Chapter 497: Chapter 284: Joining the Fuwai Sharp Blade Team
While He Guangzong was still mulling things over, Wu Ting had already completed the incision and dissection beneath the inguinal ligament.
Observing Wu Ting’s fundamental skills, the doctors in the operating room were all struck with amazement.
"Such steady hands! Such precise incision technique!"
He Guangzong also admired Wu Ting’s incision work; it was clear he had practiced relentlessly.
"Scissors... clamps... fine suture..."
Wu Ting’s movements were exceptionally delicate and proficient.
After making the incision on the medial side of the femoral artery, he quickly exposed the great saphenous vein. With deft dissection using his scissors, he revealed the structure clearly and separated it completely.
"Such clean technique. Many young doctors tend to damage the vascular adventitia and lymphatic vessels at this stage..."
Watching Wu Ting operate, Director Ren began to consider giving him more opportunities after this surgery was over.
After completing the dissection, Wu Ting precisely clamped all the branches, transected them, and then ligated them with fine sutures.
’Even He Guangzong inwardly marveled at the brilliance of Wu Ting’s suturing and ligation technique. He felt an even stronger desire to pull Wu Ting onto his team.’
He Guangzong even hatched another plan: to recruit Wu Ting directly into his emergency cardiac surgery group, the Sharp Blade Team of the Fuwai Emergency Center!
On the operating table, Wu Ting ligated both ends of a 20cm section of the great saphenous vein, transected it, and harvested the graft.
This was the ingenious part of the bypass surgery’s design. The autologous great saphenous vein graft would be used to create a channel between the proximal and distal ends of the problematic coronary artery. This allowed blood to bypass the diseased middle segment and reach the far end, much like a bridge carries a highway over a broken road, ensuring unobstructed blood flow.
Next, with perfect composure, Wu Ting completed the dissection of the internal thoracic artery...
He then initiated cardiopulmonary bypass... Wu Ting chose to transect the distal end of the internal thoracic vascular pedicle at the level of the sixth intercostal space to dissect out the artery...
"...Heparin... wet gauze..."
Watching Wu Ting operate, everyone in the room had completely shed their tension. His movements were fluid and possessed an aesthetic grace.
Director Ren and Director Zhao had initially been worried that He Guangzong was throwing Wu Ting in over his head, but now, all they could do was watch in silent admiration.
"No wonder he became the national champion... Wu Ting is leagues ahead of Hu Zhipeng for their age!"
Ren Anyi gained a whole new appreciation for Wu Ting’s clinical skills. The most crucial part was that Wu Ting’s expertise had previously been focused entirely on liver tumors.
Next, Wu Ting began the anastomosis between the internal thoracic artery and the left anterior descending coronary artery.
This required tailoring the length of the internal thoracic artery based on the target site on the anterior descending artery. The graft needed to be as short as possible without creating any tension.
He Guangzong was about to offer a reminder, but to his surprise, Wu Ting simply eyeballed the distance. Relying solely on his superb fundamental skills, he perfectly executed the incision and anastomosis on the anterior descending artery.
For the arteriotomy on the internal thoracic artery and the anterior descending artery, Wu Ting used the most suitable mattress sutures... followed by continuous suturing and five interrupted sutures to complete the entire anastomosis.
Seeing the result, He Guangzong, Ren Anyi, and Hu Zhipeng were all filled with admiration.
Normally, an anastomosis between two different vessels like this would leave an excess length of the internal thoracic artery to be trimmed. But Wu Ting’s graft was the perfect length—not a millimeter more or less.
What incredible foresight and precise calculation this required! Beyond mere experience, this was pure talent!
Ten minutes later, Wu Ting completed the first half of the operation, successfully establishing cardiopulmonary bypass.
The next step was the interventional portion: placing a bioresorbable polymer vascular stent at the site of the lesion.
He Guangzong had intended to wait for Wu Ting to ask for help before taking over the surgery.
But unexpectedly, Wu Ting glanced at Director He, and seeing no sign that he was about to step in, simply proceeded with the next phase of the operation himself.
"???"
He Guangzong was taken by surprise. He was just about to intervene when Wu Ting had already begun the next steps with practiced skill.
"Er... alright then..."
Watching Wu Ting’s movements, He Guangzong decided to just keep observing.
Endovascular repair also requires establishing surgical access.
Wu Ting precisely located the bilateral femoral arteries.
He Guangzong nodded slightly.
