Chapter 461
This situation made Du Leng feel that everything was going very well. Zhou Can’s face showed no expression, the departure of Song Ze barely impacted the surgical capabilities of Deputy Director Liu’s team. Because Song Ze usually just played the role of the second assistant in major surgeries, doing tasks like suturing and miscellaneous ones. As for independent surgical abilities, Song Ze was an attending physician with relatively little experience, capable of independently leading some simple Level 1 and Level 2 General Surgery procedures. Now that he had left, Zhou Can was just in time to take over all of Song Ze’s surgeries. Watching Yang Qing’s team of doctors leave, Zhou Can didn’t exchange a single word with Song Ze. When Song Ze passed by him, he even purposely turned his head away, pretending not to see Zhou Can. “Is Yang Qing’s team really that attractive?” I really don’t know what Song Ze was thinking. I always feel that Song Ze has no dignity at all in Yang Qing’s team. Zhou Can no longer cared about these people and went into the operating room with the intern and the patient with gallstones. Soon after, He Hansheng, Deputy Director Liu, and others entered the operating room one after another. Zhou Can’s gaze flickered, he noticed that the team was one person short. “Director Liu, there’s something I need to tell you. Resident Doctor Cheng Gang has moved to another group.” He Hansheng braced himself and informed Deputy Director Liu of this matter. “Another one left?” Deputy Director Liu was stunned for a moment, his tone full of melancholy, and a sense of sorrow in his eyes. One after another, his subordinate doctors left his group at this critical moment to join other groups, which for this man near sixty, was a repeated deep emotional blow. By now, the entire surgical team was left with just First Assistant He Hansheng and Third Assistant Wan Sanlao. Zhou Can, after all, was just a training resident, and he too would leave once his rotation in this department was over. Hence, he could not be considered a permanent member of this team. The other few trainees and interns were of no great use either. They could only help with tasks that were not technically challenging and carried less risk. Besides, they were going to leave as well. For an intern to become a Resident Doctor under Deputy Director Liu, there was still a long road ahead. There were also many uncertainties. Tu Ya believed that at least 90% of interns would eventually be eliminated. Less than one in ten could stay on. Anyone who has interned knows this. Interning at a provincial top-tier hospital, one starts off incredibly proud and full of bright prospects for the future. Only after the internship ends does one realize how difficult it is to even qualify for a residency, let alone secure a permanent position. The competition in big hospitals is indeed brutal. Thousands of candidates competing for a single narrow bridge, very few could cross, and each who did was exceptional. Within just one day, three of Deputy Director Liu’s subordinate doctors left, each of whom he had earnestly trained for at least two years. When these people left, they didn’t even say goodbye; they just left. The coldness of human nature was truly exemplified in the face of interests. “Those who want to leave cannot be stopped, let’s start the surgery!” Deputy Director Liu sighed, somewhat listlessly. “Dr. Zhou, you are better at endoscopic surgery. Let’s work together to complete this surgery and give Director Liu a break.” He Hansheng consulted Zhou Can’s opinion. Director Liu, currently under great emotional impact, was trembling. It was unclear whether it was out of anger or due to severe physical discomfort. After all, he was of an older age. His current condition definitely didn’t suit personal involvement in surgery. “I’m totally fine. Director Liu can just give pointers on the key operations, I am confident about performing this surgery well.” Zhou Can had already studied the patient’s diagnostic reports. The bile duct had multiple stones requiring endoscopic examination as well as gallbladder removal and common bile duct stone retrieval. He had previous experience with endoscopic gallbladder removal surgeries. He was confident in performing this surgery even without supervision from senior doctors. “Xiao Zhou, the earlier steps are the same as the laparoscopic gallbladder removal surgery; you can just proceed with it.” Director Liu had a lot of trust in Zhou Can’s endoscopic surgery skills. “Alright!” Zhou Can followed the steps of the laparoscopic gallbladder removal surgery. “For such laparoscopic surgeries, you can choose between exploring via the cystic duct or making an incision in the common bile duct to explore based on whether the cystic duct is widened. The former method is suitable for cases where the cystic duct is relatively short and stout, generally diameter greater than 5mm can consider this method. For this patient, since the stones inside the bile duct are small and few, we can use the common bile duct incision exploration for stone retrieval and T-tube drainage.” Director Liu guided Zhou Can during the surgery. “Understood!” Zhou Can responded while carefully dissecting the upper segment of the common bile duct along the cystic duct. After handling the cystic artery, he released the cystic duct and dissected towards the junction of the common bile duct and hepatic duct in the direction of the anterior leaf of the duodenal ligament. Until the blue-green bile duct was clearly exposed. These manoeuvres required exceptionally high endoscopic surgery skills. In Director Liu’s surgical team, even if Director Liu himself performed the procedure, it might not be as well done as Zhou Can. The others stood by quietly watching. Some stared at the endoscope screen, some focused on Zhou Can’s hands. Zhou Can very cautiously made an incision in the anterior wall of the common bile duct. The revealed upper segment of the anterior wall of the common bile duct had blood vessels. He calmly used a curved dissector to lift the anterior wall of the bile duct, followed by electrocoagulation. Then, he placed a small piece of gauze with barium sulfate line in Wen’s hole and used curved mini scissors to longitudinally or obliquely incise the anterior wall of the common bile duct by about 1cm.