(Thanks to Bookworm for the reward and encouragement, and thanks to cj2001, Face Forward Bookfriend 20100715180010284, Coffee Bean, kh5g for the monthly ticket encouragement)

"Although there will be some pain after the surgery, which will affect your life, undergoing surgical intervention now can save your life."

After the patient was brought in, Liu Banxia said.

The patient, who had already received pain relief, was able to nod calmly in response, although unable to speak, indicating understanding.

"Let's start the anesthesia." Liu Banxia said.

Wang Lei quickly began the procedure.

"Isn't everyone quite nervous? Actually, I'm nervous too." After the anesthesia was successful, Liu Banxia said.

"I won't explain too much about this operation because even if I do, you may not remember it, and it might affect you. Just watch carefully; the main task is to dissociate the relevant organs."

"This surgery is actually less difficult than radical tumor resection because we don't have to consider adhesion, tumor infiltration, or metastasis-related issues."

"The patient turned chronic pancreatitis into acute due to alcohol consumption and overeating and may have hemorrhagic necrotizing pancreatitis complicated by acute peritonitis."

"We've also just discovered symptoms of hyperlipidemia in the patient. So for this surgery, I am merely a surgeon; the success lies in the anesthesiologist's hands."

"Even in the middle of the night, there are quite a few people watching. Let's skip the small talk. I'll start with an exploratory laparotomy. A routine laparotomy will do, and since there's peritonitis, we should be as swift as possible."

After saying that, Liu Banxia directly performed a laparotomy using an upper abdominal curved incision.

As his first assistant, Wei Yuan cooperated exceptionally well. These were routine tasks, and the assistance was very adequate.

"Exploration reveals a small amount of ascites within the abdominal cavity, with blood present in the ascites, diagnosed as hemorrhagic necrotizing peritonitis. Exploration of other intra-abdominal organs shows no significant injury, allowing for a total pancreatectomy."

After opening the abdomen, Liu Banxia said.

"As surgeons, regardless of the situation, the most important fundamental skill is anatomy. I've mentioned this more than once; it's for the new students to hear."

"Whether in general surgery, neurosurgery, cardiac surgery, or orthopedics, if you want to operate on a patient, you must sufficiently understand the surgical site. This ensures the most appropriate dissection, making it easier to remove or repair lesions."

"If your dissection is precise, you'll enjoy many conveniences in subsequent operations. A good surgical field can be provided during the procedure, and there'll be ample space when clamping vessels."

"Managing intraoperative blood supply is crucial, not only clamping the supplying vessels but also controlling bleeding points arising during dissection."

"Even mature surgeons can make mistakes and might unintentionally injure a vessel. Our understanding of these vessels is generally about their approximate location."

"During actual operations, you'll find that many patients have certain degrees of vascular deviation and malformation. If a vessel is indeed injured, don't panic; just handle it quickly."

"Now my procedure is the standard method for pancreaticoduodenectomy dissection. A total pancreatectomy is essentially a combination of pancreatic head and tail surgeries."

"We can now see a portion of the pancreas, largely characterized by extensive diffuse necrosis. This shows that surgical intervention is very necessary; otherwise, it's uncertain how many hours the patient can endure, and they would be in great pain for those hours."

"The first pancreaticoduodenectomy I saw was performed by the director. It was a stunning experience, Doctor Wang, how are the patient's vital signs?"

"Currently stable," Wang Lei said.

"Last time, it was pancreatic head cancer. Pancreatic cancer is the king of cancers; I still remember intraoperative biopsies were needed to see the extent of cancer cell spread." Liu Banxia continued.

"I've now completed the dissection, and when the director arrives, handling it will be much easier. There are too many involved organs, and all I can think of is having a proper lunch tomorrow."

"You're doing well, keep going."

As soon as Liu Banxia finished speaking, Zhou Shuwen's voice came over the operating room's speaker.

It gave Liu Banxia quite a shock, nearly causing him to cut inaccurately with the electric knife.

Although he suspected that Zhou Shuwen would completely entrust this surgery to him, he still thought Zhou Shuwen would need to be in the operating room.

Now he didn't even know when Zhou Shuwen stood in the observation room. Why is the big director still so playful?

"Why are you staring at me? Continue with the dissection. Didn't you just say a lot of stuff?" Watching him look up stupidly, Zhou Shuwen added.

"Hmm..., I'll continue. Actually, I'm still somewhat nervous." Liu Banxia unwittingly admitted the honest truth.

