Chapter 1055: Chapter 1055: Another Record
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"Actually, I think no matter what kind of surgical technique it is, as long as it can help the patient eliminate their ailment, it’s a good surgery," Liu Banxia said while operating.
"This patient’s indicators are quite favorable, so this time I’m using the full TaTME without the aid of laparoscopy."
"Theoretically, using TaTME is quite effective in preserving the anus. Because it’s an approach from bottom to top, theoretically, as long as it doesn’t invade the anus, we can preserve it successfully."
"But we also need to remember not to fully trust theoretical knowledge. It’s theoretical, not practical. In practice, we’ll encounter many unexpected situations that require us to consider comprehensively."
"The principle of operation remains the same: no tumors, no bacteria. If this can’t be achieved, then it’s a failed surgery. Even if your operation looks great during surgery, it would be a waste."
"So during the operation, we also need to make our own judgments based on the situation. Next comes the critical maneuver; I’ll slow down my speed a bit, so everyone can take their time to understand."
After saying this, Liu Banxia began to operate seriously.
He needed to put all his focus into it, as the difficulty level of this surgery was much higher than the endometriosis surgery done previously.
"Guan Wei, you watched his operation last time, what did you think?" Jiang Tao asked.
Hearing Jiang Tao’s question, others also paid attention.
"Director Jiang, he’s become much more proficient than last time. This is only his second surgery, right? I should probably go buy a block of tofu and knock my head against it." Guan Wei said helplessly.
"Has there really been such a significant improvement?" Jiang Tao asked in surprise.
Guan Wei nodded seriously, "The real feeling I got is that it’s like two different people are performing the surgery. Last time, although his operation was good and fast, there were pauses."
"The pauses were likely him thinking about where to start the procedure and how to connect the next steps. Although the pauses weren’t long, they were noticeable."
"Now there’s none of that. The entire operation process has been very smooth, at least up until now. I think the key is in mastering the instruments, as these accessories differ significantly from our usual laparoscopic operations."
"I can understand now why the emergency center didn’t set up a proctology department. With him around, what’s the need? If we don’t work hard, our jobs might be taken by him."
This last comment was, of course, a joke, as Liu Banxia couldn’t handle all the proctology surgeries alone.
But the remark wasn’t entirely a joke, as it also represented Liu Banxia’s current proficiency level with this set of equipment, which had reached a very high standard.
"To do a good job, one must first sharpen one’s tools." This ’sharpen’ isn’t just about honing; it’s about mastering the equipment.
Surgery contends over millimeters.
Whether operating with a laparoscope or holding a scalpel, why do the same instruments produce different results under different surgeons?
What is technical proficiency? What makes a master able to perform very complex surgeries with ease?
It tests not only understanding of surgical techniques but also operational skills.
And now Liu Banxia? His control over the current equipment has reached an impeccable level. When he says he’s slowing down, it’s only in comparison to his usual pace.
In the past, people didn’t really focus on Liu Banxia’s surgical teaching. If they happened upon it, they’d watch a surgery.
Or, for some advanced surgeries, level three or four, if they were lacking knowledge in that area, they’d come watch if they had the chance.
But things are different now. Nowadays, some of Liu Banxia’s teaching surgeries always attract many people.
Even a minor surgery, by watching Liu Banxia operate, can yield insights.
This appeal isn’t limited to the emergency center; it’s the same in the inpatient department.
Watching Liu Banxia’s operation, Jiang Tao felt deeply moved. Currently, Liu Banxia has truly come into his own. No one would question his strength anymore. Surgeons, after all, have to rely on skill to speak for them.
Liu Banxia’s previous somewhat unconventional surgical procedures seemed like luck, but they were also strength. Without enough strength, would he dare to do so many unconventional things?
Is live surgery something you dare to do at the drop of a hat? Many surgeons can’t overcome the psychological barrier. Too many variables, too much risk.
What Liu Banxia needs now is time, to use time for fermentation and sedimentation, and eventually, he’ll raise his reputation, becoming the renowned general surgeon of the emergency center.
Though the surgical techniques and procedures Liu Banxia currently demonstrates are still limited, they pertain to common disease operations and frequently occurring illnesses.
The more crucial issue is that Liu Banxia is still continually growing.
