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Chapter 2399: 2317 Taking It Easy (Alliance Leader Wind Rustling y Extra Update 2)

~9 min read 1,658 words

Cleaning lymph nodes, releasing the Treitz ligament, cutting the jejunum, freeing the pancreatic head, each step was the standard practice.

Although the Shou Bing process was the same, but the technique was skilled, time was extremely short, Director Xia watched and watched and then looked dumbfounded.

Director Xia glanced at the time, 18 Minute passed.

Shou Bing was almost half done.

Finally, Zheng Lao Ban's gaze fell on the position of the vein on the mesentery invaded by the tumor.

"Lao He." Zheng Ren said softly.

Lao He? What kind of spell is this? Subconsciously, Director Xia unconsciously thought Zheng Lao Ban had some kind of magic power……

But the next moment, the anesthesiologist took out a microscope and gave it to Zheng Lao Ban to wear on his head.

"Is the angle suitable?" Lao He asked.

"Pretty good." Zheng Ren turned his head, glanced at the operative area, and continued the Shou Bing.

Director Xia broke into a sweat, Lao He is a person's name, not some spell. What's wrong with me, am I too tense?

The sympathetic nervous system was highly excited, causing myself…… Director Xia felt that since Zheng Lao Ban stood beside me, under the halo, I was being dumbed down.

He strained to widen his eyes, watching Zheng Lao Ban open the outer membrane of the vein on the mesentery, quickly peeling it off.

He intends to peel off the outer membrane while also peeling off the tumor?!

It's already invaded to this point, likely already reached the muscular layer; is just peeling off the outer membrane useful?

Although under the microscope separating the outer membrane of the vein on Shang Ximo, still cannot touch the tumor, this Shou Bing's difficulty has surpassed the heavens, but compared to Director Xia's doubt in his heart, it's not a big deal.

"Boss, are you not dizzy wearing the microscope?" Su Yun asked.

"For a short time it's fine; last time doing the Conjoined twin Shou Bing, after coming down I felt a bit dizzy." Zheng Ren said this, but it didn't affect his hand movements at all, "Otherwise I would have agreed to have dinner with President Chen this Evening."

"Tsk tsk, your dizziness is a big problem; otherwise I'd watch two days of Shou Bing and cut off your frontal lobe."

"Cutting the frontal lobe only leads to lack of emotion." Zheng Ren said.

What the heck…… Director Xia felt like he had missed something, he began to review.

Wait, what Conjoined twin?!

"Zheng Lao Ban, what Conjoined twin?"

"Not long ago I went to the Women and Children's Hospital and did a heart Conjoined twin Shou Bing; the whole Shou Bing I didn't dare to take off the microscope, after coming down I felt a bit dizzy." Zheng Ren said casually while doing the Shou Bing.

"……"

Heart Conjoined twin, this kind of Shou Bing he can actually do! Director Xia does not think Zheng Lao Ban is deceiving himself with nonsense.

Deceiving oneself is completely meaningless; after stepping down, give Di Du a call and you'll know the whole story.

Who doesn't have a few friends?

So saying that, Zheng Lao Ban...... pa pa pa, Director Xia's Hemostatic Forceps in his hand was tapped twice.

"Finished cutting, preparing to block the Blood Vessel." Zheng Ren said lightly, "Lao He."

Just after saying that, Lao He turned his head and took off the microscope, placing it carefully into the box.

"Heparin, give 3000u." Zheng Ren said.

"Good."

Zheng Ren subsequently lifted the distal jejunum, performed a Blumgart anastomosis between the pancreatic transection margin and the jejunal side wall, performed a full-layer pancreatic, jejunal seromuscular layer continuous U-shaped suture, and left a 1×2mm Support tube inside the pancreatic duct.

Make a puncture in the jejunal wall corresponding to the pancreatic duct side, perform a 5-0PDSII interrupted full-layer end-to-end anastomosis of the pancreatic duct and jejunum, tighten the standby suture and continuously suture it to the jejunal seromuscular layer, reinforcing the anterior wall of the anastomosis.

After the Bile duct shaping procedure, the linear cutter stapler performed a side-to-side anastomosis of the jejunum and the posterior gastric wall about 40 cm distal to the pancreatojejunal anastomosis, and the stapler closed the common opening.

"Irrigation."

"Close abdomen."

The surgeon and assistant, instrument nurse and surgeon cooperated seamlessly, the Shou Bing proceeded smoothly and naturally.

Director Xia stared blankly after finishing the Shou Bing, a thought arose in his mind—maybe it's not that hard, I should be able to do it.

But after this thought appeared, he came to his senses.

I am not watching a recording of the Shou Bing, but I am the second assistant on the Operating table! And this Shou Bing, not long ago I myself was the surgeon, the tumor tissue and the vein on the mesentery were heavily adhered, I simply couldn't do it!

