have given a faint smile and not cared; saying someone is stronger than him? That's just an illusion!

How could that be!

But now,

This person, this situation, this surgery, is right before his eyes.

Su Yun became increasingly dazed.

Zheng Ren concentrated fully on the surgery, paying no heed to Su Yun's thoughts.

With one cut he first opened the muscular layer, then under direct vision used No. 1 suture thread to ligate and sever each branch of the submucosal blood vessels, preventing bleeding.

As the surgery progressed, Su Yun quickly came to his senses and faced reality.

He also fulfilled what a flawless assistant should do: with his right hand occupied, he used his left to assist Zheng Ren as much as possible, speeding up the procedure.

Because it was an emergency surgery, the fasting time was absolutely insufficient. Although gastrointestinal decompression had sucked out most gastric fluid and food residue, the stomach still contained a lot of residual material.

Zheng Ren shoved the suction device in and said at the same time, "Open another suction device."

The head nurse opened a sterile pack and brought over another suction device. Everything was ready; the food residue and remaining gastric fluid in the stomach had been mostly sucked out.

Zheng Ren then cut through the adhered posterior stomach wall and the anterior wall of the cyst, used the new suction device to draw out the cyst fluid, enlarged the incision, and trimmed a 3 cm × 2 cm piece of posterior stomach wall and cyst wall to ensure a smooth anastomosis.

After meticulous hemostasis, ligating and suturing the branches of the left gastric artery within the pancreatic pseudo‑cyst, everyone finally let out a breath.

Zheng Ren glanced at the ECG monitor; as the surgery proceeded, the bleeding point was staunched, 7–8 u of fresh frozen red blood cells were infused in a short time, Miao Xiaohua's blood pressure stabilized, and her atrial fibrillation began to show signs of improvement.

【This hand speed……】

【This surgery tells us a truth—sharpening the knife does not delay the woodcutter. Without interventional angiography to clearly identify the bleeding point, searching for it in a pool of blood would likely have left the patient doomed.】

【The surgeon was indeed rushed, but this really is a rescue! I envy a hospital where departments work together seamlessly. Ordinary hospitals still need consultations and procedures—truly exhausting.】

【Try skipping the consultation? You talk as if you could do anything.】

When the bleeding point was finally sutured, the Xinglin Yuan livestream room began to show some signs of life.

The patient had a chance to survive…… but looking now, it's still only a chance.

The bleeding was too much, too sudden, too violent; hemorrhagic shock was severe. Whether the patient lives depends on subsequent treatment.

At the very least, the surgeon's operation—from the choice of angiography to intraoperative hemostasis—was flawless.

Almost everyone projected themselves onto this rescue, but for the vast majority the answer was—if they themselves were doing the rescue, the patient would surely die.

If the bleeding location cannot be determined, precious time will inevitably be wasted in exploration.

Some doctors who used to be very dissatisfied also fell silent, quietly watching the live broadcast Shou Bing, their hearts filled with mixed feelings.

Such a top-notch doctor, such a top-notch hospital, the previous dissatisfaction, when viewed now, any doubt is just a joke.

Upon seeing the location of the pancreatic pseudocyst exposed, Zheng Ren's movements slowed down.