Chapter 197: Surgery Successful (Request for Monthly Tickets)
"THVE (Total Hepatic Vascular Exclusion) is completed, start timing," Chen Yu instructed after he completed the blockage of the infra-diaphragmatic abdominal aorta, Pringle's maneuver, and the occlusion of the inferior and superior vena cava, directing Jounouchi Hiromi.
As the anesthesiologist during the surgery, it's their responsibility to monitor various patient conditions, which naturally includes timing.
"Timing starts." Jounouchi Hiromi picked up the timer, pressed the start button and also announced the commencement of timing. If the total hepatic blood flow is blocked for too long under normal temperature, it can cause damage to the liver, so it's essential to control the duration of the surgery.
With the start of the timer, it naturally meant that the following part of the operation had to be done against the clock.
"Incise the right hepatic vein toward the inferior vena cava, scalpel," Chen Yu instructed the Glasses Doctor and Nakagawa Susumu, as he took over the scalpel and made an incision in the right hepatic vein whose blood flow had already been blocked.
As the blood vessel was opened, the next step was to remove the tumor, which was the most crucial part.
At that moment, the right lobe of the old principal's liver had been completely separated, and its only connection to the body was through the right hepatic vein to the inferior vena cava. With the incision of the right hepatic vein, the only thing still connecting the right lobe of the liver to the body was the tumor that extended into the atrium along the inferior vena cava.
"Remove the right liver lobe along with the tumor," reaching out to grasp the separated right liver lobe, Chen Yu began to pull it outward. Because the right liver lobe had been disconnected during the first surgery, over the course of this week, it had shrunk somewhat, as did the tumor, which had also reduced in size.
Thus, when Chen Yu pulled it out, there were no adhesions, allowing him to smoothly extract the tumor along with the right liver lobe from the inferior vena cava.
Chen Yu placed the extracted right liver lobe and tumor on a tray brought over by the instrument nurse and then said, "Tumor removal is complete, send it for pathological analysis."
"Suture the section of the vein that was cut open with 6-0 nylon sutures." Having successfully removed the tumor, Chen Yu finally took a deep breath. The most difficult part of the surgery was over; what remained was suturing and concluding the operation.
While taking the sutures to sew the cut vein, Chen Yu glanced over at Nakagawa Susumu and asked, "Nakagawa, have you ever sutured a human before?"
"No, Professor, I have only sutured pigskin," Nakagawa Susumu quickly answered Chen Yu's question. As a trainee doctor, although he had participated in quite a few surgeries, at most, he was doing suction on the side. This was his first time getting hands-on experience in surgery.
"Mhm, you'll do the final suturing later, with the stapler," Chen Yu nodded at Nakagawa Susumu, giving him a chance for practical experience.
"Thank you, Professor!" Nakagawa Susumu was immediately thrilled. Although he had practiced many times, this was his first actual operation on a living person.
Watching Nakagawa Susumu's excitement, the Glasses Doctor, while understanding his feelings, still shook his head and reminded him, "Don't get too excited, a surgeon must always remain calm, no matter what."
"Yes!" Nakagawa Susumu quickly responded, refocusing his attention on the surgery.
——————————————————————————
"Professor, suturing complete," Nakagawa Susumu placed the last anastomotic suture, set aside the suturing device, and reported to Chen Yu.
After checking Nakagawa Susumu's suturing work, Chen Yu nodded his head in satisfaction and said, "The surgery is over, good work everyone."
"Good work!" Everyone in the operating room hastily responded to Chen Yu, while he began to remove his gloves and face mask and left the operating room.
Outside the operating room, Xu Xiaohong had already been waiting. Seeing Chen Yu come out, she smiled at him and said, "Congratulations, Ah-Yu, you've completed a world-first surgery."
"Why are you teasing me too, Third Aunt? World-first? It was just surgery for the principal," Chen Yu showed a helpless expression on his face and gave a wry smile as he shook his head at his aunt: "If possible, I would rather the principal just had ordinary hepatitis. I'm not at all eager to do these world-first level surgeries."
As a doctor, although without patients there would be no work, which doctor would wish for a perfectly healthy person to fall ill?
"Regardless, it's a great fortune to have cured the principal," Xu Xiaohong also understood Chen Yu's feelings, since after all, doctors ultimately aim to treat and save people. However, the topic was somewhat heavy, so she quickly moved past it and brought up another matter, "Ah-Yu, are you going back for the New Year this year?
I spoke to your mom before, and she really wants you to bring your girlfriend home!"
Enjoy more content from My Virtual Library Empire
"I would be grateful if mom isn't angry that I have a Japanese girlfriend," Chen Yu felt a surge of exasperation upon hearing Xu Xiaohong's words. Although he had already decided to bring Hiromi Jounouchi home for the New Year, that was based on the plan that she was his girlfriend. Now that Hiromi Jounouchi was his fiancée, the situation seemed a bit different from what he had envisioned.
"Your sister won't care about these things. She would be over the moon if you just had a son and brought him straight home. Having a grandson to hold is all she would wish for," Xu Xiaohong clearly knew what kind of personality Chen Yu's mother had and dispelled Chen Yu's concerns, "Moreover, Miss Jounouchi is beautiful and has a nice personality; your mom is sure to like her."
Hearing Xu Xiaohong's words, Chen Yu couldn't help but feel homesick. Ever since he came to Japan to study, he had already been living in Japan for four or five years. Although he found time to go back during holidays, the feeling of missing home was inevitably there, especially since he had been living alone before, which made him miss home even more.
"I'll discuss it with Hiromi, but we should likely stay in Japan for New Year's Day and head back for the Chinese New Year," Chen Yu thought about it and decided to stick to the original plan of bringing Hiromi Jounouchi home for the New Year. After all, since she was his fiancée now, it would be unreasonable not to take her to meet his parents.
"Your mom will be thrilled to death when she hears this news. She's been longing for so many years to see her precious son bring a girlfriend home," said Xu Xiaohong, Chen Yu's mother's younger sister. She couldn't hide her delight upon hearing Chen Yu say this.
"I'll be thankful if mom doesn't scold me," Chen Yu managed a wry smile, very much aware of his mother's temper and personality. Bringing home a girlfriend would certainly make her happy for a while, but what would inevitably follow was the pressure to get married and have children, longing to hold her grandchild as soon as possible.
She might even complain about why he chose to stay in Japan, so far that she couldn't easily cradle her grandchild.
"All right, if your mom scolds you, your Third Aunt will fend her off, how's that? You must be tired after such a long surgery, go and rest. I'll make a call back to the family to share the good news," after saying this, Xu Xiaohong turned and left, taking out her cell phone as if she couldn't wait to spread the word of the principal's successful surgery back home.
Watching this scene, Chen Yu smiled and then headed to his office.