Chapter 3029: 2829 Blue Out of Indigo

It wasn't Feng Jianguo who performed it himself; he truly lacked confidence, and besides, he didn't understand endoscopic surgery, so he wouldn't just proceed so hastily. If going in were easy, getting back out would be hard.

To call the surgery hasty is Feng Jianguo's genuine opinion.

Based on his over twenty years of clinical experience and several thousand, nearly ten thousand surgeries, the patient in front of him needing about two hours of surgery is about right.

Establishing pneumoperitoneum, finding the rupture point, using titanium clips to clamp, irrigating, and so on—this series of steps basically takes that amount of time.

But Quan Xiaocao had finished while he was scrubbing and laying out the drapes to prepare for surgery. The speed wasn't important; what amazed Feng Jianguo most was that the 'surgery' caused hardly any trauma.

This completely overturned Feng Jianguo's conception of surgery.

He panicked, not only because of the patient before him, but also because—his lifelong surgical skills and experience had been overtaken by his student in just a few months!

If he were a bit more ruthless, with Zheng Lao Ban and Su Yun not standing behind Quan Xiaocao, Feng Jianguo could completely reprimand her, give her a scolding, then proceed with the surgery safely and thereafter forbid Quan Xiaocao from doing similar surgeries.

As for Quan Xiaocao's future, it's easy to imagine. Staying in 912 is impossible, not in a lifetime.

If they don't show up, they're treated as nonexistent; every person who challenges surgical technology is struck down destructively before they even grow.

In the past, many senior directors handled the nascent laparoscopic surgery in exactly this way.

But Quan Xiaocao's situation is different; even if he could bring himself to be ruthless, as soon as he dared to do so, Feng Jianguo was sure Quan Xiaocao would soon appear in Zheng Lao Ban's medical team, and then repeatedly slap himself in the face.

Zheng Lao Ban is easy to get along with; the patient with the intestinal stent he first encountered he still can't forget to this day.

But Zheng Lao Ban is also hard to persuade; from the perspective of new technology, they are making rapid progress, and I heard they're recently working on a cancer treatment project.

Young people are full of energy; if it were me, after winning a Nobel Prize I'd just lie back for life—who would bother pondering cancer treatment? That's not something a person would mull over.

Getting back to the point, Zheng Lao Ban and Su Yun's support for Quan Xiaocao on new technology is plainly visible.

One after another, 3D-printed simulated humans, almost hand-in-hand teaching; on the previous patient with an esophageal anastomotic leak, Zheng Lao Ban helped Quan Xiaocao with all his heart and effort……

Therefore, Feng Jianguo couldn't, emotionally or logically, suppress this timid little guy Quan Xiaocao, but proceeding like this also left him uneasy, so he had to resort to his ultimate move—summoning Zheng Lao Ban.

No matter how late he calls Zheng Lao Ban, the latter won't lose his temper—Feng Jianguo knows this.

Indeed, after the call went through, Zheng Lao Ban sounded completely free of morning grogginess; upon hearing there was a special situation, he immediately perked up.

Briefly explaining the situation, Feng Jianguo pleaded softly, "Zheng Lao Ban, could you please take a look?"

"Sure, should I just take a look via video?" Zheng Ren's voice came from the earpiece.

"Just a video look will do; you also know I don't understand endoscopic surgery." Feng Jianguo said, "Not even looking at that patient without cutting, I'm extremely anxious."

"No problem, let's start the video." Zheng Ren laughed.

Being a doctor, especially a surgeon, one tends to have some obsessive-compulsive tendencies.

Feng Jianguo hung up, opened the WeChat video, then walked into the operating room. As he walked, he said, "Zheng Lao Ban, the drapes are all set. Earlier, for various reasons, I let Xiao Cao take a peek. She kept watching and ended up performing the surgery…… and finished it."

Saying that, he once again stood beside Quan Xiaocao, found an angle, first let Zheng Lao Ban see the position of the colonoscope and the site of the anal fissure, then aimed the phone's view at the colonoscope's screen.

Quan Xiaocao repeated the operation for the third time.

Ten minutes later, Zheng Ren's voice came from the phone.

"Xiao Cao did well; now we're considering the patient's intraperitoneal infection. I see not much fecal residue in the intestine, so I think it's not a big problem—administer a stronger antibiotic. Inform the patient of the situation; there might need to be a second laparotomy."

"...... Zheng Lao Ban, don't scare me." Feng Jianguo said with a grim face.

"Feng Brother, a second laparotomy is a low-probability event; I estimate that if the patient fasts from water for five days, they'll basically recover. A month later, do a colonoscopy follow-up, and the area will likely just be scar tissue. Also, don't forget to give the antibiotic, a quinolone; other than that, there's nothing else to worry about."

"Fast from water for five days, give high nutrition intravenously, fourth-generation cephalosporin plus ciprofloxacin…… or should I give a higher-grade quinolone?" Feng Jianguo still lacked confidence inside.

"No need; the fourth-generation gatifloxacin and moxifloxacin are too high-grade—using them could cause fungal infection after a week, then you'd need to add something like cefepime. Ciprofloxacin is sufficient; the level is adequate." Zheng Ren laughed, "Xiao Cao did well; she's maturing quite quickly."

At this moment, Quan Xiaocao had already taken out the colonoscope, and the boss began suturing the anal fissure.

"Intestinal perforations often occur in obviously twisted intestinal segments, and titanium clips are not easy to open smoothly in those segments; even if opened, they cannot advance easily." Zheng Ren commented, "Did Xiao Cao use a transparent cap?"

"Yes, I used the transparent cap to lift the clip." Quan Xiaocao lowered her head, answering like a mosquito.

"The titanium clip can be opened either inside the rectum or outside the body; the key is to place the titanium clip inside the transparent cap, using the cap's tube wall to protect the clip, delivering the clip to the intestinal perforation site, and completing the clipping of the perforation."

"When treating intestinal perforation with clipping, one can fully utilize the transparent cap's compression and suction to assist the titanium clip's clotting treatment. Using the transparent cap for endoscopic titanium clip clotting of intestinal perforation, Xiao Cao did this very well."

"All right, the patient should be fine; if nothing's wrong, I'll hang up."

"Oh oh, okay, Zheng Lao Ban." Feng Jianguo hurriedly said, "Sorry for disturbing you in the middle of the night."

"Could you help me keep my clothes safe?"

"What clothes? I didn't see any." Feng Jianguo stared blankly.

"The patient is my neighbor; I called 120. At the time he ran out wearing only underwear, I worried he'd freeze, so I gave him my clothes. It's fine; I guess Manager Zhou helped me keep them."

Zheng Ren laughed and said, "I also habitually think surgery is needed; if I had known Xiao Cao used a transparent cap and titanium clip, I would have come to see."

"......" Feng Jianguo stared.

"Pretty good, Xiao Cao, keep working hard!" Zheng Ren laughed, waved his hand in the video, and ended the WeChat call.

The operating room fell silent.

Apart from Quan Xiaocao lowering her head, everyone else's gaze was fixed on Feng Jianguo.

"What are you looking at me for? Step down, wrap up work!" Feng Jianguo said.