Challenge (5)
Observation room for surgery.
There was no time to move around with Mayjo’s hepatobiliary pancreatic surgery staff and outside personnel. The seats were already full and those who came later had to stand in the back.
‘That’s amazing.’
Ethan looked around and looked at the monitor.
Today is the first laparoscopic living liver transplant surgery at Meijo.
Interest was hotter than ever.
“Fellow. Will this surgery be okay?”
Ethan asked the hepatobiliary pancreatic surgery fellow sitting next to him.
“The surgeon is the head chief. Wouldn’t something work out?”
“I trust the head chief, too, but…”
Smith is one of the top ten general surgeons at home and abroad.
Hepatobiliary and pancreatic surgery, gastrointestinal surgery, and colorectal surgery.
This is because it is a Triple Board Ceremony that earned fellow qualifications in three departments.
However, it is difficult to completely relax about this surgery.
It is already a highly difficult living liver transplant surgery. There was an obstacle called a laparoscope, and the first surgery was performed without practice.
Even demonstrating it in front of other doctors.
“I’m not worried about the Head Chief. I’m worried about Mr. Choi.”
“Mr. Choi?”
“I don’t understand what you were thinking when you appointed a new resident as the second resident. Even if you use me, it’s not enough.”
Fellow frowned.
Mayjo is free in selecting surgical staff.
The surgeon decides on the staff and the staff has to accept it. In other words, even interns could undergo difficult surgeries as long as both doctors agreed.
“No matter how free you are in selecting staff, this is not the case.”
“I somehow understand why Mr. Choi was chosen.”
“You know that?”
“You might think it’s strange to say this, but Mr. Choi is a unique person.”
“….”
“I’ve watched you so far, and you’ve always shown performance that exceeds expectations. Surprisingly, I think you may be able to do your part in this surgery.”
“Are you siding with me as a teaching resident now?”
“I was just stating the truth.”
Ethan calmly shook his head.
“It’s probably not the time to be so lost. Do you want your seat taken over by an Asian from Korea or somewhere else? A guy who came in much later than you?”
“I think that if your skills are better than mine, it’s right for you to be in front of me. Focusing on skill is also one of Meijo’s mottos.”
“You have good speed.”
Fellow clicked his tongue.
Ethan stared at the monitor in awkward silence.
Today’s surgery will be longer than others.
Originally, liver transplant surgery was performed simultaneously on different rosettes.
On one side, the liver of the donor (the person giving the transplant organ) is removed, and on the other side, the damaged liver of the recipient (the person receiving the transplant organ) is removed.
Afterwards, the recipient team receives the liver from the donor team and completes the surgery.
However, today, this entire process is carried out laparoscopically.
Since only Smith can perform laparoscopic surgery, he will perform both the extraction and transplantation.
‘The professor probably wants you to fail, right?’
Ethan looked at Paul who was sitting right in front of him.
Paul hated Smith so much that he tried to get him out of trouble.
If Smith’s surgery fails, he will reveal his hidden claws.
Time passed and it was already 2pm.
The eyes of the people in the observation room turned to the wall clock as if they had made a promise.
10 minutes passed and 10 more minutes passed.
“What? Are you saying you’re going to have surgery or not?”
“I guess even Smith of the world was scared of this surgery?”
“If the surgery is delayed, shouldn’t we be told the reason? Why do they do this at a hospital as good as a meijou? Indeed.”
Some sergeants who were hostile to Smith began to criticize him.
‘What the hell is going on? Mr. Choi.’
Ethan’s forehead wrinkled.
* * *
A In front of the rosette.
Laparoscopic living liver transplant surgery staff were listening to Smith’s final briefing.
“Did you understand enough?”
“yes!”
The staff responded loudly.
There was silence for a moment, then First Assistant Todd spoke.
“Head Chief, please reconsider once more right now. Isn’t it reckless to use a new resident as a second assistant?”
“Are you going to complain about my decision now? Don’t you know that choosing the staff is within the surgeon’s sole discretion?”
“Well… that’s not true, but…”
Todd flinched from the force that Smith gave off.
“If Mr. Choi is holding back, you can replace him then. It’s too early to judge.”
“All right.”
Choi Ki-seok made eye contact with Smith after he finished speaking.
His eyes were as calm as usual.
It was so peaceful that it was hard to believe that the only person about to undergo surgery for the first time was the one about to perform a live demonstration in front of surgeons from all over the world.
I think I was able to get to where I am now because of that bold attitude.
‘are you okay. ‘This much.’
When I opened the status window, I saw that the surgical level had dropped two levels.
This is the effect of Smith’s debuff, the invisible hand.
The second assistant did not have much to do with elaborate treatment, so it did not seem like it would be a major obstacle.
Jiyiing.
The operating room door opened and Jose brought in the bed where William was lying.
“Dr. Choi. I don’t want to have surgery today.”
The staff’s eyes widened at William’s bombshell announcement.
“William. What are you talking about all of a sudden?”
“I’m so nervous and nervous. I’m not saying I won’t have the surgery at all, but I’ll just postpone the date a little. Is that okay?”
The eyes of all the staff, including William, were focused on Choi Ki-seok.
The direction of today’s surgery depends on him, the surgeon.
“I know that William was nervous before the surgery. Of course he would be scared. It was his first surgery.”
Choi Ki-seok lowered his body and made eye contact with William.
“But be a little more courageous. You’ve done well so far and the end is not far away. Now we just have to get there.”
His index finger pointed at the rosette.
