Perfect Surgeon 129
Perfect Surgeon chapter 129

Episode 128.

128.

During the operation, unexpected things were bound to happen.

To minimize the unexpected situation, preoperative MRI, CT, and angiography were performed, but few surgeries went as expected.

But now the situation is a little different.

pressure.

Unlike normal surgery, the surgery that Hyunjun is currently performing requires the three teams to match the timing, so time was of the utmost importance.

In addition, more than five hundred specialists from all over the world were in the conference hall, focusing on the operation with their eyes turned on.

I didn’t know when everything was going smoothly as planned.

When one important thing squeaked, the pressure weighed on Hyunjun.

He was about to open a gap in the mental strength and confidence that had allowed him to withstand the pressure until now.

The back was wet enough to wet the scrub.

The cold air in the operating room met sweat and felt cold, but Hyun-jun couldn’t afford to react.

‘You mustn’t be much later than the main professor… … .’

The thought that instead of helping Professor Joo, he might even be helping to ruin the operation, made his hands hard.

[Hyunjun, take a deep breath. I will secrete nerve substances.]

‘Whoa… … .’

Hyunjun felt a sense of stability in Ronnie’s voice. He stopped thinking and took a deep breath.

Taking a deep breath, Ronnie immediately started analyzing the situation.

[Hyunjun’s eyesight is normal. Possible ICG abnormality. does not exist. Possibility of patient specificity. does not exist… … Laparoscopic system possibilities. has exist. Possibility of more than 3D glasses. has exist.]

‘… … no way.’

[3D Laparoscopic System Analysis.]

Hyun-jun felt Ronny was using his eyesight. It was to scan her problems with her own eyes.

[The data of the fluorescent film attached to the 3D glasses is different.]

‘What!’

“Master Jang, are you okay?”

Team leader Lee Do-kyung couldn’t stand it and asked Hyun-jun.

“Ah… … . it’s okay. I have something to organize for a moment.”

‘How did this happen?’

Hyunjun shook his head to grasp the situation.

With the help of Lee Geun-suk, I changed it to the 3D glasses sent by the company before surgery.

‘Is it the company’s fault? Maybe Lee Geun-suk… … . no. They weren’t lying eyes.’

The problem was that he didn’t know the condition of his glasses as well as Professor Joo Kwang-wook’s glasses.

‘Ronnie, how does fluorescent film affect your eyes?’

[The exact number cannot be calculated, but it seems to cause considerable eye strain.]

Hyeon-jun’s heart pounded even more when he thought about the fatal mistake of the company.

“… … Chief, what is the progress of Professor Joo?”

“that is… … . You just went into parenchymal resection.”

Fortunately, Professor Joo Kwang-wook’s operation went well. The problem was his surgery.

‘If you do surgery without NIRF’s help, it can take more time. What do we do… … .’

Sweat dripped down Hyun-jun’s forehead. The circulating nurse wiped Hyun-jun’s troubled forehead.

‘You have to do it anyway. Ronnie, can you fix it?’

This wasn’t the time to just worry about it. Because of the delay and the lack of NIRF, I had to focus on the surgery.

[Surgery is possible without film.]

‘I know that.’

[NIRF surgery is possible.]

‘What?’

At Ronnie’s assertion, Hyunjun was internally surprised.

[Hyunjun can see wavelengths of near-infrared rays.]

‘Ah!’

Deformation of the optic nerve using snake Golay cells.

As Ronnie said, there have been times when a person’s body temperature has been checked through infrared.

‘Why didn’t I think of that! It’s the same principle as thermoscan!’

[Yes. Shall we apply?]

‘Immediately!’

Hyun-jun’s eyes, who were looking at the screen, changed strangely, but the people around him did not notice.

‘… … see.’

A brilliant fluorescence that could not be seen at all covered the bile ducts. In Hyun-jun’s eyes, it was a spectacular sight.

[GABA secretion is complete.]

Before Ronnie could finish speaking, her heartbeat returned to normal.

‘Thank you, Ronnie. After all, you are the best.’

[thank you.]

“Teacher, I think there is something wrong with the 3D glasses, but there is a spare in the waiting room.”

Even because of the doctors watching at the conference hall, I couldn’t stop wearing glasses at all.

“Ah. Yes. Shall I bring you?”

“Yes, please.”

Team leader Lee Do-kyung nodded and one of the circulating nurses left the operating room.

