Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 307 - 201: Shocking Jiangcheng, the Strongest Case in Internal Medicine!

Chapter 307: Chapter 201: Shocking Jiangcheng, the Strongest Case in Internal Medicine!

"Lateral position."

With Qin Feng’s words, Director Sun Sheng from the first assistant quickly changed the baby’s position.

A temperature-controlled blanket was placed underneath, used to regulate the patient’s body temperature and prevent hypothermic shock.

Meanwhile, both lower limbs were insulated with plastic sheets, the upper limbs were wrapped and pressed against the body’s side, protected and limited with handboards.

An external precision urine bag was used for catheterization...

Left hand radial artery puncture and invasive monitoring, external three-way connector for blood drawing during surgery...

Jugular vein and lower vein puncture access...

Right femoral vein puncture access, lower limb vein invasive monitoring...

The surgery officially begins!

Open chest!

Qin Feng held a high-frequency electric knife, probing into the right lower rib, and made an L-shaped incision.

Then he cut open the fatty layer, muscle layer, pleura, and spread it open...

"Electric saw."

The precise and crisp technique was pleasing to the eye; in just a few minutes, the sternum was exposed in the field of view.

At this moment,

In the large media conference room, President Zhang Tong and other department directors and deputy directors sat in the first row.

Behind them, a crowd filled with people!

Everyone was intently staring at the screen’s broadcast of the two simultaneous surgeries!

Although it was a joint operation, everyone knew the real weight lay on Qin Feng’s side.

Because he was responsible for the patient’s removal and transplantation, while Cheng Hongwu was mainly in charge of donor removal and finally entering Operating Room 1 to assist Qin Feng in completing the transplant.

Director Cheng might not be too familiar to people, but Qin Feng was already a heavyweight who had completed liver replacement surgery before!

So while everyone was nervous, they were also filled with confidence!

It’s not about who is more capable, but having both directors’ surgeries broadcast simultaneously.

Even if it’s not a comparison, those who understand can see the difference.

Especially as Qin Feng completed exposing the sternum in mere minutes with a technique like a painter creating art.

Every lift and fall of the knife had a trajectory surpassing textbooks, with an extra touch of unique charm.

Looking at Director Cheng’s side, he just reached the fatty layer, and his speed was also more than twice as slow.

The gap!

Buzz~ Buzz~ Buzz~

Inside the operating room, Qin Feng easily sawed open the sternum, given the baby’s bones were soft, unlike adults’ calcified bones, making it easier to open.

"Retractor, prepare to open the field."

Qin Feng put down the electric saw and spoke softly.

Beside him, Sun Sheng immediately got busy, helping him set the framework and spread open the sternum...

"Long handle electric knife."

The sternum was fully opened, and the view was widened; Qin Feng switched to an electric knife and began clearing.

Soon, a small liver appeared in sight.

The degree of lesion in this liver was evident, causing one to gasp.

"I’ll start dissecting the porta hepatis."

Qin Feng observed the scene in front of him, remaining calm as water, and said deeply. 𝓯𝙧𝓮𝓮𝒘𝓮𝙗𝙣𝒐𝒗𝒆𝓵.𝓬𝓸𝒎

This voice was not only meant for the present medical staff but also for the observing doctors learning from the procedure.

For them, it was a rare learning opportunity and experience, especially for internal medicine doctors and those preparing to move towards hepatobiliary internal medicine.

This time, he poured all his world-class liver removal surgical experience into one display for the audience.

He hoped to leave a perfect teaching video for future reference, as the final gift to the internal medicine department.

With these words,

Everyone in the media conference room instantly held their breath, eyes fixated on the screen, afraid to miss anything.

Dissecting the first porta hepatis.....

Dissecting the second porta hepatis.....

Dissecting the third porta hepatis.....

Soon, people seemed to forget the passing of time, and in the blink of an eye, 30 minutes had passed.....

minutes...

minutes...

An hour...

All porta hepatis dissected!

Liver function was practically lost, leaving only the severance of all veins and arteries, thoroughly removing the completely failed liver.

"Line 1, prepare to block."

Qin Feng laid down the electric knife and started severing veins and arteries.

Hepatic artery ligation near and distal end...

Hepatic vein ligation...

Hepatic artery severed!

Hepatic vein severed!

Heparin saline flushing, anticoagulation, complete severance of all veins and arteries!

"Whew~"

Seeing this, everyone almost breathed a sigh of relief, faces filled with understanding, excitement, and shock.

They glanced at the time, two hours!

From start of surgery to liver severance completion, only two short hours!

Moreover, throughout the entire process, there was almost no pause; the precision of those hands matched even the most advanced artificial intelligence.

Is this human?

Not just the observing doctors, but even department directors and deputy directors kept their eyes wide open throughout.

Although they had been amazed before, every time witnessing Qin Feng’s surgery, they couldn’t help being stunned.

Of course,

Qin Feng, while teaching, also needed to wait for the new donor to be delivered from the neighboring surgery, slowing his pace considerably.

Otherwise, the liver would have been entirely removed half an hour earlier!

(Director Cheng Hongwu: Feeling offended, do you think you’re humorous? (ಥ﹏ಥ)...)

"Argon knife!"

Once severance was complete, only the final step remained.

