Surgeon who became angry (485): Surgical
operation unsure of (2)
“Can’t you just say you can’t do it?
“It’s not like that.”
“Who did you decide to stand for?”
“My assistants will be Dr. Choi Il-woo and Dr. So Pil-gwan, and director Han’s assistants will be Dr. Cha Hyeon-taek and Dr. Lee Yeon-seong.”
“By the way, isn’t Professor Seo Joong-kwon more specialized in chest than Professor?”
“Professor Seo saw the file of director Han’s surgery at Qingdao University Hospital a while ago, and perhaps because of that, he took a step back, saying that director Han would be better than him for this surgery.”
“okay. All right. Then I will take care of the thoracic side, and the professor will take care of the stomach and liver.”
“Okay.”
After a while, Han Jin-soo met with the doctors who would assist and explained how the surgery would be performed, allowing them to simulate in their heads before starting the operation.
After Professor Ko Hyeon-jong finished explaining Han Jin-soo, he took him to the patient who was preparing for surgery.
* * *
Chohee, the wife of the Deputy Chief Inspector, tasted the despair of the world collapsing when the best surgeon in China sentenced her to three months of life, saying that she could not operate on her.
The doctor assured me that even Dil Dawson, known as one of the world’s leading surgeons, would not be able to operate on cases where cancer cells had spread to multiple organs.
I still feel dizzy when I think of him who shook his head at my earnest request to have the surgery done, even if he died.
My heart is stuffy and my stomach hurts, but I’m still fine, so how can I bet that I will die after only living 3 months?
However, her husband sends her to Korea, saying that it is her last hope, and the Korean doctor says that she will try the operation, although it is difficult.
‘A miracle hand that saved everyone by operating on 50 critically ill patients at Qingdao University Hospital during an earthquake in Qingdao! He said he would operate on me.’
Han Jin-soo did not know, but at Qingdao University Hospital, seeing that all the patients who underwent surgery had good results and recovered well, they were calling Han Jin-soo the miracle hand, or the hand of God. And the rumor was spreading rapidly along with Han Jin-soo’s surgery file to other university hospitals.
Originally, surgery files cannot be opened without the consent of the patient unless they are related, but university hospitals sometimes secretly distribute them.
So, I was relieved for a few days, but…
As the time for the surgery approached, the tension naturally increased.
No matter how well Dr. Han Jin-soo performed the surgery, it was a disease that was rejected by all doctors in China.
Wouldn’t it be like dying in the operating room?
Could it be that we will never see the light of day again?
When I thought about that, the thought of wanting to see my husband became desperate.
I was looking at my watch nervously for a long time when I heard several footsteps, and then Han Jin-soo and Professor Ko Hyeon-jong entered.
Cho’s wife looked at Han Jin-soo because she already knew Professor Ko Hyeon-jong.
“Patient Cho-hee, I am Dr. Han Jin-soo, who will operate on the patient with Professor Hyeon-jong Ko. Are you very nervous?”
“ah! yes. Yesterday, I got a call from my husband and heard that Dr. Han is really good at surgery.”
“It’s a bit difficult, but I gave permission because I thought I could do it. So forget everything you’ve heard so far and just think that you’ll be completely healed. The results will definitely be good.”
After Han Jin-soo took a pulse and lightly massaged his shoulders, the tense tension seemed to ease.
Han Jin-soo was a little surprised inside as he relaxed her.
‘Somehow, she resembles Cho-seon, the second wife of General Yeopo…’
In fact, the moment I opened the door to the hospital room and saw her face for the first time, I almost couldn’t control my expression.
To that extent, she resembled Chosun.
Of course, because of her age, she resembled Chosun in her 40s, not Chosun in her 20s, but her unique beauty that penetrated the era remained.
‘The deputy superintendent said she was a well-known pathetic wife, and that’s similar to Lu Bu.’
When I thought of Chosun, I remembered her humble life at that time.