It was only then that the staff felt a little relieved when they realized that Hyun-jun’s sudden abnormal behavior was due to the glasses.

The staff who came back from the waiting room carefully changed Hyun-jun’s glasses.

“thank you. I will go back.”

After solving the problem, Hyun-jun’s hand began to move lightly.

A beautiful fluorescent light that did not go well with surgery was seducing Hyun-jun.

The dissection of the liver was completed in an instant, and the operation proceeded to the next stage without delay.

Reducing the delay due to happenings was the key.

“CUSA.”

Hyeon-jun, who checked the boundary between the right and left livers while temporarily blocking blood flow using an instrument, marked the boundary using CUSA.

If up to now it was a preparation work to obtain a liver graft, it was now the stage of actual resection of the liver parenchyma.

As soon as the rhythm of the operating room returned to the beginning, the staff let out a sigh of relief.

“2-0 porlen direct.”

Traction was essential for laparoscopic liver resection.

The straight needle Hyeonjun received was inserted and tied to the ligamentun teres that was cut during mobilization.

“Vicryl.”

Hyun-jun, who had stay suture on both sides of the resection line on the liver surface marked with sutures, made eye contact with Song Seon-hee and nodded.

Although there were no words, she was meticulous in her work.

“snake retractor.”

When the traction was completed using the instrument, the cut surface of the liver was exposed.

Not only was the resection line positioned in the center of the screen for perfect movement, but bleeding was also prevented as the resection line was pulled to a higher position than the heart.

‘How can you do this well… … .’

Not only Lee Do-kyung, head of the nursing team, but also everyone in the operating room could not shake off their doubts before the operation started.

Putting your second year of residency into an operating surgeon.

After the pre-operative meeting, the nursing team even talked about Professor Joo Kwang-wook being crazy.

However, as the operation time passed, doubt turned to faith, faith to admiration, and admiration to stability again.

Hyeon-jun’s charisma, which encompasses the entire operation as well as his surgical skills, led the staff in the 3rd operating room and made them comfortable.

“The liver parenchyma will be removed. ultrasonic shear, please.”

“Yeah!”

Hyeon-jun, who cut the liver parenchyma by 2 cm from the liver surface using an ultrasonic cutting machine, changed the instrument to CUSA.

Because there are no structures such as major blood vessels or bile ducts up to a depth of 2 cm, dissection can be performed even with an ultrasonic cutting machine, but deeper parts beyond that have to be carefully dissected.

“Mr. Song, please pull it.”

“Yeah!”

“Ligasure.”

While carefully dissecting with CUSA, small vascular branches visible along the way were excised using Ligasure.

If medium or larger blood vessels or bile ducts appeared, they were ligated with clips and excised.

It seemed like a simple action on the screen, but the murmur did not stop inside the conference hall.

How can you move the laparoscopic instrument so freely?

Although the operation speed had to be slowed down, Hyun-jun’s movements did not slow down.

Doctors who were initially interested in Prof. Kwangwook Joo’s screens now show interest and admiration by looking at the two screens alternately.

The doctors who attended the meeting knew well that the top professor of this team was, no matter what, the main professor.

Dr. Joo was the best liver transplant they knew.

However, contrary to their expectations, there was no significant difference in the speed of the operation.

Professor Oh Young-jin was also slowly resectioning the liver despite being a difficult patient.

“It’s a great team. It’s like the Avengers.”

“It’s also the Doctor. It’s unnamed.”

“The other doctors are great too. Dr. Hyun-Jun Jang? Is this the first name you’ve ever heard?”

Professor Joo Kwang-wook and Oh Young-jin were already well-known names through numerous papers and conferences.

On the other hand, Hyeonjun’s name was of course unfamiliar to them.

The excitement of the conference hall was heated by the fantastic operation that made it impossible to take my eyes off it.

“Is it the person you worked with at the hospital when Dr. Hwang was in Korea?”

Professor Beom-Jun Hwang could not answer the question of Chairman Claude, who was very satisfied with the appearance of the president of the society.

He was now doubting his own eyes.

‘how… … . how! What the hell is that move! How is the second year of residency?’

It was also the guy he told me to get rid of.

As a liver transplant expert, he could tell that Hyun-jun’s skills were real.

‘Aren’t these guys deliberately deceiving me because I’m two years old? yes, that’s it no. It can’t be!’

“Doctor Huang?”

“Oh, no. When I was… … Dr. Jang was not there.”

“Oh, I’m sorry. Dr. Jang is a really great sergeant. That’s great. Podige!”

