21st Century Necromancer

Chapter 176 Intraoperative Cardiac Arrest (First Update)

In the operating room, the elderly principal was already lying on the operating table, and Hiromi Jounouchi had completed the full-body anesthesia for him.

Holding up two gloved hands, Yu Chen then made his way into the operating room.

"Professor!" Doctor Higashiyama and Nakagawa Susumu, serving as assistants, promptly greeted Yu Chen as he entered. Meanwhile, the surgical nurse and circulating nurse had also made all the surgical preparations, merely waiting for Yu Chen to begin the surgery.

After nodding to everyone, Yu Chen stood in front of the operating table. Looking at the elderly principal lying there, he took a deep breath to adjust his state of mind before addressing everyone, "We will now commence the laparoscopic liver surgery of the right lobe, including the caudate lobe and parts of S2 and S3, and the disconnection of the right liver lobe.

The surgery begins, please look after me."

"Please look after us." Even though it was routine, everyone responded very seriously.

"Life indicators, blood pressure 104/68, heartbeat 65, sinus rhythm." As the chief surgeon announced the start of the surgery, Hiromi Jounouchi, as the anesthesiologist, naturally reported the elderly principal's vital signs.

"Please play some music." Hearing from Hiromi Jounouchi the vital signs of the elderly principal, and seeing that everything was normal, Yu Chen then signaled to the circulating nurse to play some music and said to the surgical nurse beside him, "Scalpel."

"Professor, shouldn't this surgery be best performed as an open surgery? Why opt for the increased difficulty of laparoscopic surgery?" Asked Nakagawa Susumu, who as the second assistant had no role in a laparoscopic surgery, curiously inquired of Yu Chen.

After making a small incision at the elderly principal's navel and inserting a trocar to inflate the abdomen with carbon dioxide, Yu Chen explained to Nakagawa Susumu, "The patient is over eighty years old, with weakened bodily functions and reduced recovery capabilities.

Moreover, he has to undergo a second surgery one week after this operation, which will require an open approach due to the use of photogrammetry projection technology. Thus, considering the patient's physical tolerance, we have chosen laparoscopic surgery which is less burdensome on him and facilitates a quicker recovery."

"I see!" Nakagawa Susumu nodded quickly. Although he had made significant progress recently, he was still learning how to carry out surgeries in practice, making Yu Chen's guidance extremely valuable to him.

"Inflation complete, inserting the trocar now." While Nakagawa Susumu was asking questions to Yu Chen, Doctor Higashiyama, noticing the completion of the inflation, removed the needle and placed the trocar, "Professor, what is this song? It sounds quite nice!"

In surgery, it is quite common for doctors to listen to music while operating, as an operation can last for several hours. Without conversation, the atmosphere can become very oppressive. It's just that Yu Chen did not usually play music in the operating room, so he hadn't done so before.

"'Jasmine Flower', a Chinese folk song. It was the patient's request," Yu Chen replied, after Doctor Higashiyama completed the placement of the trocar and inserted the laparoscope, verifying the surgical field. Yu Chen then took a scalpel again from the surgical nurse beside him and made another small incision at the predetermined site, "Hemostatic forceps."

Yu Chen used the hemostatic forceps to prop open the incision he made, inserted the trocar, and after placing surgical instruments, the laparoscopic surgery truly began.

"Let's start with the resection of the S2 section, stripping forceps," Yu Chen received the forceps passed from the surgical nurse, inserted them through the trocar, and with the aid of the laparoscope, began the resection of the tumor in the left liver lobe of the elderly principal.

Laparoscopic surgery requires inserting surgical instruments through trocars, so instead of using traditional scalpels that can be held in the hand for open surgeries, long forceps are used, operated by manipulating their opening and closing to perform the cutting, along with another forceps to help in handling.

"High-frequency electrosurgical unit." Yu Chen withdrew the stripping forceps, signaling to the surgical nurse for another instrument.

The high-frequency electrosurgical unit is an electrosurgical device that replaces mechanical scalpels for tissue cutting. It heats the tissue upon contact with the high-frequency, high-voltage current produced at the tip of the active electrode, achieving separation and coagulation of the tissue, thus serving the purpose of cutting and hemostasis.

In laparoscopic surgery, because hemostasis is not as convenient as in open surgery, the use of the high-frequency electrosurgical unit becomes much more practical. For this reason, the high-frequency electrosurgical unit is also widely used in open surgeries.

Chen Yu carefully performed the operation to remove the excised tumor tissue through the cannula with grasping forceps. Unlike open surgery, the tumor had to be removed bit by bit, a process that was inevitably tedious. However, everything was going smoothly, and Chen Yu was not particularly anxious.

Just as Chen Yu had finished resecting the S2 segment of the tumor and was moving towards the S3 segment, the life monitor suddenly sounded an alarm.

"What's happening?" Chen Yu asked, turning his head to look at Hiromi Jounouchi.

"Heart rate anomaly, ventricular fibrillation waveform!" Hiromi Jounouchi looked up at the ECG, her face losing color as she stood up from her seat to urgently respond, "BLS (basic life support)! Increase oxygen supply!"

Seeing this, Chen Yu also stopped the surgery and withdrew the surgical instruments from the cannula, instructing the circulating nurse, "Prepare the defibrillator!"

While Chen Yu and Hiromi Jounouchi were each instructing the nurses, Doctor Higashiyama, acting as an assistant, quickly took surgical scissors from the scrub nurse, directly cutting the sterile drapes that covered the old principal to reveal his chest.

The circulating nurse also swiftly brought over the defibrillator, and Chen Yu took the two electrode paddles. With the help of a young nurse, he haphazardly applied conductive gel and pressed the paddles against the old principal's chest, shouting to those nearby, "Charging, everyone stand back!"

With a loud thud, the old principal's body jerked, but the waveform on the ECG failed to normalize.

"No good, second charge! 210 Joules, clear out!" Chen Yu said, not giving up, and instructed the young nurse operating the defibrillator to charge again. He pressed the paddles against the old principal's chest once more, causing the body to jolt again.

After two shocks, the ECG waveform remained chaotic, and the old principal's vital signs continued to decline.

"Professor!" Doctor Higashiyama was also getting anxious at this time, knowing that with each additional shock, the chances of successful resuscitation decreased.

"No one can take a patient's life from my hands! Not even Death God himself!" Chen Yu had already opened his Necromancer senses at this point, plainly feeling the old principal's life vitality slipping away, and could even see his soul gradually leaving the body.

The old principal was clearly in a dying state, and without effective resuscitation measures, he would fall into death within minutes.

"Third charge!" Chen Yu shouted to the young nurse beside him. He also didn't bother to hide anything, his hands filled with the power of necromancy. As he pressed down the paddles, he infused that power into the old principal's body.

Yet, as the old principal's body jerked once more, the ECG waveform flatlined.

"Cardiac arrest!" Hiromi Jounouchi announced the situation loudly, her eyes wide open.