Chapter 165: Chapter 117: Obstetrics Consultation, Transposition of the Aorta

The surgery begins,

Qin Feng takes the scalpel, makes a midline incision in the upper abdomen, and cuts layer by layer.

Then he uses an abdominal retractor to open the abdominal wall and enters the abdominal cavity to begin exploration.

“Electrocautery.”

Snap!

Qin Feng takes the instrument, cuts the gastrocolic ligament, moves aside the excess organs, revealing the pancreas.

Incredibly fast!

Even Sun Sheng and Cheng Hongwu beside him didn’t have time to react; the surgical field was already largely exposed.

Dean Zhang Tong’s pancreatic cancer is located at the head of the pancreas, which is relatively better off.

If it were at the tail of the pancreas, it would be impossible to determine whether cancer cells had spread to the duodenum. If so, it would not be beneficial to the patient.

Because the duodenum is an important digestive organ in the body, food is generally digested and absorbed along the stomach, duodenum, small intestine, and large intestine.

If part of the duodenum is removed, the digestion pathway of food will change, leading to symptoms of abdominal pain and discomfort.

The impact on the body is substantial, and it’s impossible to determine if cancer cells will continue to spread!

Too risky!

Although both are malignant pancreatitis, at an early stage, a lesion in the head of the pancreas is more advantageous than a lesion in the tail.

Now we begin to free.

Qin Feng picks up the scalpel and rapidly frees the lymphatic tissue around the pancreas.

This is one of the areas where cancer cells easily spread, and it’s undetectable.

By the time the body senses something amiss, it’s no longer within the control of medical means.

So freeing the surrounding lymphatic tissues as cleanly as possible can maximize the prevention of cancer cell residues.

It is also greatly beneficial for subsequent chemotherapy.

But this time, Qin Feng doesn’t intend for Dean Zhang Tong to undergo subsequent chemotherapy.

“System, enhance super vision to the max!”

Qin Feng silently thought to himself.

The next second,

his field of vision instantly changed, his pitch-black pupils turned into fine lines, then gradually shortened, like two sesame seeds.

At this moment, the pancreas appeared to Qin Feng’s eyes with floral-like edge contours.

Cells!

That’s right!

He saw the edges of cells!

Qin Feng only felt a dizziness, as if fainting.

“Are you okay?”

Sun Sheng beside him saw him pause and quickly asked in a low voice.

“I’m fine, let’s continue.”

Upon hearing this, Qin Feng did not move, he just said calmly, then slowly moved the scalpel downward into the pancreas.

At this moment, he had already identified the normal cells and cancer cells!

But time was running out, only two hours!

The system informed him of his physiological limit, and after two hours his mental and physical endurance would exceed his body’s threshold.

If he doesn’t stop in time, it might even cause irreversible vision damage.

The skills may be wasted, and he might go blind!

Qin Feng didn’t have much time, one pupil began to slowly enlarge, as the edge of the pancreas appeared.

At this point, one eye was a microscope, and the other was a magnifying glass.

The scalpel in his hand, like a butterfly, swiftly freed all the surrounding lymphatic tissues.

But what puzzled everyone was that every time Qin Feng freed a section of tissue, he would carefully examine the incision.

And he often made multiple cuts to free the tissue even more deeply!

“What is happening?”

In the observation room outside the operating room,

several directors from other departments sat in. After all, they knew that the person in the operating room was Dean Zhang Tong, how could they not be concerned?

But seeing Qin Feng’s actions, they couldn’t help but show puzzled expressions.

Not only they, but even Sun Sheng and Cheng Hongwu beside him were confused.

What’s up with Qin Feng?

Why repeatedly free?

Half an hour…

An hour…

Beads of sweat appeared on Qin Feng’s forehead, and he could feel a noticeable decline in his mental and physical stamina.

This is the side effect of [Super Vision], accelerated consumption!

However, he couldn’t stop; all the lymphatic tissues carrying cancer cells had been completely freed.

Next, he needed to remove the cancerous pancreatic head!

This step would determine whether Zhang Tong would relapse and how long he would live.

