"For the liver, I n to use ALPPS (associating liver partition and portal vein ligation for staged hepatectomy)," said Chen Yu in his office, holding the elderly principal''s medical record and exining his surgical n to Xu Xiaohong: "I have studied it carefully. The principal''s liver tumor is mainly located in the right liver lobe, with just a few small tumors in the left liver lobe.
So during the first surgery, I will remove the tumors in the left liver lobe, then separate the right liver lobe. I''ll use the inmmatory response after liver partition to promote the regeneration of the left liver lobe, enabling it to erge before proceeding with the removal of the right liver lobe and its tumors."
After looking at the diagram Chen Yu had drawn on paper, Xu Xiaohong understood his approach and nodded happily, "In this way, we can ensure that after the tumor removal, there is still 20% of the liver volume remaining! But what do you n to do with the tumor that has invaded the heart, Ah-Yu?"
"As for the heart section, I n to…" Chen Yu was about to exin, but the noise from outside the office and the sudden intrusion by Daimon Michiko interrupted him.
"Daimon-san? Although you are Hiromi''s good friend, I think you should at least knock when entering my office. If you have something to discuss, please wait a moment aside, I still have a guest to attend to," Chen Yu said, his eyebrows slightly furrowing at the sight of Daimon Michiko barging into his office, but he did not say much else, instead politely asking her to wait aside.
"Regarding the part of the tumor in the heart, I n to…" Chen Yu resumed his exnation to Xu Xiaohong only to be interrupted again as Daimon Michiko snatched the medical record and diagram from his hands.
"Daimon-san! What do you think you''re doing?" Chen Yu couldn''t help but feel a surge of anger as his items were grabbed, ring at Daimon Michiko.
However, Daimon Michiko did not mind Chen Yu''s re and instead focused on the snatched medical record. After studying it, she barely concealed her excitement as she said to Chen Yu, "Hepatocellr carcinoma stage IVA with intracardiac hepatic cell cancer thrombus in the right atrium, I can perform this operation. Let me do it!"
"Sorry, I refuse. No matter what, I will not hand over this surgery to you," Chen Yu said, taking back the medical record and denying Daimon Michiko''s request.
"Eh? Why? If you let me do it, I can remove the tumor perfectly clean!" Daimon Michiko suddenly shouted at Chen Yu like a child who had their candy stolen.
"You can remove it perfectly clean, and so can I," Chen Yu looked at Daimon Michiko, shook his head, and still took the time to exin, "This patient is someone I brought back from China, my university''s principal. Both emotionally and rationally, I ought to perform the surgery myself.
Originally, I could have let you, Daimon-san, be the assistant during the surgery, but how are youing along with the surgery for Ichinose Miyako that is also approaching soon?"
Upon hearing Chen Yu inquire about Ichinose Miyako''s surgery, Daimon Michiko''s face lit up with excitement again as she confidently told Chen Yu, "I have already familiarized myself with the seven nerve suturing techniques that you entrusted to me, and we can start the surgery as soon as the surgical instruments are ready."
"Well, then you will be the lead assistant for Ichinose Miyako''s surgery. Go back and prepare," Chen Yu told Daimon Michiko, smiling slightly and nodding at her, signaling her to get ready and head back.
Daimon Michiko nodded nkly and agreed. She then headed toward the door, but suddenly turned back and said to Chen Yu, "Let me perform this liver tumor surgery too! I can remove the tumor very cleanly!"
"Shirai-san, please show her out!" Chen Yu didn''t want to exin to Daimon Michiko anymore, so he called out to his secretary, Shirai Reina, who was outside the door to pull Daimon Michiko out.
Watching Daimon Michiko being led out by Shirai Reina, Xu Xiaohong couldn''t help but ask Chen Yu curiously, "Ah-Yu, who was that female doctor just now? She said she could do the surgery, is her surgical skill very impressive?"
"Daimon Michiko, a frence surgeon. If we''re just talking about surgical skills, she''s the best one in this hospital," Chen Yu didn''t hide Daimon Michiko''s identity and introduced her to Xu Xiaohong while also exining, "Her surgical skills are very good. Although I could alsoplete the surgery, if Dr. Daimon were to do it, she would perform better than me."
"Then why don''t you let her perform the surgery on the old principal?" Xu Xiaohong felt somewhat puzzled. ording to what Chen Yu said, since Daimon Michiko was so skilled, it seemed that Chen Yu would have let her do the surgery to ensure itsplete sess, but Chen Yu did not arrange it that way.
"Didn''t I just exin?
The old principal''s surgery will use ALPPS, which means we''ll need to operate twice," Chen Yu exined to Xu Xiaohong, and at the same time, he took out the previously drawn diagram: "The tumor in the old principal''s right liver lobe has spread along the Inferior Vena Cava to the right atrium, so during the first surgery, I only n to remove the small tumors in the left liver lobe and to iste the right liver lobe."
"Ah-Yu, you''ve exined this already, and I have no objection to such a surgery n," Xu Xiaohong said after listening to Chen Yu''s words, indicating she understood his arrangement. However, this did not answer her question, "But what does this have to do with not letting the female doctor operate just now?"
Hearing Xu Xiaohong''s question, Chen Yu knew she still didn''t understand his point and had to exin again, "For the old principal''s case, because the surgery is divided into two stages, the first surgery only needs to remove the left lobe''s tumor and perform the istion of the right lobe. This operation is not difficult, I canplete it independently, so Dr.
Daimon is not needed for the first surgery.
Besides the old principal, I also have a patient with a cervical spine fracture who requires nerve reconstruction surgery. This surgical technique is entirely new, and currently, only Dr. Daimon and I know how to perform it in the world, so I must ensure she attends to that surgery without any problems."
With Chen Yu''s exnation, Xu Xiaohong finally understood, "After the first surgery ispleted, the right liver lobe will shrink due to the istion reaction. At that time, you just need to sever its connection with the left lobe topletely remove the tumor in the right lobe. The only difficulty is how to remove the tumor without opening the heart!"
"I''ve already considered that. After the first surgery, the right liver lobe will shrink, and at the same time, I''ll administer drug treatment to reduce the size of the tumor. If the situation is ideal, during the second surgery, I can pull the tumor out from the heart," Chen Yuid out the entire surgical n in front of Xu Xiaohong.