Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Nothing happened that night. The next day, we were in the first operating room of the Tokyo University Hospital.

The air here seemed to be frozen, filled with an almost tangible sense of solemnity.

The huge circular viewing room was already full, and the back rows and aisles were even packed with people standing.

Almost all the top experts and academic leaders from major hospitals in Country R gathered here, and there were even some scholars who came from Europe, America and Southeast Asia after hearing the news.

Everyone's eyes, like searchlights, were focused on the spotless operating room below, which was as bright as day.

Today is the first appearance of the Chinese delegation after coming to Country R.

The first operation was a pediatric heart correction surgery for double outlet right ventricle combined with pulmonary artery stenosis, performed by He Yonghua.

Previously, R country expert Ryosuke Ishii also performed surgery on a child, and the patient was about the same age as the child that He Yonghua was operating on this time.

The child was only two years old and weighed less than ten kilograms, but his tender heart carried an extremely complex congenital malformation.

The operation was already extremely difficult, and coupled with the child's small size and weak constitution, the risk was even greater than the previous operation by Ryosuke Ishii.

Ishii Ryosuke himself was also sitting in the observation room, with a complicated expression on his face.

He wanted to see with his own eyes how the Chinese team would solve this difficult problem that even he found difficult, but deep down he also secretly hoped that the other party would also encounter setbacks, even if it was just a little bit, so that he could save some face and achieve a little psychological balance.

In the operating room, He Yonghua stood at the main surgeon's position, and his team members were in their positions, their eyes focused.

Chen Yang stood next to He Yonghua, obviously serving as a technical advisor.

"Dr. Chen wasn't the surgeon?"

For a moment, some experts from Country R in the observation room were surprised.

Many people thought that Chen Yang would be the surgeon, but they didn't expect that the surgeon would be He Yonghua.

Obviously, Chen Yang was planning to tell Xiao Rizi that he was not the only doctor in China, and the others were equally skilled.

"Start." He Yonghua took a deep breath, suppressed the distracting thoughts in his mind, and gave the order calmly.

The scalpel falls precisely along the predetermined line to establish extracorporeal circulation... Every step is like the operation of a precise machine, steady and orderly.

He Yonghua was previously the chief physician of the Department of Cardiothoracic Surgery at Union Hospital. His solid basic skills are admirable.

However, when the child's tiny heart was fully exposed to the view, and its intricate and deformed internal structure, which far exceeded what the image showed, was presented to everyone, suppressed gasps and gasps were inevitably heard in the observation room.

The coronary arteries are abnormally tortuous, and the space available for constructing intracardiac tunnels is hopelessly narrow.

The corner of Ishii Ryosuke's mouth twitched slightly, and an imperceptible arc quietly emerged. He knew that the real test had just begun.

He Yonghua's movements slowed down noticeably. He explored carefully, trying to find a feasible path through the thorns.

Under the shadowless lamp, fine beads of sweat began to gather on his temples.

"Director He,"

At this critical moment, Chen Yang's voice rang out from the side: "Don't be confused by the complex surface structure. Pay attention to the narrow angle formed by the left anterior descending coronary artery and the conus branch. Separate them carefully. There is a potential 'safety window' there."

Chen Yang's voice seemed to carry a strange magic. He Yonghua's spirits suddenly lifted. He followed the instructions without hesitation and focused the operation on that tiny area.

The instrument moved steadily under his fingertips, and sure enough! Beneath the tangled web of blood vessels and myocardium, an extremely hidden but real gap, a millimeter wide, was carefully separated by him!

"Using this window, we can first establish an extracardiac conduit to relieve the high load on the right ventricle, and then go back to treat the intracardiac structures."

Chen Yang's voice rang out again, precise and timely: "Pay attention to the angle of the tube placement to avoid angulation or twisting, which will affect the long-term patency rate."

He Yonghua understood what he meant, and his movements instantly became smooth and steady.

He decisively gave up his original risky plan of building the intracardiac tunnel in one go, and instead adopted the more stable and flexible "step-by-step" strategy suggested by Chen Yang.

Inside the observation room, the experts' expressions changed from solemnity to astonishment.

"He...he actually noticed that location?"

"This 'safety window' in extreme anatomical variation exists in theory, but is practically unavailable in surgery! How did he predict it based solely on preoperative imaging?"

"The thinking has completely changed! But it seems... the overall safety and feasibility have been greatly improved!"

The curve that had just appeared on Ishii Ryosuke's face completely froze, and then disappeared without a trace, replaced by unprecedented solemnity and a hint of horror.

This Chen Yang, not only has unfathomable skills, but even more terrifying is that he can so accurately perceive the key points, guide team members, and perfectly implement his strategic intentions into specific surgical operations.

This kind of insight and command ability is more chilling than completing a difficult operation by himself.

The operation progressed steadily under Chen Yang's occasional and precise guidance that always hit the mark.

The extracardiac tube was successfully established, the heart resumed beating strongly, and the blood oxygen saturation curve displayed on the monitor was like a beautiful piece of music, rising rapidly and stabilizing at a high level.

The most critical part of the intracardiac correction also became smoother due to the effective decompression in the early stage, which provided a larger operating space.

When the last stitch was completed and the intraoperative ultrasound once again confirmed that the hemodynamics had been significantly improved and the operation was a complete success, the observation room fell into a brief, pin-drop silence, as if everyone was digesting this fact.

After a long while, Ryosuke Ishii was the first to stand up and applaud, and then the applause echoed throughout the observation room.

This time, the applause was purely dedicated to the superb skills of the surgical team and the young commander-in-chief who was sitting firmly on the Diaoyutai and making all the plans - Chen Yang!

He Yonghua walked out of the operating room. Although he was physically and mentally exhausted, his eyes were surprisingly bright. This operation gave him a subversive understanding of the surgical strategies for complex congenital heart disease and broadened his horizons.

Ishii Ryosuke stood up and walked to Chen Yang with a slightly heavy step, and bowed deeply again. This time, his posture was even lower.

"Mr. Chen, I'm...completely convinced. You and your team have shown me another possibility for cardiothoracic surgery, and...a higher realm."

Chen Yang returned the greeting calmly and said with a faint smile: "Doctor Ishii, you are too kind. Let's learn from each other and make progress together."

Ishii Ryosuke smiled and said, "I hope to have more opportunities to communicate with Director Chen in the future."

"If there is a chance, I also hope to visit the Huaxia Kyoto International Medical Center."

Chen Yang smiled and said, "Doctor Ishii is always welcome."