It’s not that the master-level skills are not enough, but that I simply don’t have the corresponding experience and the guidance of a teacher to perform surgery.
It would be great if he could watch the video of the operation, Zheng Ren thought vaguely.
Who is that... Zheng Ren was in the system operating room when he suddenly remembered an older interventionalist in the operating room of Pengxi Township Hospital, who looked quite honest and honest.
He compared himself with the practitioners in the Xinglinyuan live broadcast room, and finally felt that he was stronger. He seemed a little disappointed.
It seems that the surgeons in the live surgery room are very strong, Zheng Ren thought and smiled.
But the smile soon turned into a bitter smile.
Alas, it would be great if the live broadcast room could broadcast the autologous liver transplant surgery.
There was once a joke about the similarities between doctors and gangsters. One of them is who doesn’t have a few lives on his hands
Although all doctors are doing their best to avoid mistakes, they still cannot achieve 100% correct diagnosis. Especially in the diagnosis and treatment of such rare diseases, experienced doctors have accumulated their experience with human lives.
Zheng Ren is a loser and an exception. The experience of his men was accumulated through experimental subjects.
Don't be distracted, Zheng Ren calmed down and started the operation immediately.
fail!
fail! !
fail! !
Zheng Ren started to perform autologous liver transplantation and almost collapsed as he watched the experimental subjects die one after another. Every time an operation fails, you have to start all over again...
However, the time for surgical training is getting less and less. Zheng Ren seems to see a dark future waiting for his surgical training time to run out, but he still cannot fully master the autologous liver transplantation technology.
Xinglin Garden, surgery live broadcast room? Zheng Ren had no choice but to give it a try. After the death of Experimental Subject No. 32, he had no choice but to walk out of the system operating room. The system operating room collapsed and dissipated behind Zheng Ren. He walked straight out of the system space without even looking.
The wisp of green smoke floating in the purple cloud on his hand didn't seem to change at all. Zheng Ren took a fierce drag on the cigarette and then picked up the phone.
Xinglin Garden? Zheng Ren hasn't seen it for a long time.
Is there really a live broadcast room? Are today’s medical websites so advanced? Zheng Ren remembered that when he often logged into Xinglin Garden, he mainly focused on various academic case reports.
After logging in, Zheng Ren began to browse various sections quickly. There was indeed a place for live broadcast, but the last time he saw the live broadcast of the surgery was several months ago.
Sure enough, there will be no pie in the sky, Zheng Ren wailed.
I have no choice but to do my own research. Originally, Zheng Ren didn't have high hopes for the surgery live broadcast room, so he wasn't too disappointed.
Zheng Ren calmed down and smoked silently, not in a hurry to go to the system operating room to start the operation.
He began to reminisce about the operation.
The fingers of his right hand holding the cigarette trembled slightly, like a patient with Parkinson's disease. Countless details and fragments poured out in Zheng Ren's mind like a tide.
The body's memory was mixed with surgical techniques and details, whizzing in Zheng Ren's mind in waves.
However, after finishing smoking a cigarette, Zheng Ren still gained nothing.
The sound of a flat car came from the corridor of the operating room. Professor Yang was calling the doctors from the Department of Urology and Vascular Surgery.
As for thoracic surgery... In the operating room of the Department of Surgery, there are four operating rooms owned by them. When the time comes, no matter which operating room performs the operation, it is enough to just pull up the operating table.
Time... What Zheng Ren lacks is time.
How he hoped that at this moment, the Xinglinyuan surgery live broadcast room could really make his wishes come true and teach him how to perform autologous liver transplantation, just like the doctor named Liu Xuzhi said.
Valuable experience, free teaching, no matter what the level of the person who runs the live broadcast room is, he must be a good person.
Zheng Ren randomly handed out a good guy card, then took a fierce drag on his cigarette again, stubbed out the cigarette butt, and turned on his phone.
The miracle he expected did not happen, and the live broadcast room was still blank.
The building was empty after people left. This description is extremely appropriate.
Zheng Ren shook his head, sighed, and could only dive into the system space.
The operating room rose from the ground. After Zheng Ren entered the operating room, he stared blankly at the experimental subject, but was not in a hurry to operate.
Zheng Ren remembered the entire operation process in his mind. It's just that autologous liver transplantation is still difficult. It's not that it can't be achieved, but the success rate is too low.
When was the last time I stood in a system operating room in a daze? Zheng Ren vaguely remembered that it was when MRI diffusion was used to determine the tip surgery approach.
Even such a difficult surgery can be done, why not this time
Zheng Ren cheered himself up, put aside all kinds of distracting thoughts, and began to think carefully about the operation.
…
…
"Get into position and get ready to open." The anesthetist said anxiously after being fully anesthetized and looking at the erratic vital signs.
The patient's condition is very unstable and is being maintained with medication. Even if his level is high, he is not sure that the patient can persist until the operation is completed. Therefore, the earlier the platform is opened, the better.
Several professors who had been called gathered around the image reader in the operating room, conducting a final emergency hospital-wide consultation.
The condition is complex, four departments cooperate, and the general surgery department has the final say. Although Professor Yang is not sure at all about autologous liver transplantation, facing the current situation, he can only rush to get it on the shelves.
After urgent consultation, it was finally decided that the Department of Urology would open the surgery first. The problems that Zheng Ren, who had no similar experience, ignored were not ignored by many surgical professors and directors of 912.
Although the operation was extremely risky and the incident happened suddenly, they still made the right judgment.
