Perfect Surgeon 130
Perfect Surgeon chapter 130

Episode 129.

129.

Professor Oh Young-jin confirmed the progress of the surgery of Professor Joo Kwang-wook and Hyun-jun, and set the stage to fluidization of the patient’s liver.

Because it was an open operation rather than a laparoscopic procedure, the progress was faster than the two people.

The timing of complete excision of the recipient livers had to be matched to the time to minimize the ischemia time between the donors.

Since congestion occurs in the recipient’s intestine after extraction, this should also be minimized.

Professor Oh, who was watching the screen, nodded.

“Mr. Kim. Prepare for total hepatectomy.”

“Can Master Jang be on time? When she checked earlier, I think she was far behind the professor.”

“No, I almost caught up.”

Professor Oh saw it with his own eyes and couldn’t believe what he was talking about.

Professor Jang, who was in his second year, was on par with Professor Kwangwook Joo, the world’s best liver transplant surgeon, in speed.

‘Did the professor do it on purpose?’

There was no way.

The operation time was thirty minutes faster than their simulation.

“Professor, I’m ready.”

“Ah, a vascular stapler.”

It was not too late to think after the operation. Professor Oh resected the left hepatic portal vein after resection using a vein as a stapler and sutured.

“Heparin administration.”

“Yeah!”

After the first operation, Hyun-jun and Song Seon-hee, who had been disinfected again, entered the first operating room.

Professor Kwang-Wook Joo was already in the position of the operating surgeon, and Professor Young-Jin Oh was standing in the seat of Seung-Gun Kim.

Naturally, Kim Seung-gun was pushed to second.

Joo Kwang-wook’s team’s best lineup was preparing for a full-fledged liver transplant.

“Mr. Jang, Mr. Song. Good work.”

Professor Oh Young-jin spoke to Hyun-jun who came in first.

It was six hours after we broke up with Rosette.

Hyeon-jun bowed his head and stood next to Lee Dong-shin, who was standing on one side of the operating room.

“You look bad.”

“… … What?”

“Doesn’t it make sense that the operation proceeds without any setback?”

As Hyun-jun whispered a small whisper so he could stop listening, Lee Dong-shin’s eyes, who were still anxious, shook wildly.

“After the operation, talk to me.”

“… … .”

Reconstruction of the hepatic vein and portal vein began as the two had a tense conversation.

It was time to deliver the heart of the two sons to his father, Bong-Kyun Lee.

Based on Professor Oh’s assistant, Professor Joo Kwang-wook’s hand movements became faster.

Having secured a sufficient stump length by creating a new blood vessel fencing, he made it possible to perform a large and easy hepatic vein anastomosis for the recipient in parallel with hepatic vein augmentation surgery.

I’ve seen it several times, but Hyunjun couldn’t take his eyes off the ecstatic hand movements.

‘It’s great too. By the way… … .’

Hyun-jun, who had been watching Professor Joo’s surgery for several months, felt something strange.

In baseball, the routine that a batter does when he enters the plate is called a routine.

It was the same with Sergeant.

It’s not as obvious as a baseball player, but because he’s had surgery for decades, he had no choice but to build a habit without realizing it.

Hyun-jun was well aware of Professor Joo Kwang-wook’s routine.

However, the routine was subtly disturbed.

Professor Joo seemed to shake his head from time to time, and the speed of the operation was small compared to usual, but it was lagging behind.

‘no way.’

Hyun-jun felt a slight sense of incongruity, but in a conference room where he could only see it on the screen, he couldn’t notice it.

Rather, the doctors in the conference room were amazed by Professor Joo’s operation.

His surgery, seen on the screen, was a masterpiece.

As evidence of that, the doctors who were watching the robotic surgery in Room A started to leave one by one.

Even the phenomenal movement of the robotic arm did not hold the doctors who wanted to see Professor Joo’s operation.

“As expected, Doctor Joo!”

Among them was Dr. Stanton, director of the organ transplant center at the University of Illinois Hospital. He got up from his seat and found Professor Hwang Beom-jun standing behind Room B and approached him.

Professor Hwang told Professor Kwang-Wook Joo that he had become the deputy director of the organ transplant center, but in fact he was only one of the candidates.

Of course, there was no doubt that it would be him, but it had not been decided yet.

Professor Hwang was very nervous when the head of Stanton, who not only voted for the deputy center director but also had great influence, approached him.

“Doctor.”

“Doctor Hwang, you must be proud!”

“… … Yes?”

“Don’t Dr. Joo’s team, to which Professor Hwang belonged, show such great skills?”

“Ah… … Yeah… … Well, yes.”

Professor Hwang smiled awkwardly.

“It went really well.”

“What do you mean?”

“I would like to invite Dr. Zhu and the surgical team to our center once. I would like to learn about the surgical method newly unveiled at ILTS and strengthen friendship. Wouldn’t it be possible if Professor Hwang could stand with his legs in the middle?”

“Ah… … that is… … .”

“why? Is it difficult?”

“You have to percussion, but the professor has a very tight surgery schedule, so… … .”

“okay. Please tell me. If the invitation of Dr. Joo’s team is successful this time, the appointment of Professor Hwang as the deputy center director will be much easier.”

“Yeah… … .”

“Haha, choosing Professor Hwang back then was a good choice.”

Dr. Stanton, believing the sacrament, smiled brightly without any doubt, then went to his seat and sat down.

Professor Hwang shrugged his shoulders as he looked at the excited back.

“… … ruined. How do you see the professor’s face? … .”

