I, Aki Tomoya, will not be a simp.

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"Close the roof of the left atrium."

"Wipe your sweat."

At this stage, we can finally breathe a sigh of relief, but the subsequent surgeries still require a high degree of concentration.

Aki Tomoya's eyes were wide open, and he blinked very frequently. Even if he didn't blink for a long time, he didn't feel any dryness in his eyes.

God knows how many times he had mentally rehearsed the procedure to ensure its success.

For his first time performing surgery, he hoped more than anyone else that the operation would be completed smoothly under his leadership.

"Number 23, bovine pericardial valve".

The entire surgical procedure was almost uninterrupted, with no possibility of rest.

One of the indicators is to complete the surgery safely and reliably within a reasonable timeframe.

A No. 23 bovine pericardial valve was implanted at the aortic valve location to expand the aortic valve annulus and sinus region, and to reconstruct the aortic root.

Curtain enlargement is a prerequisite for implanting a larger bioprosthetic valve, and the subsequent double valve replacement surgery is actually performed in conjunction with curtain reconstruction.

Before we knew it, the surgery had been going on for almost five hours.

The surgery officially started at 10:30 a.m., and it is now 2:52 p.m.

"Monobe-kun, it seems we succeeded. I'll be going now."

After sitting in the surgical observation room for such a long time, Director Fujiwara, having confirmed the situation below, bid farewell to the head of the physical department next to him.

The clerk had already left the observation room; there were still many things waiting for them at the hospital.

Dean Fujiwara cannot linger here any longer.

Seeing that the surgery had progressed to this stage and there were no more major problems, Director Fujiwara was able to leave with peace of mind.

He still has a lot of things piled up that need his attention.

At the same time, he began to think about how to promote the fact that their hospital had completed a highly challenging heart surgery, and how to cultivate the image of a young and talented surgeon.

The head of the medical department nodded, his gaze remaining fixed on the surgery.

Throughout the entire surgical procedure, including his conversations with Dr. Fujiwara, he rarely looked away. As the highest-ranking leader in cardiac surgery, he was more concerned with the success of the operation.

At the same time, he also wanted to see where Aki Tomoya's limits were, and whether Yoshida Aoba or Sasaki Ichiru would take over as the surgeon in the operating room.

"It looks like a good knife."

The surgery has progressed to this stage, and Aki Tomoya's position as the surgeon has remained unchanged and unshaken.

This surprised the head of the materials department.

This was Aki Tomoya's first time performing surgery, and the team he was part of was the best possible combination of personnel in cardiac surgery, though that's not entirely true.

But at least Sasaki and the others didn't find any fault with Aki Tomoya's surgery, which proves that he is indeed capable.

"Yano was right about him; he's really lucky this time."

Chapter 490 You've worked hard (3/4)

Professor Yano was someone the head of the Department of Things used to deal with frequently.

During his time at the university hospital, when he served as the chief professor of cardiac surgery at the University of Tokyo, Professor Yano's influence in internal medicine was already enough to affect the position of head of the internal medicine department.

He is clearly someone who hides away in the university to pursue his studies, but he has such a strong presence in the university hospital, suggesting that his ambitions are unfathomable.

However, that person was very clever. He wouldn't give up the benefits he was entitled to, and he would never touch anything he wasn't entitled to, so as not to get himself involved.

Similarly, it seems that simply sending talent to internal medicine is no longer enough for that professor of pathology at the university's medical school; he also seems to want to get involved in surgery as well.

So he started sending more people to the surgical field.

However, within this enormous white tower, everyone has their own duties and a clear division of labor. Within this rigid hierarchical system, surgery is not something that Professor Yano can easily interfere with.

At the very least, he needs someone who can take the lead.

In the White Tower, you either prove yourself through medical skills or through seniority.

Don't say that relying on seniority is akin to condescending or taking advantage of one's age; it's just that in Japan, seniority is really quite important. Not only in Japan, but a doctor with high seniority gives people a sense of reliability from the first impression.

Moreover, even if you lack ability, you can slowly climb the ranks by accumulating years of service and seniority in Japan. Of course, if you lack ability, your final position depends entirely on luck.

So if you don't have the skills or the experience, then just go play somewhere else.

