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Chapter 2899: 2699 One Step to Completion

~7 min read 1,258 words

"「Xiao Cao, just like how Yun Ge'er taught you. 」 Zheng Ren stood before the patient, speaking softly, 「The surgery will start after 10 seconds。」"

"Quan Xiaocao nodded, understanding what Zheng Lao Ban meant. She took a deep breath and closed her eyes."

"Her eyelashes were long; as she closed her eyes, her eyelids twitched slightly up and down, unknown what she was thinking."

"Zheng Ren wasn't in a hurry either; instead, he checked the relevant equipment prepared by Feng Xu Hui."

"Having performed several surgeries in the System Operating Room, Zheng Ren was completely confident in this 'simple' surgical method that only required changing one's mindset."

"After a few seconds, Quan Xiaocao opened her eyes; her timid gaze dissipated like mist, leaving only calm. One could even say it was cold, devoid of any emotion."

"The gastroscope advanced smoothly through the patient's oropharynx; Quan Xiaocao's hand was steady, without trembling. Her eyes fixed on the opposite screen, unblinking."

"Just as Zheng Ren said, at a position 38 cm from the incisors, the esophagojejunal anastomosis was visible."

"The anastomosis showed no scarred stenosis, which was the best possible outcome. Like scar tissue on the skin, if there were a raised stenotic scar, the difficulty of the surgery would at least double."

"Quan Xiaocao steadily maneuvered the endoscope through the smooth anastomosis, clearly seeing a 0.8 cm defect on the anterior wall of the left side of the anastomosis, with residual anastomotic staples at the edge."

"Zheng Ren reached out to take the endoscope sheath, exposing the operating field for Quan Xiaocao, just as an assistant would do in a routine surgery."

"Quan Xiaocao skillfully clamped the bilateral mucosa of the defect with the dual-arm forceps; the instant she lifted it, the suction device in Zheng Ren's hand was already there."

"As an assistant, Zheng Lao Ban's coordination was exquisite, without a single flaw."

"With the force of the forceps and the suction device, Quan Xiaocao pulled the tissue around the defect into the transparent cap, turning the handle to release the OTSC anastomosis clip."

"Her movements were slow; each turn of the handle was done with great care. Zheng Ren, observing Quan Xiaocao's actions, judged that she seemed to be feeling the force transmitted through the handle."

"This was an introduction to the sense of touch; had she begun? Beneath his surgical mask, Zheng Ren's lips curved into a line, though no one could see it."

"The OTSC anastomosis clip closed over the tissue, completely covering the 0.8 cm defect. The whole procedure was a bit slow but flawless. Zheng Ren knew that what he had just explained had been understood by Quan Xiaocao, and she immediately applied it in the surgery."

"What she did during this time, Zheng Ren did not know."

"But Zheng Ren understood that grasping something so thoroughly in a short time did not mean Quan Xiaocao possessed Su Yun's talent. She must have been studying day and night; with accumulated effort, she found a moment to make a breakthrough, breaking the bottleneck, and thus her technical progress followed naturally."

"Quan Xiaocao remained expressionless and had no habit of speaking during surgery, much like Zheng Ren. She then switched to an ESD transparent cap and re-entered the view, seeing that the OTSC anastomosis clip had closed properly."

"The main steps of the surgery had been declared complete."

"Zheng Ren raised his hand and laughed, 'Not bad!'"

"\"Fang Lin, look at Xiao Cao, then look at yourself! \" Su Yun said contemptuously, \"Can't you do something proper? \""

"\"Hey. \" Fang Lin witnessed the entire process of the OTSC anastomosis clip sealing the esophageal defect, paying no heed to Su Yun's words, only feeling a faint bewilderment in his heart."

"Since his graduate studies, he has had a profound understanding of postoperative esophageal anastomotic leaks in esophageal cancer."

"Not only him; every thoracic surgeon researches anastomotic leaks and fears them like tigers."

"Once a postoperative patient develops a leak, it means less than a 50% chance of survival. The remaining 50% possibility entails enduring pain for a month or even longer."

"Sometimes the whole ward and corridors reek of rotten odor. Just a whiff tells you there is a patient with an esophageal anastomotic leak in the ward; even speaking must be softened to avoid aggravating that unfortunate doctor."

"Even with constant flushing to keep the leak site clean and performing a reoperation, the success rate remains so low it is horrifying."

"Because the success rate is low, almost no doctors are willing to perform a reoperation; many instead opt for conservative observation, letting the leak heal on its own."

"Yet this problem that has troubled thoracic surgery for decades—was it just solved like that?"

"Fang Lin was somewhat doubtful."

"\"Let's go. \" Su Yun patted Fang Lin's shoulder and said."

"\"Yun Ge'er... \" Fang Lin felt his voice a little hoarse; he forced a faint smile, \"I'll put on the lead clothing and have a look inside. \""

"\"We're about to do imaging; it's clearer to view from outside. \" Su Yun pulled Fang Lin out of the operating room."

"Everyone else followed out, only Feng Xu Hui, holding some possibly needed consumables, wearing lead clothing, stood in a corner of the operating room, as if merging with it."

"The airtight lead door closed; Su Yun squeezed the technician to one side and skillfully manipulated the console."

"\"Xiao Cao, what do you think the chances of success are? \" Su Yun asked."

"Quan Xiaocao had already been replaced by Lin Yuan; in the operating room thereafter, Zheng Lao Ban personally performed the surgery, placing another stent to achieve double insurance."

"Leaving the operating room, Quan Xiaocao's self‑psychological suggestion faded, and she became the timid little doctor again."

"\"Yun... Yun Ge'er, I think... \""

"\"Xiao Cao, say what you have to say; if the surgery was this badass, what couldn't you say? \" Su Yun said, \"Your current level is enough to open a clinic directly, accepting nationwide patients with postoperative esophageal anastomotic leaks from esophageal cancer. \""

"\"\""

"Hearing Su Yun say that, Quan Xiaocao found it even harder to speak."

"Professor Lu, hearing Su Yun say that, felt a slight jolt in his heart, the same emotion as Fang Lin's."

"Collecting nationwide patients who botched surgery after esophageal cancer……"

"Making money is one thing, saving lives another; wiping the backsides of all thoracic surgeons—who wouldn't call out 'Teacher' upon meeting?"

"Fame, profit, and standing in the jianghu!"

"This is simply a pie falling from the sky! Professor Lu knew that even if he worked a lifetime at 912, he could never reach such a status."

"And yet the not‑yet‑graduated Doctor Quan Xiaocao, a coward, could actually achieve this?"

"Professor Lu had no doubt; he knew that if the imaging showed no contrast agent leaking from the esophagus into the mediastinum, it would mean that the surgery Quan Xiaocao had just performed in its entirety was successful."

"Even what Su Yun said was somewhat conservative; this was the pace to become a national top expert in a single step."

"After struggling for so many years without reaching this point…… Professor Lu felt a bit lost. He knew that medicine is becoming ever more specialized, and Quan Xiaocao had seized a niche and taken the lead."

"I can do it too! A fire ignited in Professor Lu's heart."

"The screen on the console began to move; Professor Lu cleared his mind of distractions and began to seriously watch Zheng Lao Ban perform the imaging."

Whether it succeeded or not, we still need to do imaging to confirm.

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End of Chapter

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