Su Yun stood quietly in the corner. He couldn't get involved in this kind of pre-operative discussion at the level of director and team leader.
If Zheng Ren was here, it would still be possible.
There is no such thing as status in the world, but it does exist.
The patient was lying on his left side, and the urology doctor began to disinfect. The anesthesiologist nervously watched the patient's vital signs and constantly modified the amount of drug pumped.
Using drugs to maintain the patient's vital signs is only temporary and cannot last long.
The patient's life or death depends on the operation.
Su Yun didn't see Zheng Ren coming out, and he didn't look for it either. After countless surgeries, Su Yun believed that Zheng Ren would definitely appear here at the right moment.
This guy is definitely thinking about the surgery, and now he doesn’t know what to do. Although Su Yun's guess was not correct, it was not far off.
When the urology department started, Su Yun quietly stood behind the surgeon and began to watch the operation seriously.
Traditional cuts, simple and discreet.
After the blunt dissection exposed the kidney, both the surgeon, the assistant, and the spectators were dumbfounded.
The cauliflower-shaped hydatid cyst wraps around the upper pole of the right kidney like a typical malignant tumor, giving people a feeling that there is no way to start.
If possible, I really don’t want to have this surgery.
The director of the Department of Urology looked at this situation and began to hesitate and hesitate.
"Let's do a kidney segmentectomy. The interventional department is here, so you don't have to worry about bleeding." Su Yun whispered.
He understood why the director of urology was hesitating, so he gave the answer directly.
"Interventional Department, who is at home?"
"Boss Zheng." Su Yun replied firmly.
"Huh? Which Boss Zheng?" the director of the Department of Urology asked in surprise.
"Nobel Prize candidate, Boss Zheng Renzheng."
There was silence in the operating room, and the director of the Department of Urology began to separate the renal pelvis and calyces, and performed a segmental nephrectomy without hesitation.
Although he had never seen Zheng Ren perform surgery, the aura of a Nobel Prize candidate was shining bright enough.
Time ticked by, and the operation was performed very slowly.
The cyst wall of hydatid cysts erodes healthy body tissues pervasively. Although the patient is only in his twenties, he is estimated to have had hydatid disease for at least three to five years, otherwise it would not be so severe.
She was also lucky enough to be able to reach the imperial capital in time and come to 912. Although it was abandoned, it was abandoned at the door of 912.
Except for a few hospitals in the imperial capital and Shanghai, there is nowhere to treat such a complicated disease.
One hour and 23 minutes later, the renal segment of the right kidney was removed, the suturing was completed, and the body position began to change.
When the kidney segment had just been removed, Professor Yang from the general surgery department vaguely saw the situation inside. His face was solemn. He did not go to the urology department for skin sutures or rest. Instead, he stood in front of the film reader, staring blankly at the patient's films.
In fact, he already knew the procedure. After opening the abdominal cavity, the liver was freed, the gallbladder was removed, and then a vascular surgeon performed a portal venous surgery.
What next? Thoracic surgery.
No matter what, the patient suffers from hepatic echinococcosis. In the end, most of the liver will be removed and autologous liver transplantation will still fall on him.
Autologous liver transplant…
It is the most difficult operation in hepatobiliary surgery and almost the most difficult operation in general surgery.
Can you do it yourself? Professor Yang felt unsure.
But even if you have to rush the ducks to get on the shelf, you should get it.
When he was called, Professor Yang responded, washed his hands and changed clothes, and then the general surgery department started.
The task this time was not difficult. It was just to free the liver, remove the gallbladder, expose the second porta hepatis, and prepare for vascular surgery.
After opening the abdominal cavity, Professor Yang let out a long sigh.
The situation will only be worse than you imagined, never better.
At least 65% of the entire liver is invaded by hepatic hydatid. At the second porta hepatis, the bumps were full of gray-white vesicles that made people feel scalp numb.
Just bite the bullet...
Cover the incision and surrounding organs with a gauze pad, and then lay a layer of gauze soaked in 10% formaldehyde solution on the gauze pad to prevent the cyst fluid from spreading and contaminating or causing allergic reactions.
Before puncture, sew two traction threads on the cyst wall, puncture between the two threads and suck out part of the fluid in the cyst. After confirming that it is a hydatid cyst, pull out the puncture needle.
Connect the trocar handle to the Y-shaped tube, then connect it to the syringe and suction device respectively, and use a hemostatic forceps to temporarily clamp the rubber tube connected to the syringe.
Insert the trocar into the cyst cavity along the puncture site, pull out the trocar above the trocar handle, and use an aspirator to suck out the fluid in the cyst.
After dealing with all this, Professor Yang still has no technical skills.
Where is the second porta hepatis? The local anatomical structure was in such a mess that it was impossible to see clearly.
"Teacher Yang, do you need an assistant?" Zheng Ren's voice floated over.
…
…
This is a 3,000-word chapter, and I didn’t break it intentionally. My emotions are here, so please forgive me.
In my opinion, if there is a live surgery room, it would be a particularly meaningful thing. What good doctor doesn't have a few lives on his hands? Experience is accumulated with human lives. I have thought of many solutions, of course, they are just the boring thinking of a little doctor. The surgical live broadcast room is the simplest and most direct way to improve the level of surgical operations. There really is a master who dares to start a live broadcast. A difficult technique can save hundreds of lives.
Well, no matter how many people criticize me at the beginning, this is what I have always insisted on.
Today there are two 3,000-word chapters. Please vote for me.