Surgery Godfather-Chapter 544 - 494: Tokyo Night (5)--

The size of the bipolar electrocoagulation tip kept getting smaller and smaller.

A laser knife cut into the substance of the spinal cord, further up, extending into the substance of the medulla oblongata.

Before the cross-section could show a faint hint of red indicating bleeding, bipolar electrocoagulation killed the bleeding points with a flash-like speed.

The carbonization points for hemostasis were very small. Under the microscope, only beautiful, tiny black spots were seen. The surrounding soft tissues were preserved very well.

The area it passed over was clean and clear.

Incredibly, there was virtually ’no blood’ operation for patients with blood clotting issues.

After a few rounds, the tumor, like a sweet potato buried in the ground, began to show a bit of its surface.

From this point, the laser knife continued its sharp separation.

The visible surface of the tumor grew larger and larger, continually separating from the surrounding tissues.

Inside the medulla oblongata and the cervical spinal cord, the size of a finger, the tumor’s blood vessels were crisscrossing in the three-dimensional space.

Some distinctly red blood vessels were clearly visible on the video, and these spreading vessels made the tumor appear beautiful, like a poppy flower.

The laser knife cut these blood vessels one by one, then the ruptured blood vessels were dealt by the bipolar electrocoagulation, implementing electrocoagulation hemostasis.

The visual pleasure brought by the surgery seemed to make everyone forget, without the disorder of coagulation, this operation was insurmountable.

If the earlier part of the surgery was about maintaining hemostasis on a flat plane, then now, these hemostatic points spread across a complex cross-section encapsulating the tumor. This cross-section varied on two fronts, one side being the surface of the tumor, and the other being the medulla oblongata and cervical spinal cord tissue encapsulating the tumor.

These cross-sections were much like complex hills, canyons, even caves, making hemostasis increasingly complicated.

However, the Chief Surgeon seemed undeterred, as before, wherever the bipolar electrocoagulation passed, bleeding points disappeared intensively.

Every observer was on edge. Each coagulation moment felt as if the bipolar electrocoagulation was poking their hearts. ƒгeewebnovёl.com

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Fujiwara Masao held his breath as he kept vigil in the operating room, relying on the screen for updates on the surgery’s progress.

Even though he was only just over a meter away from the surgical field, he couldn’t quite make out what was happening inside.

Only on the screen could he get a clear view of the operative field.

Though he considered himself talented in the field of surgery, this operation left him astounded.

It seemed as if Yang Ping was very familiar with every bleeding point from each opened tissue cross-section.

Logically, these bleeding points should be unknown and unfamiliar, impossible to predict accurately. No matter how good Yang Ping’s basic skills were, it seemed impossible for him to spot a bleeding point, process it in his brain, and then perform the necessary operations so quickly.

Impossible!

There are limits to human response times!

But Yang Ping did it. He hardly looked as if he was all at ease. It was as if he knew every bleeding point.

Fujiwara Masao noticed that Yang Ping’s bipolar electrocoagulation made no judgments. As the knife opened the cross-section, the moment the section was only partially revealed, and the eyes could not yet locate the bleeding spot, the bipolar electrocoagulation had already accurately pointed to the bleeding point.

In other words, bipolar electrocoagulation was faster than eye’s sight capture.

It was much like a missile defense system that knew what the enemy’s missile was going to do before it even took off and directly eliminated it while it was still in preparation.

How was it possible?

Did he have a way to nearly 100% reconstruct the three-dimensional local anatomy of the surgery area?

Even if he could, he couldn’t have performed at such speed.

Fujiwara Masao simply couldn’t comprehend. He had to give up on getting to the bottom of it and credit it all to talent.

This monistic explanation, attributing everything he couldn’t understand to talent, was a great time-saver.

No one seemed to be much concerned about Fujiwara Tani’s decreasing heart rate anymore. They had witnessed that even when death was so close, Yang Ping could still firmly grasp the slimmest hope.

Everyone was focused on the hemostasis.

Fujiwara Masao stared at the screen. Every time a new position was cut open, he mentally simulated himself as the Chief Surgeon and imagined how he would quickly and accurately stop the bleeding. However, before he could even determine the bleeding spot, Yang Ping’s bipolar electrocoagulation had finished and had begun cutting open and coagulating another round.

Even when imagining the surgery, he couldn’t keep up with Yang Ping’s pace.

Fujiwara Masao couldn’t help but look at Yang Ping with admiration.

He was glad he had made the decision to invite Yang Ping to Tokyo University to lead the surgery. Otherwise, his uncle would not have stood a chance.

If he had wavered even a bit at the time, his uncle might have already been---

Being at the pinnacle of Japan’s medical field, he was accustomed to being admired.

Now, Fujiwara Masao was deeply captivated by this young man. Sometimes, he thought, how great it would be if Yang Ping were his younger sister’s boyfriend.

Or if he were a member of his team, that would also be great.

But alas, they weren’t.

