I, Tomoya Aki, am not a bootlicker

The anesthesiologist is a very important position, especially in this operation. Dr. Aoki said at this time that he had participated in the operation of curtain reconstruction, so he also has certain experience in the management of anesthesia.

It would be best if experienced people could join the surgical team.

"I haven't had much experience with surgeries that require curtain reconstruction. When I was at the Tokyo University Affiliated School, I only watched Director Monobe, Dr. Sasaki, and Dr. Yoshida perform one."

Dr. Nakagawa tapped his fingers lightly on the report in his hand.

He was very interested in this operation. Even if he was not the main surgeon, it was enough for him to join the surgical team.

Although I had never undergone surgery that required curtain reconstruction before, such difficult surgeries were not uncommon during my time as an affiliate of the University of Tokyo.

As the best university hospital and one of the authorities in Japanese medicine, it treats many difficult and complicated diseases and many surgeries that require complex procedures.

Dr. Nakagawa also had an impression of this type of operation. He had heard of it before and had observed it while working at the university hospital.

The person in charge of the operation at that time was Director Mononobe, and Yoshida Aoba and Sasaki Ichiru were assisting him.

They are all people with certain experience.

With such a lineup, if a surgical team can really be formed around Tomoya Aki as the lead surgeon, then this would be truly top-notch treatment.

They also had little objection to Tomoya Aki being the surgeon.

After all, neither Yoshida Aoba nor Sasaki Ichiru had any objections, so they tacitly agreed that the surgeon performing the operation would be Aki Tomoya.

After lengthy discussions, step-by-step deliberations, and consultations, the final surgical plan was worked out.

After taking out the surgical plan, Sasaki Kazuo needs to show it to Director Monobe for review.

They can only confirm the surgical plan after the director of the physical department has reviewed it and determined that there is no problem.

In the end, the director of the logistics department agreed to the plan they had discussed and did not interfere too much in the operation.

Anyone could see that the signal was that Sasaki Ichiri was being given more and more power.

The only person in the department who could inherit the mantle and position of the head of the property department must be Sasaki Ichiru.

This is one of the episodes.

After the final surgical plan was formulated, Akitomo Aki and Yoshida Aoba went to Mrs. Omi.

The two men explained the surgical plan in detail to Mrs. Omi, including the personnel situation of the surgical team.

"After discussing with Dr. Sasaki, we have preliminarily decided that the surgery will be performed by Dr. Aki, who first proposed the plan. I will be the first assistant, Dr. Sasaki will be the second assistant, and Dr. Nakagawa will be the third assistant. The person who will come to cooperate with us from the anesthesiology department will also be someone who has experience in performing such surgeries."

Mrs. Omi felt somewhat relieved after confirming from Yoshida Aoba that even Sasaki Ichiru had joined the surgical team.

When I heard that everyone had experience with similar surgeries, the weight of the worry in my heart was almost lifted.

After all, they all graduated from a university hospital like the University of Tokyo. They must have come across many challenging operations like this!

With such feelings in her heart, Mrs. Omi gained a lot of confidence in her surgery.

"Since this is a joint decision made by Dr. Yoshida and Dr. Sasaki, I think it's okay for Dr. Aki to perform the surgery on me."

As for the fact that Aki Tomoya was the chief surgeon, Mrs. Omi felt that since both Yoshida Aoba and Sasaki Ichiru agreed, she, as an outsider, could not express any opinion.

"Thank you, ma'am, for your trust in our medical team!"

Yoshida Aoba looked at Mrs. Omi with joy. Such a reasonable patient really made them, as doctors, happy.

Coming to the hospital is not just about doctors curing and saving lives. During the treatment, if the patients can cooperate well, that is the best thing. The most important thing is to understand them.

"We will do our best!"

Akitomo, who was standing by, was also very happy.

Since Mrs. Omi nodded, it was finally decided that he would be the surgeon.

Now all that was left was for Mrs. Omi to sign the consent form.

Chapter 487 During the operation

After Mrs. Omi signed the consent form for the surgery, the first thing to do was to prepare for her surgery.

Because of Mrs. Omi's condition and also because she is a VIP, her surgery will be scheduled first as much as possible.

As for the surgical team, the staffing arrangements were also decided early on.

At the same time, the first surgery performed by Tomoya Aki was also confirmed.

Double valve replacement combined with aortic curtain reconstruction was performed again.

This is the surgery Mrs. Omi will undergo.

When the doctors in the department heard that Tomoya Aki was about to perform surgery for the first time, their colleagues in the same department had different reactions on their faces.

It was my first time operating and the surgery was so challenging.

The configuration of the surgical team is also extremely luxurious.

With Sasaki Ichiru and Yoshida Aoba, it is enough to be called the best lineup of their cardiac surgery department.

What surprised them the most was that Sasaki Kazuru was the second assistant this time.

With such staffing configuration, Sasaki Kazuiri is not the main surgeon, but serves as the second assistant.

Strictly speaking, in the entire Kanto General Hospital's cardiac surgery department, the only person qualified to have Sasaki Ichiru assist him is Director Monobe.

However, Director Monobe has not been involved in any work for a long time, including administrative matters, which have been handed over to Sasaki Ichiru, who has concentrated on his academic research.

"Regarding Mrs. Omi's surgery arrangements, the chief surgeon is Tomoya Aki, the first assistant is Aoba Yoshida, the second assistant is me, and the third assistant is..."

If it wasn't for Sasaki Ichiru's personal announcement, most people would not have believed that Sasaki Ichiru really gave the position of surgeon to Aki Tomoya.

As for why he was ranked behind Yoshida Aoba, that was naturally Yoshida Aoba's intention. He didn't want to be ranked behind Sasaki Ichiru, so naturally he had to let Sasaki Ichiru down.

