Level Up Doctor - Chapter 156

Preparing for farewell (2)

‘Amazing.’

Park Yong-il stood in the position of the surgeon and stared at the staff.

Although there are no special instructions, everyone is busy preparing for surgery in their respective locations.

Thanks to this, preparations were completed in the blink of an eye.

He once again felt the unity of the Saber team. In addition, he also had a desire to have a team in the field of obstetrics.

“Professor. We are going to use a laryngeal mask to maintain the airway.”

Anesthetist Shin Ah-reum approached and said.

“Laryngeal mask? Wouldn’t tracheal intubation be better?”

“Using a laryngeal mask minimizes airway damage and allows more flexibility in using other tools during surgery.”

“I also read the paper about laryngeal masks, but tracheal intubation is still common.”

Park Yong-il gave a lukewarm answer.

It was burdensome to abandon the old method and start with a new method.

“But can you leave it to me? It is the anesthetist’s responsibility to manage the patient’s vitals during surgery. I will never interfere with the professor’s surgery.”

“Okay, I’ll do it.”

“thank you.”

Park Yong-il could not take his eyes off Shin Areum, who was heading behind the curtain.

It’s been a while since I’ve seen an anesthesiologist with such determination…

‘There’s a reason why the Saber team is doing so well.’

You could tell just by looking at the level of anesthesia.

How good are the other staff and assistant surgeons? Thanks to this, I felt like I could fully focus on the surgery.

“Patient, don’t be nervous. I’ll adjust the height of your pillow, so please tell me when it’s most comfortable for you to breathe.”

“yes.”

“How are you feeling now?”

Shin Areum said after adjusting the position and height of the pillow.

“Not yet.”

“What now?”

“I wish the pillow were a little higher.”

“How about this?”

“It’s just right.”

When Hwang Ki-jeong nodded slightly, Shin Areum injected an anesthetic through an intravenous line. As the anesthetic spread, Hwang Ki-jeong’s eyes closed and her whole body went limp.

“Here it is.”

Disinfection nurse Kang Hana handed over a flexible bronchoscope.

It was as if he had read Park Yong-il’s inner thoughts.

Park Yong-il received the bronchoscope and inserted it into the patient’s mouth.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.

I controlled it carefully by adjusting the degree of bending of the tube with the handle. If done incorrectly, the tube could cause damage to the trachea or vocal cords.

“There is no abnormality in the electrocardiogram. Vitals are still normal.”

The anesthesiologist’s report was heard.

Meanwhile, the scope attached to the bronchoscope revealed the inside of the trachea.

“Professor. It won’t be easy.”

“I agree.”

Park Yong-il nodded at Kim Tae-sik’s words.

The diameter of the stenosis area is 1.5 centimeters on average, with the narrowest diameter being 4-5 centimeters. I knew the stenosis was severe through pre-operative examination, but it felt different when I looked at it through a bronchoscope.

“I’m going to have a tracheotomy.”

“Adjust the intratracheal pressure to 16 cmH2O. Pulse oxygen saturation will be maintained above 95 percent.”

Shin Areum quickly responded to Park Yong-il’s words.

As the game began, there was a lot of tension in the operating room.

The first step in today’s surgery is tracheostomy.

If this goes wrong, it will have a huge impact on future surgery.

“You don’t need a scalpel.”

“Didn’t you just say you were temperate?”

Kang Hana widened her eyes. This is because Park Yong-il did not accept the scalpel she handed him.

“During the briefing, I heard that you would perform a general surgical resection using a scalpel…”

“I changed my mind after entering the operating room.”

Park Yong-il continued calmly.

“Let’s resect the stenosis with an endoscope. There are three more surgeries left after the tracheal stenosis surgery. Let’s try to reduce the burden on the patient as much as possible.”

“All right.”

Kang Hana took out the scalpel and Kim Tae-sik retrieved the bronchoscope and finished setting it up to make an incision.

“You don’t object, do you? You know that cases of endoscopic tracheostomy are rare, right?”

Park Yong-il stared at Kim Tae-sik.