Adopted by the apostle Wang Yun and raised as an assassin, she became unable to conceive a child.
Thanks to having Lu Bu, who always had to move around the battlefield, as her husband, she only received sparkling love when she was young, and after Lu Bu died, she ended her lonely life as a widow.
Chohee, the wife of the Deputy Chief Inspector, seemed to live as if such Chosun had been reincarnated in this era.
“I will move you to the patient’s operating room.”
Han Jin-soo was freed from the thoughts he had heard for a while after hearing Dr. Lee Yeon-seong’s voice.
* * *
When the anesthesiologist’s signature fell, Han Jin-soo and Dr. Cha Hyeon-taek were attached to the patient’s chest, and Professor Ko Hyeon-jong and Choi Il-woo were attached to the stomach.
“I will start the operation. scalpel.”
Han Jin-soo drew a scalpel all the way from the chest to the top of the navel.
Usually, when the thoracotomy and the laparotomy are performed at the same time, the blood vessels are cut and the blood splatters in all directions.
But none of the doctors on the operating table made a step back or avoid the blood.
Han Jin-soo knows that blood does not splatter when he opens the stomach.
As expected, this time, even though blood flowed, it did not splatter.
When Han Jin-soo opened the split skin, the thick blood vessels that were maintained without being cut were revealed.
Han Jin-soo sealed the blood vessels with a clip and cut them in between.
This makes it easier to connect blood vessels after surgery.
While Han Jin-soo did this, Ko Hyeon-jong and other doctors hurriedly sealed and cut the blood vessels with clips to speed up the operation.
After the skin, muscle, and peritoneum were cut open, the sternum and ribs, which protect the heart and other major organs of the chest, were revealed.
The ribs were attached to the left and right of the sternum located in the center of the chest.
“I will make an incision from the Sternum Body to the Xiphoid process.”
In order to incise the esophagus located behind the heart, part of the sternum had to be cut off.
The ribs attached to the sternum were attached with cartilage, so it was not very difficult to cut and expose them.
When the body of the sternum and the xiphoid process were separated, the ribs could be opened left and right.
The ribs opened, revealing a beating heart and lungs.
Han Jin-soo tried not to touch his heart as much as possible and carefully protruded the esophagus hidden behind him.
The cancer cells had spread from the thoracic esophagus, below the cervical esophagus, to the upper stomach.
‘Whoa… that’s terrible.’
Han Jin-soo first sealed the thick blood vessels connected to the esophagus with a clip.
squeak.
Then, when the lower part of the cervical esophagus was assumed to be the incision site, Professor Ko Hyeon-jong assumed the upper part of the stomach as the incision site and cut it.
After cutting off part of the esophagus and stomach, examining the lymphatic vessels connected to the submucosal layer of the esophagus, assuming that the cancer cells had metastasized, they cut it out, and only then was the esophagus removed.
“I will connect the esophagus and stomach. Professor, please remove the liver.”
“Okay.”
“Dr. Lee Yeon-seong.”
“Yes, Master.”
“Send this to the pathology room for a biopsy…”
“Yes, I understand.”
While Dr. Lee Yeon-seong sent the incised esophagus to the pathology room as an intern, Professor Ko Hyeon-jong started the incision assuming that the cancer had spread to the liver, and Han Jin-soo started surgery to connect the esophagus and stomach.
‘Whoa~. I don’t know if my body will last until this operation is over!’
Han Jin-soo was consuming excessive bets to relieve the burden on the patient’s body as much as possible.
The surgery went very well, but on the contrary, Han Jin-soo’s fatigue was accumulating.
In fact, even a partial incision in the stomach is equivalent to major surgery.
But now, the patient is undergoing incisions from the esophagus to the stomach, liver, lungs, and other lymphatic vessels, so it could be said to be a major surgery of the past.
While Professor Ko Hyeon-jong removed the liver, Han Jin-soo completed the anastomosis of the esophagus and stomach and partially resected the lungs.
