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Chapter 2598

~7 min read 1,253 words

Okay, let me think about it carefully. Teacher, you're right—we need to cultivate our own people. Director Yang said in a low voice: "But it's hard for interventional surgery talent to grow; in the short term, it's impossible to have someone as convenient as Boss Zheng."

Looking at the tumor's invasion range now, it's not bad; if you were to do it, could you remove it? Old Shen didn't continue the topic, but looked at the surgical procedure and asked.

I've looked at the scans before; I could barely manage it. Director Yang said: "If nothing unexpected happens during the surgery."

Old Shen nodded, his gaze sharp as he watched the livestream on the screen, completely losing his previous gentle, scholarly demeanor and broad smile.

He seemed to be standing at the operating table himself, personally wielding the knife, and in an instant entered the state. Old Shen's aura was huge; Peng Jia sat beside him like an intern, not daring to utter a word, afraid of disturbing Old Shen's "surgery" process.

In the surgery livestream, Boss Zheng made a midline incision at the back of the neck; the silent operation with blunt scissors, hemostatic clamps, and electrocautery produced smoke that let Peng Jia smell a hint of burnt odor between his mouth and nose.

After cutting the skin and entering, the screen on the other side already showed the basic size of the tumor tissue. Under infrared detection, the tumor tissue appeared an abnormal green, making it look somewhat frightening.

"Giving contrast agent locally looks good; if there's no especially skilled interventional doctor, just find any old one. Simply being able to precisely show the tumor's range is already very meaningful." Old Shen, like a commander, issued orders at any moment.

"This little patient's various conditions aren't great; I think Boss Zheng wants to do everything possible to reduce collateral damage. Normally, just giving medication intravenously would be enough." Director Yang said softly.

The relationship between them was extremely familiar, and there was no situation where Old Shen's word was law; Director Yang still put forward his own opinion.

"Don't be lazy, Zheng Lao Ban has already gotten a step ahead." Old Shen said solemnly: "In the future, there will be more and more intervention doctors; if you don't seize the initiative, within five years you'll be left behind and never catch up with others."

"Okay." Director Yang nodded.

Is it that serious? Peng Jia had also seen Zheng Lao Ban perform interventional surgery combined with other procedures. For example, on the day he won the Nobel Prize, Zheng Lao Ban didn't wait for the Nobel Prize call he was expecting; instead, he performed an emergency double valve replacement surgery in the Surgery Livestream Room.

This surgery also first used interventional angiography to confirm the blood supply situation, and only after finding the approach did it begin the surgical procedure.

Indeed, it looked high-end and impressive; as a layperson, Peng Jia felt there wasn't much need for it. But after hearing Old Shen say that, his heart stirred.

Under Zheng Lao Ban's meticulous operation, one or two healthy vertebral segments above and below the tumor segment began to show their spinous processes, laminae, and facet joints. The local anatomy was clear, the injury minimal, and the sterile gauze in the assistant's hand had not needed to be changed.

"Did you notice that, when the intervention doctor was performing the angiography just now, Zheng Lao Ban's gaze lingered on the intervention screen for a long time?" Old Shen asked.

"I did." Director Yang replied, "Zheng Lao Ban was observing the local blood flow, analyzing how the surgery should avoid those larger capillaries."

"Hmm, his understanding of imaging and local anatomy is very thorough." Old Shen's eyes narrowed into a slit, "Besides, being a doctor with an imaging background, his grasp of imaging is naturally thorough."

Director Yang didn't speak, but Peng Jia wanted to tell Old Shen that Zheng Lao Ban wasn't from an imaging background; he was a general surgery doctor!

But Peng Jia wasn't stupid; he had no reason to dampen Old Shen's enthusiasm at this moment. Perhaps Zheng Ren had won the Nobel Prize for his TIPS surgery technique, leaving everyone with an indelible impression—that he was an Intervention Department Doctor?

"Teacher, I watched Zheng Lao Ban perform heart surgery last time; I didn't understand some details, but I knew the main points." Director Yang said, "I consulted a thoracic doctor, and they said it's definitely impossible."

"This is a breakthrough in thinking; before Zheng Lao Ban, I had never seen anyone do this. Let's watch; I think today's surgery will be quite interesting."

Old Shen's voice grew softer, and in his narrowed eyes a faint gleam shot out.

In the operating field, Su Yun used gauze pads to protect the healthy tissue around the tumor. Afterwards, the two carefully dissected around the tumor, exposing the tumor bone that could be revealed from the posterior approach—including the affected spinous processes, laminae, facet joints, and partial lateral masses.

Bleeding during the surgery remained minimal, indicating that the dissection process was not the operating field visible to the naked eye, but a finely detailed microscopic operating field.

The dissection was exquisite, the operating field remained unchanged, and the surgeon's and assistant's techniques had stabilized to the utmost. With ease in a small space, it was a sight to behold.

After a few minutes, Director Yang gave a wry smile: "Teacher, by comparing the infrared screen with the intervention screen I can barely grasp Zheng Lao Ban's surgery. Yet he didn't even lift his head; after just looking for a few minutes, did he really memorize everything? Or is it just youth—his memory is truly excellent."

"Hmm, I think so." Old Shen said: "In CT Shi, there's a short-tempered Doctor Ding who's retiring next year—do you still remember him?"

"I remember," Director Yang said softly, as if he were on the Observation Platform, not daring to speak loudly for fear of disturbing the surgeon's operation.

Doctor Ding has a terrible temper, constantly complained about by patients, but whenever the Medical Department wants to discipline him, the head of CT Shi stops it, because he can remember everything after just one look at the images. Over the years, sometimes I can't recall the old films, so I go find him. Some people just have a naturally good memory.

Good memory, good technique too. Director Yang sighed and shook his head slightly.

That's not the key point; the main thing is the surgical approach. Old Shen said: "Why would Zheng Lao Ban take such a risk to do a surgery live broadcast, if not to provide a line of thought?"

Interventional guidance, minimizing secondary injury to the patient during surgery—this is the future direction of surgical practice.

Yes, Teacher.

A good memory isn't everything; if you can't remember after one look, you can just watch it twice more. The infrared and intervention screens are right there when you lift your head—all the images are displayed. Zheng Lao Ban can finish a surgery in one hour; it's remarkable if you take four hours to do the same.

But the patient's trauma is much smaller than before.

Peng Jia hadn't expected Old Shen's line of thought to be like this; he hadn't come to find fault with Zheng Lao Ban, but truly to observe the surgery.

Although he still found it hard to believe in his heart, Peng Jia's mind was no longer as anxious as before.

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