After inserting the femoral artery sheaths, he began the angiography.
"Pigtail catheter... guidewire..."
Under angiography, after confirming the diameter, length, and angle of the lesion, Wu Ting also assessed the length of the aorta and the condition of the bilateral iliac and internal iliac arteries before beginning to select the appropriate stent system.
"Super-stiff guidewire..."
Wu Ting’s technique was remarkably adept. His choices for stent deployment, the angle, the force, and the final precision were so exact that for a moment, it was like watching a reflection of He Guangzong himself.
"How does Wu Ting’s technique look so much like Director He’s...?"
Ren Anyi had assisted Director He in countless surgeries, and he found it hard to believe. If he didn’t know Wu Ting’s background, he would have assumed he was Director He’s personal protégé.
Watching Wu Ting operate, He Guangzong also felt a sense of familiarity.
’How did this kid learn? Don’t tell me he practiced by watching my surgical videos?’
One of He Guangzong’s own great passions was to watch and learn from the surgical videos of top surgeons from home and abroad, so he knew very well the value and significance of studying recordings.
He never expected to meet a kindred spirit here today.
Several of Wu Ting’s unique micro-maneuvers were He Guangzong’s signature techniques. Director He was now certain that Wu Ting must have repeatedly studied his surgical videos.
He felt a growing sense of approval and trust for the young man.
After deploying the first and last covered sections of the main stent body, he began the sequential expansion of the connecting portions between the main body and the aorta!
Watching Wu Ting operate, Ren Anyi, Director Zhao, and Hu Zhipeng were utterly stunned.
It was a highly complex procedure, yet in Wu Ting’s hands, it looked as natural and effortless as breathing.
After completing the stent expansion, the next step was the micro-repairs within the aortic lumen.
For this part, although He Guangzong believed Wu Ting was skilled enough to potentially complete it, he promptly stopped him to prevent any possible mishaps.
He Guangzong took over and began his own exquisite maneuvers.
Wu Ting stood by, ready to assist.
He Guangzong’s technique was, of course, just as magnificent.
With Wu Ting and He Guangzong working in tandem, the surgery proceeded with a surprising sense of harmony and unspoken coordination.
With the two of them operating, the difficult surgery was successfully completed two hours later.
Ren Anyi led the applause. Director Zhao, Hu Zhipeng, and the others were thoroughly impressed.
"Absolutely brilliant!"
"This surgery will definitely go down in the history of our cardiac surgery department. It’s a brand-new extension of Hybrid Technology."
"Hybrid Technology on a beating heart... it’s incredible."
The other directors made a mental note to go back and carefully study the recording of this pioneering, new beating-heart Hybrid Technology procedure.
Hu Zhipeng looked on, a sense of awe rising within him.
This was Wu Ting’s very first surgery during the clinical practice portion of the training camp. Not only did he propose a brand-new beating-heart technique for Hybrid Technology with Director He’s involvement, but he also participated in its successful completion.
’He’s just too good.’
Hu Zhipeng had completely lost any desire to compete with Wu Ting.
The upcoming international cardiac surgery competition was going to be the Wu Ting show all over again.
Wu Ting’s surgical skill in the cardiovascular field was easily on par with a senior director at Fuwai. His understanding and mastery of Hybrid Technology and other cutting-edge theories had reached a simply unfathomable depth.
While the directors were singing his praises, He Guangzong extended an invitation to Wu Ting that none of them had seen coming.
"Wu Ting, are you interested in joining the emergency cardiac surgery’s Sharp Blade Team?"
"You were in emergency surgery before, weren’t you? Come join our Sharp Blade Team in Fuwai’s emergency cardiac surgery department. I’ll personally mentor you."
The duties of the Sharp Blade Team didn’t conflict with those of the Cardiovascular Surgery Center’s inpatient ward. Wu Ting could continue his rotation in the third ward and join He Guangzong’s Sharp Blade Team for emergency calls.
Hearing He Guangzong’s invitation, Hu Zhipeng was overcome with envy. This was Director He’s Sharp Blade Team—the group that every doctor in Fuwai’s cardiovascular surgery department was dying to join.
It was a symbol of skill, and even more so, of honor!
To think that after only a few days of training, Wu Ting was being invited into the most elite Sharp Blade Team!
Wu Ting had, of course, heard of this legendary team at Fuwai. The chance to operate alongside He Guangzong was an opportunity he couldn’t possibly pass up.
"Of course!"
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