The Enhanced Doctor-Chapter 758 so high

"OK, sampling from the edge of the bile duct is complete. Send it for examination along with the lymph nodes." After finishing, Liu Banxia said.

"Hmm... let's hope there's no metastasis," Xu Yino sighed.

"Don't let your mind go idle. Review the key points of right hepatectomy in your mind. We've only just begun the entire surgery," Liu Banxia said. "Actually, if the gallbladder hadn't been in such poor condition just now, I would have removed it later. That's why preoperative examination is crucial, especially in complicated cases like this patient's."

"From here on, it depends on the patient's luck. If metastasis has occurred, the days ahead will be tough, and the prognosis won't be good. If there's no metastasis, we still have a fighting chance."

"Anyway, give it your all later. Although our progress isn't substantial in the context of the whole surgery, many basic procedures are mostly done, so I hope we can speed up a bit," Wang Lei said.

"You really aren't afraid of tiring us out, but you should be telling these two girls that. The remaining right hepatectomy is their responsibility. I'm mostly here to watch and do a bit of suturing," Liu Banxia said.

"Right, I thought we would be using laparoscopy yesterday. Why didn't you take on that challenge?" Wang Lei asked.

"It's not that I didn't want to, but the imaging didn't look promising. This approach is safer and also spares the patient from suffering a second time," Liu Banxia said. "You all need to pay attention too. If you feel any discomfort, get checked out immediately. Never just endure it. If you keep enduring it, the problem can become serious."

"This patient has a history of calculous cholecystitis. I suspect the tumor on the bile duct might be related to bile duct hyperplasia caused by constant friction from stones within the bile duct."

"If it had been treated earlier, it would have, at most, required a gallbladder removal or bile duct drainage, and it wouldn't be as troublesome as it is now. Many diseases are truly worsened by delaying treatment. Don't think that just because you have some medical knowledge, you won't delay your own treatment."

Everyone laughed. What Liu Banxia said was a very practical observation.

Ordinary people generally dislike frequent check-ups, and the same often applies to medical personnel.

When they feel unwell, they tend to endure it for a while, and if the discomfort seems to disappear, they dismiss it, and no one takes it seriously anymore.

When others come for treatment, medical staff always remember to ask about their medical history. But when it comes to their own health, they might selectively ignore it. This is a common way of thinking for many people.

Liu Banxia was no exception. Given his intensive workload, even with the support of the enhanced system, he occasionally suffered from headaches and fevers.

While they were waiting for the frozen section results in the operating room, many people outside who were watching Liu Banxia perform surgery for the first time were now truly impressed.

It's a simple truth. What does a surgeon use to prove their worth? Only their skills.

Even though Liu Banxia hadn't personally performed many steps so far in this surgery, the parts he did handle were crucial and challenging. The rest of the procedures were entrusted to his interns for practice.

If he didn't have a solid understanding of their abilities, would he have dared to let the interns participate so extensively in such a major surgery?

This was the gap. Perhaps these two interns weren't as comprehensive in their medical knowledge or as experienced as many of the onlookers, but their understanding of hepatobiliary surgery had subtly surpassed them.

There was no denying it. Even now, the two were discussing how to perform the upcoming right hepatectomy and how to divide the tasks between them.

Their familiar manner clearly showed it wasn't their first time.

If the emergency center continued operating this way, wouldn't the skills of the resident doctors soon exceed those of many attending physicians in the inpatient department?

After all, such major surgeries are usually handled by chief physicians, as they have accumulated extensive experience.

"Dr. Liu, the frozen section report is out." Just then, a nurse entered the operating room with the report.

"Seeing the smile in your eyes, are they all negative?" Liu Banxia asked.

"Shall I read it to you?" the nurse asked.

"OK, this glorious moment is all yours," Liu Banxia said.

"Cystic duct adenocarcinoma. The submitted lymph nodes and the biopsies from the superior and inferior margins of the bile duct are negative," the nurse announced happily.

"Good, good! We can see the light of victory! Liu Yiqing, run as fast as you can..."

"Okay, Teacher Liu!"

Before Liu Banxia could finish, Liu Yiqing had already dashed out. This news was for the patient's family, indicating that the patient's prognosis was likely to be very good.

Although chemotherapy would still be necessary, the fact that the tumor hadn't spread was a stroke of incredible luck in this unfortunate situation.

Liu Yiqing returned quickly, her spirits even higher than before.

"Keep up the good work! Victory is waving at us. Essentially, what follows are two distinct procedures. You two are in charge of the right hepatectomy, and I'll handle the remainder," Liu Banxia said. "I won't repeat all the precautions here. The ischemic demarcation line will be very clear. Be careful and cautious during the transection process. It's just those few key points: mobilization, ligation, and transection. Let's begin."

