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    In a small conference room, a seminar discussing the surgery for Murata Kouta was underway.


    Aside from Chen Yu and Daimon Michi, several professors and doctors from hepatobiliary surgery, vascr surgery, and organ transnt surgery were also in attendance, and the meeting was personally chaired by Professor Kube.


    "Since Mr. Chen Yu has just introduced the patient''s condition, let''s move on to discuss the specifics of the surgical n," said Professor Kube, looking towards Chen Yu, signaling for him to exin, "Mr. Chen Yu, please go ahead."


    "Yes, Professor," nodded Chen Yu. Seeing that everyone in the conference room was looking at him, he began to exin, "This is a very difficult andplex surgery. First, we need to separate the tumor from the patient, because the tumor has already invaded the entrance to the atrium, so we have to consider the possibility of needing to open the atrium during the tumor removal."


    "What about pulling the tumor down away from the atrium?" Hearing Chen Yu mention the possibility of needing to open the atrium, Daimon Michi offered a different view, "If we pull the tumor out of the atrium, then we won''t need to open it."


    Chen Yu nodded, affirming Daimon Michi''s suggestion, and further exined, "That is certainly possible, but we must consider all possibilities. If pulling is unsessful, or if the tumor is too adhesive or has already entered the atrium, then we must consider opening the atrium for surgery."


    Hearing Chen Yu say this, Daimon Michi thought for a moment and then nodded without furtherment.


    Seeing that Daimon Michi had no other objections, Chen Yu continued, "Afterpleting the tumor separation, we will need to cut the Inferior Vena Cava below the atrium, insert a cann into the portal vein for extracorporeal cirction, sever the hepatic artery, portal vein, andmon bile duct. Below, at the ne of the left renal vein, we will cut the Inferior Vena Cava andpletely remove the entire Inferior Vena Cava and liver, then hand them over to hepatobiliary surgery and organ transnt surgery for hepatic vein reconstruction and caudate lobe removal."


    "Quite aplex surgery indeed! But we hepatobiliary surgery have no problem,"mented Professor Tashita from hepatobiliary surgery, who was sitting in the conference room. Having assessed the situation, he knew it was not going to be an easy surgery, but he still assured cooperation.


    Sitting beside him, Professor Kobayakawa from organ transnt surgery also nodded, affirming, "Our organ transnt surgery will also cooperate fully. This time I will personally step in."


    Seeing that the professors had made their assurances, Chen Yu nodded in thanks before continuing, "After excising the Inferior Vena Cava and the liver, we will need to perform an artificial vein graft reconstruction between the Inferior Vena Cava and the left renal vein, as well as an anastomosis reconstruction between the right renal vein and the artificial vein graft to preserve the patient''s kidney function on both sides. Vascr surgery will need to coordinate for this part."


    "No problem, since Professor Kobayakawa has decided to personally step in, I can''t lose to him! I will personally take care of it for vascr surgery," chuckled Professor Shiye from vascr surgery, ncing at Professor Kobayakawa sitting beside him and agreeing to cooperate.


    "Finally, thest step will be the liver autotransnt. After Professor Tashita and Professor Kobayakawaplete the hepatic vein reconstruction and caudate lobe removal, Dr. Daimon and I will transnt the patient''s liver back into the body," Chen Yu turned to Daimon Michi by his side, as if to confirm that she had no issues.


    Daimon Michi, feeling Chen Yu''s gaze, showed her usual confident expression and seriously said, "As long as I have the cooperation of Professor Chen Yu, I will not fail."


    "If Dr. Daimon is confident, then the entire process of the operation can be confirmed," Chen Yu stated and then stood up to go to the whiteboard at the front of the conference room. He wrote down the results just discussed, "The surgery will be led by Dr. Daimon, with me serving as the first assistant, responsible for the removal of the patient''s Inferior Vena Cava and liver. Then Professor Shiye will rece me and Dr. Daimon, toplete the reconstruction of the Inferior Vena Cava - left renal vein artificial vein graft and the anastomosis reconstruction of the right renal vein and the artificial vein graft. At the same time, Professor Kobayakawa and Professor Tashita will need toplete the hepatic vein reconstruction and caudate lobe removal of the patient''s liver.


    Once these two steps arepleted, the treated liver will be handed back to me and Dr. Daimon for reimntation into the patient''s body, and toplete the vascr reconstruction to restore the patient''s liver function. The entire surgery is estimated to take nine hours. I wonder if anyone has anything to add or any questions?"


    After Chen Yu wrote down the dense surgical steps on the whiteboard, all the doctors in the conference room had serious expressions on their faces, because it was an extremelyplex surgery, demanding very high precision in every step, and any mistake could lead to the death of the patient on the operating table.


    Looking at the surgical steps written by Chen Yu, Professor Kobayakawa suddenly asked, "Considering the medical examination results of the patient, his kidneys may also be affected. Do we need to prepare for kidney removal and autotransnt?"


    Upon hearing Professor Kobayakawa''s question, Chen Yu nced at Daimon Michi and nodded before replying, "Although it doesn''t seem necessary at the moment, considering the potential for the patient''s condition to worsen, let''s still prepare for that possibility. If kidney removal is required, Dr. Daimon and I will deal with the kidneys while performing the liver surgery."


    Seeing Chen Yu had made arrangements, Professor Kobayakawa nodded and raised no further objections.


    Professor Kube surveyed the conference room once more and saw that no other doctors had furtherments, so he made the decision, "Then let''s proceed with preparation following the surgical n proposed by Mr. Chen Yu. Each department must fully cooperate. Globally, there are only two cases where removal of an Inferior Vena Cava tumor followed by autologous liver and kidney transnt surgery has been sessful, and this will be a first for Japan.


    This is an important opportunity for Tokyo University Medical School Hospital to showcase our medical expertise and standards. Everyone, please exert every effort to cure this patient, sparing no expense!"


    "As you wish!" All doctors in the conference room responded in unison to Professor Kube''s serious words.


    Professor Kube nodded in satisfaction before turning to his protégé and inquired, "Mr. Chen Yu, do you need anything else for this surgery?"


    "During surgery, we''ll need the anesthesiologist to closely monitor the patient''s vital signs. Other anesthesiologists are not as well-coordinated with me and Dr. Daimon, so Dr. Jounouchi should be responsible for the anesthesia. Additionally, I hope the hospital will provide the highest priority for this surgery."


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