Chapter 56: 0055 Live Broadcast Gallbladder Removal Surgery

Special ward, Room 303.

Liu Tianxing, Director Liu lay quietly on the bed, Cen Meng sat beside the bed, there was no conversation, the two were somewhat absent-minded.

The television on the opposite wall flickered with snow, the rustling sound monotonous and dull.

After a long time, Director Liu broke the silence.

"Is the patient's diagnosis clear?" Director Liu's voice hoarse.

"Clear." Cen Meng replied: "Preoperative preparations are complete, the patient is undergoing general anesthesia."

"This is a relatively high‑difficulty gallbladder removal surgery; first time…… Are you sure Zheng Ren is doing laparoscopic gallbladder for the first time?" Director Liu suddenly asked.

"I'm sure." Cen Meng said: "He has done some appendectomies; maybe he has a talent, so his surgeries are good. But I'm sure he has never been the lead surgeon for a gallbladder removal, whether laparoscopic or open, never."

"No lead surgeon, I recall having assisted."

The assistant's main job in Laparoscope Gallbladder Removal Surgery is to hold the lens, that is, the endoscope lens. It's a job inferior to the Retractor used in open abdominal surgery before.

No actual operation, that's fine.

Director Liu nodded, slowly closed his eyes, "Young people, after learning one or two surgical procedures, they think their abilities surpass heaven; this impatient attitude must not be."

"Yes." Cen Meng knew Director Liu was entering his lecture time; as a straight man, he only needed to answer simply yes or no.

"Performing surgery, especially an unfamiliar procedure, without an senior doctor on the observation platform, something will always go wrong." Director Liu closed his eyes, murmuring, as if recalling something: "Gallbladder removal surgery looks minor, just a grade‑one surgery, but do you know why doctors below the Inpatient Chief in General Surgery are not allowed to perform it?"

"Because the cystic duct and hepatic duct can sometimes change shape and structure due to inflammatory exudate; once the hepatic duct is cut, the damage is irreversible." Cen Meng, who has personally performed over ten laparoscopic gallbladder removals as lead surgeon, knows these precautions inside out.

"Exactly, especially for a newcomer just touching the laparoscope, they might not even distinguish left from right. Director Pan is truly muddle‑headed, daring to let Zheng Ren perform a procedure he himself cannot do."

"He really has the gall; something will definitely go wrong."

"We just need to watch quietly."

As they were speaking, the television's rustling sound suddenly disappeared, and Director Liu flung his eyes open.

Today, the anesthesiologist assigned to the emergency operating room is Cen Meng's classmate; thus he, via an internal line, knows every move of Zheng Ren on the emergency side.

The endoscope lens has an installed imaging system; it can record and also live‑broadcast. Usually, however, no one lets others watch their own surgery live‑broadcast.

After Cen Meng repeatedly requested and added certain promises, his classmate agreed to use Bluetooth network transmission to secretly send him the surgical process.

Cen Meng knew Zheng Ren could not perform laparoscopic surgery; to make Director Liu a little happier, he connected the signal to the TV in the special ward, enabling real‑time viewing of Zheng Ren's surgery.

No sound, but the endoscope has been opened; at this point, they should probably be using the insufflator to establish pneumoperitoneum.

Soon the lens began to shake. The two peeking at Zheng Ren's surgery in the special ward are experts; they know the "hole" has been made and they are preparing to insert the lens internally.

No one spoke; the atmosphere in the ward was somewhat tense, even more tense than when they themselves perform surgery.

Just thinking of Zheng Ren's astonishing feat of performing forty‑nine appendectomies in one night, and of the last one—a trans‑rectal laparoscopic appendectomy that even Director Liu had never heard of—made Cen Meng tense.

He certainly won't do it; moreover, this patient has had inflammatory exudate for five days, with severe adhesions, making the surgery difficulty relatively high.

……

……

The traffic monitoring on the Xinglin Garden Website suddenly showed an anomaly.

