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21st Century Necromancer-Chapter 514 - 510: Surgery In Progress (Please Subscribe, Seeking Monthly Tickets)
"Eh? Mr. Chen Yu, you want me to serve as the anesthesiologist for the surgery?" Inside the office of General Surgery, Jounouchi Hiromi was somewhat surprised to hear Chen Yu asking her to take on the role of anesthesiologist for the surgery: "Do you really need to come over specifically to ask me that? Isn't it just a surgery, and haven't you and Daimon-san asked me to be the anesthesiologist for your surgeries many times before?"
This was exactly what Jounouchi Hiromi found strange. Whether it was Chen Yu or Daimon Michiko, whenever they needed her as the anesthesiologist for a surgery, they would simply inform her directly. It was rare for Chen Yu to come over and explain it to her like today, and even seek her opinion.
Facing Jounouchi Hiromi's puzzlement, Chen Yu raised his eyebrows and smiled at her: "Isn't this me showing respect for you, Hiromi? Last time you even told me that every surgery you help me with is troublesome, so this time I came to ask for your opinion. If you're unwilling, then I can just have the hospital assign another anesthesiologist, no big deal."
"So, is this surgery going to be very troublesome?" Jounouchi Hiromi looked at Chen Yu, curiously asking him. She wanted to assess the difficulty of the surgery before deciding whether to accept it.
"It's a very complicated surgery. The patient has an inferior vena cava leiomyosarcoma. Due to the location of the tumor, we need to remove the liver first, then proceed with excision of the inferior vena cava. Besides that, we might also need to remove the kidneys and then perform autotransplantation after the extracorporeal surgery," Chen Yu explained the surgical plan they had discussed before to Jounouchi Hiromi, emphasizing the role of the anesthesiologist in this surgery: "Since the tumor has reached the entrance of the atrium, in order to avoid opening up the heart chamber, the anesthesiologist will have to monitor the patient's heart condition with an ultrasound throughout the operation to help extract the tumor from the heart.
Moreover, the whole surgical process requires strict time control, whether it's the extracorporeal surgery after the liver is removed or the artificial blood vessel transplantation to replace the inferior vena cava, all require the precise control of the anesthesiologist. I don't trust the other anesthesiologists at the hospital; only your skills, Hiromi, can give me peace of mind."
"Is this surgery very rare?" After listening to Chen Yu's introduction, Jounouchi Hiromi was somewhat eager to try. As a surgeon, being able to participate in such rare and challenging surgeries was a very rare opportunity for her.
"It's the third case in the world, the first in Japan." Chen Yu naturally understood Jounouchi Hiromi's feelings and placed the surgery information in front of her.
"Alright, let me take a look first." Despite her words, Jounouchi Hiromi had in fact already agreed.
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At Chen Yu's request for the highest priority, the surgery went ahead as scheduled.
Inside the operating room, Professors Tashita, Kobayakawa, and Shiye, who had participated in the seminar before, were now dressed in surgical attire, ready for the operation.
Seeing Jounouchi Hiromi sitting at the anesthesiologist's spot, Chen Yu smiled and then moved to the position of the first assistant: "You came after all, Hiromi."
"Without me to help you two, you definitely wouldn't do well, remember to treat me to dinner afterwards! Especially you, Daimon-san, don't try to pass it off with just a beef bowl!" Jounouchi Hiromi glanced at Daimon Michiko, who was standing at the lead surgeon's position, and playfully threatened her.
Listening to Jounouchi Hiromi's threat, Daimon Michiko nodded indifferently: "Understood, let's start the surgery already! How are the patient's vitals?"
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"Blood pressure 120/82, heart rate 84, sinus rhythm." Watching Daimon Michiko get into the zone, Jounouchi Hiromi also reported the patient's vital signs and began monitoring their bodily functions.
Hearing the vital signs reported by Jounouchi Hiromi, Daimon Michiko nodded, glanced at the three professors and other doctors standing by in the operating room, then said to Chen Yu in front of her: "Then let's start the surgery, scalpel."
For Chen Yu, serving as someone's surgical assistant was an experience he had during his medical training when he was still studying, and in Japan, as he was a Ph.D. graduate from The University of Tokyo Faculty of Medicine, he had quickly become a lead surgeon not long after starting his work, although it had been less than two years, for Chen Yu, this feeling was still nostalgically familiar.
Despite getting slightly carried away, Chen Yu quickly focused his attention on the surgery. Watching Daimon Michiko cut open the patient's skin, he promptly kept the surgical field clear.
"As expected, the caudate lobe of the liver has been infiltrated, it needs to be removed!" Daimon Michiko looked at the patient's liver and her tone conveyed a sense of inevitability.
Daimon Michiko could see what was going on, and naturally, so could Chen Yu. He wasn't surprised by this outcome that was anticipated beforehand: "I hope his kidneys can hold up so we won't have to do a removal and autotransplantation, because recovery from that would be quite troublesome."
"Leave that talk for later, focus on the tumor separation first." Daimon Michiko said as she took the surgical scissors from the instrument nurse and began separating the tumor.
Seeing this, Chen Yu also reached out to take a tissue forceps from the instrument nurse, assisting Daimon Michiko.
Since the tumor was growing inside the wall of the inferior vena cava and had already infiltrated the surrounding organs and tissues, the dissection was very tricky, and they had to cut off the blood flow in the inferior vena cava, which required the use of an extracorporeal circulation.
As Chen Yu and Daimon Michiko were performing the surgery, the other three professors watched tensely.
With their status and position, they rarely did this kind of supporting role in surgeries anymore, but their participation in this surgery obviously made them realize the difficulty of the operation, causing them to tense up as well.
"Extracorporeal circulation starting, prepare to separate the tumor." After completing the connection of the blood vessels to the extracorporeal circulation, Daimon Michiko took a deep breath and began the most challenging part of this operation, extracting the tumor from the patient's heart chamber.
Before Daimon Michiko started, Chen Yu called out to Jounouchi Hiromi on the side: "Hiromi, keep an eye on the patient's heart condition, it's in your hands!"
"Got it!" Jounouchi Hiromi responded, mustering up full concentration, intently watching her monitor, not missing any details.
Finally, under everyone's watchful eyes in the operating room, Chen Yu and Daimon Michiko together successfully separated a fifteen-centimeter-long tumor from the patient's body.
"Tumor successfully removed, now onto the liver!" Having pulled the tumor out of the patient's heart chamber, Daimon Michiko also breathed a sigh of relief but quickly started the preparations for removing the patient's liver.