Chapter 82: with translation of chapter title

Emergency inspection results were reported as quickly as possible, with no preoperative contraindications.

Chang Yue began preparing the preoperative briefing when Su Yun's figure appeared at the doorway, waving to call her out.

"What's up?" Su Yun's charm meant almost nothing to Chang Yue, who showed great impatience at his interruption of her work, her tone tinged with annoyance.

Su Yun paused for a moment, then a smile rose from the corner of her mouth, born of her inner mind.

In an instant, spring warmed and flowers bloomed.

"The General Surgery Department does Shou Bing, don't do the preoperative briefing." Su Yun said.

"Huh? Why?"

"Where is the focus of your briefing?"

"The laparoscope." Chang Yue grew even more impatient.

"If you can't do it, switch to open abdomen; the preoperative briefing has a problem, be careful not to take the blame again." Su Yun obviously also knew about Chang Yue taking the blame in obstetrics.

Chang Yue paused for a moment, then immediately realized what Su Yun meant to say.

"Well..." she glanced sideways into the room.

"Chief Zheng, let the General Surgery Department do Shou Bing, let them handle their own briefing." When Su Yun spoke to Zheng Ren, she always carried an air of playful irreverence.

Zheng Ren also knew the ins and outs, but he hadn't thought of it here before. Su Yun said it, and he immediately understood.

Su Yun wasn't being meddlesome; it was necessary. So he greeted Director Sun.

Director Sun gave a wry smile, wondering how these unloved brats in the emergency department could all be so crafty.

"Chief Zheng, when I previously performed Shou Bing on you, I never hid anything." Director Sun whispered.

Zheng Ren was puzzled, looking dubiously at Director Sun.

"Why bring up that I previously performed Shou Bing on myself? It's not a single department; when setting up a station for Director Sun, there were also such cases, all extremely special circumstances; over the years, there have never been more than five such Shou Bing procedures."

"If I can't do it today, you must help me." Director Sun didn't know why, feeling a vague bad premonition, his eyes showing the helplessness of wanting to pull a brother along.

Originally, with Director Sun's level, he wouldn't have said this to Zheng Ren.

But recently Zheng Ren has performed many high-difficulty Shou Bing procedures, including the parasitic obstruction Shou Bing for Cen Meng's aunt's husband, continually updating Director Sun's understanding.

Young people's strong rise cannot be stopped.

Director Sun's temperament is relatively mild, unlike Director Liu of General Surgery Department One, who is more rigid; thus at critical moments he can lower his face to ask a junior for help.

"What you say is too polite." Zheng Ren hurriedly bowed slightly, wearing a courteous smile, fully assuming the posture of a junior: "If you can't do it, I can't either. But if you need anything, just say so."

Only then did a hint of relieved smile appear on Director Sun's face.

Dealing with Zheng Ren is much easier than with Director Pan. Perhaps it's because he has just risen strongly, his mindset still that of a young doctor.

With patient family members and hospital leaders present, the two couldn't chat much.

Soon, the junior doctor brought by Director Sun finished the preoperative signature, and the group went to the Operating Room.

Zheng Ren had no intention of watching the spectacle, staying behind to read. Su Yun also didn't follow; he seemed uninterested in anything besides his phone, even the little nurses fluttering about.

……

……

Anesthesia completed, Director Sun stood before the platform and began to insufflate the abdomen.

The insufflation needle entered the peritoneal cavity, filling it with 15? mmHg of pneumoperitoneum.

Director Sun did not choose the standard three-port position for laparoscopic Gallbladder Removal Surgery, but instead made two additional trocar needle punctures lateral to the rectus abdominis on each side under laparoscope Ming vision.

He should also have known that laparoscopy wouldn't work, so he chose this bizarre procedure.

Using a dissecting instrument to slightly separate, he saw severe adhesions inside the peritoneal cavity, especially in the upper abdomen, with hardly any gap.