“Yes. I know. Considering the difficulty of the technique, direct incision using a scalpel is much more convenient. But…” “

But?”

“I think the professor’s decision to prepare for the surgery that will follow is correct. The surgical method can flexibly change depending on the situation.”

“I will repay your trust.”

Lee Chae appeared in Park Yong-il’s eyes.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.

The flexible bronchoscope was re-entered the patient’s trachea.

Park Yong-il looked at the monitor and carefully controlled the light source. Then, the light source was fixed on the stenosis area and the incision was made.

For a moment, Rosette’s time seemed to have stopped.

With all the staff’s eyes focused on the monitor, Park Yong-il carefully cut out the trachea.

The tracheotomy ended in an atmosphere that felt like it was going to explode like a bomb.

Park Yong-il installed a reinforcing tube in the place where the severed organ was and began auscultating and checking vitals.

Fortunately, the resection was uneventful.

The time it took to complete the first surgery was 50 minutes.

The estimated time was 1 hour and 30 minutes, so it was shortened by a whopping 40 minutes.

“I don’t even have time to like it. I’m going straight into esophageal reconstruction surgery.”

“yes!”

The staff responded bravely to Park Yong-il’s words.

Seo Ji-hoon was the first to undergo the second surgery.

Seo Ji-hoon had the patient lie down on his side and held him in place by raising his arms.

Then, the chest and rib areas were widely disinfected with povidone solution.

“Good job, scalpel.”

Park Yong-il used a scalpel to cut the patient’s skin from the front to the 6th intercostal space. It is the most commonly used posterolateral thoracotomy for thoracic esophageal diseases.

“Youngho. Spreader (a type of retractor).”

“yes.”

Seo Ji-hoon received a spreader from Lee Young-ho and spread the excised area wide. Afterwards, the spreader was firmly fixed with surgical tape and the lungs were pulled with Lee Young-ho and a spatula.

“Mediastinal resection.”

Taesik Kim resected the mediastinum with a scalpel.

The mediastinum is a commonly referred to vertical space, from which the locations of various organs are divided. Therefore, the mediastinum must be excised to reach the problem area, the esophagus.

Saaaaagh.

As the blade sliced through the posterior mediastinum, the esophagus was revealed.

“Mezen (surgical scissors).”

Park Yong-il removed the aorta attached to the back of the esophagus where the lesion was with a Mezen. If this work is not done in advance, problems with the aorta may occur later during esophagectomy.

“Professor. There is bleeding in the esophageal and aortic vessels.”

“this!”

Park Yong-il frowned at Kim Tae-sik’s report.

“You take care of the esophageal vessels. I will take care of the aortic vessels.”

“All right.”

Kim Tae-sik opened the esophageal blood vessel with an electric cautery, and Park Yong-il tied the bleeding blood vessel with natural silk.

With the two’s quick treatment, the bleeding stopped quickly.

“Meth.”

Park Yong-il’s blade cut through the esophagus where the lesion was located without hesitation.

Empty!

The cut part fell on the bench.

With this, the thoracic surgery part of the esophageal reconstruction surgery was completed successfully.

“I will close it.”

Kim Tae-sik sutured the area where the thoracotomy was performed, and only then did Park Yong-il sigh.

‘Professor Jeong, Professor Jang. Please take care of the rest.’

* * *

Waiting room in front of the rosette.

The staff was gathered together to monitor the surgery.

“As expected, it’s Professor Park.”

Choi Ki-seok couldn’t take his eyes off the monitor.

Park Yong-il reduced the patient’s burden by performing a tracheotomy using a bronchoscope. Not only that, but considering the surgery that followed, the surgery was completed quickly.

You have completed 200% of your work.

“Anyway, why doesn’t Professor Jeong come here?”

Hyukpil Jang nervously shook his legs.

The thoracic surgery part of the esophageal reconstruction surgery was coming to an end.

However, there is no news about Chung Myung-woon, who will take over the baton.

The surgery should have been completed by now and we should be able to observe the surgery together.

“I’ll go to A Rosette.”

