Healing Doctor

Chapter 257 A Surgical Video Like a Thriller

While others might not be familiar with the less common diagnosis of massive hydronephrosis, Dr. Gu was very knowledgeable about it.

He lives in the capital city, where all the difficult and complicated diseases in the country go. With a population of over a billion, even the rarest diseases are commonplace for an expert of Gu's caliber.

The rumor that a cleaning lady at Peking Union Medical College Hospital could accurately diagnose rare diseases at a glance is not entirely unfounded.

There are countless difficult and complicated cases, many of which are things that grassroots doctors have never seen before. If they have seen enough cases, even a cleaning lady might be able to make a diagnosis.

Surgery for massive hydronephrosis is extremely difficult, as Old Gu knew. He hadn't expected Ji Xiang's surgery to reach this level.

"Giant hydronephrosis..." Director Xu paused for a moment, then smiled. "It's probably less than 1000ml of hydronephrosis. I just wrote it down haphazardly after hearing this diagnosis overheard."

"Xiao Xu, how many cases have you handled?"

"More than ten cases, the largest of which had 3000ml of fluid accumulation, making the surgery extremely difficult," Director Xu said with a hint of pride.

The difficulty of surgery for a 3000ml hydronephrosis can be accurately judged simply by listening to the amount of fluid.

As for the surgery in front of him, Director Xu just smiled slightly, seemingly unconcerned.

The initial subtitles disappeared in an instant, and the surgery began.

The preceding process was not recorded; the footage begins from the moment the probe enters the abdominal cavity.

The moment the image appeared, Director Xu was stunned.

The surgical field was completely filled with a large fluid-filled sac. His extensive clinical experience silently told him that the amount of hydronephrosis definitely exceeded 3000ml! That was more than the amount in the surgery that Director Xu was so proud of.

With such a large amount of hydronephrosis, the local anatomical structure would have been completely destroyed. Even open surgery might not have been able to remove it successfully, let alone laparoscopic surgery.

When Old Gu saw the huge "water bag", his brows furrowed.

"Xiao Xu, this patient with hydronephrosis looks to have at least 4000-4500ml of fluid in his kidneys," Old Gu murmured.

"More or less...is it just a matter of perspective?" Director Xu was still somewhat unconvinced.

He didn't believe a resident could perform such a difficult surgery.

"It shouldn't be."

Old Gu turned his head and asked the people from the First Affiliated Hospital's organizing committee.

Soon, Director Bai, with his back bent, came to Old Master Gu's side without disturbing others watching the surgery.

"Director Bai, please have a seat." Old Gu patted the chair next to him. "Did Xiao Ji perform this surgery?"

"We've done more than half of it," Director Bai said with a smile.

"What do you mean?"

"The procedure we're currently performing was initially done by Director Liu from our hospital's urology department," Director Bai explained to Old Gu, looking at the screen. "Director Liu tried it himself but found it too difficult, so he handed it over to Xiao Ji."

Director Xu was stunned.

The director thought it was too difficult and assigned it to a resident trainee... This sounds absurd and incomprehensible.

Old Master Gu neither agreed nor disagreed, but simply nodded slightly.

"Director Bai, how much water is there?" Director Xu pressed.

5200ml.

"!!!"

On the screen, the surgeon had already made a small incision in the capsule of the massive hydronephrosis, and the suction device was immediately inserted to begin aspirating the fluid.

Based on the time and backsheet size, the 5200ml figure should be quite accurate.

Director Xu's expression turned serious as he stared intently at the screen, even more focused than when watching Zhou Tianbo's surgery.

He had undergone surgery for massive hydronephrosis and knew very well the difficulty of the procedure.

It may not sound as sophisticated as some tumor or organ transplants, but Director Xu knows all too well the difficulty of the surgery.

The presence of massive hydronephrosis indicates an abnormality in the anatomical structure of the urinary system. Furthermore, the massive hydronephrosis compresses the kidneys, causing severe local adhesions…

The surgery to treat 3000ml of hydronephrosis took six hours, and there were several times when it almost had to be converted from laparoscopy to open surgery.

With a difference of almost double, the difficulty of the surgery increased by more than double.

After Director Xu and others had drained most of the fluid, they carefully examined the anatomical structures on the screen. The old man's hands were ice-cold.

In the surgical field, the patient's kidney had been compressed into a sheet of paper and was stuck to the peritoneum like connective tissue.

How should this surgery be performed? Director Xu was somewhat bewildered.

He was highly skilled, and that's why he realized in a flash that he wouldn't have been able to do this surgery with a laparoscope, and even with open surgery, he would have had an exceptionally good hand.

Just as Director Xu had expected, the surgeon began blunt dissection after clearly seeing the local anatomical structure.

As soon as the procedure was started, bleeding occurred at the site where the kidney was adhered to the peritoneum.

Crimson blood gushed out, and the surgical field began to blur.

Recalling Director Bai's words, Director Xu stared intently at Shu Ye, not blinking.

In Director Xu's imagination, this step of bleeding alone would take at least 10 minutes to handle, and he was very curious about how the surgeon handled it.

suddenly

A hemostat was placed on the adhered connective tissue, a titanium clip was used to close it, and a suction device was used to wash away the blood, resolving the problem with lightning speed.

Ten minutes?

does not exist at all!

It was as if the hemostatic forceps, guided by some unseen forceps, had located the bleeding artery and clamped it shut with unparalleled accuracy.

"This..." Director Xu murmured.

"We're changing personnel from this point onward," Director Bai explained with a smile.

Old Gu sat up straight, his eyes fixed on the screen.

The surgeon's previous actions were normal, but Director Bai's tone suggested that Dr. Ji's surgery was quite elaborate, which piqued his curiosity.

However, the idea of ​​carving flowers on the stone soon came up to Old Master Gu.

The surgery paused slightly, and the surgical field shook for a moment, presumably because the surgeon had been changed and the original surgeon started to adjust the mirror.

The surgery quickly resumed.

The renal dorsal membrane and peritoneum are adhered together, making them seemingly impossible to separate. Even with open surgery, it is extremely difficult to separate them by hand using blunt force while looking directly at them.

However, by alternating between the two hemostatic forceps and gently applying an electric shock beforehand, the blood vessels that might bleed are "burned" off in advance.

Everyone stared in astonishment.

That surgery was absolutely amazing!

As if possessing precognitive abilities, the surgeon preemptively dealt with tiny capillaries, thus keeping the surgical field clean throughout.

This……

Most of the people present were experts, which is why watching a surgical video felt like watching a horror movie.

The air in the meeting room seemed to freeze, and some people's legs were trembling uncontrollably.

How did he know that?!

The same question lingered in everyone's mind.

It was only at this moment that Director Xu understood why Ling Tian had gone to such lengths, flying from Shanghai to Beijing to see him and explain things in person.

Although the other person was just a junior resident trainee, his level had far exceeded... exceeded my understanding!

"Director Bai, did you personally witness Dr. Ji performing the surgery?" Old Gu suddenly asked.

His voice sounded slightly weary, as if all his energy had been drained after watching the surgery for less than three minutes, making him look twenty years older.

(End of this chapter)