Chapter 289: Chapter 189: A Perfectly Successful Surgery!

After successfully opening the surgical field of view, Qin Feng looked at the necrotic part of the right lung.

Somewhat regretful~

If the teacher could have come to the hospital earlier, perhaps it wouldn’t have come to this.

The lungs are one of the most important organs in the human body, and although removal won’t be fatal,

even if recovered, it will definitely cause some inconvenience and difficulty in future life.

For example, being unable to do any strenuous exercise, and even running could be difficult.

Continuous medication will be required to control bodily functions and prevent infectious complications.

Not only that,

The most important organs in the human body, including the heart and brain, all need oxygen to supply enough blood oxygen.

After a lobectomy, the patient’s heart and lung functions will suffer some damage, and postoperative complications such as lung infections, atelectasis, arrhythmias, and delayed air leaks may occur.

Adding to that Chen Yuanfang’s age, both passive recovery from surgery and active training are quite difficult.

This is also why the majority of elderly patients don’t live past three years, as the functions of their organs decline rapidly.

Ultimately leading to the end of life…

“Alright, start excising the necrotic lung tissue.”

Qin Feng straightened up, looked at Chen Yuanfang, nodded, and said.

Then he looked at the instrument nurse beside him and extended his hand.

The instrument nurse understood and opened a box from the instrument tray, taking out a custom surgical knife.

And when this surgical knife appeared in front of them, for some reason, it caught everyone’s eye.

Especially Chen Yuanfang, who, while focusing on the knife, suddenly felt a chill rise up her back!

It was as if a sharp knife was pressed against her heart, and her heartbeat slowed significantly.

“Qin Feng, this knife…..”

She quickly looked away, took two deep breaths, and looked at Qin Feng in shock.

“This knife is custom-made abroad based on my surgical technique, so it’s quite special.”

Qin Feng just smiled softly and explained simply,

“The main thing is that the material is a bit different, so it looks somewhat intimidating, hahaha~”

“Custom-made?”

Hearing this, Su Cheng and the others, including Chen Yuanfang, exchanged glances in surprise.

Even among all the doctors able to perform surgeries in Jiangcheng City’s hospitals, no one had heard of someone who had their own custom surgical knife.

Director Qin must be the only one!

The most important part is, non-standard instruments can’t be used in the operating room without approval!

Because if something happens, and it gets out, the hospital has to face responsibility!

So being able to bring a private surgical instrument into the operation room and use it already says a lot about Qin Feng’s status and skill.

Of course,

This wasn’t the first time.

The last time he used it was a long time ago, but that time Qin Feng admitted it was an unauthorized operation, as it was a last-minute decision.

So since then, he quickly had the director help get the surgical knife registered at the Jiangcheng Health Bureau.

Thus,

This counts as the first formal and compliant appearance of the surgical knife in a surgery!

Its appearance represented one thing.

Both administratively and by hospital standards, it had been recognized that Qin Feng’s surgical skills surpassed all the doctors in Jiangcheng City!

Because,

This is the only private instrument in Jiangcheng that can be used in a formal surgery!

Its owner’s name is Qin Feng!

Starting the excision.

Qin Feng began isolating the lung nodule, exposing the necrotic part of the upper lung lobe.

He then proceeded to cut along the necrotic part.

As the incision expanded with the blade’s movement, ruptured alveoli appeared.

The necrotic alveoli in Chen Yanwen’s lungs turned visibly milky white instead of the healthy crimson, entirely losing physiological function.

And as the blade moved, there was no obstruction anywhere and not even a pause or hesitation.

This precision and speed left Chen Yuanfang in complete disbelief!

The shock in the surgery video was far less compared to witnessing it in person.

At the moment Qin Feng held the surgical knife, his entire demeanor underwent a vast change.

Even with his current level of precision, the addition of the surgical knife made him feel liberated.

As if the lungs in front of him were a blank canvas, ready for him to illustrate.

This feeling was incredible!

“Forceps.”

Soon, after about ten minutes, Qin Feng put down the surgical knife.

Snap!

He reached into the incision, felt the upper lobe’s pulmonary vessels, and with the forceps in one hand, isolated the pulmonary artery’s branches.

“3-0 suture.”

The suture handed over, he started segmentally ligating the pulmonary artery, blocking both the distal and proximal ends, and cut.

This was the key step, because after removing the necrotic lung, the remaining lung needed to be anastomosed, and arterial anastomosis was crucial.

