The Enhanced Doctor

Chapter 1178: Chapter 1178: What Kind of Speed Is This?

"Don’t worry, these people are just observing the removal of the brain echinococcosis. After handling the brain cyst, I’ll clear the room."

When the patient was wheeled in, Liu Banxia quickly said.

It was already a high-difficulty surgery, so the patient was naturally somewhat anxious. Now, seeing so many people in the observation room, the patient’s anxiety increased further.

After all, Liu Banxia was operating in a rather private area, even in a hospital setting.

Along with Xiao Zhaoqiu on the stage was Zhang Xiao, who naturally took on tasks like patient information verification and pre-operative marking.

"The show is about to begin, and I wonder how long this surgery will take today," Jiang Tao commented.

"Doesn’t it depend on how well the cyst is integrated with the brain tissue?" Director Qiu asked.

"Anyway, it’s a test for Old Xiao, and even more so for that kid," mused Xu Peichen from orthopedics.

Currently, three official chief directors were already gathered here, and soon there would be Chief Director Chen, Chief Director Li, and Chief Director Zhou joining as well.

You could say this observation group’s lineup is quite high-profile today.

"Looks like this kid is a bit nervous too, starting to warm up his wrists and body this early," Jiang Tao said with a smile.

"Think about it, at our age, would we dare to take on such a surgery?" Xu Peichen asked with a smile.

Jiang Tao shook his head with a wry smile, "I can’t imagine it, much less think about it. Because if I do, I’ll want to tease this kid a bit."

Those around felt like laughing, but the sentiment deepened in their hearts.

"Oh, you guys are here early," said Chen Zhenxing as he walked in with Li Mingwu and Zhou Shuwen.

"Goodness, Director Xu is here too, so I guess the OR is pretty free this morning," Li Mingwu joked.

"Hey... he’s a promising talent. We all agreed to study orthopedic surgeries, and now he’s involved in NOSES, quite a waste of talent," Xu Peichen jestfully remarked.

"Director Xu, I’m not forcing him, he chose it himself. The blame lies with him, so you should go ask him," Zhou Shuwen replied.

"You, too, have been led astray by this kid, it’s rare to hear such words from you," Xu Peichen said with a smile.

"Change is necessary, otherwise it’s hard to handle this kid, not to mention understanding his mindset," Zhou Shuwen said with a wry smile.

He felt the change in himself too, but he didn’t admit he was swayed by Liu Banxia; it was his way to better supervise Liu Banxia.

"Director Xiao, the patient is verified and ready," Zhang Xiao quickly reported as he saw Xiao Zhaoqiu enter.

"Don’t be afraid, I’ve done countless neurosurgeries. Plus, this kid is assisting, so rest assured," Xiao Zhaoqiu said to the patient.

Zhang Xiao looked at Xiao Zhaoqiu with surprise, as it wasn’t typical for Director Xiao to engage in such pre-surgery talks with patients.

Starting the surgery with some patient banter seemed to be Liu Banxia’s specialty.

"Alright, Wang Lei, let’s begin. The surgery time is hard to predict, as it’s a joint operation," Xiao Zhaoqiu said after communicating with the patient.

Wang Lei nodded and began administering anesthesia.

"Eh? Why is Director Liu also wearing magnifying glasses?"

At this moment, an intern watching couldn’t help but whisper.

After speaking, the intern regretted it a bit, considering the presence of so many top leaders.

"Chief Director Zhou, is Banxia also doing the surgery with Old Xiao?" Jiang Tao asked out of curiosity.

"Old Xiao is concerned about the potential rupture of the cyst wall, so he’s got this kid on standby. If it ruptures, he will handle the echinococcosis clamping," Zhou Shuwen explained.

Upon hearing this, many took a sharp intake of breath.

This surgery’s difficulty mainly lies in this, and Director Xiao entrusted this potentially most challenging part to Liu Banxia.

This guy, does he need to be so brilliant, so outstanding?

"I knew it, that’s why the kid started warming up his wrists as soon as he came in," Jiang Tao said with a wry smile.

"There’s no other way, the patient is sensitive; if it ruptures, shock and cardiac arrest are inevitable. Every second is precious, it’s also a test for this kid," Zhou Shuwen added.

"It’s not long since the last complaint, and although this situation differs slightly, the difference isn’t significant."

Those listening understood that, in fact, this was also "consideration" for Liu Banxia, to prevent the last complaint from affecting him.

Now they all felt that Liu Banxia was quite unfortunate, being recognized by the leaders, but facing such high-level challenges.

As the surgery began, everyone held their breath, focusing on the on-site procedures.

The initial work was relatively straightforward; with the echinococcosis cyst located, it was just about opening the cranial area.

For attending physicians like Zhang Xiao, it was really not too challenging.