“Phew~”

He let out a soft breath, lifted the pancreatic head, and the scalpel came down.

Sss~

The sharp blade cut through, severing the pancreatic head, with fresh blood oozing out.

“Hemostatic clamp.”

Qin Feng took the hemostatic clamp, temporarily clamped it, and the suction unit quickly drew away the blood to ensure a clear view.

“Line 1.”

He then began suturing the blood vessels, while observing if the effusing blood cells contained cancer cells.

An hour and a half…

Qin Feng felt his stamina rapidly declining, his pupils showing uncontrollable fluctuations.

Fortunately, he could still see clearly.

He knew he needed to speed up, and his suture progress became even more brisk.

Beside him, Sun Sheng kept cutting the suture thread for him, and this suturing technique and speed exceeded everyone’s imagination.

So fast!

The people in the observation room couldn’t help but exclaim in amazement.

Clink~

With a crisp sound of metal landing, Qin Feng immediately stopped the [Super Vision].

His vision blurred and he couldn’t help but stagger.

“Are you okay?”

Seeing this, Sun Sheng quickly extended an arm to support him from behind and asked with concern.

“I’m fine, you close up the abdomen.”

“Alright.”

Upon hearing Qin Feng, Sun Sheng immediately signaled the circulating nurse beside him and helped Qin Feng down.

After cleaning up, Qin Feng left the operating room, letting out a long breath.

The surgery was a success!

He had completely removed all the cancerous cell tissues!

Thinking about this, Qin Feng couldn’t help but raise a satisfied smile at the corner of his lips.

This was the first time he had completely removed all lesions from a cancer patient, meaning.

Cure!

This so-called “King of Cancers” dreaded worldwide, was defeated in surgery for the first time!

If this surgical case were published, it would likely astound internal medicine experts around the globe!

And behind all of this success, it’s all due to the power of my system.

Surpassing the might of human technology!

…

After this surgery ended,

The news of Zhang Tong suffering from pancreatitis spread, yet the surgery was perfectly completed, and the recovery was excellent.

After finishing the surgery, Qin Feng called Liu Yan’Er to take him home, and he slept soundly.

That night, Qin Feng slept especially well, partly due to exhaustion.

On another hand, he had achieved it!

Completely eliminating all possibilities of pancreatic cancer transformation!

It’s simply unrealistic!

Half a month later,

Zhang Tong was smoothly discharged and returned to his post.

Moreover, after multiple examinations, no abnormalities were found.

This means that, barring any accidents, his survival time is estimated to be at least 5-10 years.

Of course, this is estimated based on existing global data.

Only Qin Feng knows that there’s absolutely no possibility of recurrence.

…

In the obstetrics department,

A man was anxiously waiting outside the delivery room, while the attending physician, Xu Yingying, was helping deliver a baby.

The mother had accidentally fallen at home, causing her amniotic fluid to break, and she was rushed over.

Fortunately, she was already 9 months pregnant, so it wasn’t preterm labor, just somewhat dangerous.

“Take out the baby and send to the monitoring center.”

Xu Yingying gently took the blood and amniotic fluid-covered baby and handed it to the nurse beside her.

Then she began to suture the wound and close the abdomen.

Everything went smoothly!

When she took off her mask and sterile gown and walked out of the operating room, the man hurried forward.

“Doctor, how are my wife and child? Are they okay?”

“Rest assured, mother and child are safe.”

Xu Yingying shook her head with a smile and said.

“Really? That’s great!”

Hearing this, the man’s eyes instantly lit up with joyful excitement.

As the woman was wheeled out of the operating room, the man rushed towards her, his face full of distress and remorse.

All of this was his fault, his negligence for not putting the non-slip mat back in place, causing his wife to slip accidentally.

“Honey, you’ve worked hard. I’m sorry, it’s all my fault.”

Then, the woman was wheeled into the ward, and the child was washed and sent to the monitoring center for examination.

After all, she fell down, and to prevent any effects on the baby, all the checks had to be done.

When all the blood tests and other results came out, the baby’s vital signs were normal, without any issues, very healthy.