“Haa….”
“And just as much as William is afraid, your father will also be afraid. Only when William overcomes this fear will your father gain strength.”
“Are you my father?”
William showed signs of being agitated for the first time.
“That can’t be possible. My father has a strong heart. He lived today as if there was no surgery.”
“Of course I did. Because William was by my side.”
Choi Ki-seok continued speaking slowly.
“When William was walking around the ward feeling anxious, he told me that he was very nervous and nervous, but that he was holding back for his son’s sake.”
“That can’t be possible.”
“There is no one who is not afraid of surgery. Everyone just has to do their best to be brave.”
“…Okay. Let’s go quickly before I change my mind.”
William lay down in bed again.
Jose scrubbed first and moved William to the operating room.
Meanwhile, other staff members started scrubbing.
Buck. Buck. Buck.
Choi Ki-seok scrubbed his hands and arms with a brush dipped in povidone solution.
‘Maybe we should talk about it later?’
In fact, I told a white lie to William.
As William said, Jace had a strong heart and was not at all afraid of surgery.
In other words, he used a trick to provoke William.
In the past, it would have been difficult to persuade people properly, but after their political power increased, their willingness to talk increased.
“Well done Mr. Choi.”
“thank you.”
Smith, who was nearby, praised him.
Jiyiing.
The staff all entered the rosette at once.
The surgery began with Jose taking a time-out and the anesthesiologist administering general anesthesia.
Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu
Choi Ki-seok disinfected William’s abdomen widely and covered it with a cloth.
In response, Smith received a scalpel from a sterilizing nurse and made a small incision in the patient’s lower right abdomen, below the navel and above the pubic bone. A trocar was then inserted into the incision site.
“Camera port forceps bobby.”
The necessary tools were placed one after another into the trocar.
As the camera worked, the liver and surrounding organs appeared on the monitor.
Because it was not an open surgery, the surgical field of view was clearly narrow.
“From now on, the donor’s liver will be removed. Mosquito (vascular forceps).”
Smith looked at the monitor and pushed Mosquito, which was designed for laparoscopy, into the trocar.
Click!
Vascular forceps grasped the right artery and portal vein of the liver.
As time passed, the color of the right liver began to change as blood stopped flowing.
“Hold on tight.”
“All right.”
First assistant Todd fixed the liver with forceps, and Smith cut a large part of the liver with an electric cautery.
Cheeeeeeeek.
As the electric cautery burned the liver, the surrounding tissue turned white.
Soon, a straight border line appeared between the right liver.
The resection area is marked in advance.
“The real surgery starts now. Come to your senses.”
“yes!”
“Ultrasonic aspirator.”
Smith began removing the liver using an ultrasonic aspirator.
‘amazing.’
Choi Ki-seok couldn’t help but be amazed as he watched Smith.
In the past, I used an ultrasonic aspirator during liver cancer surgery in the training room, and it was not easy.
This is because, rather than simply cutting off the liver, it must be cut carefully, avoiding major blood vessels.
Currently, Smith was not wavering at all and was only controlling what was necessary.
“for a moment!”
Smith lightly raised one hand.
Small blood vessels appeared inside the half-cut liver.
If the resection had been continued, the blood vessels would have been cut and bleeding would have occurred.
“5-0 Nylon.”
While Smith and Todd tie off blood vessels to prevent bleeding.
Ki-Seok Choi controlled the camera port to provide an optimal view for surgery.
Using the dragon’s eye automatically provides the best surgical field of view, and thanks to that experience, Ki-Seok Choi knew well how to illuminate the surgical site to the surgeon.
‘It’s pretty good, right?’
While Todd was helping Smith, he glanced at Ki-Seok Choi.
I thought he would stay still like a sack of barley, but surprisingly he came forward and helped.
First of all, the viewing angle was amazing, and the monitor screen didn’t shake because my hands didn’t shake.
To exaggerate a bit, it feels like open surgery rather than laparoscopy.
click!
The ligation was completed with scissors.
Smith’s eyes, which I met by chance, were smiling.
His eye smile said,
‘Look, you’re good at it.’
He seemed to be supporting Choi Ki-seok.
Delicate work continued.
As the staff cut into the liver, they tied off small blood vessels and preserved the major blood vessels.
As time passed, I felt tired and lost focus, but none of the staff complained. The only sounds are the sounds of surgical tools being used and opinions being exchanged.
“The excision is over. Let’s take it out.”
Smith and Todd grabbed the resected liver with forceps and pulled it out of the trocar. He then carefully placed the liver on a tray filled with blood.
As a result, 65 percent of William’s liver was removed.
The remaining part will grow back over time, and the resected liver will be transplanted to his father, Jace.
‘You’ve come a long way.’
Jose looked up at the surgical observation room and smiled.
The observation room was always empty.
Although it is said that observation of the surgery is free, the only person who actually observes it is Ki-Seok Choi. But today it was so crowded with people that it resembled a market.
Meijo’s first laparoscopic living liver transplant surgery.
The weight it gave was definitely different.
“Everyone, don’t relax. Only about 30 percent of the surgery is completed.”
Smith cautioned his staff.
“Now we continue the surgery on the next rosette.”
“yes!”
A loud cry spread.
But it is that moment.
“Uh! Uh!”
Jose made a stupid sound without realizing it.
While watching the observation operating room, my foot slipped.
As a result, the tray containing the liver fell to the floor, and the faces of the staff members who watched it turned ashen.
widely!
Choi Ki-seok kicked the floor and threw himself.