However, this patient’s case was somewhat special because the echinococcosis cyst was already closely attached to the dura mater, requiring extra caution during the procedure.

"Now comes the critical moment; I’ll separate it first, we’ll handle one by one," Xiao Zhaoqiu instructed.

"The removal of hydatid cysts is actually much easier than tumor removal because hydatid cysts don’t have an independent blood and bone system, so it’s easier for us to separate them."

"The main thing to pay attention to is that actions should be as gentle as possible to avoid damaging surrounding healthy blood vessels and the cyst walls. We need to use two methods to remove these three cysts this time."

"The first one, which I’m currently separating, we use the method of puncture and aspiration. Because it is relatively shallow, it’s easier for us to manage."

Liu Banxia had seen Xiao Zhaoqiu perform surgery before, but he could still explain while performing such a high-difficulty surgery.

Neurosurgeons certainly have impressive hands.

With Xiao Zhaoqiu’s operation, the cyst wall resembling a membranous peel slowly came into view.

"Okay, at this point, the separation is sufficient, next we’ll proceed with puncture and aspiration," Xiao Zhaoqiu said.

"Select the puncture position at the highest point of the exposed cyst; it’s a routine procedure to protect the surrounding brain tissue prior to puncture. However, there’s a point to note: even if we use the finest needle for puncture, the cyst could rupture."

"Director Xiao, I’m ready," Liu Banxia quickly replied.

"I’m just reminding you, why are you so tense? Relax, otherwise if something happens, your actions might be off." Xiao Zhaoqiu said.

"I seem to be a bit too nervous, could you wait a moment before puncturing, I’d like to loosen my wrist and fingers," Liu Banxia said.

Then he paid no mind to anything else and began to move on his own.

He was ready all the time, but after preparing for too long, his fingers weren’t supple and agile.

"Okay, I’m ready."

After stretching, Liu Banxia nodded his head.

At this point, Xiao Zhaoqiu carefully inserted the fine needle into the cyst, and everyone practically held their breath.

The result was favorable; the cyst did not rupture, and Xiao Zhaoqiu successfully aspirated the cyst fluid.

"Pay close attention here, we must remain highly vigilant. It’s necessary to repeatedly inject hypertonic saline solution into the cyst to kill any remaining protoscolices." Xiao Zhaoqiu added.

"The method is to repeat multiple times, with retention for more than ten minutes. Our goal is to help the patient alleviate the condition, not to take shortcuts; otherwise, if the cyst ruptures during extraction, the remaining protoscolices could harm the patient."

"Just then my heart rose to my throat; it was more stressful than any surgery I’d performed." Liu Banxia admitted frankly.

"Everything’s been proceeding smoothly so far. You can take a break for now; this is a lengthy process," Xiao Zhaoqiu said.

Liu Banxia nodded, but his eyes didn’t relax their vigilance.

The reason this surgery takes longer is that every detail requires meticulous care.

There are many methods to remove cysts, and none are absolutely safe, only the most appropriate ones can be selected.

"Good, this time it’s very clean, now extract the cyst." After observing carefully, Xiao Zhaoqiu finally said.

As he gently extracted the cyst, Liu Banxia let out a long breath.

Finally, one has been sorted out, but this is only the first step of a long journey; there are two left in the brain, and four more to be dealt with.

"For these two, we’ll use the hydraulic floating separation method." Xiao Zhaoqiu started the incision for the second cyst.

"We need to be careful during separation, once the largest radius of the cyst is separated, we can stop to avoid excessive damage to the brain substance during separation."

Perhaps the successful extraction of the first cyst boosted Xiao Zhaoqiu’s confidence, and his speed increased during this separation.

After completing the separation, he began repeatedly flushing with saline in the space between the cyst and the brain tissue. With his irrigation, the cyst began to float upward little by little.

"This method is also currently widely used in major hospitals, but for cerebral cysts, it depends on the condition. For some deep ones, the surgical removal risk is high," Xiao Zhaoqiu explained.

"During flushing, we must also control the force carefully; too much force can damage the cyst, too little force is ineffective."

"Oh no..."

"Beep..."

Just as the cyst was about to be completely removed, it suddenly ruptured.

"Banxia, start the timer."

Xiao Zhaoqiu shouted.

Actually, before he shouted, Liu Banxia had already raised his hand; however, due to the physiological saline, he couldn’t accurately judge the position.

Although it felt like a long time passed, only nine seconds had elapsed on the timer when Liu Banxia made his move.

The others only saw a movement of his hand before he put the tweezers on the tray.

The echinococcus was now frantically swimming in the tray.

Though small, the echinococcus could cause terrifying damage. Yet Liu Banxia truly had extracted it.

What kind of speed is this? What kind of vision is this?

This was the question surfacing in everyone’s minds.

Visit and read more novel to help us update chapter quickly. Thank you so much!