Upon hearing that it was a doctor, the circulating nurse didn't care who the director was. She handed the negative pressure suction machine to Wang Qiang and said, "Hurry up, I'll make a call."
After Su Yun inserted the breast bottle, Zheng Ren patted a needle holder with a No. 7 thread.
After the suturing was completed, Su Yun brushed his hands again and stood in the position of the surgeon.
At this moment, Gao Shaojie had already started to indwell the arterial sheath.
Although Zheng Ren and Su Yun did not speak, they observed him from the corner of their eyes while they were busy.
Once the needle fails to go in, Gao Shaojie will definitely be kicked off the operating table.
Although he is very skilled in procedures such as brushing his hands, this kind of emergency rescue is not something that can be done just by bragging that he is a certain director.
Gao Shaojie didn't know that he was at a critical juncture in his life.
Perhaps, this was the most important femoral artery puncture in his life.
He was very calm and not irritable. He took the piercing kit, disinfected it, wiped it, and started piercing it immediately.
Femoral artery puncture, hit the nail on the head.
Leave the arterial sheath in place and guide the guidewire inwards.
Seeing that the puncture was successful, Zheng Ren ignored it and began to treat the liver with Su Yun.
The suction device was sheathed and inserted into the abdominal cavity. Streams of dark red blood were sucked out along the wall of the suction device, seemingly endlessly.
After removing the intra-abdominal blood and temporarily controlling the bleeding, Zheng Renxi explored the liver.
He used his right hand to explore the diaphragm and visceral surface of the left lateral lobe of the liver, and used his left hand to explore the diaphragm, lateral surface, visceral surface, porta hepatis and inferior vena cava of the right lobe of the liver.
The purpose of exploration is to estimate the amount of bleeding, the location and extent of liver damage, and whether it is accompanied by damage to other intra-abdominal organs and tissues.
Zheng Ren completed the exploration as quickly as possible and estimated that the patient's bleeding volume should be more than 3000ml. blood transfusion…
"What did the blood transfusion department say?" Zheng Ren yelled immediately.
"Right now, I'm going to get blood!" the traveling nurse yelled back.
The right lobe of the patient's liver was shattered beyond repair, and there were two large holes in the left lobe. The spleen is fine, but there is a small hematoma under the capsule, which will probably heal on its own.
The patient was walking on the road when a fixed rope on a car pulling a steel pipe came loose, and the steel pipe flew out and directly hit the right thoracoabdominal joint.
The huge impact force directly shattered the patient's liver.
If it weren't for the fact that it was not far from the First Hospital of the City, I would have been cold if I had arrived a few minutes later.
But the situation is not optimistic now.
Chu Yanran prescribed a lot of vasopressor drugs, including dopamine, metahydroxylamine... but the patient's blood pressure still could not be measured.
"Prepare to resect the right lobe of the liver. Let's do an angiogram to see if there is bleeding elsewhere." Zheng Ren was unceremonious and used a PhD graduate from Columbia University and the deputy director of the interventional department of the Provincial Medical University Affiliated Hospital as his junior doctor.
Gao Shaojie nodded, moved the microguidewire to the location as quickly as possible, and then began to enter along the microcatheter.
Zheng Ren pushed the upper edge of the left inner lobe upward to expose the transverse, angular and sagittal parts of the left portal vein.
Let Su Yun pull the hook and continue to expose the left internal lobe artery.
The left internal lobe artery is located superficially between the hepatic duct and the portal vein and is easily separated.
The left hepatic duct is located above, covering the transverse part of the left portal vein, and starting from the sagittal part of the left portal vein, the medial side of the corner and the distal end of the transverse part of the left portal vein, the duct system of the left inner lobe is separated.
The technique was so fast that it was dazzling. Su Yun was so focused that he couldn't keep up with Zheng Ren's rhythm.
This thing... what are its limits!
Although Su Yun has long been accustomed to Zheng Ren's monster status, as time goes by, he has the illusion that the harder he works, the farther away he is from Zheng Ren.
Could it be that he went in the wrong direction... Sometimes Su Yun would think so.
During the separation process, because the blood vessel branches sometimes mutated, Zheng Ren did not rush to ligate or cut it off. Instead, he carefully identified it and made sure that the pipe really led to the left inner lobe before ligating and cutting it off.
Zheng Ren then pushed the liver to expose the second porta hepatis, and after bluntly separating the loose connective tissue, the right hepatic vein and the middle hepatic vein were exposed.
The liver capsule is incised 2 to 3 cm long along the course of the middle hepatic vein. After blunt separation of the liver parenchyma, the main trunk of the middle hepatic vein can be exposed and ligated in the liver.
The liver capsule is incised 1 to 1.5 cm to the right of the falciform ligament, and the liver tissue is bluntly separated. When a pipe is encountered, it is ligated and cut with a vascular clamp until it reaches the inferior vena cava.
Ligate and cut off the middle and right hepatic veins.
The method to stop bleeding on the liver surface is the same as before. The falciform ligament and round ligament of the liver were re-sutured.
The operation was as fast as lightning. Among the messy liver tissue, Zheng Ren still quickly found the various arteries and veins that needed to be ligated and sutured, and operated them one by one in an orderly manner.
It only took a few minutes to remove the right lobe of the liver.
Even Su Yun could barely keep up with Zheng Ren's speed.
Paralyzed, there is no equipment nurse, but you can still be so fierce... Boss, your hand speed is usually not high, is it just to accommodate the equipment nurse
Boss, you have a way of spreading dog food during surgery.
Su Yun cursed in his heart.
"Who is that? Imaging!" Zheng Ren cut off the right lobe of the liver, threw a pile of shredded tissue into the pathology basin, and then shouted.
Gao Shaojie cried.
Very sad.
Ordinarily, if the interventional surgery is just an angiogram, it would be infinitely simpler than liver resection.
But before his microcatheter was delivered to the location, Mr. Zheng had already cut off the right lobe of the liver.
The right lobe of the liver is not in a normal anatomical position. It is in such a state of tatters that it is impossible to find the right lobe of the liver with a normal anatomical structure at a glance.
Mr. Zheng, do you want it so soon...
Wang Qiang was busy talking, and his face dropped when he heard Zheng Ren speak so rudely.
Just as he was about to say something, he heard Gao Shaojie say in an apologetic tone: "Mr. Zheng, right away, right away. You are doing the surgery too fast, and I can't keep up."
Wang Qiang stood behind Zheng Ren blankly, completely confused about the situation.
Teacher Gao Shaojie and Gao can't keep up with the hand speed of a surgeon? What type of situation is this
It's impossible. It's just a photo-op. It doesn't take much effort.
And Teacher Gao is so polite. What's going on
Wang Qiang knew that Gao Shaojie looked gentle and rarely angry, but he was not arrogant, but he was proud.
What happened this time? Teacher Gao even used the title you.
In the Affiliated Hospital of the Medical University, not to mention the director of the interventional department, even the vice president in charge of clinical affairs, Mr. Gao, will not address you.
He looked closer and saw that Gao Shaojie was working hard to enter the microcatheter, and on that side, he was already suturing the damaged spot in the left lobe of the liver.
This speed...
Wang Qiang clicked his tongue.
Liver resection is often done in the Second Hospital. After all, it is a specialized hospital, and the number of liver cancer resections is no less than that of the No. 1 Hospital in the city.
But I have never seen such a fast speed.
He glanced around in a daze. It seemed that he had only prepared the negative pressure suction on the wall, and half of the operation on that side was completed.
No wonder Teacher Gao immediately knelt down. Who should blame this matter? Who wouldn’t kneel down