Director Xia felt somewhat ashamed; those thoughts that I could also do it were like an invisible big hand materializing, slapping my face with pa pa pa.

It really hurts.

He lifted his head and glanced at the Shou Bing time, 38′23″.

Where would one need an hour; half an hour Zheng Lao Ban finished the Shou Bing.

When the last suture of the skin came out of the skin, the patient began to show agitation.

This means the patient has already awakened.

Director Xia envied Zheng Lao Ban, not only envying his Shou Bing level, but also envying that he had such a good assistant, instrument nurse, and Surgical Instruments. Now, Director Xia envies the anesthesiologist assigned to Zheng Lao Ban.

After suturing the last stitch and the patient awakens, this is the dream of many surgeons.

Director Xia still clearly remembers that if encountering an average-level anesthesiologist, although the Shou Bing is finished, one still has to wait half an hour in the Operating Room for the patient to fully wake up before being able to step down.

If it were me…… thinking, Director Xia lowered his head in disbelief.

Anesthesiologist? Zheng Lao Ban brought the instrument nurse and assistant along; even he brought the instrument box.

Is that arrogance? Absolutely not!

A little assistant, dissing my entire Shou Bing, but which statement is wrong? Even if I wanted to refute, I couldn't.

Thinking this, Director Xia saw Zheng Lao Ban turn and step down; he hurriedly finished speaking, "Zheng Lao Ban, how did you determine that the vein on the patient's mesentery could peel off the tumor?"

"Oh? Didn't you look at the pre-op imaging?" Zheng Ren felt Strange, turned his head to glance at the viewer in the Operating Room, then said, "It's on the film."

"Where, where?" Director Xia didn't realize that doing this was losing decorum, but since he couldn't even do the Shou Bing, what decorum is there to talk about?

Watching our Boss explain the film to Director Xia, Su Yun pouted. Although knowing such subtle details, a surgeon finds it hard to see them from imaging. But he is just intent on picking faults, and mercilessly attacks.

Otherwise one's spirit would not be smooth.

"Yun Ge'er, the pancreaticoduodenectomy was done really fast." Lao He said with a smile.

They had already handed over the anesthesia and began to tidy up.

"That's not fast, the Boss was taking it easy." Su Yun recalled the surgery in Hai Cheng.

The anesthesiologist from the neighboring Zhongxin Yiyuan gave Su Yun a speechless glance, then glanced at the timer, feeling shocked inside.

This is already the fastest pancreaticoduodenectomy they have ever seen; not to mention this side, even when they were training in Modu, they never saw anyone perform surgery this fast.

If this is done leisurely, if one were to hurry, wouldn't they end up in heaven?

"I heard from Da Chu and Xiao Chu that Zheng Lao Ban made his name in Hai Cheng with a surgery that took 30 minutes, and he got it done. This time it seems similar, about 38 minutes."

Speaking, Zheng Ren had already finished explaining the images to Director Xia.

After hearing Lao He's words, Director Xia staggered slightly, then steadied themselves. Completing a pancreaticoduodenectomy in 30 minutes? That must be a joke.

Moreover, it doesn't seem recent; it was something that happened when Zheng Lao Ban was in Hai Cheng.

"Then we'll be going; let's meet again if we get the chance." Zheng Renhe said amiably to Director Xia.

Saying they wanted to leave, but in fact they couldn't leave yet. They had to wait for Xie Yiren to finish wiping the instruments, take them back and disinfect them directly; otherwise, using them next time would be a big problem.

Director Xia watched the patient lying on the operating table, watched the circulating nurse take away the pathology specimen, and recalled the procedure of the surgery just performed.

"Zheng... Boss, this surgery is being livestreamed, right?" Director Xia, although seeing Zheng Lao Ban wearing livestream glasses, still confirmed it.

"Mm." Zheng Ren nodded.

This time Director Xia felt relieved.

After returning home, one can watch the surgery recording over and over, seeing from Zheng Lao Ban's perspective how they smoothly completed the pancreaticoduodenectomy in 38 minutes.

Director Xia felt they would no longer have the mistaken thought that they themselves could also do it.

Whether they can or not will only be known when they get on stage. They had always felt fine, but it turned out to be just their own feeling.

Talking about skill, they seemed far behind. Everyone said Zheng Lao Ban was a surgeon trained in general surgery, later switching to interventional surgery.

What a pity, being so skilled at pancreaticoduodenectomy, why switch fields! Director Xia felt regret for Zheng Lao Ban.

Immediately, they thought of something.

Zheng Lao Ban got into interventional surgery and received a Nobel Prize nomination!

They felt sorrow surge like a river; just moments ago they had been wondering why, had they become stupid?

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End of Chapter

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