Perfect Surgeon 131
Perfect Surgeon chapter 131
Episode 130.
130.
Hyun-jun first looked at the patient’s intra-abdominal condition.
The average diameter of the hepatic artery is 2 mm. i.e. 0.2 cm.
The graft with multiple hepatic arteries was located and the size was smaller than that of the general case.
In addition, the hepatic artery of Bong-Kyun Lee’s patient was easily damaged due to overgrowth and edema of the intima due to portal hypertension.
In short, it was the worst condition for surgery.
Professor Oh, who was watching from the side, also clicked inwardly.
‘Patient Bong-Kyun Lee has undergone embolization treatment for a long time and has a thrombus or stenosis in the hepatic artery. This case is difficult even for the main professor… … .’
As he looked at the young Hyun-jun, his heart became stuffy.
If there is a mistake or delay in time, the meaning of the surgery that has been done so far is bound to fade.
But now, I had no choice but to support Hyun-jun.
‘Please do well. Mr. Jang.’
Hyunjun’s eyes rolled non-stop.
With Ronnie’s help, he was counting the arteries that could be anastomosed for the graft and recipient.
[The difference between the two arteries is less than 2 times. Available.]
After the eyes, the hands also began to move.
In a tense atmosphere, Hyun-Jun, who first removed the connective tissue around the artery, trimmed the anastomotic cross section.
“Wow… … .”
Song Seon-hee opened her mouth without realizing it inside the mask.
Hyeon-jun’s hand movements with those small arteries were already unusual.
“double clamp.”
‘… … Are you really doing it?’
Lee Dong-shin thought that Professor Joo Kwang-wook had finally gone crazy.
No matter how hard I tried, I couldn’t understand how the hepatic artery anastomosis could be left in the second year.
But Hyunjun was doing it again.
Even after seeing laparoscopic liver prosthesis surgery, I did not want to admit it somehow, but now I have to admit it.
‘… … Damn it. Dogs are cool.’
It may be an illusion because of Moo Young-deung, but it seemed that a halo was reflected from Hyun-jun’s entire body, who was concentrating on it.
flow.
flow.
It was difficult to distinguish the end from the beginning in Hyeonjun’s movements.
As if water was flowing, there was no stopping in every movement.
As the waves of brain waves crossed the boundary between alpha and theta waves, Hyunjun was in a state of immersion.
‘What is this?’
Hyun-jun was also surprised by the feeling he was experiencing for the first time.
I was puzzled, but my concentration was not broken at all.
All movements in the operating room were felt simultaneously in real time.
Even without looking, the scrub nurse’s hand movements seemed to be in slow motion, and without looking at the monitor, the patient’s vital signs were felt.
Hyun-jun held out his hand with an unrealistic feeling.
“Nylon 10.0, please.”
After the surrounding tissues were organized, the full-scale anastomosis finally began.
“upward forcep.”
Intermittent sutures of microvessels were performed by passing through the entire thick arterial wall at right angles.
It is easy to say, and the movement of sutures 0.2mm was close to wearing.
As the sutures were made at regular intervals with the precision of a machine, Professor Oh, standing next to him as an assistant, raised his head at the excitement coming from his back.
Once again, shouts erupted in the conference hall.
Participants from each country expressed their praise in their own language.
“Sugoi!”
“Podige!”
“great!”
“Oh oh! That is amazing.”
“You are closing the blood vessels right now, right? Is that speed possible?”
Doctors who were about to leave their seats stuck their buttocks to the chair as they watched the amazing scene unfolding on the screen.
Hyeonjun tied the knots arranged at appropriate intervals at once.
Hyeon-jun, who finished the ligation without tension to reduce the curvature of the arterial intima, finally exhaled a cool breath.
As I put my hand over the artery, I felt a weak beating.
It meant that blood was flowing through the hepatic artery that connected it. The end of a long operation was in sight.
“Put the loupe, please.”
The nurse carefully raised the surgical glasses over her forehead.
The high-magnification loupe disappeared from my eyes, but the thin hepatic artery appeared as large as a thick finger.