Even though he was confident in Liu Yiqing and Xu Yino's abilities, Liu Banxia remained fully focused on assisting them during the subsequent procedures.

This wasn't a minor task; it was a major operation.

He was also concerned that the two girls might overlook something, so as the first assistant, he had to be ready to promptly remedy any sign of trouble or any actual mistakes.

Actually, his initial thought was that if there weren't so many people watching, he would have performed more of the operation himself to save some time and let everyone rest a bit.

But with so many observers present, he felt it was a great opportunity for the girls to showcase their skills. It would be even better if their performance could spark discussions within the Second Hospital. Perhaps it could serve as a leading example for the new teaching and training program.

From his perspective, while supervising doctors understandably chose caution due to the responsibilities they bore, the current general approach seemed a bit too conservative.

The focus of the new teaching and training program was to find a balance and distribute teaching resources as evenly as possible. 𝒻𝑟𝘦𝘦𝘸ℯ𝒷𝑛𝘰𝓋ℯ𝘭.𝘤𝘰𝘮

Doctors in charge of instruction would undoubtedly be tired, and achieving complete fairness was impossible. As long as they managed to avoid causing resentment, it was acceptable.

When he was an intern in the emergency department, his ambitions weren't high. He just wanted to be the chief surgeon for one operation.

However, patient resources in the emergency department were scarce at that time, and an overly skewed distribution of these resources had exacerbated conflicts.

Now, there was no shortage of patient cases. Appendectomies and cholecystectomies, procedures he used to yearn for, he now felt he could readily assign to the interns. There were so many surgeries to choose from.

One of the two influential conditions had changed, leaving only the issue of resource allocation.

If supervising doctors could be a bit bolder and willing to put in a bit more effort daily, they would be able to assess the competence of the interns or standardized training residents and provide them with appropriate opportunities to participate in surgeries.

In fact, this approach had its benefits. While it might be very tiring for the mentor initially, once the interns were successfully trained, handling minor surgical procedures would become much easier.

Not all attending physicians had the opportunity to lead major surgeries anyway, especially if their own skills hadn't reached that level.

Even for a surgery like today's, Shi Lei had been intimidated.

While others saw Liu Banxia as reckless, he himself knew very well that he had performed many similar surgeries before.

This was all thanks to the secret intensive training he'd undergone in the dream space. Otherwise, with his frugal nature, he would have accumulated even more Glory Points.

This time, the two girls truly showcased everything they had learned to the fullest extent. It was evident in the smoothness of their surgical maneuvers; there were no hitches or hesitations.

So, even though interns were operating, the people in the observation room found it fascinating to watch. Their performance had already surpassed what was expected of interns.

"Actually, biliary-enteric anastomosis is a meticulous procedure, but its principles aren't that complicated," Liu Banxia said. "It's a test of suturing skills, and you two actually have the skill for it now. However, this patient has been under anesthesia for a long time today, so I won't have you waste any more time on it."

"If you feel you still need practice, then afterward, go buy some pig intestines and practice suturing. Just clean them thoroughly. If you two pool your money to buy them, you can get a lot of practice."

"Don't think I'm nagging, but I've said it before: the basics are crucial. Whether it's changing dressings or suturing, these are fundamental skills we need for surgical operations."

"This time, it's a tad different from the usual trauma suturing cases we handle. It's not like skin suturing where you can 'go freestyle.' Now, you have to proceed slowly and cautiously, paying close attention to the direction of the needle."

"OK, suturing complete. You two, double-check everything. If it's all clear, restore blood flow. If there's no leakage or bleeding points, we'll count the instruments, keep the patient under observation, and then close the abdomen."

He sounded very casual, but the people outside jumped in surprise. It was over so soon? They had been so engrossed watching his needle swiftly suturing, going SWISH, SWISH, that they hadn't even realized he had finished.

Biliary-enteric anastomosis wasn't as simple as suturing just one area. How were his hands so fast? Surely the sutures weren't loose? There might be leaks or bleeding points, right?

This was a concern for many, but when blood flow was restored to normal, there were no issues at all.

Liu Yiqing and Xu Yino happily began closing the abdomen.

DING! Surgical task completed.

Acquired 400 Experience Points, 300 Dressing Change Skill Proficiency, 300 Suturing Skill Proficiency, 400 Hepatic Surgery Skill Proficiency, 100 Cholecystectomy Skill Proficiency, and +3 Glory Points.

This mission was rated Perfect. Rewards: 500 Experience Points, 500 Dressing Change Skill Proficiency, 500 Suturing Skill Proficiency, 800 Hepatic Surgery Skill Proficiency, 100 Cholecystectomy Skill Proficiency, and 13 Glory Points.

Liu Banxia really wanted to shout, "That was amazing!" For him, at his current stage, only such major surgeries could yield such rich rewards.