Hundreds of people poured into a video live‑broadcast room, but having learned from the last incident, CEO Peng Jia has already set the upper limit of this account's live‑broadcast room to 10,000 people and made an emergency plan.

【The great god hasn't done surgery for several days; I really miss his smooth, flowing appendectomies.】

【What surgery is this this time? Let me have a look……】

【Laparoscopy! Laparoscopy! So excited, I've just gotten into laparoscopic surgery; I don't know the great god's laparoscopic skill level.】

【If it were you, would you dare to live‑broadcast surgery? Your skill must be high!】

Hundreds of people came up, chatting while shouting 666.

As for the surgeon's laparoscopic skill level, that's another matter; everyone is still immersed in the recent flood of appendectomies and can't pull themselves away.

The atmosphere in the special ward is not as lively as the online live‑broadcast room; although Director Liu and Cen Meng, master and disciple, constantly confirm that Zheng Ren has never done laparoscopic surgery nor received further training, they still can't help feeling tense.

Soon the endoscope probe entered, and the television showed the severely adhesi‑cated gallbladder triangle.

Seeing this, Director Liu's face finally showed a hint of a satisfied smile.

If it were him doing this surgery, seeing this situation would require him to focus and gently separate the anatomical structures of the gallbladder triangle. One slip, tearing anything there, could be fatal.

Replace him with a novice…… no, even if it were Cen Meng facing this, the only solution would be to call himself onto the stage. He himself would not dare to perform such a difficult surgery alone.

【Wow, it's actually laparoscopic gallbladder!】

【Who said the great god can't do laparoscopy? Step forward, I guarantee I won't beat you to death.】

【It seems the great god doesn't need laparoscopy for appendectomy because his incision is already small enough; there's no need for laparoscopy.】

In Xinglin Garden, everyone's interest in watching surgery has increased. Appendectomy, no matter how proficient, is just cutting out a single appendix; even high‑end work for inpatient doctors is just that.

There's a saying: if you can make potatoes and cabbage tasty, then you're a true chef.

The same goes for the appendix, equivalent to potatoes and cabbage. Through the live‑broadcast room, the surgeon's appendectomy skill level lets doctors who have watched surgery before conclude that this is definitely a big‑shot figure.

That's how it's said, but everyone's talent differs; once a certain level is reached, surgical proficiency cannot be improved further.

Looking at the appendectomy far away in the cloud, the meaning is basically nil, completely incomparable, whether it's skill or…… stamina.

Laparoscopic gallbladder removal surgery is different.

In the early twenty‑first century, domestic hospitals had just begun laparoscopic surgery; various departments, including thoracic surgery, general surgery, and obstetrics, gradually started to popularize minimally invasive surgery.

Only after ten years, when the senior directors of various departments retired one after another and the new generation that mastered laparoscopic technology became the frontline clinical force, did the country begin to popularize it.

However, the growth of laparoscopic minimally invasive technology has been very rapid.

In 2001, a certain expert in Di Du used a thoracoscope to perform esophageal cancer surgery, taking 8 hours. Nowadays, as long as the esophageal cancer is not too high, completion time is within 2 hours.

Laparoscopic technology has already replaced traditional open surgery, becoming mainstream.

In the Xinglin Garden live‑broadcast room, when the live‑broadcast picture showed the severely adhesi‑cated gallbladder triangle, countless bullet comments flew by.

【Are all the surgeries selected by the great god this difficult?】

【The gallbladder triangle is stuck together in a mess; this surgery is estimated to take about three hours to finish.】

The gallbladder neck is completely wrapped up; how can it become detached?

The more closely they looked, the more everyone's hearts pounded. The gallbladder was almost completely wrapped by exudate from inflammation; a thin membranous substance encased it tightly, so much so that not only could the anatomical structure not be distinguished, even the gallbladder itself could not be made out.

Seeing this, Director Liu and Cen Meng both let out a sigh of relief, showing a "relieved" smile.