"How much do you estimate it will take?"
"No need for blood transfusion." Zheng Ren said firmly.
"..." Professor Yang was slightly startled.
Generally, if a whole section of the liver is cut, blood transfusion may not be needed. After all, the anatomical structure is clearer.
But this time it was liver splitting, and the tumor tissue was removed from the inside.
Tumor tissue! Surrounded by abnormally proliferated blood vessels, cutting out only the tumor and preserving the liver will inevitably cause massive bleeding during the operation.
Therefore, many doctors in provincial and municipal hospitals are still accustomed to directly resecting the left lobe or right lobe of the liver.
This operation is relatively simple. Of course, relatively speaking, the trauma to the patient is relatively large.
Split liver, no need for blood transfusion? Isn’t that nonsense? Professor Yang scoffed at this.
But he didn't say anything, he was just a little bit pessimistic about the results of the live broadcast of the surgery.
Boss Zheng, the operation went smoothly, but it started to drift.
"Boss, the embolization effect is good." Su Yun said while watching the film.
"Yes, as expected." Zheng Ren replied calmly.
"How to do it?"
"To split the liver, just use the ultrasonic scalpel to dissociate and cut it off." Zheng Ren answered simply and easily.
"Boss, can you not give me good luck next time you have surgery?" Su Yun took a look at the film, knew what he was doing, and started to complain about the background music.
Zheng Ren didn't say anything. He held his chin with his right hand and watched the film seriously.
The film looks very simple. A shiny silver irregular ball can be seen at the back end of the right liver, with spots in the middle.
That is the imaging manifestation that the liver cancer tissue deposited by lipiodol has begun to necrosis after interventional surgery.
However, in order to completely inactivate such a large liver cancer, at least 3-5 liver cancer interventional embolization procedures are required.
Zheng Ren seized the time before surgery to do 64-slice CT three-dimensional reconstruction in his mind, pondering the surgical approach and simulating the surgical process again.
Seeing that Zheng Ren had turned into wood, Su Yun looked at him with disdain, turned around and said to Lao He, "Next time you have surgery, do you dare to change the background music?"
"Dr. Su, I really don't dare." Lao He said with a smile.
Su Yun had no choice but to see that Lao He had finished his work, so he and Professor Yang positioned the patient, and then went to brush his hands.
Brush your hands, disinfect them, and come to the instrument table.
Xie Yiren had already put on his clothes and finished counting his equipment. She handed the bent plate and oval forceps to Su Yun, grabbed a handful of sterile gauze, and placed it in the bent plate.
"Yiren, next time your Zheng Ren undergoes intracavity appendix surgery or something like that, if he doesn't call you, I'll fall out with him," Su Yun teased.
Xie Yi narrowed his eyes and smiled.
The eyes are like crescent moons, shining slightly brightly.
"What? Appendice in the cavity?" Both Lao He and Professor Yang were startled when they heard what Su Yun said.
"Yes." Su Yun picked up the iodophor gauze with oval forceps and began to disinfect it while saying: "Intracavitary appendix, or intracavitary ectopic appendix, 12cm above the ileocecal part. This kind of surgery only focuses on Do it yourself. Lao He, do you think this is still something humans do?"
Professor Yang agreed very much with Su Yun's words.
Intracavitary appendix, Bermuda known as general surgeon.
I was lucky enough to have never encountered it even once during my appendectomy. Unexpectedly, the gastrointestinal tract has been affected in the past few days
"How did you find it?" Professor Yang asked in surprise.
"It is said that it was a colonoscopy."
"Tsk, tsk."
"Boss, the disinfection is almost done, go ahead and brush your hands." Su Yun said.
"Okay." Zheng Ren finally switched out of his wooden state and went to wash his hands.
"Brother Yang, are you nervous?" Su Yun asked as he started to lay out sterile drape.
"A little."
"You'll get used to it." Su Yun said with a smile: "Ultrasound scalpel, is it from Johnson & Johnson?"
"Um."
"Changfeng doesn't even produce ultrasonic scalpels, it's still a small company." Su Yun sighed with emotion.
During the operation, I couldn't see Feng Xuhui and his two big boxes, and I always felt that there was something missing.
Professor Yang started to put on clothes and said with a smile: "I have prepared two ultrasonic scalpels."
"It's such a waste." Su Yun said.
"Isn't this the fear of bleeding?" Professor Yang said: "A split liver, a tumor of about 8cm, is estimated to produce about 1000ml of blood."
Professor Yang got dressed, stood in Isuke's position, and began to play with the ultrasonic scalpel, electric cautery and other equipment.
"Don't tell me you're not nervous. The two ultrasonic knives are there to prepare the boss. Didn't he notice? You can check and fill in the gaps." Su Yun said with a smile.
Professor Yang was touched, but he didn't say much, he just smiled.
Isn’t it normal to prepare more things for surgery to avoid any accidents
Zheng Ren came in after washing his hands, put on sterile gloves and surgical gown, looked at the little lady and smiled.
Arriving at the operator's position, Hu Yanhui put on the live broadcast glasses, connected the signal, and made a start gesture.
The operation officially begins.
An incision was made under the right costal margin in the right upper abdomen, from the left side of the xiphoid process to the 12th costal margin, and the skin, subcutaneous, and muscles were incised layer by layer.
Professor Yang was a little nervous and his hands were a little stiff.
But it was just disembowelment, it didn't affect anything, and Zheng Ren didn't seem to notice.
"It's a round to get blood." Professor Yang said while Zheng Ren was handling the subcutaneous capillaries.
"Okay, Professor Yang." the traveling nurse asked, "How much do you want?"
"Red blood cells, first take 10 units."
"Wait and see, there's no need." Zheng Ren said without raising his head, looking at Shu Ye seriously.
The circulating nurse was overwhelmed.
Who do you listen to
Normally, it requires a listener, but Professor Yang has another way of saying it.
I hate this situation the most. No matter what I do, I offend others.
"Boss Zheng, are you really sure?" Professor Yang did not expect that the dispute would arise from the very beginning.
Recalling what Director Li had said to himself, he decided to steadily grasp the rhythm of the operation. Everything Boss Zheng did seemed too aggressive.
"It's okay, let's give it a try."
"Boss Zheng, prepare some blood first, in case you need to use it?" Professor Yang insisted.
"Okay, let's get a few units ready." Zheng Ren unexpectedly did not exercise his authority as a magician. Professor Yang insisted for a while, and then he agreed.
The circulating nurse took a deep breath, feeling uncomfortable with the splint.
In just a few words, the peritoneal protection on this side has been completed and it has entered the abdominal cavity.
Professor Yang glanced at the surgical area and immediately became nervous.
How did you do it so fast! I have to concentrate on setting up the channel. This is a live broadcast of surgery!
After severing the round ligament of the liver, Zheng Ren stretched out his hand.
Then he skillfully separated the hepatic lamellar ligament, right coronary ligament, right triangular ligament, and hepatorenal ligament. At the same time, he bluntly separated the bare liver area directly to the inferior vena cava, and continued to free the right liver.
This is the preliminary preparation work. Although it is simple, Boss Zheng is very skillful and seems to have done more than a thousand cases. There were no big movements, most of them were fingers moving continuously, which looked really pleasing to the eye, Professor Yang thought to himself.