Level Up Doctor Chapter 157

Preparation for farewell (3)

When the laparotomy was completed, the appearance of the organs was revealed at a glance.

Choi Ki-seok came to his senses and repeated the surgical procedure.

First, design the stomach to fit the esophagus, and second, connect the esophagus and stomach.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.

Due to Jeong Myeong-woon’s hand movements, the large net located at the bottom of the stomach came off little by little.

Choi Ki-seok helped Jeong Myeong-woon’s incision by pulling the stomach and mesh tightly with forceps.

The first work was completed in an instant.

‘also.’

Choi Ki-seok couldn’t help but be amazed.

Jeong Myeong-woon’s hand movements were unstoppable, and he did not touch any nerves or blood vessels while working.

This is the part where you can feel his inner strength.

“Keep going.”

Myungwoon Jeong cut off the upper left side with a scalpel.

In order to connect the esophagus and stomach, unnecessary parts of the stomach must be removed.

When Jeong Myeong-woon removed his stomach, blood flowed around him.

This is because the thin blood vessels on the left side were cut together.

Cheeeeeeeek.

Choi Ki-seok calmly treated the bleeding area with an electric cautery.

The bleeding stopped quickly.

“4-0 prolene.”

Myungwoon Jeong tightened the suture needle with a needle holder and sutured the cut upper left area.

Accordingly, Choi Ki-seok fixed the area to be sutured with forceps, helped with the stitching, and cut the suture with scissors.

The two people working together looked like an old married couple.

Even though they don’t say anything, they seem to be reading each other’s minds and coordinating their actions.

The stitching proceeded smoothly with thorough assists.

‘Damn it.’

Seo Ji-hoon bit his lip and stared at Choi Ki-seok.

If he had gone to thoracic surgery normally, he would have been the chief. He was pushed out by Choi Ki-seok and was serving as second assistant.

Not even thoracic surgery, but gastrointestinal surgery.

‘I can do that too.’

Seo Ji-hoon could barely hold back the growing frustration.

“Do you have any resentment toward Reggie Kiseok over there?”

Jeong Myeong-woon, who had been silent, looked at Seo Ji-hoon.

“Oh… no.”

“It’s not true. It’s written all over my face. Don’t you think I can do that too?”

Seo Ji-hoon remained silent in response to Jeong Myeong-woon’s sharp criticism.

“The difference between watching someone assist and actually assisting is the difference between heaven and earth. You haven’t been in First yet, have you?”

“…yes.”

“I knew it.”

Jeong Myeong-woon nodded.

“You will find out later. How scary that place is. So don’t be grumpy now and focus on the surgery.”

“All right.”

Seo Ji-hoon answered with a sullen expression.

click!

The final suture was completed with scissors.

After the design was completed, the stomach became thin and the characteristic curves were not visible.

It just looked like a long stick.

“The right blood vessel that connects to the esophagus and the right mesh blood vessel are safe… I think that’s enough.”

Jeong Myeong-woon looked up and continued speaking.

“You know this is the game you’re about to watch, right?”

“I know.”

“Meth.”

Myeongwoon Jeong received a scalpel from Hana Kang and slightly cut his diaphragm.

From now on, the designed stomach must be sent up to the esophagus.

If done incorrectly, this process can cause damage to the hepatic and splenic arteries attached to the side of the stomach.

The most dangerous moment of today’s surgery came.

“silastic drain (a pipe made of silicone).”

Myungwoon Jeong had tubes made of silicone inserted into both sides of his stomach.

“If we make a mistake from now on, we will both die.”

Myungwoon Jeong and Kiseok Choi held the tube made of silicone with forceps. Then, in sync with the breathing, the designed stomach was pushed into the gap between the diaphragms that gradually opened.

‘There is no failure!’

Choi Ki-seok’s eyes did not move away from the organ and his hands did not tremble like a machine.

Even his breathing was careful.

If this task fails, the previous tracheotomy surgery and the difficult stomach design are meaningless.

Ki-Seok Choi thought he had become one with Myeong-Woon Jeong and slowly pulled himself up.

‘It would have to be done all at once.’

‘If an artery bursts. Whew.’

‘senior. cheer up.’