“Okay. Go quickly.”

Choi Ki-seok quickly walked towards the rosette at the end of the operating room.

Above the rosette door, a light indicating surgery was on. It appears that something unexpected occurred while on the way home.

‘Unlucky.’

Choi Ki-seok’s eyebrows twitched.

It is no exaggeration to say that Myungwoon Jeong is the core axis of today’s surgery. This is because there is no surgeon who can perform esophageal reconstruction that quickly and accurately.

Jiyiing.

The moment Choi Ki-seok was about to make a phone call, the door opened.

“professor!”

“Surprise. You were surprised.”

Jeong Myeong-woon shook his head.

“The thoracic surgery part of the esophageal reconstruction is coming to an end.”

“Has it happened already? Let’s go!”

The two people walked side by side down the operating room hallway.

“If you don’t mind, may I ask why you chose me as your first assistant?”

“That’s heartache.”

“If it’s heartache…”

“You rejected my suggestion to stay in gastrointestinal surgery and went to thoracic surgery.”

Jeong Myeong-woon looked at Choi Ki-seok’s expression and continued speaking.

“It’s a joke, you know?”

“…I thought you meant it sincerely.”

“Are you disappointed? You thought of me as such a petty person?”

Jeong Myeong-woon placed his hand on his shoulder.

Actually, I called Choi Ki-seok as an assistant because I wanted to check his skills firsthand.

Not only did he perform a thoracentesis during his first year of training, but he also treated an idol at the scene of a car accident, and proudly joined the Saber team as an assistant despite only being in his first year of registration.

I was curious whether he was as talented as the rumors said.

“Did you study hard about esophageal reconstruction?”

“I am confident.”

“I hope it’s not just your mouth that’s alive. If you don’t keep up with it properly, it’ll be broken for the rest of your life.”

“We will make sure that never happens.”

Choi Ki-seok answered confidently.

The two walked while talking and arrived at Rosette.

“It was late because there was sudden bleeding during the surgery.”

“As expected, you are the star of today’s surgery. You came just on time.”

Hyukpil Jang and Myungwoon Jeong exchanged a few words.

“Then I will prepare the house.”

“I’ll go in too.”

Myungwoon Jeong and Kiseok Choi scrubbed in the disinfection room and entered the rosette.

Just then, the suturing of the posterolateral thoracotomy was completed.

“Thank you for your hard work. Please leave the rest to me.”

“Then please take care of me.”

“Take care of yourself, Kiseok. See you later.”

“Thank you for your hard work, Mr. Kim.”

Staff changes were made along with personnel changes.

Now, the surgeon is Myeong-woon Jeong, and the first assistant is Ki-seok Choi.

‘oh my. ‘Be scared.’

Choi Ki-seok clicked his tongue inwardly.

Seo Ji-hoon’s gaze towards him was filled with coldness. The judging seemed to be distorted by the fact that a junior was the first assistant.

“Seeing as there are no problems with his vitals, it looks like the surgery went well. Ki-seok, you and I need to be extra careful.”

Jeong Myeong-woon paused before continuing.

“Do you know why?”

“I do not know.”

“Because from now on, if there’s a problem, it’s your responsibility and mine. Come to your senses!”

“Yes.”

Choi Ki-seok answered bravely and disinfected his abdomen with povidone.

[Use the Must Save skill. All abilities temporarily increase by one level.]

[Frozen Heart’s cold effect and bravery effect. is being applied.]

– Extreme Cold: Nearby staff become calm and their abilities do not drop even in emergency situations.

– Bravery: The ability to analyze the cause and come up with a treatment method is doubled.

[Uses the Dragon’s Eye . . It provides an optimal surgical field of view and allows users to use zoom-in mode and zoom-out mode according to their will. The

skill notifications that sounded in sequence boosted confidence.

“Esophageal reconstruction surgery begins now. Scalpel.”

Myeong-woon Jeong. Kang Hana handed over a scalpel.

Buuuuk.

The blue blade cut into Hwang Ki-jeong’s abdomen.