“Doctor Sopilgwan.”
“Yes Professor.”
“Send this to the hospital room as well.”
“All right.”
When Professor Ko Hyeon-jong handed over the cut liver, the doctor at Sopilgwan put it on a tray and handed it to the intern, who immediately ran out of the operating room.
While Han Jin-soo cut out part of his lung, Professor Ko Hyeon-jong looked at the area he had operated on and the area Han Jin-soo had operated on.
‘Huh true! It’s so perfect that I wonder if it’s a human handiwork. I think my skills have improved since the surgery in Qingdao!’
Professor Ko Hyeon-jong expressed admiration inwardly.
In fact, no matter how good the surgery is, there is no choice but to bleed because it involves cutting people’s flesh and removing some of their organs.
But now, in this operating room, the patient’s blood loss was much less than Professor Ko Hyeon-jong expected.
There were 20 packs of blood warmed to lukewarm in preparation for excessive bleeding, but I was only using 5 packs now that about 70% of the surgery had been completed.
Even if you have the same blood type, putting someone else’s blood into your body can be a bit of a burden. Therefore, it is advantageous for the patient to reduce blood transfusion as much as possible. This is because the less blood transfused, the faster the body recovers.
So the speed of the operation is important.
‘I used to be so good at surgery that I stuck out my tongue, but now my skills are getting better, so I won’t even be able to give out my business card from now on!’
Professor Ko Hyeon-jong himself takes up about 30 percent of the entire operation. The remaining 70 percent was Han Jin-soo.
‘Maybe you could have done it alone without me!’
While Professor Ko Hyeon-jong was looking at the surgical areas and preparing to finish, the pathology room delivered the test results.
I was a little nervous because I would have to undergo a reoperation if the test results were bad, but fortunately, tests on the esophagus, liver, and lymphatic vessels were suitable.
Han Jin-soo took out the last incised lung and handed it to Dr. Lee Yeon-seong, then took a moment to breathe.
As Han Jin-soo was doing that, I thought that people were waiting in the pathology room for the test results to come out.
However, after taking a breath for a while, Han Jin-soo looked at the operated areas to see if there was any bleeding, and then brought the body of the sternum and the xiphoid protrusion that had been extracted and began to connect it to the handle.
Then Professor Ko Hyeon-jong asked in a slightly worried voice.
“Director Han, the biopsy results haven’t come out yet, are you going to close it already?”
“The results will be fine.”
“It’s not that I don’t know Director Han’s skills, but… wouldn’t it be better to close it after the results come out?”
“The results will definitely be good.”
“That’s right. I guess so. But…”
Hyeonjong Go extended his words and sighed.
“If Director Han is so sure… I see.”
Nevertheless, Professor Ko Hyeon-jong did not help Han Jin-soo, thinking of wasting time just in case.
Han Jin-soo attached the torso and knife protrusion to the sternum stem and tied it with a wire.
The wire tying method was similar to connecting reinforcing bars with wire at a construction site.
After Han Jin-soo connected all the sternum and attached the ribs, he sent back the results of a lung biopsy taken from the pathology room.
Upon hearing the biopsy results, Professor Ko Hyeon-jong unknowingly let out a sigh of relief.
“It’s fortunate that the test results are good, but… but Director Han seems a bit reckless when I see him like this!”
“In fact, didn’t the professor already expect the results to be good when he was sent to the pathology room after the liver was removed?”
“I expected it. But isn’t there such a thing as one in ten thousand?”
“The burden on this patient’s body is too great for such a thing. So it was.”
“Oh, who doesn’t know that? However, being cautious is because the burden on the patient is too great when a problem arises and requires another operation.”
“Process is important. I will be careful in the future.”
“Yes, thank you for saying that.”
After Han Jin-soo and Professor Ko Hyeon-jong put the wick in, closed the stomach and chest, and speeded up the finish, the operation, which started at 9:00, was finished just after 1:00.
