Chapter 2702: line with translation of chapter title

2604.2505 Surgical Approach

2604.2505 Surgical Approach

"Good, I'll think it over carefully. Teacher, you're right, we need to cultivate our own people." Yang Zhu Ren sank his voice: "But interventional surgery talent growing up is difficult; in the short term, it's impossible to have Zheng Lao Ban this convenient."

"Now looking at the tumor invasion range is still okay; if you do it, can you take it down?" Old Shen did not continue this topic, but looked at the surgical process and asked.

"I've looked at the films before; I can barely manage it." Yang Zhu Ren said: "If there are no unexpected situations during the surgery."

Old Shen nodded, his gaze sharp as he watched the broadcast on the screen, completely gone were his previous gentle, refined demeanor and broad smile.

He seemed as if he himself were standing on the operating table, personally wielding the knife to perform Shou Bing, and only a moment later he entered the state. Old Shen's aura was great; Peng Jia sat beside him like an intern, not daring to utter a word, fearful of disturbing Old Shen's "Shou Bing" process.

In the surgery live broadcast, Zheng Lao Ban took a midline posterior neck incision; the operation of blunt scissors, hemostat, and electrocautery was silent, and the rising smoke let Peng Jia smell a burnt odor between his mouth and nose.

After opening the skin and entering, the other side's screen already displayed the basic size situation of the tumor tissue. Under infrared detection, the tumor tissue showed a strange green color, looking at it made people somewhat fearful.

"Local contrast agent looks good; if there isn't a particularly good interventional doctor, just find any old one. Simply precisely showing the tumor tissue range already means a lot." Old Shen, like a commander, issued orders at any time.

"This little patient's various conditions aren't good; I estimate Zheng Lao Ban wants to do everything possible to reduce secondary damage. Normally, just giving medication via the vein would be enough." Yang Zhu Ren said softly.

The relationship between the two was extremely familiar, and there was no situation where Old Shen said something and it was taken as law; Yang Zhu Ren still put forward his own opinion.

"Can't be lazy; Zheng Lao Ban has already gotten a step ahead." Old Shen said sternly: "In the future, interventional doctors will only increase; if you don't seize the initiative, within five years you'll be left behind and never catch up to others, which would be tough."

"Good." Yang Zhu Ren nodded.

Is it that serious? Peng Jia has also seen Zheng Lao Ban use interventional surgery combined with other surgeries. For example, on the day he won the Nobel Prize, Zheng Lao Ban didn't wait for the Nobel Prize call; instead, he performed an emergency double valve replacement surgery in the surgery livestream room.

This surgery also first used interventional angiography to determine blood supply conditions, then after finding the access route did it start the surgical procedure.

Looking at it, it indeed seems high-end and upscale; Peng Jia, as a layperson, felt there wasn't much need. But hearing Old Shen say this today, his heart stirred.

Under Zheng Lao Ban's fine operation, it has begun to reveal one or two healthy segments above and below the tumor segment's spinous processes, laminae, and small joints. Local anatomy is clear, damage minimal, the sterile gauze in the assistant's hand hasn't been changed.

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

"Noticed." Yang Zhu Ren replied, "Zheng Lao Ban is looking at the local blood flow situation, analyzing that the surgery should avoid those relatively large capillaries."

"Hmm, his understanding of imaging and local anatomy is very thorough." Old Shen's eyes narrowed into a line, "Besides, he's a doctor with an imaging background; his understanding of imaging is thorough."

Yang Zhu Ren didn't speak, but Peng Jia wanted to tell Old Shen, Zheng Lao Ban is not from imaging; he's a general surgery doctor!

But Peng Jia isn't stupid; he has no reason to dampen Old Shen's enthusiasm right now. Possibly Zheng Ren, because of the TIPS surgery technique, won the Nobel Prize, leaving everyone a deep, indelible impression—that he is an Intervention Department Doctor?

"Teacher, the last time I watched Zheng Lao Ban do heart surgery, I didn't understand some details, but I still know the main points." Yang Zhu Ren said, "I consulted the thoracic doctors; they said it's definitely impossible."

"This is a breakthrough in thinking; before Zheng Lao Ban, I hadn't seen anyone able to do this. Let's watch; I think today's surgery will be very interesting."

Old Shen's voice grew softer, his narrowed eyes faintly emitting a glint of sharp light.

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

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

Skillful dissection, the operating field remained unchanged; the surgeon's and assistant's techniques stabilized to the extreme. Within a small space they maneuvered with ease, making onlookers sigh in admiration.

After a few minutes, Yang Zhu Ren gave a wry smile: "Teacher, comparing the infrared screen and the interventional screen, I can barely understand Zheng Lao Ban's surgery. But he didn't even lift his head; just looking for a few minutes, did he really remember everything? Or is it youth—his memory is truly good."

"Hmm, I think so." Old Shen said: "CT Shi, there's a doctor Ding with a bad temper, retiring next year—do you still remember him?"

"I remember." Yang Zhu Ren said softly, as if he were on the observation platform, not daring to speak loudly, fearful of disturbing the surgeon's surgery.

"Doctor Ding has a very bad temper, constantly complained about by patients, but whenever the Medical Department wants to punish him, the CT Shi chief stops it, because he can remember after looking at the images just once. Over the years, sometimes I can't recall the previous images, so I go find him. Some people, their memory is just good—this is innate."

"Good memory, good technique too." Yang Zhu Ren sighed, shaking his head slightly.

"These aren't the key; the main thing is still the surgical approach." Old Shen said: "Why would Zheng Lao Ban take such a risk to do a surgery livestream, if not to provide a line of thought?"

"Interventional guidance, minimizing secondary damage to the patient during surgery, is the future direction of surgical procedures."

"Yes, Teacher."

"A good memory isn't anything; even if you can't retain after one look, at worst just look twice more. The infrared screen and the interventional screen are visible with a glance upward; the images are all there. Zheng Lao Ban can finish a surgery in one hour—amazing that you take four hours to finish it."

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

Peng Jia didn't expect Old Shen's line of thought to be like this; he originally wasn't coming to find fault with Zheng Lao Ban, but truly came to observe the surgery.

Although he still felt somewhat hard to believe inside, Peng Jia's heart was no longer as anxious as before.