Swish, swish, swish~

After completing the cuts, he proceeded to the upper parts of the horizontal and oblique fissures, then located the deep surface where the left and right lung fissures intersected.

Then, the distal and proximal ends of the non-commercial artery’s posterior branch were ligated and blocked, and cut open.

The upper lobe bronchus was isolated, and a traction line was stitched onto the vascular wall…

The entire process took nearly three hours!

This is also the most challenging part of necrotic lung resection!

Although open surgery allows for a thorough examination of the lungs, Qin Feng still tried to minimize unnecessary lung lobe manipulation.

This requires the lead surgeon to have a deep and detailed understanding of lung anatomy, to promptly identify unexpected situations during the procedure and avoid accidental injuries.

When cutting the upper lobe, attention must also be paid to identifying the middle lobe vein to protect the vein tributaries.

“Bipolar electrocautery.”

Qin Feng used bipolar electrocautery to assist in bluntly dissecting the vein, again using a stapler to separate the superior and middle branch veins, preserving only the lingual segment vein.

“Sever the bronchus!”

The series of dazzling ligations and separations left everyone bewildered and amazed.

They felt their own limited experience couldn’t keep up with Qin Feng’s pace, feeling like it was all a slow accumulation of knowledge points!

The final step of bronchial separation was successful, and the removal of the necrotic right upper lung lobe began.

“Scalpel.”

With precision, the necrotic lung was excised and removed!

Clang~

“Hoo~ Alright, let’s begin the lavage.”

As the scalpel clattered into the tray with a crisp sound, Qin Feng finally exhaled in relief.

At the same time, Chen Yuanfang and Su Cheng beside him also let out a deep breath, their faces still marked by lingering shock.

Hearing his words, Chen Yuanfang quickly began instructing the nurse to perform extensive lung lavage.

Half an hour later, when the lung revealed its original healthy color, the process was complete.

…

It had been five hours since the surgery began.

With the lung resection and lavage completed, the surgery was basically nearing its end.

The next step was suturing.

“Suture number 4.”

While Chen Yuanfang was doing the lavage, Qin Feng also took a good rest and immediately began suturing.

Anastomose the bronchus, upper lobe artery, middle lobe vein…

Suture the lung surface, lymphatic tissue…

His two hands flew swiftly over the patient’s lung within the chest cavity, constantly switching different sutures to reconnect vessels and organs.

At this stage, his hands moved even faster!

Watching this, Chen Yuanfang was dazzled, his jaw almost dropping to the floor, his expression of shock even more intense than before.

The speed of this suturing was simply insane!

“Su Cheng, you close the chest.”

With all lung sutures completed, Qin Feng looked at Su Cheng and said.

“Me?”

Hearing his words, Su Cheng briefly didn’t react, but then his eyes lit up and he quickly nodded,

“Okay, Director Qin!”

Qin Feng stepped aside, giving up his position as lead surgeon.

Reposition the sternum, scapula, suture muscles, fat layers, etc…

The difficulty of this task was no small matter!

After all, this open lung surgery involved cutting through more than a dozen muscles, placing high demands on suturing.

Su Cheng proceeded with careful attention, taking ten times longer than Qin Feng to complete.

Seven hours…

The surgery was finally over!

Beep~

Beep~

Beep~

Qin Feng glanced at the monitor, and finally, a satisfied smile appeared on his face.

Whether it was the favor of Lady Luck or not, this open resection surgery for a four-stage necrotic lung, which lasted seven hours in total, remarkably experienced no abnormal physiological indicators or shock events.

It was truly satisfying!

The resected lung tissue accounted for about 15%, utilizing almost all the top global surgical techniques in his mind to preserve as much lung function as possible.

If the living environment isn’t adversely affected again, a survival lifespan of 5 to 10 years is entirely possible.

This is indeed gratifying news!

The rest depends on postoperative recovery, ideally avoiding complications like adhesions.

“Alright, let’s wrap it up.”

Qin Feng looked around at everyone and said with a faint smile.

Clap clap clap~

As soon as he finished speaking, a round of applause erupted.

Chen Yuanfang also looked at Qin Feng with a face full of smiles, full of admiration, satisfaction, and joy.

This time, he really struck gold, having such an impressive prospective son-in-law!

If everything goes smoothly, perhaps in the future, he will have a place in Jiuzhou Country and even the world medical community!

[Ding! Congratulations host for completing a Level 4 surgery.]

…

Source: Webnovel.com, updated by NovelKeep