Check-in at the Hospital: The First Surgery Shocked the Nation!-Chapter 96 - 78: Emergency Surgery, Return to Jiangcheng
"My recommendation is to prioritize the [puncture drainage surgery] to extract most of the necrotic fluid tissue without making an incision, and then observe for signs of improvement."
Qin Feng outlined his surgical plan,
"If it doesn’t work, then we proceed with the [laparoscopic pancreatic necrosis removal surgery]. This way, we can minimize the patient’s suffering to the greatest extent.
What do you all think?"
After speaking, Liang Donglai nodded, and Shaoxing next to him didn’t raise any objections.
As for Qiao Changping’s family and the patient’s relatives, they remained silent.
"Alright, I think this plan is feasible. Deputy Director Shao, what do you think?"
Liang Donglai looked at Deputy Director Shao of the Department of Gastroenterology and asked.
"Okay, I agree, let’s proceed with it."
Deputy Director Shao nodded, agreeing to this plan.
Of course, this is the most appropriate surgical plan at the moment, and he truly couldn’t find a reason to refute it.
Once the surgical plan was decided, Qin Feng began preparing.
Considering this was an impromptu surgery, and given Qiao Changping’s special status, the formalities were quickly completed.
In the morning, Qin Feng performed a puncture drainage surgery on the patient, extracting most of the fluid and necrotic tissue from the abdominal cavity. The surgery was executed with a high degree of completion.
Next, it was up to the patient to see if self-repair was possible; if not, the second step would be necessary.
Ten hours later, there was no improvement in the condition...
Twenty-four hours later, the next morning, the patient’s physiological indicators still showed no improvement.....
"Let’s get a CT scan."
Qin Feng glanced at the time; he had to leave in the afternoon, so a decision was necessary now.
Subsequently, the patient underwent a series of tests, including an abdominal CT scan.
The results came back negative!
Currently, the patient’s condition was probably not very optimistic and surgery was necessary!
"The patient can’t self-repair the necrotic tissue anymore. Prepare for surgery."
Qin Feng looked at the patient’s family and Qiao Changping, shaking his head as he spoke,
"Director Shao, please get the operating room ready."
"Alright."
Shaoxing nodded, stood up, and left, as the surgery room in the Department of Gastroenterology began its preparations.
In the ward,
Qin Feng had a brief conversation with the patient’s husband, explaining the situation to him and his family.
"That’s the situation. As for the surgery, don’t worry about it. If there are no problems, just sign here, and leave the rest to me."
"Alright, you’re the one Changping invited, I trust you!"
The man nodded without any hesitation and signed his name directly.
At ten o’clock in the morning,
The man was wheeled into the operating room.
Qin Feng nodded and smiled at Qiao Changping and others, then turned and followed Deputy Director Shao into the operating room to start scrubbing and disinfecting.
This type of surgery was absolutely no difficulty for him!
Those thrilling and highly difficult level-four surgeries were all easy accomplishments; let alone a small laparoscopic surgery?
Once disinfection was complete, they put on sterile suits and entered the OR.
And Shaoxing served as his primary assistant and scope holder, standing by.
In fact, as Deputy Director of Gastroenterology, Shaoxing was somewhat unconvinced about the person invited by Qiao Changping.
After all, this is Gastroenterology. Although the old director left, he was still the deputy director, wasn’t he?
Now he’s in charge of the Gastroenterology Department, boasting the best medical skills.
Originally, he hoped he could use this surgery to maybe get acquainted with the bigwig Qiao Changping, but unexpected things happened.
Once anesthesia took effect, the patient entered an unconscious state.
"The surgery begins."
Qin Feng said, then immediately got into position, because this time they were using minimally invasive laparoscopic surgery, so no large incisions were needed.
But the position for the trocar is crucial, for inserting the laparoscopy.
Two minutes later, Qin Feng confirmed the locations of main port 1, main port 2, and scope port, then initiated pneumoperitoneum.
Five minutes later, the pneumoperitoneum was established, and the port was opened. The laparoscopy was then carefully inserted into the abdominal cavity through the port, aiming directly at the affected area of the pancreas.
