Near 11:30, all tip surgeries for patients with liver cirrhosis were completed.
Li Jianguo sent the patient down. On this day, his job was to send the patient down, then check the next patient's information, and then send the patient up.
When I came up, the tip surgery was almost completed.
He could feel a different aura, different from the last time Zheng Ren came to the Affiliated Hospital of Provincial Medical University for surgery.
This time, Teacher Gao is doing the tip surgery himself!
It turns out that tips surgery can be so simple as long as we find a way.
In the operating room, Zheng Ren and Gao Shaojie chatted about the key points that need to be paid attention to in the second-stage surgery.
Because Director Kong arrived suddenly, Zheng Ren was caught off guard, so he wanted Gao Shaojie to master everything about tips surgery as soon as possible.
Many details were discussed in the office. At this time, Zheng Ren saw Gao Shaojie's slightly confused eyes and sighed inwardly.
"Old Gao, let's talk about it after we get on stage." Zheng Ren knew that he had acted too hastily. The professor might be able to do it, but Gao Shaojie... probably couldn't do it.
Gao Shaojie also realized that primary surgery and secondary surgery are two completely different concepts. Zheng Ren's tone and expression diluted the joy of successfully completing the first stage of surgery.
"Boss, I think you hit him with a hemostatic forceps. It's easy to learn quickly. I have personal experience and I highly recommend it." Professor Rudolf Wagner said seriously after hearing the conversation between the two.
But this was the Affiliated Hospital of the Medical University, and Gao Shaojie told himself that it was best not to hit him. Zheng Ren was too absorbed in it just now and knocked it casually. He is still a little embarrassed now.
Forget it, Zheng Ren thought, it would be faster to take your time.
Gao Shaojie frowned in thought and said nothing.
"Doctor Zheng, let's have a meal at noon before performing the surgery." Dean Qi was in a good mood. Although he failed to lure Zheng Ren to the Affiliated Hospital of Medical University, isn't that normal? He heard something unusual in Lao Wu's tone.
The young man in front of me should go to the imperial capital, the magical capital, or even large medical centers in Europe and the United States.
And stay in the provincial capital
That is absolutely impossible.
"Dean Qi, we won't have lunch at noon." Zheng Ren said with a serious expression, "The next surgery will be more difficult. I'm afraid I won't be able to finish it today."
Will the subsequent surgery be more difficult
Dean Qi didn't mind Zheng Ren's refusal, but he was surprised that the tip surgery was already done. Why was the subsequent surgery more difficult
From a surgical perspective, the second-stage surgery is generally more purposeful and much simpler than the first-stage surgery.
Dean Qi glanced at Gao Shaojie and saw that he had been thinking about something, so he did not continue to be polite and invited Zheng Ren to dinner.
If Dr. Zheng cannot be kept, then Gao Shaojie must be kept.
Dean Qi had already guessed the value of the new tip surgery method from his classmates on the other side of the ocean, and the calculation in his heart was rattling.
Soon, Li Jianguo sent the patients who underwent second-stage tips surgery.
The operation begins.
"Xiao Liu, Dr. Zheng just said that the second-stage surgery is more difficult than the first-stage surgery, is that true?" Dean Qi stood in the operating room, looking at Zheng Ren and Gao Shaojie inside through the leaded glass, and asked in a low voice.
Professor Liu had already seen it with envy. He always thought that he would be the one standing inside to learn tips surgery.
Unfortunately, there are no assumptions in life.
Dean Qi asked, and Professor Liu was stunned for a moment. After sorting out his emotions, he thought for a while and said, "Dean, according to the conventional surgical method, there is no second stage of tip surgery."
"Huh?" Dean Qi was surprised.
"If you can do it in one stage, it's already at the national level of intervention." Professor Liu smiled bitterly. He could do it. Just a month ago, his surgical level was slightly better than Gao Shaojie's.
But in a short period of time, Gao Shaojie could no longer see his shadow.
A few days ago, Gao Shaojie made a phone call in Haicheng, asking him to help collect patients undergoing tip surgery. I didn't realize the problem at that time, but now that I think about it... I wish I could just talk about it.
Professor Liu was hopelessly distracted.
After hearing him fall silent in the middle of what he said, Dean Qi turned his head and snorted, slightly dissatisfied.
Professor Liu realized that he was immersed in that inexplicable feeling of loss and regret again. He smiled bitterly and said: "In the past, tip surgery only needed to connect the hepatic vein and portal vein. The probability of postoperative complications for patients was very high. , such as hepatic encephalopathy."
“Because of the thickness of the stent, if the stent is too thick, more blood will flow back from the veins without being metabolized by the liver, resulting in high blood ammonia levels, which can lead to hepatic encephalopathy.
But if the bracket is thin, there will be problems. The patients had less hepatic encephalopathy, but there was not enough returning venous blood. Problems such as gastric varices and portal hypertension were only alleviated but not completely resolved. "
"In other words, there will be a risk of vomiting blood in the future."
Dean Qi pondered.
What Professor Liu said was very simple and easy to understand. He was from a clinical background, and Dean Qi knew the problem instantly.
"Teacher Zheng performed two stents. The first one was a covered stent, which is required for ordinary tips surgery." Professor Liu's eyes were full of envy, and the emotion seemed to melt leaded glass.
"But he had another retrievable stent. The advantage of this stent is that it can solve both the above problems. After the patient adapts to the blood ammonia concentration of the venous blood, the retrievable stent can be removed, which can perfectly solve the postoperative complications. disease problem.”
"But... it's too difficult to remove the stent from the liver."
"Really?" Dean Qi asked.
"The liver parenchyma will be damaged and bleed, and I can't figure out how to successfully remove the retrievable stent." Professor Liu said with emotion.
Because I don’t understand, I am more curious.
While answering Dean Qi's questions, he stared at the screen in the operating room.
The operation has begun, and the retrievable stent balloon has deflated and is being removed.
In the operating room, Gao Shaojie's movements were very light and slow.
Although you are stepping on the line, your body is exposed to X-rays every minute and every second, causing damage to the body.
But he didn't dare to hurry.
Watching Zheng Ren undergo the second stage surgery, it was a complete mess.
But when you try it yourself, you realize the difficulty.
As soon as he moved, he felt resistance coming from him.
"Lao Gao, at seven o'clock, it's 15° downward. Press harder." Zheng Ren looked at the screen intently and said calmly.
Gao Shaojie reacted for a moment, then nodded and carefully followed Zheng Ren's instructions.
But the seven o'clock position... is still 15° downward. Is this really human talk
Gao Shaojie tried several times and finally succeeded in following Zheng Ren's instructions.
The retractable bracket moves a few millimeters and is barely visible on the image.
He didn't feel the slightest joy. Gao Shaojie himself didn't know why he succeeded.
"Down below, at the five o'clock position, bend your wrist at a 25° angle, tap lightly, taper again."
This time, Gao Shaojie tried four or five times, but failed.
Fearing liver parenchymal damage and bleeding, Zheng Ren finally had no choice but to switch places with Gao Shaojie, and Zheng Ren took action, completing the operation within ten minutes.