There was nervousness in the eyes of the staff watching the two people.

As I worked slowly like a turtle, my stomach had already passed more than half of the diaphragm.

While working, the two people’s movements became identical.

Even the sound of breathing.

“done!”

Jeong Myeong-woon released the breath he had been holding.

The stomach was placed up to the esophagus without any damage. Now, if the esophagus and stomach are sutured, the surgery is complete.

“Well done! It exceeded my expectations.”

“Thank you. I think I was able to concentrate well.”

A smile appeared on Choi Ki-seok’s lips as he answered.

It’s been a long time since my surgeon and I worked together like this.

“It ends with this flow.”

Geek.

Myungwoon Jeong tightened the needle holder.

Ki-Seok Choi fixed the stomach and esophagus with forceps, and Myeong-Woon Jeong connected the esophagus and stomach with a single anastomosis.

After overcoming the difficult course, the suturing accelerated.

“methylene blue.”

Myungwoon Jeong poured blue dye into the surgical area.

As a result, the dye flowed smoothly down the esophagus and stomach.

This is a signal that there is no abnormality such as water leakage at the anastomosis site.

“I think it would be better to suture them together to save time. You can do it, right?”

“yes.”

“I will anchor the stomach to the pleural cavity and you close the diaphragm.”

“All right.”

Choi Ki-seok tightened mersilk 2-0 with a needle holder and began suturing the diaphragm.

Whirly rirric.

The work was completed as if by magic.

He was the one who performed diaphragm reconstruction surgery. Putting seven stitches on the diaphragm is not even a task.

Ki-Seok Choi finished the work first and then helped Myung-Woon Jeong.

After a while, cleaning the suture area, controlling the bleeding, and closing the abdomen were completed.

“It was a 200-point assistant out of 100.”

Jeong Myeong-woon’s eyes smiled wide as he looked at Choi Ki-seok.

“Thank you, professor, for your hard work.”

“Then ask for the rest.”

Myeong-woon Jeong and Ji-hoon Seo left, and their positions were filled by Hyuk-pil Jang and Tae-sik Kim.

After a long wait, the entire Saber team finally gathered.

[The Saber Team party has been formed.]

[Special team buff The Frenzy of Joy is activated.]

[Glory of Joy: Killing accuracy increases by 1.5 times, and when the surgery is successful, the patient’s recovery is 2 times faster.] A

notification is in my ear . It rang.

This buff does not have a significant effect on the surgery itself.

The increase in abilities was limited to kill accuracy, and the increase was not large.

However, if successful, the patient’s recovery is faster, which is a big advantage.

Hwang Ki-jeong was undergoing as many as three surgeries a day. The faster the recovery, the fewer the aftereffects.

“Isn’t being an assistant in gastrointestinal surgery no joke?”

“I was surprised too.”

While Jang Hyuk-pil was in charge, Kim Tae-sik stood in the first position and said a few words.

“Thanks to all your hard work.”

“Okay. Now let’s see the results of that effort.”

Jang Hyuk-pil’s eyes were fixed on Choi Ki-seok.

Choi Ki-seok, who read the meaning, disinfected a large area of his chest and covered it with a cloth.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu

Hyukpil Jang cut the skin from the bottom of the patient’s neck to the solar plexus.

Choi Ki-seok cut open the sternum with a chainsaw and attached an epicardial fixator to the patient’s heart. And together with Lee Young-ho, I held on tightly to the fixture.

thud. thud. thud. thud.

I couldn’t take my eyes off Hwang Ki-jeong’s beating heart.

That heart is the driving force that enabled Hwang Ki-jeong to win the Olympic gold medal.

“Taesik, how many times have you had OPCAB (heart-lung coronary artery bypass grafting)?”

“I’ve had assistance about ten times. I haven’t had any surgery yet.”

“That’s enough.”

Hyukpil Jang nodded.

The Saber team chose OPCAB for their patient.

After OPCAB, you will inevitably have to use a heart-lung machine, but this is to relieve the burden on the heart, even if only for a short time.

“Shunt (needle insertion).”

Jang Hyuk-pil inserted a needle into a blocked coronary artery to help blood flow.

Next, we started collecting blood vessels to be used for bypass.

