Chapter 62 - Edematous Gallbladder (2/2)

Few medical inst.i.tutions had the luxury of providing a cadaver for a group of eight, let alone the mythical four-man team, for dissection.

For example, in a town of strategic importance in the northern frontier, whether it was just an ordinary school or medical inst.i.tution, countless Kwantung Army[1] corpses from decades ago were still preserved for dissection purposes. That was exactly why the doctors from that medical inst.i.tution did not know what a silent mentor was.

The Kwantung Army corpses were simply unworthy of that t.i.tle—silent mentors—even though they had been immersed in formalin for decades.

As the number of cadavers was scarce, many doctors actually made up their minds to apply for part-time jobs in the forensics department.

Naturally, such special privileges were provided only to motivated doctors working in tier-three or four cities[2] due to a lack of licensed forensic pathologists.

The host surgeon in the livestream had definitely dissected a large number of cadavers. This a.s.sumption emerged in every viewer’s mind at the same time and was proven during the gradual exposure of the Calot triangle.

The cystic duct and cystic artery were clearly visible. The host surgeon then began to ligate, resect and retrogradely remove the gallbladder.

The removal was just the beginning.

[He is very good at laparoscopic surgery, but I didn’t expect him to achieve such a high standard in open cholecystectomy too.]

A dazed doctor expressed his thoughts in Xinglin Garden.

An expert would understand the difficulty behind this surgery. From the cholecystectomy alone, everyone firmly believed that the host surgeon would complete this surgery beautifully.

How much could they learn from this surgery? Well, it would depend on their individual talents.

[Are you stupid? How can he perform laparoscopic surgery if he can’t do an open surgery well?]

[Not exactly. Nowadays, many junior attending surgeons start their practice in laparoscopic surgery. Hey, both of you have inadvertently exposed your age group.]

[The gallbladder had been resected. I’ve a feeling that there will be at least three to five gallstones of over three centimeters in it.]

The anatomical structures could be seen very clearly. After the gallbladder had been resected, the common bile and hepatic ducts were exposed in the operative field, and any surgeon could easily identify them.

Even so, Zheng Ren wanted to minimize risks of medical error and requested a 5-milliliter syringe so that he could confirm the common bile duct by bile aspiration.

After traction was applied to stretch the duct, an aspirator with a suction tube was then gently placed on Zheng Ren’s palm.

The aspirator was plunged into the common bile duct as soon as it was incised.

It was done without a moment’s hesitation. The huge amount of bile that had acc.u.mulated in the duct was aspirated before it was forcefully ejected by high intraductal pressure.

This detail attracted the attention of the doctors of Xinglin Garden.

Generally, the area around the common bile duct would be protected to a certain extent as bile leakage was inevitable.

However, the host surgeon had not taken any safety precautions at all. The incision on the common bile duct was the same size as that of the aspirator, preventing any bile leakage.

Everything was done perfectly. It appeared extremely simple and easy, but only those who had performed similar surgeries would understand the difficulty behind it.

[I suddenly feel sad. A few years ago, I performed an incision and drainage of an acute obstructive suppurative cholangitis. Bile leakage occurred during the surgery and resulted in postoperative infection. Initially, it was just a bacterial infection but it was further complicated by a fungal infection. The patient recovered only after one month of aggressive treatment.]

[The feeling is mutual. The host surgeon’s manipulation is indeed stable. That incision had been made about the same size as the aspirator. Is it possible to master such a superb hand- and eyesight-based judgment through sheer practice?]

[That’s talent, so curb your enthusiasm.]

[1] The Kwantung Army was formed in 1906 as a security force for the Kwantung Leased Territory and South Manchurian Railway Zone after the Russo-j.a.panese War and was expanded into an army group during the Interwar period to support j.a.panese interests in China, Manchuria, and Mongolia.

[2] The Chinese city tier system (Chinese: 中国城市等级制) is a hierarchical cla.s.sification of Chinese cities. Cities in different tiers reflect differences in consumer behavior, income level, population size, consumer sophistication, infrastructure, talent pool, and business opportunity.

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