As the right part of the liver was slowly cut off, Chairman Claude continued his exclamation while mixing French and English with his handsome mustache.

‘These people, that friend is not a sergeant!’

His stomach was boiling, but Professor Hwang could not speak. Even if he said it, no one would believe it.

Professor Hwang took turns checking the conference hall. Contrary to his expectations, the number of people in Room A and Room B was similar.

It was said that both surgeries were successful in attracting the attention of doctors.

However, considering that robotic surgery is a new technology, it also meant that Professor Joo Kwang-wook’s team was doing well.

Hyeon-jun, who had no knowledge of the president’s mood, was fully demonstrating his skills he had honed in the meantime.

At the end of the dissection of the liver parenchyma, he held out his hand after confirming the right hepatic vein.

“tan color cartridge.”

Hyun-jun, who had dissected around the right hepatic vein, was resected using an automatic anastomosis machine for laparoscopic use.

“Chief, who is the main professor?”

“… … You are having a cholangioectomy.”

Team Leader Lee Do-kyung’s voice was full of nuances that he could not believe.

Hyunjun smiled slightly inside the mask.

‘I caught up.’

This meant that Hyeon-jun’s liver parenchymal resection was swift.

But Hyun-jun was not conceited.

Lee Dong-shin was an assistant, and Professor Joo Kwang-wook was connected to the conference hall and explained the process.

It did catch up, but not in the real sense.

Still, considering the overall operation, liver transplantation was possible without delay.

It was the reason why Hyunjun laughed.

“We also go into bile duct resection.”

Fluorescent agents were identified with the modified optic nerve, and the right hepatic artery and right portal vein were retracted using a rubber band.

‘How come, without even a single hesitation!’

Hyeonjun’s current technique was to prevent unexpected damage by sharp instruments used during cholangiosection.

It is a measure that can be forgotten during the operation, but there was no delay at all.

The fact that cholangiography was not required during surgery was also a factor that could shorten the time.

After the resection of the bile duct was completed, Hyun-jun, who had the caudate lobe removed, finally resected the hepatic part.

It was the moment when 400g of the younger son’s liver was cut out of the 700g liver needed by the patient.

“Inject heparin.”

“Inject with heparin IV.”

“The graft is removed.”

The plastic-covered liver came out through a small incision under the navel.

“Whoa… … .”

Hyeon-jun, who was slightly relaxed, checked the surgery screen of Professor Joo Kwang-wook himself.

It seems that Professor Joo had just had his liver removed.

“The blood vessel suture ligation.”

Hyun-jun, who delivered the liver graft to the perfusion team, ligated the blood vessel bitten by forceps.

‘Whoa, it’s over.’

Surgery time 5 hours 15 minutes. It was a new record that reduced the previous 6 hours by 45 minutes.

“Good job everyone!”

“Thank you for your effort!”

At Hyun-jun’s greeting, calm cheers erupted from the operating room.

Although there is still a transplant operation, it means that one has crossed a hurdle.

Hyun-jun approached Song Seon-hee, who was standing and shaking his hand slightly.

After it was over, it was her that the tension came all at once like a tsunami.

He couldn’t even remember what he had done.

‘I did it… … .’

At the same time, a sense of pride wrapped around her body.

“Song-sensei, your assistant was the best. Now get some rest.”

“… … Brother, it was hard. It was the best surgery ever.”

When cheers erupted in the operating room, thunderous applause poured in from the conference hall as well.

“It’s different. dimension.”

“After all, they are Korean medical staff. It’s amazing.”

“Did you see Dr. Zhang’s liver parenchyma resection? Oh, my God.”

There was already a group discussing short-term training at Daehan University Hospital.

“But isn’t it a bit strange?”

“what?”

“Doctor Zhu’s screen showed fluorescence from the bile ducts, but Dr. Jang’s screen didn’t show anything.”

“Oh, yes.”

“It must be more than a camera.”

“is it?”

“By the way, how is robotic surgery going?”

“Both operating rooms have just gone through parenchymal resection.”

“After all, it’s a robotic surgery, so it takes time.”

“Are you going to Room A?”

“No, I’ll have to watch Professor Joo’s team’s transplant operation. What a great operation. I want to watch it to the end.”

Once they put their buttocks on the B-room chair, the doctors put up with the urge to go to the bathroom and focused on the operation.

The empty chairs in Room B were gradually disappearing.

Perfect Surgeon chapter 129

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