Chapter 506 369: Surgery Begins, Liver Separation

"Scalpel."

He raised his hand, and the nurse slapped the scalpel into his palm.

Qin Feng gripped the handle tightly, slowly placing it on the confirmed position, the blade slightly angled, making an incision.

Shh!

The blade sliced through the skin, tiny droplets of blood sliding down the wound.

Instantly, everyone's heart was in their throats; apart from the occasional clink of surgical instruments, even breathing was inaudible in the operating room.

Fat layer, muscle layer... As the scalpel continued to separate the layers of the abdomen, the expression on Wang Yang's face grew increasingly grim.

There was only the peritoneum left now. Once it was opened and if the bleeding wasn't stopped, there would be no chance left.

But he knew, there was no turning back now.

"Wait, Director Qin, how about we wait for the plasma, just for insurance?"

Seeing Qin Feng about to cut through the peritoneum, Wang Yang couldn't help but speak out, worried.

"Alright."

Hearing this, a faint smile appeared on Qin Feng's face as he nodded in agreement.

Actually, they both understood that merely relying on plasma separated from relatives' blood was like a drop in the ocean if massive bleeding occurred, utterly useless.

Any massive bleeding generally involves losing blood by the thousand milliliters in a short period, requiring even two intravenous access points for rapid transfusion to barely save a life.

So this bit of plasma for the surgery was more like a placebo.

But if this placebo could give the surgical staff a bit more confidence, its purpose would be fulfilled.

"Xiaowen, go ask when the plasma will arrive."

Qin Feng looked up and asked.

"Okay."

The instrument nurse then changed out of her clothes, walked to the door to ask the nurse outside, and turned back,

"Director Qin, the plasma is being separated, it will take about 5 more minutes, and currently, there's only 800ml."

"That's enough."

After hearing this, Qin Feng pondered slightly, a hint of satisfaction in his tone.

800ml of plasma, for other doctors, might make them feel hopeless since it's practically ineffective.

But for him, this surgery was already risky, and before acupuncture-based hemostasis, there was already significant blood loss in the patient's abdominal cavity.

However, having this 800ml of plasma could significantly increase the patient's blood volume on the operating table.

This would be extremely helpful for postoperative recovery!

It must not be wasted~~~

"Prepare the retractors, I'm going to open the abdominal cavity."

Then, the surgery continued, reminded Qin Feng.

Wang Yang, hearing this, immediately reached out to receive the retractors, ready to respond at any moment, nervously swallowing hard.

The most thrilling moment was about to arrive, life or death depended on this cut!

Shh~

As the blade descended, the peritoneum split open, and a surge of dark red blood immediately gushed out through the incision.

Swoosh, swoosh, swoosh~

Wang Yang, after all, was the director of the emergency department, experienced and precise, hooked the retractors to the incision, opening the entire abdominal cavity to expose the view.

At the moment it was opened, everyone present gasped.

The abdominal cavity was filled with a large amount of dark red blood, and the gallbladder, swollen and floating in it, was nearly half bigger than normal, with the areas of adhesion to the liver vaguely visible.

The situation is very bad!

"Hiss~"

"Clean the abdominal cavity."

As Wang Yang gasped, Qin Feng immediately directed in a deep voice.

Almost simultaneously, his fingers flew, retracting the needles displaced by the retractors, and then quickly inserting them back into predefined positions, without a moment's pause or hesitation.

One!

Two!

Three!

Four...

All acupuncture points were replaced!

His actions left Wang Yang, amid clearing the accumulated blood in the abdominal cavity, stunned in place, the suction device in his hands making intermittent suction sounds.

Holy crap!

With the accumulated blood cleared, the vision in the abdominal cavity became sharper, and at the moment Qin Feng withdrew the needles, about 100ml more fresh blood entered the cavity, but once the needles were reinserted, the major bleeding point miraculously stopped.

This hemostatic technique truly shocked Wang Yang.

"Hurry up with the cleaning, we don't have much time."

Qin Feng nudged him with his elbow, urging.

"Huh? Oh, oh."

Wang Yang returned to his senses, putting aside his astonishment, rapidly suctioning the accumulated blood in the abdominal cavity.

At this point, it was clearly visible that the previously stone-operated gallbladder still had wounds from the surgery, with poor suturing outcomes, visibly suppurating and inflamed, even showing signs of marginal necrosis.

Simultaneously, the adhesion between the gallbladder and surrounding tissues was also severe, almost as Qin Feng previously assessed.

The situation is urgent!

"Director Qin, the liver has indeed necrotized..."

Wang Yang frowned deeply, whispering, leaving both in silence, and Qin Feng couldn't help but feel his heart tighten.

The part of the liver connecting to the gallbladder, essentially where the bile duct enters the liver, showed necrotic tissue and adhesion.

Small amounts of blood steadily but slowly seeped out from within, the most worrying scenario had happened.

Liver necrosis!

"The surgical order needs altering; the bleeding point has reached deep into the liver, where there are too many tiny blood vessels. We need to separate the liver for hemostatic resection, followed by gallbladder removal."

Qin Feng thought for a couple of seconds, immediately adjusting the previous plan to decide on liver resection first.

The new skill of his eyes could determine the diseased location and development status within a patient, but to truly see the specific condition of the ailment required opening the abdominal cavity for verification.

Often, surgeries are not completed following a fixed plan; the more severe the condition, the greater the sudden changes.

This is what tests the technical and control abilities of the operating surgeon!

"Electrocautery."

The instrument nurse handed over the bipolar electrodes into his palm, then began the phase for liver resection.

Sizzle sizzle sizzle~

Seen along the necrotic part of the liver, the incision was made a centimeter beyond all edges without adhesion or necrosis, layer by layer dissecting and probing deeper.

"Suction device."

Although there was ongoing bleeding during the dissection, the volume remained well-controlled.

Once major blood vessel hemostasis was completed, Qin Feng was fully confident in finishing the surgery.

Wang Yang at this time dared not relax in the slightest, doing each task thoroughly, just hoping for Qin Feng to successfully complete the surgery.

"Hemostatic clamp."

Snap!

The liver comprises abundant arterial and venous vessels and ligamentous tissue, all requiring careful separation and cutting.

The patient already had bile duct bleeding, any further bleeding from other vessels would elevate the risk of this surgery, Qin Feng's task was to isolate the necrotic part of the liver and the bile duct bleeding embedded deep in the liver.

"Liver line."

The electrocautery knife in his hand both cut and paused to use liver needles and paraffin oil for lubricated suturing, ensuring no further bleeding situations would arise.

10 minutes...

20 minutes...

Qin Feng's eyes magnified the view more than tenfold, his hand movements swift.

Liver dissection is an extremely meticulous physical task, ordinarily requiring extraordinary care and precision from gallbladder specialists when dealing with such operations to avoid severe outcomes with any negligence.

But he was different, his hands deftly maneuvering as if peeling ordinary blood vessels with ease and grace.

Meanwhile, Wang Yang was almost numb, pupils contracted, forehead sweating, palms so wet he could squeeze out water.

Even with his experience, such an operation exceeded his comprehension.

Are all doctors in Beijing this terrifying?