He just wanted to recapture the mango he had spit out in Professor Joo’s lab a few days ago.

Professor Joo shook his head once more.

The blinking of his eyes was clearly a problem.

Professor Oh Young-jin, who stood as an assistant, seemed to have noticed by now.

“Professor, are you okay?”

“Um, it hurts my eyes. it’s ok Keep going.”

“… … Yeah.”

Hyun-jun knew that Professor Joo was showing tremendous concentration right now.

His hand movements, which he thought had slowed down a little, became more flashy and quicker, like burning the last flame.

In fact, it was a situation where the mind controlled the body.

‘Prof… … . After all, it wasn’t just my glasses.’

Hyun-jun, who knew the cause, looked at him worriedly.

Professor Joo, who reconstructed the hepatic vein of the graft with a back-table method, tried venoplasty this time.

Compared to single living liver transplantation using one liver graft, dual living liver transplantation (two-to-one living liver transplantation) doubled the number of vascular grafts.

As the number of connecting blood vessels increases, the ischemia time is relatively long, requiring accurate and rapid anastomosis.

“clamp.”

“Mas.”

Prof. Joo, who clamped the inferior vena cava above and below the hepatic vein inlet, made longitudinal and transverse incisions toward the wall of the inferior vena cava, respectively.

The sophisticated and fast hepatic vein angioplasty did not give the conference room a chance to subside.

“Anastomosis starts from the right side.”

The right hepatic vein, the hepatic vein, the intermediate vein, and the hepatic vein were rapidly anastomosed.

Prof. Joo immediately anastomosed the middle-left venous common liver of the left liver.

“sweat.”

The scrub nurse wiped away Professor Joo’s sweat.

Hyeonjun did not let go of tension in the sweat that was flowing more than usual.

“… … Reconstructing the portal vein.”

There was a sense of rushing somewhere in Professor Joo’s tone, but in order not to break his concentration, the surgical team focused on support.

Prof. Joo’s hand movements, which reconstructed the portal vein of the right lobe using Y-graft (a blood vessel made in the shape of a Y), became faster and faster.

The portal vein of the left liver graft had a relatively small diameter, so the possibility of stenosis was relatively high.

As the needle holder carefully held in my hand moved, the stitch spacing became more detailed.

At the same time, the blinking frequency increased.

“mixer.”

Professor Joo, who had completed the reconstruction of the portal vein, raised his head. Professor Oh, who looked at him with a worried mind, was startled.

Both eyes of Professor Joo had their whites completely changed to red as if a blood vessel had burst.

“Prof!”

“Ugh, it hurts my eyes. No more.”

Hyun-jun could see that Professor Joo had already crossed the limit to complete the reconstruction of the hepatic portal vein.

He had such a painful operation that he couldn’t open his eyes properly.

“… … Should I call Professor Young-chan Jung?”

Professor Oh made an opinion.

He was also not confident in the remaining stage, hepatic artery anastomosis.

Hepatic artery anastomosis using a high-magnification loupe (surgical glasses) was the most difficult step in the liver transplantation process and was the most important factor in early survival and complications after transplantation.

In particular, in living liver transplantation, arterial blood flow tends to decrease due to high portal vein pressure after surgery, so careful and accurate anastomosis is essential.

“I don’t think we have time for that.”

“But there is no other way.”

“There is.”

“Yeah?”

“… … Master Jang.”

“Yes, Professor.”

“You do it.”

Silence fell in the operating room.

Except for the person who was nominated, everyone was shocked.

Considering the overall situation and now Professor Joo’s condition, a fluorescent filter with an incorrectly specified value made people’s eyes extremely tired.

Otherwise, there was no way to explain it.

It was not known whether the company sent it by mistake or made a mistake while making it, but it was true that as a developer, my shoulders were heavy.

‘It’s my responsibility. I have to deal with it.’

“Leave it to me!”

Hyeon-jun, who understood Professor Joo’s condition, was already preparing his mind.

Professor Oh Young-jin swallowed his saliva.

Hyeonjun performed an anastomosis of the hepatic artery only once. He did a great job, but it took a while since it was the first time.

But it was a better choice than calling Professor Young-chan Jung, a vascular surgeon now.

“Get ready.”

When the operation was temporarily suspended, the conference hall was also cluttered with noise.

“What?”

“Does it seem like the surgeon is changing?”

“I think someone else did the hepatic artery anastomosis.”

The professor who chaired Room B pushed the switch and spoke into the microphone.

“Please explain the operating room situation.”

As the sound reached the operating room, Professor Oh Young-jin approached the camera.

“I… … Hepatic artery anastomosis is… … Dr. Hyeon-Jun Jang performs the operation.”

The conference hall was louder than before.

For the most part, it was the sound of disappointment.

“I wanted to see Dr. Joo’s hepatic artery anastomosis, but it’s a pity.”

“I wanted to see the magic that was shown at the Roman Society once again.”

“If you’re Dr. Zhang, you’re the doctor who performed laparoscopic right lobe acquisition of the liver a while ago, right?”

“Let’s wait a little longer.”

“How advanced is Room A?”

The interest that had been focused on Room B began to disperse with the intention of watching and moving if there was nothing special.

Hyun-jun, who took over the baton from Professor Joo and stood in the operating room, made no sound.

If there is such a thing as energy, as he approached the surroundings, a veil-like sharpness wrapped around Hyeonjun.

‘Trust me.’

“let’s begin. loupe.”

The scrub nurse lowered the surgical glasses that were on Hyun-jun’s head.

Perfect Surgeon chapter 130

|
ToC
|