‘Let’s focus.’

The left internal thoracic artery was carefully dissected with a scalpel in hand.

A situation where the heart is racing.

If you let your guard down even for a moment, you may injure a sensitive area.

With the help of Tae-sik Kim, he lengthened the dissected internal thoracic artery. Then, the internal thoracic artery was anastomosed to the lower part of the stenotic coronary artery.

‘shit.’

While working, Hyukpil Jang’s eyebrows became distorted.

Even though I was using a brace, my heart rate interfered too much with my work.

There was hardly any progress.

“Professor. Are you okay?”

“Let’s take a moment to breathe.”

Hyukpil Jang took his hand off the needle holder and looked down at his heart.

“If you don’t mind, I’ll take a moment to adjust the fixture.”

Chii Iik. Chii Iik.

Choi Ki-seok sprayed humidifying spray on his heart.

Afterwards, the position of the epicardial fixator was lowered to the lower part and the heart was strongly tightened with a diaphragm.

“Aren’t you fastening it too tightly?”

“I recently read an overseas paper and it said that the heart can withstand up to level 4 pressure.”

“Okay. Let’s keep going.”

Hyukpil Jang started the anastomosis again.

Strangely enough, after Choi Ki-seok touched the fixture, the movement of his heart significantly decreased.

Thanks to this, I finished CABG at my usual pace.

‘The more I look at it, the more surprising it gets.’

Jang Hyuk-pil finished suturing and glanced at Choi Ki-seok.

Choi Ki-seok not only had good surgical sense and good dexterity, but was also armed with various knowledge.

It would have been nice to stay in Korea….

but suddenly I felt regretful.

“Let’s connect a heart-lung machine.”

“yes!”

Ki-Seok Choi removed the epicardial clamp and inserted an arterial cannula and a venous cannula into the patient.

Drurr.

When cardioplegia was administered intravenously and the heart-lung machine was activated, the heart became quiet.

“Meth.”

Jang Hyuk-pil’s blade cut into the left atrium.

A bony and unsightly mitral valve appeared.

“What do you think, Taesik?”

“I think I need replacement surgery.”

“What about Kiseok?”

“I…”

Choi Ki-seok trailed off and stared at the mitral valve.

Considering the patient, plastic surgery is the best. But this time, I couldn’t dare bring up the idea of getting plastic surgery. The valve leaflets and valve annulus were completely damaged, and the condition of the tendon cord was also poor.

Like the last surgery, I had no confidence from the Sixth Sense.

“I also think replacement surgery is good.”

“I agree. Teacher Kang, please prepare the mechanical valve.”

Hyukpil Jang neatly cleaned up the broken valve frame and valve door with a scalpel. Then, the mechanical valve prepared by Hana Kang was inserted into the valve frame.

“There is nothing wrong with the valve. Both opening and closing are normal.”

“Good. Now it’s Saber surgery.”

Hyukpil Jang picked up the scalpel again.

Each time the scalpel moved, the thick and enlarged tissue in the left ventricle was cut away.

Empty! Empty! Empty!

The tissue that fell on the bench made a clear sound.

Subsequent suture.

Jang Hyuk-pil wrapped the area where the tissue had been cut with sutures and sewed it up.

After making a circular frame, each stitch was tightened and sutured according to the frame.

Thanks to Kim Tae-sik’s fantastic assistance, the team rushed to the end in the blink of an eye.

click!

The suturing of the sac was completed with the sound of scissors.

“It’s all over now.”

Kang Hana opened her mouth for the first time.

The tracheotomy and esophageal reconstruction followed by the Saber surgery were completed successfully.

Everyone’s blood and sweat were never in vain.

While the entire staff was excited, only Choi Ki-seok frowned.

‘why? ‘Why are you doing this!’

Choi Ki-seok looked down at his heart.

There is something wrong.

Although it cannot be pinpointed with certainty, there is a critical problem.

I felt like something big would happen if I closed my heart like this. The sixth sense I gained a while ago was sending me such a signal.

“Taesik is the one to close it.”

“All right.”

The moment Kim Tae-sik lifted the needle holder, Choi Ki-seok’s shout spread throughout the rosette.

“wait a minute!”