Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 1002 Director Chen’s Authority (Part )

Chen Yang's voice echoed in the quiet conference room, carrying unquestionable authority. He pointed his finger at the projection screen, and the marked round ligament of the liver and the potential atretic umbilical vein within it seemed to have become the "secret weapon" of the entire surgical plan.

"Using the atretic umbilical vein to establish collateral circulation?"

Chu Gaobo was even more shocked. This idea was so bold that it was almost unrealistic, but it was based on a solid foundation in anatomy and understanding of pathophysiology.

It's not like he hadn't heard of similar theoretical discussions, but to incorporate it into the key steps of such a dangerous actual operation required not only knowledge, but also extraordinary courage and control.

"I won't discuss the specific four-step plan with you all, but I'll explain it to you first so everyone can listen."

Chen Yang had a simulation card and he had already simulated the entire surgical process. He was just telling everyone now.

In this operation, Chen Yang is the lead surgeon, and in order to complete the operation, he needs the full cooperation of everyone.

"The first step is to free the liver and make initial exposure."

"Director Chu Gaobo was in charge. We fully mobilized the left liver and severed the round, falciform, left triangular, and left coronary ligaments. We carefully dissected the hepatogastric ligament, taking care to protect the possible accessory left hepatic artery. The goal was to create the best possible field of view and operating space for subsequent portal dissection and liver parenchyma separation."

"At the same time, when freeing the round ligament of the liver, special care must be taken to protect the umbilical vein structure within it, which is one of our 'lifelines', and avoid damage."

Chu Gaobo nodded: "Director Chen, I promise to complete the task."

"The second step is to clear the liver portal skeleton and deal with the blood vessels."

Chen Yang continued, "This is the most dangerous and skill-testing part of the operation, and it will be led by Director Zhong Dongyang."

"The goal is to completely clear the lymphatic connective tissue at the liver portal area and 'skeletonize' the portal vein, hepatic artery, and common bile duct away from the tumor and adhesions."

"The focus is on the portal vein bifurcation. If the tumor invades more than 50% of the circumference, and if it is found during the dissection process that it cannot be preserved, or if the wall is fragile and cannot be repaired after dissection, the portal vein bifurcation should be resected decisively. After resection, the left and right branches of the portal vein should be immediately anastomosed to the main portal vein for reconstruction."

"At the same time, the right hepatic artery is completely engulfed by the tumor and is not expected to be preserved. It needs to be ligated and severed. The left hepatic artery must be carefully protected throughout the entire process! This step requires stability, accuracy, and speed. Any heavy bleeding could be fatal."

Zhong Dongyang took a deep breath and said with a deliberate smile, "It's very stressful, but I have confidence."

"The third step is to separate the liver parenchyma and protect key structures: I perform this step myself..."

Chen Yang briefly recounted the specific process and said, "Whether this operation can be successfully completed depends crucially on everyone's cooperation. Now that the plan has been finalized, I hope everyone can execute it accurately and not have any other ideas."

Evans stood by, watching Chen Yang explain the operation and make preoperative arrangements, and couldn't help but sigh in his heart that this young Chinese doctor was definitely a genius.

Not only is he highly accomplished in traditional Chinese medicine, he is also an expert in surgery.

He Yonghua and Wan Yuzhe were also listening in the conference room.

Although this was a hepatobiliary surgery operation, it was also the first operation undertaken by the Department of Surgery. It was difficult and of great significance.

It was the first time that He Yonghua felt Chen Yang's aura on the spot.

As his level improved and as he treated more and more patients, Chen Yang's aura became stronger and stronger, and this aura was more of self-confidence.

"No wonder Chen Yang has achieved such success at such a young age." He Yonghua said with emotion.

As the chief physician of Peking Union Medical College Hospital, He Yonghua has his own pride.

Moreover, He Yonghua is an expert in cardiothoracic surgery, unlike Zhong Dongyang. Although Zhong Dongyang is also an authority in hepatobiliary surgery, Chen Yang can also perform hepatobiliary surgery, and his level is even higher than Zhong Dongyang.

But when it comes to cardiothoracic surgery, He Yonghua is the only one in the medical center.

So He Yonghua still has some arrogance, but today's meeting made He Yonghua admire Chen Yang even more.

Although they are not in the same field, He Yonghua still admires Chen Yang for being so magnanimous and capable at such a young age.

"On the anesthesia side, maintain a low central venous pressure (CVP) throughout to reduce hepatic venous oozing. Stock up on red blood cells, plasma, cryoprecipitate, platelets, and fibrinogen. Maintain normal body temperature to avoid worsening coagulation disorders."

Finally, Chen Yang gave instructions to the anesthesiologist.

The anesthesiologist also nodded hurriedly.

Although the director of the center is Wen Rongxian, everyone knows that Wen Rongxian is just a figurehead. He rarely comes here and is rarely responsible for specific matters. The real person in charge of the center is actually Chen Yang.

The reason why Wen Rongxian was given the title of dean was because Chen Yang was still young after all, and if he was promoted too high all at once, it would easily lead to gossip.

Considering Chen Yang's level and the relationship between Wen Rongxian and Chen Yang, Wen Rongxian became the dean just to make Chen Yang less constrained.

"Director Chen, should we make this operation public?"

After walking out of the meeting room, Zhong Dongyang followed Chen Yang and asked.

Wilson's last surgery was a public operation. Not only was the observation room next to the operating room open to the public, but major hospitals could also watch the live broadcast through their equipment connected to Kyoto Hospital.

This operation is even more difficult than Wilson's surgery at that time, and it has attracted a lot of attention from all parties, so Zhong Dongyang asked this question.

"Make it public."

Chen Yang pondered for a moment and said, "All major hospitals and medical institutions are allowed to observe the operation."

This operation was performed independently by the medical center and is of great significance. Since people are paying attention to it, let them see it instead of being sneaky or hiding it.

Only by allowing major medical institutions to witness the level of the medical center can it be more helpful for medical institutions to keep pace with the international standards.

"it is good."

Zhong Dongyang nodded and said, "Then I will announce it."

To be honest, Zhong Dongyang was still a little nervous, but when he saw Chen Yang so confident, he didn't seem so nervous anymore.

Last year, Chen Yang was just helping him. Although his skills were good, he was far from being able to perform such a difficult operation. But this year, it was his turn to help Chen Yang.

"Excuse me, Director Chen."

Chen Yang smiled and said, "Rest early today. We will start the operation at 8 o'clock tomorrow morning."

"OK."

Zhong Dongyang smiled and said, "Don't worry, everyone is used to this."

The doctors involved in the operation are all experienced doctors, so no one would be too excited or nervous to sleep because of the upcoming operation.