Rich clinical experience let him avoid an irrecoverable mistake.

Director Sun immediately decided to abandon laparoscopic Shou Bing and switch to open Shou Bing.

After stabilizing his emotions, Director Sun personally stepped down, photographed the situation on the laparoscope screen, then left the Operating Room to brief Lin Yuan Shan.

He took out his phone, showed the captured laparoscope internal vision footage to Lin Yuan Shan, pointing out why laparoscopic Shou Bing couldn't be done.

Hamming it up, with endless regret, pity, and professional explanation, he gained Lin Yuan Shan's agreement. Director Sun's stone finally dropped; he turned back to the Operating Room, re-scrubbed, changed clothes, swapped instruments, and reopened the platform.

As for laparoscopic Shou Bing, Director Sun's level can only be described as average.

He only began learning laparoscopic Shou Bing at age forty-five; by then his open Shou Bing technique had already matured, reaching a high standard.

Simple laparoscopic Shou Bing isn't difficult either, after all the anatomical foundation is there, nothing hard.

But if the Shou Bing is truly extremely high‑difficulty, he still leans toward open Shou Bing, after all this area is more familiar to him.

Take an incision along the lower arc of the right rib margin, about 20 cm long, proceed layer by layer into the abdomen, and explore the peritoneal cavity.

The moment the peritoneum opened, Director Sun was dumbfounded.

The situation was more complicated than he had anticipated!

A huge mass of viscera stuck together in a mess appeared before his eyes. He could barely make out that it was the greater omentum and transverse colon; as for where the gallbladder was…… he had no idea.

Gritting his teeth, let's do blunt dissection.

But faced with viscera clumped into a lump, there was a feeling of not knowing where to start.

It was like a tangled mess of yarn, the ends impossible to find. If it really were yarn, one could cut the Gordian knot with a swift blade. Unfortunately, these are human organs; once the severely edematous intestine ruptures, it becomes hard to sew back up.

Carefully, bit by bit, he separated. Director Sun dared not be the slightest careless; this had something to do with the patient family's status, but not much. Even if it were an ordinary elderly patient, his condition now would be the same.

Five minutes passed, with no clue.

Ten minutes passed, still no clue. The circulating nurse had already wiped Director Sun's sweat twice; the disposable sterile cap was already soaked with sweat.

Twenty minutes passed, a patch of dark green appeared on the back of Director Sun's isolation gown; that was the result of heavy sweating wetting the green isolation gown.

A moment's carelessness, while separating adhesions, tore a tiny artery, blood spurting out. Treating this artery took five minutes, and only barely did they manage to ligate the small artery.

Director Sun felt his vision a bit blurry; the shadowless lamp's light was glaring.

He sighed and said to the circulating nurse coming to support the Operating Room, "Call Chief Zheng and have him come up."

Although they had communicated with Zheng Ren before the operation, but unless it was absolutely necessary, Director Sun would absolutely not let Zheng Ren take the stage.

This means admitting orally that one's skill is inferior to Zheng Ren.

However, facing adhesions that still had no clue after twenty minutes of blunt dissection, Director Sun still chose to give up.

Between medical safety and face, which is more important goes without saying.

The key is wanting to save face, but in the end one may lose even more.

As for Zheng Ren…… seeing his blunt dissection technique during an appendectomy was proficient, perhaps there might be a way after all. Of course, the more important reason is that Zheng Ren completed a pancreaticoduodenectomy at peak level.

……

……

In the Jizhenbingfang office, Zheng Renyi page by page read Hepatobiliary Pancreatic Surgery, focused and serious.

Su Yun expressionless, fingers flying up and down, hand speed incredibly fast, not knowing whether they were chatting with a girl or playing Chicken Dinner.

The department phone rang, and shortly after several nurse girls swarmed in.

"Chief Zheng, the Operating Room is calling you."

Although they were speaking to Zheng Ren, their eyes flickered, looking at Su Yun.