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Chapter 782: with translation of chapter title

~12 min read 2,364 words

It's not that he lacks master-level skill; rather, he simply doesn't have the relevant experience or a teacher's guidance in surgery.

Contains: Master-level, Teacher, Shou Bing. Also experience.

If he could just see a recording of the surgery, how wonderful that would be, Zheng Ren thought absently.

Contains: Shou Bing, Zheng Ren.

Who was that again… Zheng Ren, in the system operating room, suddenly recalled an elderly interventional doctor from Pengxi Township Hospital's operating room, who seemed very honest and straightforward.

Contains: System Operating Room, Pengxi Xiang, Hospital, Operating Room, Intervention Department Doctor, Zheng Ren.

He compared himself to the surgeon in the Apricot Grove Garden surgery livestream, concluded he was the stronger of the two, but still felt a little let down.

Contains: Xinglin Yuan, Live Broadcast Room.

The surgeon in the surgery livestream looks really strong, Zheng Ren thought, smiling.

Contains: Surgery Livestream Room, Zheng Ren.

But his smile soon turned into a bitter smile.

No named entities.

Ah, if the livestream could show a liver transplant operation, how great that would be.

Contains: Live Broadcast Room, Shou Bing.

There's an old joke about how doctors and gangsters are alike: one point is—whose hands don't have a few lives on them?

No glossary terms.

Although doctors do everything they can to avoid errors, they still can't reach perfect diagnostic accuracy. Especially with this rare disease, experienced doctors have earned their know-how at the cost of lives.

No glossary.

Zheng Ren is a slacker, an exception. His experience comes from piling up experimental subjects.

Contains: Zheng Ren, experiment.

Don't lose focus—Zheng Ren snapped back and started the surgery right away.

Contains: Zheng Ren, Shou Bing.

Failure!

None.

Failure!!

None.

Failure!!

None.

Doing a liver transplant, watching one experimental subject after another die, Zheng Ren was on the verge of collapse. Each failed surgery meant starting from scratch…

Contains: Shou Bing, Zheng Ren, experimental subject, autologous liver transplant.

But surgical training time is growing shorter, and Zheng Ren can already see a bleak future: once the training time is exhausted, he still won't have fully mastered the liver transplant technique.

Contains: Surgical Training Time, Zheng Ren, Technique, autologous liver transplant.

Apricot Grove Garden, the surgery livestream? Feeling helpless, Zheng Ren clung to the thought of giving it a try. After experimental subject No. 32 died, he reluctantly exited the system operating room, which collapsed and faded behind him. Without a glance, he walked straight out of the system space.

Contains: Xinglin Yuan, Surgery Livestream Room, Zheng Ren, System Operating Room, System Space.

The wisp of green smoke rising from the purple cloud on his hand appeared unchanged; Zheng Ren took a hard drag on his cigarette, then picked up his phone.

Contains: Zheng Ren.

Apricot Grove Garden? Zheng Ren hasn't visited in ages.

Contains: Xinglin Yuan, Zheng Ren.

Is there really a livestream? Medical sites are so advanced these days? Zheng Ren remembers that when he used to log onto Apricot Grove Garden, it mainly posted academic case reports.

Contains: Live Broadcast Room, Medical Website, Xinglin Yuan, Zheng Ren.

After logging in, Zheng Ren quickly scanned the sections; there was indeed a livestream slot, but the last surgery broadcast had been months ago.

Contains: Zheng Ren, surgery live broadcast, time.

As expected, there's no such thing as a free lunch; Zheng Ren lamented.

Contains: Zheng Ren.

There's no choice but to study on his own. Zheng Ren never expected much from the surgery livestream, so he isn't overly disappointed.

Contains: Zheng Ren, Surgery Livestream Room.

Zheng Ren calmed himself, smoked silently, and didn't rush to the system operating room to begin surgery.

Contains: Zheng Ren, System Operating Room, Shou Bing.

He started to recall, going over the surgery's steps in his mind.

Contains: Shou Bing.

The fingers of his right hand holding the cigarette twitched slightly, like a Parkinson's patient's. Innumerable details and fragments flooded Zheng Ren's mind like a tide.

Contains: Zheng Ren.

Bodily memory, surgical skill, and details blended together, wave after wave surging through Zheng Ren's mind.

Contains: surgical skills, Zheng Ren.

Yet after smoking a cigarette, Zheng Ren still had nothing to show for it.

Contains: Zheng Ren.

A cart rattled down the operating room hallway as Professor Yang phoned the urology and vascular surgery doctors.

Contains: Operating Room, Professor Yang, Urology Department, Vascular Surgery Department.

