Chapter 62 - Edematous Gallbladder (1/2)

Intraoperative exploration revealed that there were no abnormal changes in the stomach and small intestine. The liver was normal in size and smooth with no irregularities or nodules commonly seen in cirrhosis.

However, the gallbladder was congested and visibly edematous, and it was slightly larger than half an adult man’s fist.

The swollen gallbladder looked like an inflated balloon. From its appearance alone, any iatrogenic perforation would blow this surgery sky-high.

[Wow, how many gallstones have acc.u.mulated in this gallbladder?]

[It isn’t necessarily caused by gallstones. It could be parasites, too.]

[Why do I have a feeling that the gallbladder will rupture at the slightest disturbance, causing bile to flow into the peritoneal cavity and contaminating the operative site? d.a.m.n it, I can’t watch anymore. I’ll probably have a nightmare about a never-ending surgery.]

Despite their claim, the anonymous doctor stayed. In fact, none of the viewers left the broadcast room, and more latecomers continued to come into the livestream to observe the surgery performed by the demon, who had become a legend in Xinglin Garden.

With the tip of his scalpel, Zheng Ren made a small incision 0.5 centimeters away from the liver edge. After that, he began his signature move—blunt dissection.

Most of the viewers were experienced surgeons with hundreds of surgeries under their belt, or they would not dare to even comment on the livestream.

However, none of them could reach Zheng Ren’s level of skill at blunt dissection.

After repeated observation of his 49+1 appendectomies, some of them tried to perform a larger range of blunt dissections, but their results had been disappointing and in some cases nearly caused iatrogenic intestinal perforations.

During this period, a new discussion post appeared in Xinglin Garden for those who attempted the host surgeon’s technique after watching the live broadcast.

Some of them initially thought that their skills were inferior, but after reading through the post, it seemed everyone was on the same level.

It was likely due to their own perspectives and that the host surgeon had actually performed many surgeries to achieve such expertise in his manipulation.

There was pin-drop silence in the live broadcast room as Zheng Ren bluntly dissected tissue with a pair of hemostatic forceps and his fingers.

Zheng Ren’s movements induced slight tremors in many viewers’ fingers.

Like a butcher skillfully and effortlessly dismembering an ox, it was obvious that they could only observe this master at work without no hope at imitating his actions.

The edematous gallbladder, half the size of an adult man’s fist, had extremely high surface tension. Even a simple open cholecystectomy would require one to proceed with the utmost vigilance, let alone blunt dissection, as a split-second distraction could rupture the gallbladder.

Even so, the host surgeon seemingly manipulated the instruments without a second thought. The medium curved forceps reached under the incised serous layer of the gallbladder surface and bluntly separated the tissue at a quick pace.

That speed… He must have a death wish.

However, no one would comment that on the livestream.

This was due to the humiliation of every one of the host surgeon’s previous critics. To preserve their mortification, many nosy parkers had screenshotted their comments as evidence for the discussion forums.

A few seconds later, the tissue had been bluntly dissected up to the gallbladder neck. The host surgeon then began lysing the messy adhesions caused by inflammation in the Calot triangle.

His finger movements were proficient and slow, but every step was seemingly done without forethought, which frightened the doctors watching the livestream.

The surgeon was walking a tightrope! Generally, professors in Cla.s.s Three Grade A Hospitals… Why Cla.s.s Three Grade A Hospitals? Why was he suspected to be a professor? Any hospital below the rank of Cla.s.s Three Grade A would not dare perform this type of surgery because of the high risk of medical error.

Even in a Cla.s.s Three Grade A Hospital, ordinary attending surgeons and chief residents would never handle such a troublesome operation.

Only those of lead professor rank and above would possess the confidence to perform such a difficult surgery.

Even so, they would still tackle the situation with extreme care rather than simply using forceps to bluntly dissect tissue without hesitation like this surgeon.

Upon inspection, the host surgeon’s movements were not fast but very precise. Then, like a painting, the anatomical structures of the Calot triangle gradually appeared in front of everyone.

This brat must have dissected a few cadavers. No! A few were definitely inadequate; he must have dissected at least dozens of cadavers.

In China, the number of cadavers, also known as silent mentors, was so limited that some medical inst.i.tutions only had one cadaver per cla.s.s for studying anatomy.