Qin Feng began handling the last liver bed, entirely removing and suturing the ligament.

A complete failed liver was gently taken out and placed on a tray.

Successful removal!

....

At this moment,

The adjacent donor extraction surgery, Director Cheng Hongwu had also opened the entire surgical field.

The healthy liver of the baby’s mother appeared in view, ready for liver resection.

As for the specific location of the liver extraction, after repeated discussions on imaging, surgical difficulty, and time, the position for donor liver extraction was finally determined.

For the past two days, Cheng Hongwu had been repeatedly practicing the surgical demonstration in his mind against the liver imaging.

So, the moment the liver appeared, he recognized the position he needed to extract.

"Knife."

As the scalpel fell into his palm, one hand gently lifted the liver, and the blade entered the thoracic cavity.

The knife swiftly descended!

Without any hesitation, the point was precise, and the speed was swift.

In a very short time, a fresh living left lateral lobe of the liver was cut away from the liver body.

Immediately, it was placed in a pre-prepared thermal box, disinfected, closed...

A few minutes later,

The box was delivered by a nurse to Qin Feng’s Operating Room 1.

Next, Director Cheng Hongwu was much more relaxed, exhaled a long breath, began to suture the liver, reposition, close the chest, and complete the mother’s donor surgery.

Then he headed over to Qin Feng’s side, standing by at any moment.

Now, the pressure was on Qin Feng’s shoulders.

...

"Director Qin, the donor has arrived."

Inside Operating Room 1, the nurse placed the thermal box on the table and opened it.

Qin Feng glanced and nodded, and then exchanged a look with Director Sun Sheng.

The final third surgery could begin!

[Living Liver Transplant Surgery]

Qin Feng slowly held up the liver and began anastomosis between the donor’s hepatic vein and the recipient’s hepatic vein.

At this moment,

Whether in the operating room or the media conference room, everyone’s hearts were tense.

This was the most critical surgery, the success or failure of the transplant determined the child’s life or death!

"Infuse 500ml of 4-degree Celsius balanced solution into the vein, watch for air embolism."

Qin Feng picked up the needle holder, arranging for the nurse to infuse as he sutured.

At this moment, he also couldn’t help slowing down.

Because the baby had low weight and thin blood vessels, the requirements and difficulty of suturing were much higher.

Of course,

Qin Feng’s pupils had already changed, and at this time, the blood vessels that were hard to suture with the naked eye were clear as day to him.

But he couldn’t relax even slightly, cautious! Meticulous!

In his hands was a life!

No carelessness whatsoever could be afforded!

A doctor’s negligence towards themselves is the greatest cruelty to life!

This step, Qin Feng ensured each stitch of the suture was perfect, even the spacing and density of the stitches on the blood vessels were identical.

Under the microscope’s magnification, everyone couldn’t help but shudder, goosebumps rising!

minutes...

minutes...

minutes...

This step took him a full hour and a half to complete the initial suture.

Next was the end-to-end anastomosis of the portal vein with the portal vein, and hepatic artery with hepatic artery.

Heparin saline rinse, cool down donor surface, suture vein...

Heparin saline rinse, warm donor surface, suture artery.....

The final step, the common bile duct connection!

Time had already passed a full five hours, and all medical staff in the operating room were already exhausted, their legs stiff and numb.

But no one dared to move, steadfastly guarding their positions!

In the media conference room, aside from bathroom breaks and departmental situation handling, hardly anyone moved, watching Qin Feng’s surgery the entire time.

Perhaps it was heaven’s blessing, or perhaps it was the parents’ selfless love, during the anastomosis of the donor transplant, there wasn’t any fluctuation in vital signs, nor did any complications arise.

This time Qin Feng’s surgical process went exceedingly smoothly, making him feel exceptionally satisfied.

The new donor liver was completely connected!

Finally identifying the bleeding point, electrocautery hemostasis, rinsing the thoracic cavity.

Close the abdomen...

At this time, the already prepped neurosurgery director also began to act, re-fixing and suturing the bone flap Qin Feng had previously removed.

As Qin Feng finished suturing the muscle layer, fat layer, and finally the epidermis, Sun Sheng picked up scissors and cut the suture thread.

All surgery was completed!

Perfectly accomplished!

"Phew~"

"Woo!"

"Awesome!!"

"Director Qin!!!"

...

The next moment, the entire media conference room was in an uproar!

All the doctors couldn’t suppress their inner excitement, sprang from their seats, raising their arms in cheer!

Even Zhang Tong’s face was flushed, with his eyes a bit moist, stood up.

The deafening cheers behind almost threatened to blow the conference room’s roof off, everyone shouted in unison.

"Director Qin! Director Qin! Director Qin!"

This was a landmark operation in the hepatobiliary department of Jiangcheng City First Hospital!

It will also become the first step in the rise and takeoff of the hepatobiliary department of the city hospital!

Its significance is monumental!

Qin Feng hadn’t even walked out of the operating room, but the success news of the surgery flew like wings, and in no time, the whole Jiangcheng Hospital knew about it.

Everyone was truly stunned!

Nobody expected the city hospital to actually achieve this feat!

This surgery will be inscribed in the annals of Jiangcheng’s medical community, it is, so far, the most powerful case of Jiangcheng’s internal medicine!

Unequaled!