At this moment, a clear image appeared on the monitor screen. A mix of bright yellow and dark yellow necrotic tissue fluid and free tissue bodies.
What does it look like?
It looks like a pile of diarrhea, not just similar, but exactly the same!
Disgusting,
nauseating.
Just the appearance alone would make an ordinary person want to puke.
But as doctors, these are merely necrotic organs and tissues due to pathological changes. What scene haven’t they witnessed?
Especially in the field of Gastroenterology, this kind of situation is practically routine.
So nobody was particularly surprised; they all maintained a composed demeanor.
Qin Feng then maneuvered the laparoscope in his hand slowly downward, freeing the colonic ligament tissue in the greater curvature of the stomach’s vascular arch, and continued reaching into the underside of the pancreas, successfully locating the necrotic tissue.
He used a knife to open it, and the view was fully exposed.
And the view at this time was even more disgusting!
It wasn’t just various yellow hues; there were also clumps of sticky blood threads and wrapped black solids, mixing together in a nauseating blend.
What can be said?
Anyone who wants to lose weight just needs one glance, and they will probably vomit even the first sip of milk fed by their own mother.
Utterly revolting!
"This is the worst pancreatitis I’ve ever seen; the internal situation is extreme, practically like a septic tank."
Deputy Director Shao next to him couldn’t help frowning slightly and commented.
"Yeah, the severity exceeds our expectations, no wonder there was no effect after the puncture."
Qin Feng nodded in agreement; the current situation was indeed somewhat challenging.
Of course,
when a few nurses saw this image, they couldn’t help but turn their heads away.
There was a lot of necrotic tissue around the pancreas, and it adhered to other tissues, posing significant trouble for the surgery.
The severity is really hard to accept; can it even be cured?
Now Qin Feng had to showcase his skills!
Qin Feng stopped for just a few seconds, then began to isolate the necrotic tissue skillfully, severing it from the parts that hadn’t necrotized.
Pulling, severing, removing, retracting, suctioning...
Deputy Director Shaoxing initially assumed Qin Feng might also face difficulties because handling necrosis of this degree was indeed tough.
However, watching Qin Feng masterfully operate the grasping and separating forceps, it was like these were extensions of his own hands—dexterous and clever.
The separation movements were seamless and graceful.
Moreover, very little bleeding occurred during the separation of the necrotic parts of the organs!
So far, by the time the surrounding tissue of the pancreas was mostly peeled off, the bleeding probably didn’t exceed 20ml, which was exceptionally skilled.
"This young man operates so skillfully!"
He was shocked and took a deep look at Qin Feng, thinking to himself.
Whether it’s the use of instruments or the handling of tissue dissociation, everything is so precise and swift.
Even the slightest maneuvers weren’t overlooked; almost every step was executed perfectly.
"Isn’t he a friend of Director Liang Donglai? How come someone from the cardiovascular field is so strong in digestive surgery?"
Shao Xing was truly speechless.
As the surgery progressed rapidly, he realized that he was nowhere near as skilled as the young man before him.
This speed was at least two or three times his own!
It should be noted that although endoscopic surgery had been clinically adopted abroad in the last century,
it wasn’t until after the millennium that it gradually became popular in major hospitals domestically. Its biggest advantage is minimizing the patient’s incision while completing the surgical procedure.
This way, the harm to patients is minimized and recovery is swift.
Minimally invasive!
However, performing endoscopic surgery is currently in the hands of newly promoted attending-level doctors in hospitals.
In top-tier hospitals in cities like Beijing, endoscopic technology has essentially replaced the traditional scalpel, becoming increasingly important.
Of course, endoscopic surgery is actually more challenging than ordinary surgery.
The application of high-tech medical fields often poses higher demands on doctors!
Right now, Shao Xing clearly realized one thing.
My skills are inferior to his!
At this moment,
in the monitoring room outside the operating theater, Liang Donglai and Qiao Changping were watching the surgical process with the patient’s family.
