Zheng Ren and Su Yun didn't have any communication, even in the unconventional operation of stacking stents.
Su Yun has gradually become accustomed to Zheng Ren's operating mode. As long as there are various surgical techniques, they may appear in the operation.
As a flawless assistant, do you still need to ask this kind of thing
nonexistent.
After the channel between the portal vein and hepatic vein is established, the relief of portal hypertension is immediate. The patient's gastric venous bleeding was relieved immediately.
The restlessness was much lighter, and the difficulty of the operation immediately became less severe.
The entry of the second stent-graft is much smoother than that of the first one. From the jugular vein, the upper chamber of the heart, to the hepatic vein, the stent-graft is followed along the guide wire to the position of the previous stent-graft.
At this moment, Zheng Ren's movements became lighter and slower. Although it cannot be determined using images due to overlapping images, Zheng Ren estimated the location based on experience.
The stand stopped, Zheng Ren adjusted the position slightly, and then opened the stand.
The second bracket is recyclable. The operation is slightly different from the first bracket, but in Zheng Ren's opinion, the difference is not big.
At this time, except for Zheng Ren, even Su Yun, the assistant and the professor, could not determine whether the position of the bracket was appropriate or not.
Another angiography was performed, and the contrast agent happily flowed through the stent between the hepatic artery and the portal vein. The image of the stent initially appeared, with excellent overlap, and there was basically no excessive abduction.
This means that the friction between the stents reaches the maximum level, making it difficult for the stents to be taken away by the blood flow.
The operation was successful!
Zheng Ren then turned off the equipment and pulled out the guide wire.
handsome! So cool!
Including the time when the patient was restless, it took 1 hour and 54 minutes. This is the shortest tip surgery I have ever seen!
People who had no idea about tip surgery passed by silently. I just feel that the magician did a very good job and is so powerful.
Doctors in Xinglin Garden began to post barrages. Although there was no video in the live broadcast room, it did not prevent everyone from using this place as a chat room to exchange postoperative experiences.
When Zheng Ren took out the guide wire and was about to step down, the crisp and sweet sound of the mission completed sounded in his ears.
The first stage of the main mission: The Crown Jewel is completed.
Mission content: Complete a tips surgery.
Task reward: Because it is the first time to complete tips surgery, which is an emergency surgery, the difficulty factor is increased to 2. The time to complete the surgery is 1 hour and 54 minutes, and the surgical training time is 149x2x2=596 hours.
In addition, you will receive a lucky value +2 reward, two gold treasure chests, and 200,000 experience points.
Task time: 6 hours, the completion time of the operation is 1 hour and 54 minutes, and the remaining time is 4 hours and 6 minutes.
The first phase of the main mission, Crown Pearl, was completed, and the system gave a massive amount of experience points and rewards.
Especially the surgical training time is as long as 600 hours!
Equivalent to 25 days.
This is the largest fortune Zheng Ren has accumulated!
Zheng Ren is very happy, does this mean that he can splurge once or twice
After tearing off the sterile surgical gown, he went to the dressing room and put the radiation energy-converting lead gown into the system space. Zheng Ren returned to the operation room with a smile on his face.
Professor Rudolf Wagner was deep in thought. When he saw Zheng Ren coming back, he shook his head and said, "Zheng, your surgery is like a perfect work of art."
"Professor, thank you very much." Zheng Ren replied with a smile.
The professor sighed softly and did not argue with Zheng Ren about this matter.
Director Xia is not an interventionist. In fact, she does not understand the operation. Seeing Zheng Ren conversing with Professor Rudolf Wagner, who seemed to be talking about the success of the operation and the work was particularly beautiful, he asked: "Dr. Zheng, was the operation successful?"
"That's right." Zheng Ren said: "Just be careful about complications such as hepatic encephalopathy after surgery. In addition, I have two indwelling stents. If the hepatic encephalopathy is not severe, you can consider removing the second stent to expand the hepatic vein and portal. The outflow channel between the veins.”
Director Xia was silent and nodded.
"Should the patient return to your place or go to the ICU?" Zheng Ren asked.
"We are more confident about the treatment of postoperative complications." Director Xia still gave Zheng Ren an answer with the pride and self-respect of a senior director.
Zheng Ren didn't care. The surgery was done beautifully, and two stents were placed. The outflow tract was a little smaller than 8mm, and the possibility of hepatic encephalopathy was much smaller than with a single stent.
You can also go to the gastroenterology department. After all, they are the most professional in dealing with hepatic encephalopathy.
In the operating room, Su Yun had bandaged the patient. He, Chu Yanran and others carried the patient onto a flat car and handed it over to the gastroenterology doctor.
Director Xia followed the car and left. Before leaving, she hesitated, but still asked: "Dr. Zheng, I have a patient with decompensated liver cirrhosis and refractory ascites."
"If the patient's family approves this risky surgical method, surgical treatment can be performed." Zheng Ren smiled.
"Okay." Director Xia was very straightforward and left in a hurry.
Zheng Ren estimated that if this patient is relatively stable after surgery, there will be an endless stream of patients who need tips surgery in the Department of Gastroenterology in the future.
From an epidemiological point of view, the 1960s was the era of large-scale outbreaks of hepatitis B.
Since the late 1980s, hepatitis B has been basically under control. Although it has not been eradicated like polio, it does not have the same rapid infection momentum as before.
In other words, those patients who contracted hepatitis B are now around 60 years old.
If entecavir is not taken orally all year round to control the activity of the hepatitis B virus, symptoms like the patient mentioned by Director Xia should appear.
Tips surgery can improve the symptoms of portal hypertension and greatly extend the patient's survival period and quality of life.
No wonder the system gives itself so many rewards.
Zheng Ren felt that he seemed to have touched some behavioral patterns of the big pig's hooves in the system.
"Why are you giggling? You think the surgery was beautiful, too?" While he was thinking about the system, Su Yun's voice appeared in his ears.
"Haha, the surgery went well." Zheng Ren said casually.
"There will be new reports tomorrow. There is actually such a large emergency surgery today. Your luck is unbeatable at this time." Su Yundao.
Zheng Ren really couldn't think of anything to do with being able to be on duty flexibly tomorrow and having tips surgery tonight, but he was too lazy to argue with Su Yun and just smiled.
Professor Rudolf Wagner came out in a daze, his eyes slightly distracted.
"Ah, I forgot about Professor." Su Yun laughed softly: "If I had known that your surgery was so beautiful, I wouldn't have dragged Professor over."
Zheng Ren was speechless and thought to himself, how do I know if I can learn it
"Would the professor think that he would pull me here just to see the operation? Is this really a visit to study? If the professor is a bit clumsy, this matter will be a hurdle that cannot be passed. In the future, in academia, no matter what you propose, Professors will be the first to stand up and oppose any point of view.”
Su Yun's logic... Zheng Ren thought about it and it seemed to make sense.
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