However, in this operation, the order of assistants is not that important.

During the operation, each person has different responsibilities and important tasks.

The arrangements for the operation have been made, and everyone, including Tomoya Aki, will need to spend more time preparing for the operation in addition to their daily work.

"Honestly, I'm so surprised I don't know what to say."

Shin Majima, his friend, classmate, and colleague, is extremely envious of Tomoya Aki.

He seemed to have seen the rising star Aki Tomoya.

Double valve replacement combined with aortic curtain reconstruction was performed again.

The operation was performed by Tomoya Aki, and his first operation was extremely challenging.

If this operation can be completed successfully, then Tomoya Aki's career as a surgeon will be completely opened.

At the same time, you will become famous for performing this operation.

Let's not go too far. At least in the surgical community in Tokyo, the name Tomoya Aki can enter the vision of many people.

This operation may indicate that Tomoya Aki will be active as a surgeon in the medical community of Japan.

Of course, this is a bit off topic. Mashima Shin understands that as long as Aki Tomoya's surgery is successful this time, he will become a new force in cardiac surgery in the future.

More importantly, the difficulty and value of this operation will be transferred to Tomoya Aki.

Then, members of the surgical team.

The presence of two excellent cardiac surgeons, Yoshida Aoba and Sasaki Kazuichi, increased the success rate of the operation.

"You're almost here too."

Aki Tomoya replied with a smile.

He has already started the surgery, so Shin Mashima and Maki Nishikino won't be far behind.

As one of the fresh bloods in the medical field, now that they have come here, they will naturally not remain silent.

The latter shrugged and said nothing.

……

Mrs. Omi's surgery is in two days.

At 9:50 in the morning, she was pushed into the operating room and Dr. Aoki guided the anesthesia.

Everyone in the surgical team remembers the preoperative examination data clearly.

As the chief surgeon, Tomoya Aki was not careless in any aspect.

After making all the preparations, just before entering the operating room as the chief surgeon, Tomoya Aki was still somewhat nervous.

But when he noticed his current identity, this bit of nervousness was ignored.

From the moment you step in here, don't think too much and do your best to complete the operation.

The excitement of becoming the chief surgeon had already dissipated before.

"Doctor An Yi, please give me your guidance."

Next to him, Yoshida Aoba, who was also wearing surgical gown, spoke softly.

Aki Tomoya nodded and raised his hands. The nurse put on gloves and sterile protective clothing for them.

When I walked to the surgeon's position, Dr. Aoki had already completed the anesthesia and Mrs. Omi was already in a stable anesthesia state.

In the observation room above the operating room, the chief physician of cardiac surgery sat there and watched everything in the operating room.

Next to Director Monobe were the director of Kanto General Hospital and the director of administration.

"You are really willing to let this young man take on such a challenge right away, Mononobe-kun!"

Dean Fujiwara looked at the figure of Aki Tomoya and said meaningfully.

The director of affairs standing by was a little nervous and prayed silently in his heart that the operation would go smoothly.

After all, he was a VIP patient of the hospital. The director simply didn't want the operation to fail and didn't think too much about it.

"Both Yoshida-kun and Sasaki-kun approved of it. As an old man, what else can I say? However, the person recommended by Yano-kun is indeed good. No wonder that guy cares so much about this young man."

The director of the property department explained.

He also wants to see someone from the younger generation who can take on important responsibilities.

He also likes people like Tomoya Aki who have extraordinary potential and work harder than most people.

A young famous doctor has been trained by their cardiac surgery department, and even if Aki Tomoya returns to the university hospital one day, his name will be associated with it to some extent.

After all, Tomoya Aki is a graduate of the Department of Cardiac Surgery at Kanto General Hospital, a medical team led by the former director of the Department of Cardiac Surgery affiliated to the University of Tokyo.

"It's a pity that I don't want to take someone else's love away, otherwise I would really like to keep this person in our hospital. At least my two disciples will have someone who can inherit my legacy."

"But unfortunately, he is Yano-kun's man. I think this young man will definitely not be ungrateful or forget the old friendship."

While the two were chatting, the operation was about to begin.

Aki Tomoya stood at the position of the surgeon. Seeing that everyone was ready like him, he took a deep breath and cleared his mind of all distractions:

"I will now start the double valve replacement combined with aortic curtain reconstruction. Please give me your advice!"

"Please give me more advice."

He nodded slightly to Yoshida Aoba and the others, and they responded with the same slight nod.

At 10:03, the operation officially began.

Chapter 488 is coming (1/4)

Aortic curtain reconstruction during double-valve replacement is technically challenging for the surgeon, but it is suitable for patients with complex valvular disease, especially when no other surgical options are available.

During this operation, aortic curtain expansion was performed to implant a larger artificial valve and avoid the occurrence of postoperative pulmonary complications (PPM).

Regarding the curtain reconstruction surgery, the first person to report the experience of this surgery was a professor named David from Toronto Hospital in Canada.

At the same time, in 1994, Professor Bruce Wright of Cleveland Clinic in the United States drew a diagram of the operation and named it the "Commando operation", symbolizing its high difficulty and great challenge to the operator.

Infective endocarditis, degenerative calcification, and previous mitral valve replacement surgery damaged the aortic curtain, making aortic valve and mitral valve replacement very difficult. Taking these circumstances into consideration, Mrs. Omi needed a curtain reconstruction surgery.

The operation has begun and an incision is being made in the middle of the chest.

"Prepare for cannulation of the aorta and the superior and inferior vena cava."

The surgeon, Tomoya Aki, spoke up and worked with Dr. Yoshida and others to establish extracorporeal circulation for the patient.

The operating room was not as tense as imagined. First-time surgeon Tomoya Aki had not made any mistakes so far, and everything was in accordance with the original plan and surgical protocol.