As for thoracic surgery… in the major external operating room, they have four bays; whenever one finishes a procedure, they just roll this operating table over and it's sufficient.

Contains: Major External Operating Room, Shujian, Shou Bing, Operating table.

Time… Zheng Ren is short on time.

Contains: Zheng Ren.

How much he wishes that right now, the Apricot Grove Garden surgery livestream could truly be as Dr. Liu Xu zhi described—letting him achieve his goals by going live and teaching himself how to do a liver transplant.

Contains: Apricot Grove Garden Surgery Live Broadcast Room, Liu Xu zhi, Shou Bing.

Precious experience, freely given—anyone who starts a livestream, no matter their level, is surely a good person.

Contains: Live Broadcast Room.

Zheng Ren offhandedly tossed out a 'nice guy' card, then took another hard drag on his cigarette, stubbed it out, and opened his phone.

Contains: Zheng Ren.

The miracle he hoped for didn't occur; the livestream stayed empty.

Contains: Live Broadcast Room.

The place is deserted—'people have left the building' is an apt description.

None.

Zheng Ren shook his head, sighed, and had no choice but to dive into the system space.

Contains: Zheng Ren, System Space.

The operating room rose up from the floor; after Zheng Ren entered, he stared blankly at the experimental subject, but didn't rush to begin surgery.

Contains: Operating Room, Zheng Ren, Shou Bing.

He kept the whole procedure in mind. Yet a liver transplant remains difficult—not impossible, but the success rate is too low.

Contains: Shou Bing, Zheng Ren.

When was the last time he stood in the system operating room, spaced out? Zheng Ren vaguely recalls it was when using nuclear magnetic resonance diffusion to assess the TIPS surgery approach.

Contains: System Operating Room, Zheng Ren, Nuclear Magnetic Resonance, TIPS Surgery.

He's managed even the toughest surgeries before—so why can't he do it now?

Contains: Shou Bing.

Zheng Ren psyched himself up, cleared his mind of distractions, and began to carefully think through the surgery.

Contains: Zheng Ren, Shou Bing.

"……"

None.

"……"

None.

"Position the patient, let's begin." The anesthesiologist put the patient under general anesthesia, watching the unstable vital signs, and spoke anxiously.

Contains: Anesthesiologist.

The patient's condition is unstable, kept alive by drugs. Even with high skill, we can't guarantee the patient will last through the surgery. So, the sooner we start, the better.

Contains: persistence, Shou Bing.

A few summoned professors gathered around the operating suite's viewbox, conducting the final emergency hospital consultation.

Contains: Professor, Shujian.

The case is complex, requiring cooperation among four departments, with the final decision resting in general surgery. Although Professor Yang has no confidence in performing a liver transplant, he has no choice but to go ahead with it.

Contains: General Surgery Department, Professor Yang.

After emergency discussion, it was decided that urology would go first. The issues that Zheng Ren, lacking comparable experience, overlooked were not missed by the many surgery professors and department heads of 912.

Contains: Urology Department, Zheng Ren, Surgery Professor, Director.

Although the surgery carries extremely high risk and the situation developed suddenly, they still made the right call.

Contains: Shou Bing.

Su Yun stood silently in the corner; this kind of pre‑operative discussion among department heads and leading professors was not something he could break into.

Contains: Su Yun, Team-leading Professor, Pre-operative Discussion, Discussion.

If Zheng Ren were present, there would still be a chance.

Contains: Zheng Ren.

Things like standing in the jianghu may seem nonexistent, but they actually do exist.

None.

The patient was placed in a left lateral position; the urology team began disinfecting while the anesthesiologist anxiously watched the vital signs, constantly adjusting the medication infusion rate.

Contains: Urology Department, Doctor, Anesthesiologist, Tension.

Using drugs to maintain the patient's vital signs is only a temporary measure; it can't be sustained for long.

None.

Whether the patient lives or dies now hinges on the surgery.

Contains: Shou Bing.

Su Yun didn't see Zheng Ren emerge, nor did he go looking for him. After working together on countless surgeries, Su Yun believes Zheng Ren will surely show up at the right moment.

Contains: Su Yun, Zheng Ren, Shou Bing.

He's definitely thinking about the surgery—I have no idea what he's doing now. Su Yun's guess isn't exact, but it's not far off.

Contains: Shou Bing, Su Yun.

The urology team started first; Su Yun quietly took a position behind the surgeon and began to watch the procedure attentively.

Contains: Urology Department, Su Yun, Shou Bing.

Traditional incision, simple yet cautious.

Blunt Dissection, after exposing the kidney, whether it's the surgeon or the assistant, or the people on the Observation Platform, they were all dumbfounded.

