Top-tier doctoral supervisor, reborn as a first-year graduate student in standardized residency trai

The afternoon meeting had far fewer attendees than the morning's MDT session.

Ji Feng, Lin Hanchuan, the director of the anesthesiology department, the director of the radiology department, and two core doctors each from the thoracic surgery and gastrointestinal surgery departments.

Gu Lin sat next to Lin Hanchuan, with a newly compiled reconstruction plan spread out in front of him.

Song Zhe was originally reviewing Zhou Mingyuan's medical history in gastroenterology, but when he heard there was a short meeting in the afternoon, he insisted on bringing his computer along.

Its beautiful name is:

"study."

In fact, as soon as he entered the room, he quietly sat down behind Gu Lin.

Ji Feng stared at the plan on the table, his brows furrowed.

"Your plan involves readjusting the feeding tube route?"

Gu Lin nodded.

"Um."

He switched the image to 3D reconstruction.

"If we follow the original path, the shortest distance isn't the problem; the real issue is the angle of the joint."

"After the gastric tube is lifted up, it will be forced to be pulled backward and upward."

"It looks like it can be connected, but the tension will always be pressing on the anastomosis."

As he said this, his fingertip stopped at a bend in the screen.

"This tension may not be obvious during the operation."

"But if the patient coughs, has a fever, or experiences tissue edema after surgery, the anastomosis will have problems."

Discussions continued to emanate from the conference room, because Gu Lin didn't just say "high risk," but rather broke down the risks step by step, explaining where they would come from, when they would explode, and how they would explode.

Ji Feng leaned back in his chair, twirling the pen in his hand.

"So how do you plan to relieve this tension?"

Gu Lin turned to the next page of the plan.

"First, the gastric tube cannot be too wide, as this will affect the length of the tube that can be lifted."

"Second, preserve the main blood supply, but release excess fixation bands."

"Third, take the straighter posterior mediastinal passage instead of the original bend."

"Finally, the anastomosis point should not be placed at the highest point."

"Move it down slightly, so that it lands at the position with the lowest tension."

These words didn't contain many complicated terms, but everyone present understood them.

Gu Lin wasn't simply "extending the gastric tube"; he was redesigning the entire reconstruction route.

The head of the anesthesiology department glanced at the diagram.

"Wouldn't this prolong the surgery time?"

"The initial part will take 15 to 20 minutes longer."

Gu Lin answered quickly.

"But it's faster than having to redo the procedure after discovering insufficient tension during the operation."

Song Zhe sat in the back, feeling a chill run down his spine.

That's a really harsh statement.

While others were still figuring out how to remove the tumor, Gu Lin had already factored in the time needed for rework during the surgery.

Ji Feng didn't rush to express his opinion. He turned to the side and looked at Lin Hanchuan standing next to him.

"Director Lin, what's your opinion?"

Lin Hanchuan didn't say much from beginning to end, until Ji Feng asked him, at which point he pushed the proposal forward a little.

"I agree with Gu Lin's line of thinking."

Ji Feng raised an eyebrow, seemingly surprised that he could agree so quickly.

"So reassured?"

Lin Hanchuan's tone was calm, but the corners of his lips curved into a smug smile.

"He pulled a patient with blood pressure over 40 back from the operating table yesterday."

"Asking him to plan a feeding tube route today isn't that much more difficult than that."

Song Zhe almost couldn't help but laugh. It was the first time he had ever seen the director boast so openly.

Ji Feng was also taken aback by those words, then he looked up at Gu Lin and chuckled after a long while.

"Okay, then let's prepare in this direction."

"The show will start tomorrow."

The surgery was scheduled for the next morning.

At 8:20, the patient had been taken into the combined operating room.

The anesthesiology department made preparations in advance, and ICU beds were also reserved.

Even with adjustments to the pre-operative plan, the risks of this surgery still weigh heavily on everyone's mind.

Ji Feng was responsible for the thoracic cavity, while Lin Hanchuan was responsible for the abdominal cavity and reconstruction.

Gu Lin stood beside Lin Hanchuan.

Lin Xiuyuan stood outside the chest area, assisting Ji Feng.

The operating lights came on, and the surgery officially began.

The first half of the thoracic cavity mobilization was performed very carefully.

