"Boss, I think two hours is about right."
"But he couldn't hold still for two minutes. His biceps had begun to spasm involuntarily. The lactic acid level in his body was too high. It's not good for his health to just hold on." Zheng Ren glanced at Professor Zhan and said.
"Hey, can you still tell the lactic acid level? Tell me how to judge it." Su Yun spoke, but his head remained motionless, and his finger movements were subtle, matching Zheng Ren's movements.
"There must be a disorder in the sodium-potassium pump in the body. If we do a serum ion test now, the potassium ion should be above 5."
Professor Zhan was speechless.
I usually make jokes like this and talk nonsense.
But on the operating table in front of them, Boss Zheng and his assistant were performing an almost impossible operation. How could they still have such thoughts
"Director Ma!" Zheng Ren shouted, and then asked in a low voice: "Is it Director Ma?"
"right."
"Oh, I was too preoccupied with the surgery just now and didn't listen carefully."
Ma Liang threw Dean Li aside and ran over in a hurry.
"Boss Zheng, what are your orders?"
Dean Li looked at Ma Liang helplessly. He didn't look like a senior director. He was just a training doctor.
"Have a young and strong person pull the hook, and keep your hands steady, and insist on changing people for 30 minutes." Zheng Ren said, "If you find a few more people, the operation may take a long time."
"Oh, okay!" Ma Liang immediately went to arrange this matter.
But the first one to come up was Ma Liang himself.
Ma Liang would not miss this opportunity.
He replaced Professor Zhan, pulled open the internal organs, exposed the surgical field, and asked: "Boss Zheng, do you think this is okay?"
"The back hand should be higher," Zheng Ren said.
"Oh, okay." Ma Liang immediately did as Zheng Ren said.
But the back hand is higher, but I don't feel any change in the operating area.
He was a little confused and asked: "Boss Zheng, what are the benefits of doing this?"
"You haven't done anything yet?" Su Yun asked.
"Pulled it over twenty years ago."
"Your current posture can make your hook retraction more stable, save more effort, and last longer. It can probably be maintained at about 4'12". "Zheng Ren continued the operation and explained to Director Ma Liang.
Ma Liang did not question Zheng Ren's statement. Even if it was accurate to the second, he still had no doubts.
The operation continued. Zheng Ren and Su Yun were dissociating the tumor tissue, but the people retracting the hook were constantly changing.
During microsurgery, there must be no trembling.
It's possible that the assistant just changed the hand shape and the surgery failed.
Three hours and 34 minutes later, Su Yun finally took out a piece of dark abnormal tissue from the patient's abdominal cavity with the hemostatic forceps in his hand.
"It went well. Hey, have you made an appointment for intraoperative freezing?" Su Yun asked.
Professor Zhan nodded quickly.
The fatigue from retracting the hook just now has not recovered even after several hours.
"It's an appointment, it's an appointment."
"Consider it a retroperitoneal paraganglioma. Let's send it for freezing." Zheng Ren said, and then began to deal with the surgical stump.
Seeing the tumor tissue being cut out, everyone was in high spirits and gathered around to watch the operation.
In the surgical area, the dark tumor tissue disappeared and there was no bleeding. A section of the inferior vena cava seemed a little thinner, but there was no bleeding.
Dean Li was confused and asked in a low voice: "Professor Zhan, how come there are free tumor tissues? Isn't it heavily adherent to the inferior vena cava?"
"Some parts of the inferior vena cava adventitia separated by Boss Zheng have reached the tunica media, and the outer layer of the tunica media has also been freed and cut off at several points." Professor Zhan looked at the surgical area and speculated wildly.
"Uh... what should I do if the pressure in the inferior vena cava is high?" Dean Li asked.
Professor Zhan looked at him speechlessly, sighed, and said, "Dean Li, the stent with membrane was inserted just now."
Only then did Dean Li realize how stupid his question really was.
It's better to stop talking and make people laugh.
He glanced at the ECG monitor, and the value on it told him that Director Jin's vital signs were stable, he was fine, and he should be able to get off stage alive.
Zheng Ren also looked up at the blood pressure without saying a word.
The next step is to prepare for confinement, Dean Li judged.
But Zheng Ren sighed and said, "Show me the pre-operative film."
"Uh..." The doctor here was startled.
"Hurry up, the operation time is already very long." Zheng Ren was a little unhappy.
No matter what I say, I can't always do it immediately. In my memory, the medical level in the provincial capital is quite high. Why is it different from my memory
"Boss Zheng, are you considering transferring?" Professor Zhan asked.
"Yes." Zheng Ren looked at the values on the ECG monitoring, "Retroperitoneal paraganglioma resection is often accompanied by lower blood pressure and other characteristics, and further expansion is still needed."
"If hypertension persists after tumor resection, or blood pressure does not drop, it indicates that there may be another tumor or metastasis. We should try our best to find and remove the metastasis to reduce functional tumor tissue. Extensive surgical resection is necessary."
"Well, the blood pressure is still very stable, and there is probably still tumor tissue."
This news is simply bad news. I thought the surgery was over, clean and beautiful, and perfect.
But the magician actually said it wasn't over yet...
The film was hung up, Zheng Ren put his hands under his armpits and began to read the film.
Su Yun also came over and watched together.
No strangers are allowed within half a meter of the two people.
Operators are generally irritable when encountering unexpected situations during surgery. Now it should be considered an accident. What if I get close and encounter the sterile gown? !
When the magician gets angry, he will definitely get scolded.
"Boss, something seems wrong at the lower pole of the right kidney." Su Yun said.
"Well, we can only cut it." Zheng Ren said: "Old Gao!"
Gao Shaojie remained silent. He couldn't understand surgical procedures, so he didn't participate too much.
"Here we are, Boss Zheng." Gao Shaojie immediately agreed.
"If bleeding occurs after renal segmentectomy, have you ever had embolization surgery?" Zheng Ren asked.
"I did." Gao Shaojie immediately gave Zheng Ren a positive reply.
"Then let's cut off the kidney segments to minimize the damage." Zheng Ren then glanced at Professor Zhan and asked: "Before the operation, I told the patient's family about the intraoperative observation. Is it possible to cut off the right kidney or part of the right kidney?"
"said."
Zheng Ren was quite pleased, as long as the most basic things were not missed.
Return to the operating table and begin segmental nephrectomy.
This operation was very fast. It was not as careful as the previous removal of tumor tissue adhering to the inferior vena cava, but a radical resection.
Although Professor Zhan had some questions, he said nothing and kept observing the patient's blood pressure.
After cutting off and removing, the blood pressure suddenly dropped from 110 mm Hg to 75 mm Hg.
Seeing that his blood pressure dropped, Zheng Ren was not worried. Instead, he let out a sigh of relief and said, "Close your abdomen!"