Surgery Godfather
Chapter 1153 - 916: Director, I’m not feeling well

Chapter 1153: Chapter 916: Director, I’m not feeling well

Since the family members had all arrived, Director Fang, being cautious, took the opportunity of the ongoing video recording to speak with the family members again. He explained every detail of the surgical informed consent thoroughly, making sure that they understood before allowing Jiang Li’s family representative—her elder brother—to sign and leave a fingerprint.

Furthermore, he asked the other siblings to supplement the signing with a formal letter of authorization, indicating that all the brothers and sisters entrusted all decision-making authority regarding Jiang Li’s medical treatment at the hospital to her eldest brother. This legal precaution ensured they were fully equipped to handle any situation, even if the relatives changed their story post-op.

Doctors now have to be extra careful; it’s easy to fall into a trap in today’s society, which has been complicated by a few rotten elements.

With the preoperative signing complete, Director Fang mentally checked for any oversights. An extra level of caution can make a lifetime of difference, being relevant both to the meticulousness of the surgery and to the surgical process itself.

Once confident there were no loopholes, Director Fang instructed the ICU’s chief physician to arrange the surgery.

The chief physician started contacting the operating room’s duty nurse to notify them of the surgery, while the ICU ward’s nurses began the preoperative preparations to transfer the patient to the operating room.

Parasites are generally divided into helminths and protozoa, with liver hydatids belonging to the former category.

Liver hydatid disease is relatively rare in the southern regions; it is more prevalent in the northwestern provinces of China, such as Xinjiang, Qinghai, Ningxia, Gansu, Inner Mongolia, and Tibet. Among these, Naqu in Tibet has the highest incidence rate.

The process of treating the disease generally goes like this: As helminths, canine tapeworms reside within the intestines of dogs. The eggs they release in feces often stick to the fur of animals like dogs and sheep. Humans may become infected if they consume food contaminated with these eggs.

Once ingested, the eggs enter the gastrointestinal tract where, under the influence of digestive fluids, the larvae hatch, penetrate the intestinal mucosa, and enter the portal vein system. They travel through the portal vein into the liver, where most of the larvae remain.

Within three weeks inside the body, the larvae develop into hydatid cysts. These growing cysts in the liver gradually enlarge, causing compression symptoms in neighboring organs, which can lead to obstruction, infection, and even rupture and dissemination of the cysts.

From her medical history, it appears Jiang Li had traveled to the pastoral region of Naqu, Tibet, where she may have contracted liver hydatid disease. However, as her visit was a year ago, and assuming this timeline, the disease has developed in only one year. Yet it has already eroded most of her liver and invaded the abdominal and thoracic cavities, suggesting an unusually rapid progression of the disease.

This is merely a conjecture based on epidemiology. Nowadays, with greater animal mobility and an increase in urban stray animals, sporadic cases can also emerge in non-endemic areas.

Cyst rupture into the abdominal cavity is a rare complication of liver hydatid disease. Once the cyst bursts into the cavity, the cystic fluid, which contains a large amount of foreign protein, can cause a severe allergic reaction, leading to peritonitis and anaphylactic shock.

CT imaging is the common method for diagnosing this condition, and the CT signs indicative of an acute abdominal emergency due to a ruptured liver cyst are the "serpent sign" and "water lily sign." These characteristic imaging descriptions were first detailed by European doctors in 1990 and 1991.

Jiang Li is currently in shock, and there are two potential causes: infectious shock and anaphylactic shock, which are intertwined, making treatment very difficult. Relying solely on medication is almost impossible; emergency surgery is imperative to remove the liver hydatids, the sections of liver tissue eroded by the parasite, the ruptured cysts, and the disseminated cystic fluid. Only by thoroughly eliminating the pathogen, and with adjunctive anti-shock therapy during and after the surgery, is there hope to save Jiang Li’s life.

Getting home in time for dinner was not an option. Yang Ping called Xiao Su to explain the situation, asking his family not to wait for him.

With everything in place, Yang Ping and Director Fang hurried to the operating room. Director Fang had brought some dry food, which they ate quickly in the changing room before immediately changing into their surgical gowns.

Since the Surgical Research Institute had its own operating room, Yang Ping rarely conducted surgeries on this side. Upon hearing that Yang Ping was coming to operate here, everyone was very excited—legendary figures are worshipped anywhere they go.

Besides, whether it’s the anesthesiologists or the operating room nurses, everyone aspires to work at the Institute, as not only is the pay better, but the experience gained there is extremely valuable. One could easily choose their next job. Now, the Institute is not only a national leader but a world leader in the field.

Take for instance Anesthesiologist Liang Fatty, who had recently started dating a flight attendant—common knowledge at Sanbo Hospital. The anesthesiologist circle was abuzz with talks about how Liang Fatty had struck it rich by working with Yang Ping, not just earning money but also gaining access to vast resources, and he had a boundless future ahead. Without a decent amount of money, engaging in a romance with a flight attendant wouldn’t have been possible.

As for Song Zimo, Xu Zhiliang, Zhang Lin, and Little Five, they were the envy of the entire hospital. It was public knowledge that Yang Ping was preparing to be nominated for Academician and the Nobel Prize. Following this trend, it was only a matter of time before Song Zimo and Xu Zhiliang became Academicians, and the newcomer Tang Shun was also destined to become one.

"Professor Yang!"

The anesthesiologists and operating room nurses politely greeted Yang Ping as he arrived, with more people gradually gathering in the operating room. Most of the doctors from the General Surgery Department were there to observe Yang Ping’s surgery, as opportunities to closely watch him operate were rare.

The patrolling nurse, out of respect for Yang Ping, didn’t feel it was proper to send people away, so she tacitly allowed them to gather in the operating room. Fortunately, the doctors were quite understanding and conscious of sterile practices, doing their best not to cause any trouble for the operating room.