Ji Feng's movements were very steady.

Although Lin Xiuyuan was only assisting, the camera and the pulling were very close, and there were no unnecessary movements.

After observing for a while, Gu Lin realized that Lin Xiuyuan was indeed not bad. At least in his third year of graduate school, he had far surpassed most of his peers.

However, this kind of excellence is still limited to "completing the tasks assigned by the teacher".

What truly determines the success or failure of this surgery is not whether a particular step is done well, but whether the entire surgery can proceed smoothly from beginning to end.

Two hours later, the pleural cavity was completely freed, and the upper margin of the tumor was even higher than the preoperative assessment.

Ji Feng glanced down at Shu Ye, his voice becoming more subdued.

"Go up from the upper edge."

Lin Xiuyuan's fingers tightened slightly, which meant that the question Gu Lin raised yesterday was becoming a reality.

The cleaner the cut, the higher the residual end will be, and the greater the reconstruction pressure will be.

Lin Hanchuan didn't say much.

"Starting with the abdominal cavity."

After the gastrointestinal side took over, the pace of the procedure noticeably accelerated.

The greater omentum is opened, the greater curvature of the stomach is freed, and a gastric tube is designed.

Gu Lin didn't rush to take action, but kept watching the direction of the gastric tube and the color of the blood supply.

Song Zhe stood in the second assistant's position, his heart pounding with anxiety.

After the gastric tube was pulled up, it was barely long enough, but it was uncomfortable.

That kind of discomfort is not something an ordinary person could tell.

To the naked eye, the tissue is close to the anastomosis position, but once the angle is adjusted, the edge of the gastric tube will be pulled upwards and the color will start to turn white.

Lin Hanchuan looked down for a moment, then stopped using the equipment in his hand.

"The tension is wrong."

Ji Feng looked over from the chest area.

"How much difference?"

Lin Hanchuan did not answer; he gently lifted the edge of the gastric tube with tweezers.

The tissue, which was originally quite rosy, turned noticeably white after being stretched.

The head of anesthesiology moved off the stool and walked nervously to the operating table.

"Should we pause?"

Lin Hanchuan didn't speak; he frowned in thought.

If the anastomosis is forced together, it can be completed during the operation, but if there is leakage at the anastomosis site later, the patient is very likely to die directly after the operation.

If we change it again now, the time will increase, and the risks of anesthesia will continue to rise.

Ji Feng sighed, feeling a slight headache.

"Following the original route, it's indeed tight."

As soon as he finished speaking, the doctors in the thoracic surgery department looked rather grim.

This is precisely the problem that Gu Lin pointed out yesterday.

Gu Lin didn't speak. He looked down at the gastric tube, his gaze sweeping from the base of the tube to the far end, and then back to the posterior mediastinal passage.

After a few rounds, he reached out his hand.

"Give me a damp gauze."

The gauze was soaked in saline solution, and the scrub nurse immediately handed it over.

Gu Lin placed a damp gauze pad under the base of the gastric tube and gently lifted it up.

Instead of pulling hard, first remove the twisting angle of the gastric tube itself.

Then, he gently rotated the gastric tube to the right front at a very small angle.

Lin Hanchuan watched his movements, his eyes flickering slightly.

"Are you changing your profession?"

"Um."

"It's not that the road isn't long enough, it's that the current road is too sharply curved."

As he spoke, he used tweezers to tap the edge of the posterior mediastinal passage.

"Release a little more here, don't pull the feeding tube up forcefully, let it follow the shortest path on its own."

Ji Feng stood to the side of the chest cavity, his brows furrowed at first, but his expression slowly changed as he watched Gu Lin readjust the angle of the gastric tube.

Because the feeding tube was indeed a little loose, but only very slightly.

But in this type of surgery, that alone is enough to determine a lot.

Seeing this, Lin Hanchuan did not hesitate at all.

"Do as he says."

Gu Lin took the equipment; this time, he didn't just assist.

He continued to release the fixation band along the base of the gastric tube, each release being very gentle, avoiding the main blood supply and only dealing with the tissues that truly restrict the flow.

The movements were slow, but extremely precise.

The deputy director of the thoracic surgery department next to him watched for a while and couldn't help but whisper something.

"Is he... trying to deflect the pressure?"