There's a shortage of insignificant people everywhere.

The head of the internal medicine department originally thought that Professor Yano's wide-net approach was not very effective, because he was, after all, from the internal medicine department, and unlike the surgeons, he could not train his own people step by step.

Many of the students he sent to his friends ended up staying there.

Either they lack ability, or they were poached.

Others, after going through university hospitals, were eventually sidelined and sent to private hospitals due to their somewhat delicate status.

This time, the head of the department also believed that Professor Yano was doing the same thing as before, sending people to them under the guise of recommending outstanding talents from among his acquaintances. As for how they would cultivate them, whether they would cultivate them, and how well they would cultivate them, there was not much that could be guaranteed.

However, Aki Tomoya also encountered Yoshida Aoba.

One of the department head's favorite students, and incidentally, he also gained Sasaki Ichiru's approval.

Otherwise, he wouldn't have been able to reach the position of chief surgeon so soon.

"It would be a shame if you didn't stay in my department, but there's still a long time, so who knows..."

The head of the department felt that Professor Yano shouldn't just sit back and reap the benefits.

However, he didn't do much favors for Aki Tomoya, but Yoshida Aoba was his student!

Moreover, even if Aki Tomoya goes to a university hospital in the future, he may not be able to continue smoothly. He might be able to come back here in the future, so Sasaki Ichiru and Yoshida Aoba will have successors.

"We still can't underestimate young people."

Unfortunately, he is no longer at the University of Tokyo Affiliated Hospital, nor is he the head professor of cardiac surgery.

However, if he were still at the University of Tokyo Affiliated School, Aki Tomoya wouldn't have had so many opportunities, and the head of the Department of Monogatari wouldn't have ignored Professor Yano's actions regarding surgery.

Professor Yano would be even less likely to let Aki Tomoya first go through the university hospital and join the surgical department, thus removing his label.

……

"Sweat!"

Surgery is physically demanding, requiring standing for nearly five hours at a time and maintaining a high level of concentration, which is a huge drain on both physical and mental strength.

Some surgeries take even longer, and many doctors die suddenly every year.

"Heart has successfully restarted!"

The patient's heart started beating again, the extracorporeal circulation stopped, and Aki Tomoya blinked hard, the blood vessels in his eyes clearly visible.

After further observation and confirmation that there are no problems, the chest can be closed.

"Start closing your chest, leave this to me."

Yoshida Aoba took over the final finishing touches.

Aki Tomo had no objections; he was indeed starting to feel tired.

After the surgery, he felt like he had lost many brain cells.

Leaving the finishing touches to Yoshida Aoba, Aki Tomoya, who was standing next to her, breathed a heavy sigh of relief.

The extracorporeal circulation alone took more than four hours, and the entire surgery lasted nearly five hours, from 10 a.m. to 3 p.m. During this time, Aki Tomoya stood in the surgeon's position the whole time, moving his hands and eyes, but his legs did not move at all.

His legs were really numb, but he was used to it. He had done surgeries of this length before when he was with Yoshida Aoba.

Compared to being an assistant, it is obviously more tiring to be the lead surgeon.

"Well done, Dr. Aki."

Sasaki Ichijin looked up at Aki Tomoya and said.

The surgery was successfully completed, and for the first time, the operating room was filled with such a relaxed atmosphere.

Previously, Aki Tomoya was the lead surgeon. Apart from discussing the surgery, he rarely spoke. Those around him were aware of the difficulty of the surgery and would not disturb him.

The surgery is finally over, and everyone is relieved.

Chapter 491 is a bit thick (4/4)

"As expected of the surgery I performed, the level of concentration is different. But with such concentration, you'll see how tough it is in a little while."

In the locker room, Yoshida Aoba patted Aki Tomoya on the shoulder from behind.

As for the family, Mrs. Omi's child left after learning that the surgery was successful, and Mrs. Omi was admitted to the ICU for observation.

Can I take the afternoon off?

Aki Tomoya turned around and asked Yoshida Aoba.

Whether it was because it was his first time performing surgery or because of the difficulty of the operation, he had to maintain a high level of concentration.

Fortunately, the surgery was successfully completed.

Aki Tomoya was in an exceptionally good mood after the first surgery he performed was a success.