The cauliflower-like hydatid cysts resembled a typical malignant tumor, wrapping around the upper pole of the right kidney, giving a feeling of having no place to start.

If possible, I really don't want to do this Shou Bing.

The head of the Urology Department, seeing this situation, began to hesitate and waver.

"Let's do a renal segment resection; with the Intervention Department here, we don't have to worry about bleeding." Su Yun said softly.

He understood why the head of the Urology Department was hesitating, so he directly gave the answer.

"Intervention Department, who's there?"

"Zheng Lao Ban." Su Yun answered firmly.

"Huh? Which Zheng Lao Ban?" the head of the Urology Department asked somewhat surprised.

"Nobel Prize Nominee, Zheng Ren Zheng Lao Ban."

The surgery room fell silent; the head of the Urology Department began to dissect the renal pelvis and calyces, performing a renal segment resection without hesitation.

Although he had never seen Zheng Ren do Shou Bing, the halo of the Nobel Prize Nominee was bright enough.

Time dripped by, and the Shou Bing was very slow.

The hydatid cyst wall invasively permeated healthy bodily tissues; although the patient was only in their twenties, it's estimated they've had hydatid disease for at least three to five years, otherwise it wouldn't be this severe.

She was also lucky, able to reach Di Du in time and arrive at 912. Although she had been abandoned, she was abandoned right at the doorstep of 912.

Such a complex disease, aside from a few hospitals in Di Du and Modu nationwide, there's nowhere else that can handle it.

1 hour 23 Minute, the right kidney renal segment resection was completed, suturing ended, and body position change began.

Just as the renal segment was being removed, Professor Yang of the General Surgery Department vaguely saw the situation inside. His face was solemn; he did not go to look at the Urology Department's suturing, nor did he go to rest, but instead stood before the film viewer, staring blankly at the patient's images.

He actually knew the procedure all along; after opening the abdomen, mobilize the liver, remove the gallbladder, then have the Blood Vessel Surgery Department proceed to perform the portal vein surgery.

Then what? The Thoracic Surgery Department proceeds.

No matter what, the patient has hepatic hydatid disease; in the end, most of the liver will be removed, and undergoing an autologous liver transplant will still fall on me.

Autologous liver transplant……

It is the most difficult surgery in the Gan Dan Wai Ke, and almost the highest-difficulty surgery in the entire General Surgery Department.

Can I do it? Professor Yang has no confidence.

But even if it's like forcing ducks onto the shelves, if I ought to go up, I must go up.

Someone called him; Professor Yang responded, scrubbed in and changed clothes, then the General Surgery Department opened the table.

This task is not difficult; just mobilize the liver, remove the gallbladder, expose the second hepatic portal, to prepare for the Blood Vessel Surgery Department.

When the abdomen was opened, Professor Yang let out a long sigh.

The situation is only worse than imagined; it will definitely not get better.

The entire liver, at least 65% of its surface is invaded by hepatic hydatid cysts. At the second hepatic portal, the lumpy lesions are all grayish-white cysts that make the scalp tingle.

Steel your scalp and go on……

Cover the incision and the organs around the cyst with gauze pads, then lay a layer of gauze soaked in 10% formaldehyde solution on top of the pads to prevent cyst fluid from spreading and contaminating or causing an allergic reaction.

Before puncture, suture two traction lines on the cyst wall; puncture between the lines and aspirate some cyst fluid; after confirming it's a hydatid cyst, withdraw the Puncture Needle.

Connect the sheath of the cannula needle to a Y-shaped tube, then respectively connect it to the syringe and suction device, and temporarily clamp the tube connecting the syringe with a hemostat.

Insert the cannula needle along the puncture site into the cyst cavity, pull out the inner needle above the sheath, and use the suction device to aspirate the cyst fluid.

After handling all this, Professor Yang still had no Operating Field.

Where is the second hepatic portal? The local anatomical structure is a complete mess; it's impossible to see clearly.

"Professor Yang Title: Teacher, do you need an assistant?" Zheng Ren's voice floated over.

……

……

A 3000-character chapter, no intentional cliffhanger, the emotions have reached this point; please forgive.

Surgery Livestream Room, in my view, if it exists, it is a particularly meaningful thing. Which good doctor doesn't have a few lives on their hands? Experience is piled up with lives. I have thought of many solutions, of course, just a small doctor's boring thoughts. Surgery Livestream Room is the simplest, most direct way to Enhancement of surgical surgery level. If there truly are experts daring to livestream, a high-difficulty surgical procedure can save thousands of lives.

Hmm, no matter how many people criticize the beginning, this is my Persistence.

Today there are two 3000-character chapters; please vote for the monthly ticket.

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End of Chapter

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