Chapter 420 - 268: Drawn by Reputation

Chapter 420: Chapter 268: Drawn by Reputation

Jiang He briefly explained the patient’s condition, saying:

"Patient, Tao Yuege, female, nineteen years old. Diagnosis: solid pseudopapillary neoplasm of the pancreas with intracapsular hemorrhage. The tumor, 5.2 centimeters in diameter, is located in the body and tail of the pancreas and is in close proximity to the splenic artery and vein..."

After he finished,

Zhang Sui was the first to raise an objection:

"Jiang He, the surgical plan you submitted is a spleen-preserving distal pancreatectomy with preservation of the splenic vessels, performed entirely laparoscopically? The Kimura procedure?"

"That’s right."

"There are only a handful of hospitals in the country that can perform this surgery. Why are you taking such a risk? A direct open procedure—a distal pancreatectomy with splenectomy—has a high cure rate and extremely low surgical risk. Why not choose that option?"

Even Yang Xu tried to persuade him. "Jiang He, laparoscopic surgery lacks tactile feedback. If major bleeding occurs, it will be very dangerous..."

Although the others didn’t speak, they all shared the vice dean’s opinion.

’The strategy is too aggressive. Unacceptable, absolutely not.’

But how should one put it...

There was truly a generational gap between Jiang He’s thinking and everyone else’s.

In a future era, it would be unthinkable to perform a major open surgery for the same symptoms. The minimally invasive approach he proposed would be the definitive choice.

This wasn’t just because future equipment would be more advanced, but also because future generations would have conducted much more in-depth research on the procedure.

In reality, it wasn’t as high-risk as everyone claimed.

At least, not for Jiang He...

He said, "Dean Zhang, the patient herself was unwilling to undergo a major open surgery, which is why she transferred to Affiliated Hospital No. 1. I have already informed them of the surgical risks. The choice is in their hands."

Zhang Sui fell silent.

’Logically, there’s nothing wrong with that.’

If the family was willing to choose a higher-risk surgical plan,

then of course they wouldn’t stand in the way.

’But still, I can’t help but worry about Jiang He...’

’Medical disputes have been so severe lately. What if her family comes back to cause trouble later?’

After a moment’s thought, Zhang Sui continued, "We all recognize your skill, but this is a laparoscopic Kimura procedure, after all. The splenic vein has numerous branches. How do you plan to handle them?"

"Using an ultrasonic scalpel combined with blunt dissection, I’ll free up the plane along the pancreatic capsule, avoiding the main trunk of the splenic vein. When I encounter small tributaries, I’ll clip and transect them directly..."

Jiang He spoke with incredible fluency, making perfect, damn sense.

It was as if he had performed this exact surgery before...

Everyone was rendered speechless.

’You’re just a kid, and it’s one thing to be curing terminal illnesses all the time, but how can your clinical experience be so vast?’

’Yes, yes, we heard from Professor Xiaoqing that you did very well in your suturing class at school.’

’But is this something you can master in a suturing class? Huh?’

Liang Shaojun, sitting in the back row, listened in astonishment.

’Does the boss mean he can still use the blunt side of the ultrasonic scalpel for dissection under such complex conditions?’

’It sounds so wildly imaginative, yet strangely logical.’

Everyone in the room tried to come up with a rebuttal.

Well... Rebuttal failed. They couldn’t refute him.

’Maybe we should call Zhou Yang over. He can always find an angle for a counterargument...’

So, what now? Were they really going to let Jiang He proceed?

They all exchanged glances.

In the end, it was Yang Xu who made the final call:

"Everyone, no need to be so nervous. I’m used to it."

"Jiang He, be honest with me. Are you once again finding our current surgical guidelines to be garbage and planning to use this operation to update them with a new minimally invasive laparoscopic pancreatic procedure for us?"

As soon as he said this, the atmosphere in the conference room lightened considerably.

That’s right.

This was Jiang He, after all.

Blind suturing, a top-tier new posterior approach, the V-A-V ECMO modification.

Had he created too few miracles?

Zhang Sui pondered for a moment and finally gave up on insisting on standard operating procedure.

’Trust Jiang He, trust Jiang He.’

’Jiang He is not bound by the Three Realms, he has transcended the Five Elements. Trust him, trust him.’

After thoroughly brainwashing himself,

Zhang Sui signed the surgical plan and said:

"Have the medical affairs department file this. Prepare the best laparoscopic equipment and have the entire operating room staff on standby. Jiang He... good luck."

Jiang He nodded. "Thank you, Dean."

...

...

「At the same time, at City First Hospital.」

Wang Zhengchu was sitting at his desk, his face dark.

Thinking back on that ungrateful patient’s family from the emergency department, he seethed with anger. He threw his fountain pen onto the desk and started cursing under his breath.

"The girl’s on death’s door, and she’s still worried about dancing? It’s absurd! Child’s play!"

Just then, the office door was pushed open, and a resident from City First Hospital’s emergency department peeked his head in, saying:

"Director Wang..."

"What is it?"

"Um... about that girl who transferred out earlier. I got some news. They really did go to Affiliated Hospital No. 1 and got an appointment with Director Jiang He."

"So what? Jiang He is skilled, but in a situation like this, he still has to obediently perform an open procedure, right? At most, he’ll just do a slightly better job than me!"

The resident’s voice was small. "No... word from Affiliated Hospital No. 1 is that Jiang He has already accepted the patient. And, he just finalized the surgical plan in the preoperative conference."

"What plan?"

"A fully laparoscopic spleen-preserving distal pancreatectomy... the Kimura procedure."

"?"

Wang Zhengchu was stunned for a moment.

Then he stood up abruptly. "Laparoscopic? And spleen-preserving? Has Jiang He lost his mind?"

"That’s all for my report, Director. I’ll be leaving now..."

"Wait!"

Wang Zhengchu stopped him and asked, "Our team doesn’t have any surgeries scheduled for this afternoon, right?"

"Uh, right..."

"Let’s go. I’m going to ask for some time off. I need to make a trip to Affiliated Hospital No. 1!"

After getting his leave approved,

Wang Zhengchu started muttering to himself again in the car:

"Nonsense, absolute nonsense. Dissecting the splenic vein laparoscopically with all that bleeding and edema? He’s too young, acting so recklessly just because he’s skilled!"

The young resident who had come along with him pretended to look out the window.

Wang Zhengchu asked, "Come on, Little Luo, let’s talk. Tell me, what on earth is Jiang He thinking!"

Luo Chongshan had a bitter expression. ’What I was dreading has finally happened.’

He said, "Director, I dunno."

Wang Zhengchu babbled on endlessly.

Luo Chongshan only caught the two words "acting recklessly."

He started playing an idiom-chain game in his head:

’Acting recklessly... acting recklessly... acting recklessly...’

In truth,

he knew in his heart that although Director Wang was cursing up a storm, he was a very pure-hearted surgeon at his core.

The reason for his fury was simply that he believed no doctor could save that girl without performing a major open surgery.

’But, if Jiang He really pulls it off...’

’What would happen?’

Luo Chongshan suddenly grew interested. He asked deliberately, "Director, what if Jiang He actually does it?"

As expected, Wang Zhengchu took the bait, looking as if he’d been cornered:

"Then I’ll write my damn name, Wang Zhengchu, backward from now on! Not only will I willingly call him Teacher Jiang, but from now on, whenever I see him, I’ll give him a damn ninety-degree bow and shout—"

"Yes! My fucking teacher Jiang!"

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