If it continues to look like this, surgery could be done without a loupe.
“Umm… … !”
At the same time as feeling the touch of the arteries, Hyun-jun, who escaped from the immersion, was unable to come to his senses in the aftermath for a moment.
It was an astonishing feeling.
To be honest, I just wanted to stay in this state.
“Master Jang?”
Fortunately or unfortunately, Professor Oh’s voice woke Hyun-Jun.
‘What was that just now?’
I wanted to delve further into the unrealistic sense, but now was the time to finish the operation.
I thought I’d ask Ronnie if I had any questions.
“… … Whoa, yes. Doppler Sonography, please.”
Doppler ultrasound was a test that could see the blood flow in the blood vessels.
It was to accurately check whether the anastomotic hepatic artery was properly circulating blood and to confirm it at the conference hall.
“It’s okay. I will finish the anastomosis.”
Hyun-jun looked at Professor Joo Kwang-wook first.
Even with his eyes closed, he guarded the operating room until the end.
Although it was invisible, there was a faint smile that was hard to see because the surrounding atmosphere knew that the hepatic artery anastomosis had been successfully completed.
“Professor, please move.”
Hyeon-jun tried to get out of the position of the surgeon, leaving behind the last process, biliary tract reconstruction.
“no. You finish it.”
“Yeah? But… … .”
“Professor, I think it would be okay if Professor Jang finished it.”
Professor Oh turned his head and asked Professor Kwang-Wook Joo’s intentions.
“Oh, if it’s okay with you, then do it.”
“Yes, Master Jang does it.”
“… … All right. Then we will begin Duct-to-duct biliary reconstruction.”
Hyunjun was smiling inside the mask.
Recognition.
It was recognized by two of the world’s best liver transplant surgeons.
It was the moment when all the troubles of the past disappeared like snow.
Professor Woo’s team was also in the midst of liver transplantation.
Procurement of living livers using a surgical robot was successful. Professor Woo Je-young himself and Lee Geun-seok were the top contributors.
Unlike Lee Geun-seok, who performed his role brilliantly, Professor Woo looked at the screen installed in the operating room with a bitter expression.
The conference hall was vacant and there were people moving along the way.
‘What the hell happened in the operating room next door… … . Yes, it would have been a laparoscopic surgery that was nothing new… … .’
With his common sense, the current situation did not make sense at all.
The time when Professor Woo was grinding his teeth while looking at the screen.
One of the people sitting on the screen slowly stood up.
“Go back.”
It was Vice President Jinyoung Pyo, who stopped by the COEX conference hall after having an outside schedule in the morning.
It’s been twenty minutes since I came to the conference room.
Deputy Director Pyo thought there was no need to look further.
Room A, where he was sitting, was filled with only about a hundred doctors, even if he looked after him a lot.
That meant that the remaining four hundred or more were in Room B.
With this conference as an opportunity, his plan to overtake Professor Joo Kwang-wook and make Professor Woo Je-young the new star of the transplant center was almost in vain.
“Where to, sir?”
“Go to the hospital.”
The assistant secretary carefully escorted Deputy Director Pyo, who showed no expression.
I’d rather be angry.
Having served Vice-President Pyo for several years, he could see that the Vice-President was now holding back his extreme anger. It was only twice when he showed the same expression now.
When you lose the election for president.
And it was after a recent emergency room-related meeting.
Vice President Pyo’s voice in the back seat of the black luxury sedan was distorted.
“Secretary Kim, turn up the screen.”
With a click, the opaque screen separating the front and rear seats went up.
When the space was completely separated, Deputy Director Pyo called somewhere.
“Go boss. Did you do your job properly?”
– That’s right. deputy chief.
“Then why did the surgery go so smoothly even with those glasses on?”
I asked a question, but Deputy Director Pyo could tell by looking at Professor Joo’s condition in the operating room. His own tactics certainly worked.
Vice President Pyo did not believe in Lee Dong-sin from the beginning and used a double tactic.