Zhou Shuwen was helpless, though Liu Banxia's voice wasn't loud, it was clear enough to hear.

This is also a manifestation of Liu Banxia's "uncertainty," but after showing this kind of behavior, he actually feels more at ease.

Whenever Liu Banxia behaves a bit unseriously, it's actually when his mindset is at its best. If he were to treat things with complete seriousness, then Zhou Shuwen might not be as confident in entrusting the surgery to Liu Banxia as the chief surgeon.

Personality determines destiny, and a cheerful Liu Banxia is in his best state. The previous days were serious, showing excessive mental pressure, making everyone else tense as well.

However, Liu Banxia reined it in a little, and in the coming time, he's only explaining his approach. How to operate, that's something everyone needs to see for themselves.

This surgery will take a long time, so Liu Banxia's goal is simply to have a timely lunch, not daring to hope for an early meal.

Zhou Shuwen is increasingly satisfied in the observation room because, for him, this is a surgery he thoroughly understands. Liu Banxia's every step of operation now aligns with Zhou Shuwen's choice.

"Any surgery today? Came late at night, aren't you taking a break?" Wrapped up in watching, Chen Zhenxing's voice came over.

Zhou Shuwen chuckled, "Got to keep an eye on this kid. Judging by today's operations, he has already saved about fifteen minutes, and no need for intraoperative biopsies. Lunch will be on time."

"Didn't have breakfast either?" Chen Zhenxing asked.

Zhou Shuwen nodded, "Got so absorbed in watching his surgical operations and the patient's vital signs that I forgot."

"You guys, forget everything else when you encounter surgeries." Chen Zhenxing said somewhat helplessly.

"Just arrived at the hospital, heard about the situation here. Based on his surgery, if you find it suitable, give him the operation permission."

For many people, this is the first they've heard of this. Especially in the observation room now, many attending doctors and deputy chief physicians have gathered.

Even in the whole second hospital, surgeries like total pancreatic resection are rare.

The indications for performing a total pancreatic resection are not many, mostly pancreatic duct cancer, entire pancreatic involvement, or with multiple lesions still controllable within the pancreas.

Pancreatic cancer is called the king because it's very hard to detect. Once discovered, it's already in the mid-late stage, losing the value for surgery.

Even for some pancreatitis patients, whether chronic or acute, most are edema-based, or hyperlipidemia type pancreatitis.

These can be controlled through conservative treatment, such cases like this patient are indeed rare.

There are many spectators, listening to Chen Zhenxing's previous words with a sense of awe.

Operational permission is very important in the hospital system because every surgery is responsible for both the chief surgeon and the patient.

Chen Zhenxing just implied granting Liu Banxia, a junior attending, higher permissions. After hearing it, how can one avoid feeling a bit sour?

Such major surgeries have never been led by some deputy chief physicians.

It means Liu Banxia may not have full permissions, but within the limited permissions, he might rank higher than many deputy chief physicians, on par with chief physicians.

The envy might be there, but one can only be envious, unable to say more.

Because Liu Banxia's current operations are even praised by Zhou Shuwen, stating they're on par with his own standards but faster, who can compare?

Some have seen Liu Banxia perform hepatectomy for cancerous tumors, naturally knowing Liu Banxia is truly strong.

Such major surgeries require extensive knowledge. A single oversight can lead to surgical accidents.

Sometimes it's that simple, when someone is just emerging, many faults might be picked out due to a little envy and jealousy in one's heart.

Now Liu Banxia has performed multiple major surgeries, his abilities have been validated several times, so upon hearing such slightly offbeat news, people mostly feel a bit envious. 𝒇𝒓𝒆𝒆𝙬𝒆𝒃𝓷𝒐𝓿𝙚𝙡.𝒄𝓸𝒎

Jealousy doesn't quite arise, because at least one must have comparable skills to be jealous. Hatred is even less likely since nobody's livelihood has been threatened.

Even knowing Liu Banxia occasionally has a quirky temperament, against his strong surgical skills, it's trivial; everyone has their own style.

"Alright, keep watching here, I'm heading back." Chen Zhenxing spoke again.

Zhou Shuwen nodded, not escorting him out, but focusing on watching the surgery.

Making Chen Zhenxing feel a bit helpless, those dedicated to academics and technique often have such quirks.

Yet the mood is beautiful, Liu Banxia's better performance is also a boost to himself.