21st Century Necromancer-Chapter 513 - 509: Plan Confirmed (Please Subscribe, Seeking Monthly Tickets)

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In a small conference room, a seminar discussing the surgery for Murata Kouta was underway.

Aside from Chen Yu and Daimon Michi, several professors and doctors from hepatobiliary surgery, vascular surgery, and organ transplant surgery were also in attendance, and the meeting was personally chaired by Professor Kube.

"Since Mr. Chen Yu has just introduced the patient's condition, let's move on to discuss the specifics of the surgical plan," said Professor Kube, looking towards Chen Yu, signaling for him to explain, "Mr. Chen Yu, please go ahead."

"Yes, Professor," nodded Chen Yu. Seeing that everyone in the conference room was looking at him, he began to explain, "This is a very difficult and complex surgery. First, we need to separate the tumor from the patient, because the tumor has already invaded the entrance to the atrium, so we have to consider the possibility of needing to open the atrium during the tumor removal."

"What about pulling the tumor down away from the atrium?" Hearing Chen Yu mention the possibility of needing to open the atrium, Daimon Michi offered a different view, "If we pull the tumor out of the atrium, then we won't need to open it."

Chen Yu nodded, affirming Daimon Michi's suggestion, and further explained, "That is certainly possible, but we must consider all possibilities. If pulling is unsuccessful, or if the tumor is too adhesive or has already entered the atrium, then we must consider opening the atrium for surgery."

Hearing Chen Yu say this, Daimon Michi thought for a moment and then nodded without further comment.

Seeing that Daimon Michi had no other objections, Chen Yu continued, "After completing the tumor separation, we will need to cut the Inferior Vena Cava below the atrium, insert a cannula into the portal vein for extracorporeal circulation, sever the hepatic artery, portal vein, and common bile duct. Below, at the plane of the left renal vein, we will cut the Inferior Vena Cava and completely remove the entire Inferior Vena Cava and liver, then hand them over to hepatobiliary surgery and organ transplant surgery for hepatic vein reconstruction and caudate lobe removal."

"Quite a complex surgery indeed! But we hepatobiliary surgery have no problem," commented Professor Tashita from hepatobiliary surgery, who was sitting in the conference room. Having assessed the situation, he knew it was not going to be an easy surgery, but he still assured cooperation.

Sitting beside him, Professor Kobayakawa from organ transplant surgery also nodded, affirming, "Our organ transplant surgery will also cooperate fully. This time I will personally step in."

Seeing that the professors had made their assurances, Chen Yu nodded in thanks before continuing, "After excising the Inferior Vena Cava and the liver, we will need to perform an artificial vein graft reconstruction between the Inferior Vena Cava and the left renal vein, as well as an anastomosis reconstruction between the right renal vein and the artificial vein graft to preserve the patient's kidney function on both sides. Vascular surgery will need to coordinate for this part."

"No problem, since Professor Kobayakawa has decided to personally step in, I can't lose to him! I will personally take care of it for vascular surgery," chuckled Professor Shiye from vascular surgery, glancing at Professor Kobayakawa sitting beside him and agreeing to cooperate.

"Finally, the last step will be the liver autotransplant. After Professor Tashita and Professor Kobayakawa complete the hepatic vein reconstruction and caudate lobe removal, Dr. Daimon and I will transplant the patient's liver back into the body," Chen Yu turned to Daimon Michi by his side, as if to confirm that she had no issues.

Daimon Michi, feeling Chen Yu's gaze, showed her usual confident expression and seriously said, "As long as I have the cooperation of Professor Chen Yu, I will not fail."

"If Dr. Daimon is confident, then the entire process of the operation can be confirmed," Chen Yu stated and then stood up to go to the whiteboard at the front of the conference room. He wrote down the results just discussed, "The surgery will be led by Dr. Daimon, with me serving as the first assistant, responsible for the removal of the patient's Inferior Vena Cava and liver. Then Professor Shiye will replace me and Dr. Daimon, to complete the reconstruction of the Inferior Vena Cava - left renal vein artificial vein graft and the anastomosis reconstruction of the right renal vein and the artificial vein graft. At the same time, Professor Kobayakawa and Professor Tashita will need to complete the hepatic vein reconstruction and caudate lobe removal of the patient's liver.

Once these two steps are completed, the treated liver will be handed back to me and Dr. Daimon for reimplantation into the patient's body, and to complete the vascular reconstruction to restore the patient's liver function. The entire surgery is estimated to take nine hours. I wonder if anyone has anything to add or any questions?"

After Chen Yu wrote down the dense surgical steps on the whiteboard, all the doctors in the conference room had serious expressions on their faces, because it was an extremely complex surgery, demanding very high precision in every step, and any mistake could lead to the death of the patient on the operating table.

Looking at the surgical steps written by Chen Yu, Professor Kobayakawa suddenly asked, "Considering the medical examination results of the patient, his kidneys may also be affected. Do we need to prepare for kidney removal and autotransplant?"

Upon hearing Professor Kobayakawa's question, Chen Yu glanced at Daimon Michi and nodded before replying, "Although it doesn't seem necessary at the moment, considering the potential for the patient's condition to worsen, let's still prepare for that possibility. If kidney removal is required, Dr. Daimon and I will deal with the kidneys while performing the liver surgery."

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Seeing Chen Yu had made arrangements, Professor Kobayakawa nodded and raised no further objections.

Professor Kube surveyed the conference room once more and saw that no other doctors had further comments, so he made the decision, "Then let's proceed with preparation following the surgical plan proposed by Mr. Chen Yu. Each department must fully cooperate. Globally, there are only two cases where removal of an Inferior Vena Cava tumor followed by autologous liver and kidney transplant surgery has been successful, and this will be a first for Japan.

This is an important opportunity for Tokyo University Medical School Hospital to showcase our medical expertise and standards. Everyone, please exert every effort to cure this patient, sparing no expense!"

"As you wish!" All doctors in the conference room responded in unison to Professor Kube's serious words.

Professor Kube nodded in satisfaction before turning to his protégé and inquired, "Mr. Chen Yu, do you need anything else for this surgery?"

"During surgery, we'll need the anesthesiologist to closely monitor the patient's vital signs. Other anesthesiologists are not as well-coordinated with me and Dr. Daimon, so Dr. Jounouchi should be responsible for the anesthesia. Additionally, I hope the hospital will provide the highest priority for this surgery."

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