Liang Donglai was engrossed, watching Qin Feng’s pleasing surgical operation, never ceasing to admire it.
Suddenly,
inside the operating room, the endoscope’s lens shook, and the image instantly blurred.
Liang Donglai: "..."
What’s happening?
Shao Xing, the lens holder, is not doing a good job!
How could a basic mistake like this be made?
No wonder Qiao Changping insisted on having Qin Feng as the lead surgeon; the gap is really not just a little bit!
However, Qin Feng quickly paused, allowing Shao Xing to clean the lens and restore the image.
For approximately 40 minutes, no further incidents occurred.
Qin Feng then started using the suction apparatus to extract residual tissue fluid from the abdominal cavity, washed and disinfected.
The abdominal surgery was completed!
Next was the simplest part, suturing.
At this moment, Shao Xing beside him had a look of disbelief and amazement in his eyes!
The speed was remarkably fast!
Honestly, the earlier mistake was actually because Qin Feng’s dissociation speed was too fast, and Shao Xing couldn’t keep up.
Afterward, Shao Xing didn’t dare to slack off, maintaining his focus to provide a clear view.
But when he looked up at the time, he was stunned!
minutes?
A high-difficulty SAP surgery was completed just like that?
Simply unbelievable!
If it were him, this surgery would have taken at least 2 hours!
Even if the old director were here, it would basically be impossible to finish in less than an hour and a half.
But now, the prowess Qin Feng exhibited exceeded his expectations.
Awe-inspiring!
Besides this emotion, he couldn’t find any other words to describe it.
And this surgery’s video could definitely become a classic teaching case for their digestive surgery department!
All that’s left is for the nurses to handle.
Clang~
Qin Feng and Shao Xing walked out of the operating room, removed their sterile clothes, cleaned, and disinfected before leaving.
At this point, Qiao Changping and others were already waiting at the door.
"Fortunately, we did not fail, the surgery was very successful!"
Qin Feng smiled and nodded at them.
"Thank you! Thank you!"
The patient’s family, upon hearing this, was instantly overjoyed, tears in their eyes, and proactively stepped forward to tightly grasp his hands.
"There’s no need to thank me, it’s my duty. Rest well, and you’ll recover soon."
Qin Feng offered some words of comfort, then left with the others to rest.
Fifteen minutes later, Qiao Changping returned, also relieved, constantly thanking him.
Upon returning to Jinling Tumor Hospital, after finishing the last lecture of the afternoon, he was about to leave.
"Director Song, thank you for taking care of me over this past month. I’m going back."
Qin Feng, carrying his backpack, smilingly said to Emperor Renzong of Song.
Emperor Renzong of Song’s smile bore some complexity, as he patted his shoulder.
"Besides needing me to hold a position, you probably have other purposes for coming this time, don’t you?"
"Director Song, don’t overthink it. I just came to resolve the longstanding obsession between you and Dean Zhang."
Qin Feng’s lips curled into a complacent smile, knowing that during this time, they actually had several conversations.
"Deputy Director Song, I’ll be waiting for you to come to Jiangcheng for guidance."
...
"Hahahaha!"
Upon hearing his words, Emperor Renzong of Song’s expression froze, then broke into a hearty laughter.
Deputy Director Song?
Qin Feng was really making him the deputy director of Jiangcheng City First Hospital Transplant Center, but for some reason, this time he felt no discomfort, rather even a sense of honor!
"Alright! Go back and tell Zhang Tong that old guy to prepare good wine and wait for me!"
Emperor Renzong of Song nodded vigorously, saying aloud,
"When I have the time, I’ll definitely go see how strong Jiangcheng Transplant Center can be under Director Qin’s leadership."
"I’ll be waiting."
Qin Feng discerned the defiance and battle spirit in his words, indicating a desire to compete with him!
"Okay, I should go now, goodbye!"
After saying this, Qin Feng waved to everyone and turned towards the door.
Outside the door, Qiao Changping’s Rolls-Royce was quietly waiting for him.
Qin Feng’s face wore a content expression, pondering how his transplant center was doing?
He was now filled with anticipation!