Xu Yingying looked at the report delivered and nodded with satisfaction.

A 9-month-old baby is not considered premature, and the fall was sideways, which generally wouldn’t affect the fetus.

“Go for an echocardiogram and monitor for 24 hours.”

She instructed the nurse and then began to write the case record.

“Okay.”

Just as she was about to find the child’s father with the report, the office door was suddenly thrust open.

The monitoring center nurse rushed in with an anxious face.

“Dr. Xu! Something’s wrong!”

“What’s the matter?”

Seeing this, Xu Yingying’s heart skipped a beat, and she quickly asked.

“The baby’s breathing isn’t right! Please come and take a look!”

Hearing this, Xu Yingying grabbed the report and immediately followed the nurse over.

Upon arriving at the monitoring center, she saw that the baby’s electrocardiogram was visibly abnormal, with breathing becoming extremely rapid and cyanosis appearing.

Cyanosis!

Physiological indicators fluctuating abnormally, still continually declining!

Not good!

Congenital heart disease!

“Quick, electrocardiogram!”

Xu Yingying’s face slightly changed, she looked at the nurse and said.

“Here.”

The nurse hurriedly brought over the electrocardiogram; these fluctuations clearly weren’t normal heartbeats.

She went to the baby’s side, took out a stethoscope, placing it above the baby’s heart, and listened intently.

About ten seconds later, Xu Yingying’s eyelid twitched sharply, she straightened up swiftly, her expression becoming a mix of strangeness and tension.

Second heart sound!

How can this be?

“Quickly, find Director Wang, and also inform Cardiology Director Zhang and Deputy Director Cao for a consultation!”

Xu Yingying didn’t dare to delay even for a second, immediately shouting to the nurse.

Upon hearing this, the nurse dashed out with her legs moving swiftly!

“Arrange a bedside ultrasound immediately, quick!”

Xu Yingying looked at the baby in front of her, her face gradually turning somewhat grim.

Now there’s trouble!

It could be complete transposition of the great arteries!

Complete transposition of the great arteries (TGA) is the most common cyanotic congenital heart disease in the neonatal period, with an incidence of 0.2‰―0.3‰.

This disease accounts for about 5%―7% of all congenital heart diseases, ranking second among cyanotic congenital heart diseases.

In short, the large arteries on the heart have grown in reverse!

A normal human heart is divided into the left and right heart by the septum, with the right heart transporting blood to the lungs via the pulmonary artery situated on top.

Through the lungs, oxygen drawn is incorporated into the blood, and this oxygenated blood then returns to the left heart through the pulmonary veins.

With transposition of the great arteries, the pulmonary artery and aorta positions are swapped on the heart.

Thus, the blood outputted through the aorta to the arterial network finally reaching the entire body will no longer undergo the oxygen mixing process in the lungs, resulting in an oxygen-depleted bloodstream, eventually causing organ asphyxiation due to lack of oxygen.

The mortality rate for newborns with this condition is very high, reaching over 80%, and of the remaining 20%, very few can live beyond 3 years if surgery isn’t performed.

However, this disease is generally detectable through ultrasound examination during pregnancy, so why did this mother show no indication?

We must operate quickly, otherwise this child won’t hold on for much longer!

minutes later,

Obstetrics Director Wang Yue and several attending physicians, including Zhang Fan and Cao Ke from Cardiology, arrived.

They were all startled upon seeing the ultrasound projection on the screen.

Deputy Director of Cardiology, Cao Ke, furrowed his brows tightly and spoke in a deep voice.

“Congenital aortic transposition, now this is troublesome!”

Beside him, Zhang Fan looked stunned, being very familiar with this condition!

Because in the last Zhujiang River seminar there was a similar case, a newborn congenital aortic transposition surgery.

He was amazed when he saw it back then!

The surgery was led by the Cardiology Director and Deputy Dean of Beijing’s 325 Military Hospital, renowned for his surgical prowess in heart and chest surgery nationwide!

He never imagined encountering this again!

It’s simply… destiny!

Source: Webnovel.com, updated by NovelKeep