The problem was that they had overcome their tactics, which they thought could never be overcome.
-… … I do not know. I don’t know. Just as the vice president said… … . It just changed the value of the fluorescent film.
“Chief Ko, please be careful of your mouth.”
“Ah… … Yeah.”
“If any useless talk comes into my ears, it will be difficult for Mr. Koo’s company to enter Daehan University Hospital in the future.”
“No, of course.”
Vice President Pyo Jin-young hung up the phone harshly.
“My… … Lal! Fuck this dog… … silver! Seed… … foot! raised… … !”
It was a device that prevented people from hearing the conversations taking place in the front seats and back seats, but Vice President Pyo’s shouts could be heard intermittently through the screen.
As the vehicle got closer to the destination, Daehan University Hospital, the screen came down.
Deputy Director Pyo’s face, with an expression different from usual, was reflected in the front mirror, as if he had yelled.
“How long is the term of Professor Je-young Woo, the director of the transplant center?”
“that is… … . Until next February.”
“The next rider?”
“This is Professor Wonchan Song.”
“Yes. Song Won-chan. After this conference, have dinner with Professor Song.”
“Is Professor Woo Je-young also attending?”
“Don’t even bring up that human story. Don’t even connect the phone.”
“all right.”
The attendant swallowed his saliva so as not to be detected.
He was the one who had been observing how much effort Professor Woo put into the ranks of Vice President Pyo.
It was a tough rope to hold, but it was cut off in an instant.
As long as Jinyoung Pyo was the vice president, it was obvious that Professor Woo would not take the position in the future.
I knew it well because I had seen similar cases countless times.
After thinking for a moment that Professor Woo was pitiful, the attendant shook his head.
‘Are you worried about others? It’s a luxury, it’s a luxury.’
The big picture of Vice President Jinyoung Pyo, which had always been going as planned, has recently been distorted little by little.
It was time to behave well so as not to be thrown out like Professor Woo.
* * *
Day 3 of ILTS.
The main character was also Professor Joo Kwang-wook’s team.
Bong-Kyun Lee’s surgery was a real success.
Prof. Kwangwook Joo and Professor Youngjin Oh received the Best Presentation Award for their 3D Laparoscopy System.
Near-infrared fluorescence-guided surgery received the greatest attention even though it was not published due to time constraints.
Although he did not receive an award because he did not publish his thesis, Hyunjun received great attention from scholars from all over the world.
Among them, there were many doctors from cancer centers such as MD Anderson Cancer Center in the United States, Johns Hopkins Hospital, Hanover University Hospital in Germany, and Kyoto University Hospital in Japan, and among the top ten hospitals for liver transplantation.
The praise for Hyun-jun was not limited to the new surgical technique.
The specialists, who were impressed by the surgical skills, mobilized various rhetoric to praise yesterday’s operation.
When it was revealed that he was a second-year resident and not a surgeon, people were astonished.
But the dismay soon led to a Scout War.
“I can’t believe it. Do you have any plans for the next one after you graduate?”
“If you come to our hospital, I promise you the best treatment.”
But above all, the best scene that Hyun-jun picked on this day was Professor Hwang Beom-jun’s charge.
The sight of Prof. Joo Kwang-wook bending his back to 90 degrees and rubbing his palms spontaneously provoked laughter.
“Why are you doing that?”
Kim Seung-geon, who approached Hyun-jun’s question, also couldn’t contain his laughter.
“The head of the transplant center at Illinois Hospital said he wanted to invite our team. So that’s why you’re pretending like that. What a poopy expression on his face.”
“haha.”
“What’s even funnier is that Professor Joo said it was difficult because he had a full schedule for surgery, so he just refused. Pu ha ha.”
“Professor is also behind the scenes.”
“I’m not joking. I’ve been thinking about whether I’ve done anything wrong with the professor until now.”
When I looked again, Professor Hwang had already been pushed back and Professor Joo Kwang-wook was having a conversation with a person with a serious expression on his face.
Perfect Surgeon chapter 131
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