If you think he’s adept at laparoscopic surgeries, he starts fiddling with NOSES procedures. Once he’s done with these, will it then be time for him to really expand into pediatric surgery and orthopedics?
This guy’s bone-setting technique is quite aggressive too, acknowledged by Director Xu!
"Alright, let the family take a quick look at the specimen and then send it for examination." Liu Banxia said as he placed the specimen in the tray.
"Next, let me say a few more useless things. Personally, I believe the key points of TaTME surgery are retrieving the specimen and intracavitary suturing. This time, we won’t use the stapler; we’ll perform manual operations instead."
"From the dissection just now, I’ve found that the patient’s intestinal tissue is quite good, so manual suturing shouldn’t be a problem and can save the patient some costs."
"Of course, my view remains the same. It’s not to say that we should abandon these instruments altogether; this is a result of multiple factors combined."
"Staplers have the benefits of staplers, and manual suturing has its own merits. In our surgeries, there’s rarely anything absolute; it’s all about making choices. What’s best for the patient and the current operation is the best choice."
After Liu Banxia finished speaking, he continued with the operation.
The reason for saying so much is to avoid misunderstanding from his colleagues.
Whether or not to use surgical instruments is a rather vague issue.
There are reasons to use and reasons not to use. He doesn’t want others to think he’s being pretentious and painting himself into a corner.
Such a big surgery is a challenge for the patient’s family finances. This newly promoted surgical technique currently attracts patients mainly due to considerations of outcomes and costs, nothing else really.
When the reputation of his NOSES surgery truly spreads, and more patients come for consultations, then there’ll be more freedom.
The old saying goes, "A tree that stands out in the forest will be destroyed by the wind."
Currently, he feels somewhat like this, so he must try to unite with other trees, not to be brought down himself.
Previously, he didn’t consider this much, so he appeared quite immature when handling matters. This is an assessment of connections, something he must pay attention to.
His suturing speed is, naturally, undisputable—fast and steady.
This is an intracavity operation, not usual suturing, so the difficulty is naturally higher. Just this suturing technique has amazed many who’ve seen it.
Ding! Surgery completed
Gained 400 experience points, suturing skill proficiency 300 points, dressing change skill proficiency 200 points, intestinal surgery skill proficiency 500 points, Glory Points +5
The mission rating this time is perfect, gaining 800 experience points, suturing skill proficiency 600 points, dressing change skill proficiency 400 points, intestinal surgery skill proficiency 1000 points, Glory Points 10 + 5, and one solidified stone
Looking at the mission prompt, Liu Banxia sighed in relief, grateful to have completed his mission.
Even after extensive training in the dream realm, there’s still room for concern during actual operations.
After all, NOSES is not yet a routine surgery in the hospital but a promotional surgical technique, and the results of these surgeries could significantly influence future promotions.
"Clap clap clap..."
The people in the observation room began to applaud spontaneously.
"Thank you, thank you all for your support." Liu Banxia said with a smile.
"You’re really something else, kid. Go easy, don’t take away business from our proctology department. Otherwise, I’ll tie you up to bring you into proctology." Jiang Tao "threatened" jokingly.
"No, absolutely not. You should let the interns come over to our department for debridement assessments; I’m quite looking forward to them. I know they’re all eager." Liu Banxia replied with a laugh.
"That settles it, off we go now." Jiang Tao nodded, leaving with Guan Wei.
Others didn’t linger either, having seen enough and knowing that Liu Banxia’s professional record has gained another highlight.
Because this is another record in the history of the Second Hospital, the proctology department has TEM equipment, but they haven’t performed a radical rectal cancer surgery.
Whether it’s the speed of performing surgery or the precision of intracavity suturing, Liu Banxia is truly above critique.
"Teacher Liu, you’re really amazing. I dream of mastering such skills, but my hands and brain don’t quite sync up." Xu Yino sighed.
"Just practice slowly, if there’s no time, create time to practice. The equipment is right here, you know, like a private tutorial for you." Liu Banxia said.
"But it’s really incredible, this operation was truly satisfying to perform." Li Liwei commented with a sigh.
"This guy, changing to praising me now, it’s unnecessary really. It didn’t take too long; honestly, I do feel a bit proud." Liu Banxia said earnestly.
Everyone in the operating room burst into laughter; this is the Liu style.
After such a successful surgery, if he still acted all serious, now that would be unusual.
