Chapter 487 - 356: Intense Training and Collaborative Surgery
Chapter 487 - 356: Intense Training and Collaborative Surgery
As the words fell, a scalpel was already in his palm.
Qin Feng didn’t hesitate. The first set of surgical procedures was already in his mind; the knife was raised and fell.
He made an incision alongside the right rectus muscle, cut open the abdominal wall, and proceeded with blunt dissection bit by bit.
"Electrocautery."
Buzz~
Opening the abdomen was no challenge to him; he was so skilled he could do it with his eyes closed, masterfully opening the abdominal cavity.
With a few blood vessels blocked by the electrocautery and peritoneum separated, the abdominal cavity was smoothly exposed.
However, the instant the abdominal cavity was opened, Qin Feng’s brow furrowed deeply as he took a deep breath.
Even though he had carefully studied the CT, seeing the actual internal scene still shocked him a bit.
The remaining space inside the abdominal cavity was less than the width of a finger, almost completely occupied by an enlarged liver and displaced viscera due to severe erosion.
There was simply no place to start!
Especially, there was no view whatsoever of the second hepatic portal, which was even more enlarged than on the CT.
"Retractor."
After Qin Feng spoke, the equipment needed was already in his hand.
This didn’t affect him; quickly, the retractor opened the muscles, exposing enough surgical view.
This time, he could see the situation inside the abdominal cavity clearly, and it was indeed dire.
The second hepatic portal on the liver’s left side showed severe hyperplasia, necrosis within, and serious deformation, making recovery impossible.
Meanwhile, the right liver showed obvious edema, indicating poor condition.
If the liver couldn’t be used, liver autotransplantation would be difficult and possibly non-operable.
"It’s okay, it should be recoverable."
Qin Feng checked carefully, finding that one lobe of the right liver was still usable, small but sufficient.
After all, the liver’s self-healing power is strong, and it can grow to a size that doesn’t affect life’s laughter in a few years post-surgery.
This section of the liver is not easy to resect, so he temporarily ignored it.
Then he examined another critical area, the kidneys.
The hydatid cyst had already spread and invaded, connecting the liver and kidneys, appearing as if the big was dragging the small along.
This required separation and the reconstruction of completely eroded blood vessels.
"Removal and reconstruction of blood vessels shouldn’t be an issue."
Qin Feng glanced; the patient’s kidney needed an upper segment resection surgery, but it wasn’t very difficult.
After grasping the situation, Qin Feng slowly calmed down.
He was ready to begin the operation!
...
"Retractor."
As the words fell, Qin Feng used the auto-retractor to anchor the right half of the liver and the first hepatic portal, freeing the entire diseased left liver.
The scalpel in his palm started deftly dissecting, skillfully loosening the liver round ligament, lower falciform ligament, and right triangular ligament...
"Dissection scissors."
"Gallbladder clamp."
Qin Feng’s palm stretched out, and instruments automatically materialized in his palm, very conveniently. Then he picked up the long curved clamp to separate the left and right livers.
Clamp severed!
"20 suture, 14 curved needle."
He quickly picked up the needle and sutured it, so proficiently that it was done before any bleeding could even occur.
Here, the second hepatic portal was completely exposed in the surgical view; next was to separate the bare area of the liver and block the inferior vena cava.
This was the toughest part because, in Qin Feng’s sight, the entire second hepatic portal and surrounding ligaments and connective tissues were eroded to the point of being paper-thin; any carelessness could damage critical blood vessels.
Moreover, due to the erosion from the hydatid cyst, the blood vessels were extremely fragile; if ruptured, it would be hard to stop the bleeding.
From now, the whole surgery entered its critical stage, where each action was crucial!
He began to free the tissue around the second hepatic portal, remove the gallbladder, and free the inferior vena cava...
Separate the diaphragm, sever the superior vena cava...
Puff~
Drip! Drip! Drip!
Just after freeing the inferior vena cava, it suddenly ruptured while being blocked.
Blood spurted violently under pressure, blurring his vision, the warmth and bloody scent incredibly real.
Qin Feng couldn’t help but step back half a step...
"Hoo~ Hoo~ Hoo~"
He exhaled deeply to calm his racing heart.
Beeeeeeep
Listening to the alarm due to rapid blood loss, he knew he failed.
The patient died!
"System, prepare again."
Swish~
Drip~ Drip~ Drip~
The next second, the bloodstains disappeared, and the piercing alarm sound returned to normal.
On the operating table, the patient’s body was once again intact, awaiting the start of the second surgery.
"This is indeed very difficult!"
A bitter smile appeared on Qin Feng’s face.
Earlier, he had operated normally based on experience, yet the vessel still couldn’t withstand it and ruptured.
It appears that this surgery is indeed more challenging than it seemed, and even if the nation’s top hepatobiliary surgeons came, the chance would still be slim!
After a few minutes, Qin Feng replayed the entire previous surgical process in his mind.
He focused on tracing the point of rupture and bleeding, retracing the dissection technique to find the problematic spot.
Trying again!
"Scalpel."
He opened his palm, and the scalpel manifested once more.
Reopened the abdomen, auto retractor exposing the surgical view, freeing the hepatic tissue...
This time, Qin Feng was exceedingly cautious, maintaining as much distance as possible, and avoiding the fragile inferior vena cava while separating the connective tissues.
One hour...
Two hours...
Beads of sweat appeared densely on his forehead, as he focused intently, not daring to let his concentration waver even for a second.
Finally, the entire left liver was completely separated.
"Phew~"
Qin Feng let out a long sigh of relief, this step was finally successfully completed.
Next was the resection of necrotic liver tissue.....
Puff~
Failed!
"Still not working."
Looking at the patient, deceased once more, Qin Feng’s brow furrowed tightly.
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