Chapter 969: Chapter 969: Liu Banxia Becomes the Commentator

(Thanks to mangmangliu, Be gentle when speaking with me, firebat1980 for their monthly vote encouragement)

People’s feelings and thoughts vary, but one thing is certain, Liu Banxia is just lucky, while Zhou Shuwen has big ideas.

Liu Banxia’s luck is due to working at the emergency center, being talented, no doubt, and receiving meticulous training. Zhou Shuwen must have big ideas; otherwise, he wouldn’t focus on training Liu Banxia at this time.

This is echelon training, mainly managed by him, Liu Banxia, and Shi Lei, which is enough. If Liu Banxia is fully trained, they can support the next twenty years of the emergency center.

Twenty years later, even if Zhou Shuwen is old and can’t handle a scalpel, how far will Liu Banxia and the others have grown?

As long as they are there, the emergency center’s reputation will not fall.

After all, it’s an emergency center where the general surgery department is more involved in rescue work. With their presence, they can manage these basic admissions well and further improve the patient’s recovery rate.

"Perform well today, and whoever performs the best gets the chance to treat everyone." Liu Banxia said jokingly at this moment.

"Let’s aim to treat everyone together; no one should be left out." Xu Yino responded boldly.

Even Zhou Shuwen was amused, having heard similar feedback from others, it’s easygoing when on stage with Liu Banxia, who can often lead the wayward, having quite the knack for it.

Although these individuals have significant achievements in various fields, not every surgery can be done perfectly to free the patients from their ailments.

Nervousness is only natural, especially given today’s somewhat complex case, claiming not to be nervous would be deceptive.

Just looking at the imaging inspection, this surgery is not easily done, and the situation might be more complex following the opening up, with more uncertain factors.

Now the atmosphere had lightened a lot; everyone tried their best.

At this moment, the patient was also brought into the operating room, where Zhou Shuwen comforted briefly, personally verifying before commencing anesthesia.

Liu Banxia also gave Wang Lei an encouraging look, at least from the current situation, it’s clear Wang Lei is indeed the top anesthesiologist at the emergency center.

This isn’t a joke; an anesthesiologist plays a significant role in any surgery. Wang Lei, though still young, withstands the test.

Zhou Shuwen took up the main operating position, with Shi Lei completing the exploration upon opening up.

"Exploration reveals the tumor’s maximum diameter is approximately fourteen centimeters, irregular in shape, with a small amount of ascites in the abdominal cavity." Zhou Shuwen said after opening.

"The liver and right kidney obstruct the surgical field for tumor extraction; considering self-transplantation of the liver and right kidney for surgical facilitation."

"Exploration shows no spread or metastasis to surrounding organs and lymph nodes; feasible for liver autotransplantation, right kidney autotransplantation, renal vein resection reconstruction, inferior vena cava resection, artificial vessel grafting, and inferior vena cava tumor removal surgery."

This was anticipated during pre-operative assessment discussion and is also the worst surgical option the patient faces.

However, there is no other way, the tumor has grown this way, and without removing the liver and kidneys, it’s challenging to extract the tumor.

Like that child last time, similarly, the abdominal tumor grew too large, encapsulating the abdominal organs together, requiring full abdominal organ transplantation.

But that young patient had a favorable aspect; after all, still very young. Liu Banxia contributed back then, selecting a good vessel, so artificial vessel grafting was unnecessary.

This patient, on the other hand, doesn’t work as well; already old and suffering from the tumor for so long. The most prudent method is to resolve it with artificial vessel grafting.

As Zhou Shuwen once said, there are no best solutions, only the most suitable ones.

"Prepare for inferior vena cava catheterization, establish extracorporeal circulation." Zhou Shuwen continued.

Liu Banxia turned around and exited the operating room, needing to inform the patient’s family about the situation. After all, it would entail greater risks and affect the patient’s hospitalization and surgical expenses.

This task falls on him, impossible for others.

"Doctor, has it started?"

Just as Liu Banxia stepped out, the waiting family members surrounded him.

Liu Banxia nodded, "Chief Director Zhou has just completed the abdominal exploration, and the right kidney also obstructs the tumor, requiring right kidney autotransplantation."

"However, based on current exploration results, it’s still very promising. Although the surgery will be more complex, the presence of such outstanding doctors from various departments makes success highly probable."

"The surgery will take a long time, at least seven to eight hours. You can take turns waiting outside; as long as someone capable of making decisions stays, we’ll come out to communicate with you should there be any situation."