In a quiet and unnoticeable manner, the laser knife had already dissected a part of the tumor. Yang Ping skillfully maneuvered between the dangerous nerve nuclei.

An artery eerily pulsated under the microscope, having snaked out from a crack.

Each pulsation unveiled countless tiny branches, which extended in different directions.

Be careful!

Fujiwara Masao unconsciously stood up from his stool and yelled in his heart.

In his right hand was the laser knife, in his left the bipolar electrocoagulator. Sometimes it was vice versa, the switching between was seamless, adopted whatever was most convenient.

As soon as a branch blood vessel was nearly cut off, the bipolar electrosurgery was there, successfully stemming the bleeding from both ends.

Despite everyone’s worries, all the branch blood vessels had been removed.

The small and winding main trunk, now devoid of branches like a tree, was held with two microsurgery forceps. It was then cut from the middle and finally the blood was coagulated.

Every single blood vessel in the tumor, whether an artery or a vein, followed these steps: firstly, the branches were removed, then the main trunk was dealt with.

Even though it was lightning fast, it was unhurried and everything was distinctly clear!

There was no casual­ness nor were there any mistakes during the process.

There wasn’t even a single case of double electric coagulation of a blood vessel.

---

"It’s unbelievable, it’s as if he knew exactly where the bleeding points were, and without hesitation, he used the best and most exact strength and technique to clamp the blood vessels and stop the bleeding."

"It seems as though it was all under his control, as though he had devoted countless hours to perfecting each step."

Professor Ikeda and Professor Ito felt that, even if they were given several attempts, they could never have completed this surgery.

"What do you sense?" asked Professor Ito, full of implications.

Professor Ikeda took a deep breath: "In the legendary battle on Ganryū Island between Miyamoto Musashi and Sasaki Kojiro, the victory was decided from the moment the swords were drawn. We always thought we were Miyamoto, but now, we must admit, we are Sasaki."

"There were times, when doctors from Shuntendo and Tokyo University were so neatly seated here observing a surgery. I think it dates back to when Dr. Amano was revered for his heart bypass surgery; it was such a humbling experience," Professor Ito reminisced.

Dr. Amano’s modest smile still resonated vividly in his memory.

Professor Ikeda chuckled: "Indeed, today, whether it’s Matsui, Komori or Mitsui, everyone has humbly lowered their heads. As for Takahashi, he has already become more humble than anyone else."

Professor Ito, who has bad knees, wanted to stand up and relieve his lower limbs a bit, but found it hard to stand.

Despite being overweight, Professor Ikeda has healthy knees. He helped Professor Ito up.

They moved around while bowing their waist like they were in a movie theater, to avoid obstructing the views of others, and then sat back down.

"I daren’t sit for long because I’m afraid of deep vein thrombosis of the lower extremities. As you see, I always wear compression socks." Professor Ito gently rubbed his knees. The erosion of medial knee cartilage led to chronic discomfort and pain on the inner side of his knees.

"I’m wearing them too. These are unavoidable issues for the elderly. I’m having stem cell treatment for my knee. I can still withstand it for now." Professor Ikeda, who has a close connection with the Stem Cell Laboratory at Tokyo University, often enjoys their treatments, such as using stem cells to promote hair growth and darkening.

Professor Ito shook his head: "I’ve tried it too. It has some effect, but it’s not significant, probably because the wear and tear of cartilage is too severe. If it doesn’t work, I suppose I’ll have to wait for a knee replacement."

On the high-definition screen, more than half of the tumor had already been removed, and separation was happening deeper within.

Most of the surgery time was spent on stemming the bleeding; hence, people’s attention was always focused on it.

The nerve nuclei at the center of life were tightly adhered together, much more so than in Ning Yu’s case.

Age had reduced the elasticity of brain and spinal cord tissues, making them brittler, and their tolerance and capacity for recovery were reduced, so the separation would be very dangerous.

Without noticing, they had already entered the most dangerous phase of the procedure.

It was then, everyone remembered, this was a surgery challenging the impossible. Only Yang Ping in the world was capable of successfully performing it. The coagulation dysfunction was just icing on a cake.

"The adhesion is tight, the situation is tricky. The heart rate is fluctuating. It is feared that---"

Professor Ito was terribly worried.

"He might have cardiac arrest."

Professor Ikeda observed the medical data from the auxiliary screen, this type of electrocardiographic waveform indicated that the connection between the heart and the medulla was about to become chaotic, the compensatory ability of the heart was about to be exhausted, and cardiac arrest was imminent.

"The solitary tract nucleus is stimulated, causing sinus bradycardia, junctional bradycardia."

"It’s more than just the solitary tract nucleus. By now, the cardiovascular control center, the heart rate acceleration center, the decompression center, and the heart inhibition center are all in chaos at the same time. This is bad!"

After a few drastic changes in heart rate, the heart beat became more and more erratic, like a candle in the wind, about to be extinguished after violent flutters.

Professor Ito and Professor Ikeda pulled themselves together.

Everyone in the conference room braced themselves as imminent collapse seemed to be just a touch away.