"Doctor, please, you have to save my dad," the patient’s son said.

"Don’t worry about the money either. We know it’s not just the cost of the surgery; there will be recovery expenses as well. We should have everything ready in this period."

Liu Banxia nodded, "We will certainly make our best effort to remove the tumor. Based on my judgment right now, the indications for surgery are still quite ideal."

"Let’s leave it at that for now. I need to get back to the operating room. Just hope that I don’t come out again; stay calm, because the team in there is the elite team of our hospital."

After saying that, Liu Banxia didn’t delay any further and turned around to go back in.

Scrubbing in again, he saw that Xu Yino was on stage operating together, currently inserting blood vessels for extracorporeal circulation.

Liu Banxia was quite satisfied with what he saw.

In such a surgery, as long as Xu Yino steadily follows the procedure without any panic, that’s a success.

"Liu Banxia, explain," Zhou Shuwen exclaimed at this time.

Startled, Liu Banxia realized he had to explain while watching with keen interest. What if he explained it poorly?

"What we are doing right now is the most basic dissection work. As I have mentioned before, regardless of the level and complexity, every surgery cannot do without dissection." Liu Banxia explained.

"There’s no need to comment on the director’s and Dr. Shi’s operations, and Xu Yino’s coordination is also commendable. She’s at the stage of entering the list of invitees for the ceremony. Whether she can succeed depends on her performance."

"However, what I want to talk about next is the first key point of this surgery: removing the liver without opening the atrium."

"This is mainly due to the impact of the tumor. Hence, this stage has a high difficulty level. In a while, we will need to constantly check the atrium’s condition and pull down the tumor to sever the upper inferior vena cava, hepatic artery, portal vein, common bile duct, and so on."

"Why is the next step very important? Because the removed liver needs autotransplantation. And during the transplantation process, reshaping is necessary, which is the essence of autologous organ transplantation."

"In allogeneic organ transplantation, it’s simply about connecting the brought organs. But this patient is different; we need to consider the difficulties of autotransplantation and the overall tumor’s impact on the inferior vena cava and surrounding blood vessels."

"Since this surgery is so complex, reducing invasive means on the patient is beneficial for the prognosis."

"Therefore, when dealing with blood vessels, a comprehensive consideration is needed, not only of the current situation but also of the reconstruction after autotransplantation." 𝒇𝒓𝒆𝒆𝙬𝒆𝒃𝓷𝒐𝓿𝙚𝙡.𝒄𝓸𝒎

Listening to Liu Banxia’s explanation, even Director Xue from the vascular surgery department glanced at him.

Although that’s just some theoretical insights, what Liu Banxia said was quite comprehensive. The actual situation doesn’t have a definite rule; it has to be coordinated according to the tumor’s condition.

The vessels in some positions really can’t afford to waste even a little bit, which could highly impact the entire surgery and prognosis.

The people in the observation room were quite envious of Liu Banxia. Even though he hasn’t worked long in the Second Hospital, he has already been involved in three autotransplant surgeries.

The first was an abdominal organ autotransplant for a young patient, the second was a cardiac myxoma surgery with Chen Xuehai, also using autotransplantation to remove the cardiac myxoma.

This time, not only did he witness a liver autotransplant, but he also participated in a right kidney autotransplant procedure. If you were to say he’s lucky, that would not be an understatement at all.

Now it’s just about dissection, and then the liver will be removed. Next, Liu Banxia will be an assistant to Director Wu Wenlin, participating in the removal of the right kidney.

His participation in each of these three surgeries was high.

But envy is just that—envy; the emergency center has such resources that naturally prioritize training its doctors.

Moreover, Liu Banxia has the capability to participate; his involvement in the first two surgeries was higher, and his contributions were significant.

Now he’s rightfully the deputy director of the emergency center, even if only in position, which reflects his medical expertise to some extent.

Let’s not talk about anything else; now, Xu Yino’s cooperative operation on stage is orderly.

Even as Second Assist, the work isn’t easy. But don’t forget, this isn’t just an appendectomy; such a massive surgery requires pre-surgical rehearsal to work at Xu Yino’s standard.

Although occasionally Shi Lei needs to remind her, that’s normal. After all, Xu Yino’s understanding of this surgery isn’t deep enough; her judgment of the pulling position isn’t so accurate.

"Alright, alright, the main event is here, open your eyes wide and watch carefully," said Liu Banxia at this time.

Because the basic dissection work has been completed, now they need to remove the liver. This is the crucial point where everyone held their breath, waiting for Zhou Shuwen’s operation.