Chapter 768 Experiment Subject Death+19

An incision was made next to the right rectus abdominis, the abdominal wall was cut open, and blunt dissection was performed.

Zheng Ren was extremely proficient in doing these things. He only burned three unavoidable capillaries with electricity, and there was almost no bleeding. Then he began blunt dissection, peritoneal protection, and opened the abdominal cavity of the experimental subject.

After entering the abdominal cavity, Zheng Ren acted like an idiot.

Once the peritoneum was opened, no cavities could be seen at all, and the huge liver and space-occupied areas blocked the operative field.

The huge space-occupying area at the second hepatic hilum doesn't seem to be that big from the film. However, Zheng Ren didn't feel surprised or hesitated. He began to walk along the mouth, and then used the automatic hook to pull the muscles apart, exposing the surgical field.

It took nearly ten minutes for Zheng Ren to open the abdominal cavity and expose the operative field.

Huge mass in the left liver near the second hepatic hilum, accompanied by intracapsular necrosis. The hyperplasia and edema of the right liver were obvious, and the original shape of the whole liver was basically invisible.

Right liver edema brought great difficulties to autologous liver transplantation.

Surgery is difficult...

But no matter how difficult it is to do, Zheng Ren gritted his teeth and started the operation alone.

And it's not just a one-person operation, the surgical approach is also frightfully wrong.

Zheng Ren soon discovered that this operation, although hepatic echinococcosis, had to do right nephrectomy or right nephrectomy first.

Because hydatid infiltrates and spreads, the liver and kidneys have been connected and fixed in one place.

After all, he is not a doctor of urology. Although Zheng Ren's ability to read films is high, he is not omnipotent.

Now Zheng Ren feels that he is not afraid of loneliness when undergoing surgery alone. It is the hardest thing to move the experimental body and change the position by one person.

Damn pig's trotters, not smart at all, Zheng Ren thought to himself.

There is no other way, I can only change the patient's position by myself. Then Zheng Ren ordered an intermediate skill book, and his heart ached again.

Although intermediate skills are usually not used, but a book is required for surgical training, which is too luxurious.

But there is no way, who made the big pig's trotters have to start from scratch?

The subjects were placed in the left decubitus position, with the right side up, and the right kidney was exposed through the traditional 11th intercostal incision.

Separate the kidney, separate and control the renal blood vessels, and be careful not to cause massive bleeding. Although it is an experimental subject, Zheng Ren still goes all out.

The intermediate skills in urology are still a little rough, but Zheng Ren has a good foundation, and the level of surgical skills in general surgery is high. All kinds of blunt separation and clamping are handy.

The improved skills are mainly to understand the anatomical structure.

Zheng Ren didn't look at the skill tree. It is estimated that the skill tree of urology surgery is growing like crazy.

But he has no interest in urology, just because there is a need for surgery, he just passed by to check his skill points.

The surgery was a bit rough, but Zheng Ren didn't have so much time to polish this part. After nephrectomy, no active bleeding was detected, and the position of the subject was changed immediately after the renal pelvis and calices were flushed.

If a urologist performs nephrectomy, he will definitely be very careful. But who is Zheng Ren? He is a man standing on top of the world in interventional surgery.

In Haicheng No. 1 Hospital, Zheng Ren performed interventional embolization for a patient with blood vessel rupture and bleeding about 1 month after nephrectomy when he was first assisted by Big Pig's Trotter.

Therefore, Zheng Ren underwent nephrectomy without any psychological burden at all.

If it doesn’t work, just get involved in embolism, I’m very familiar with it. Moreover, bleeding after nephrectomy cannot be completely avoided.

After all, the kidney is so fragile, which is determined by the nature of the organ itself, and has nothing to do with the level of the surgeon.

Following the original incision step by step, suddenly, a blood vessel at the second portal of the liver was punctured, and blood sprayed Zheng Ren's head and face.

Experimental subject, dead.

Blood vessels are so brittle... Zheng Ren felt helpless, his general surgery level has been tempered by local anesthesia in Nanchuan Township, and he has broken through the shackles between life and death, and has reached more than 98,000 points, reaching the peak of the master level, and he is about to Break through and become a master.

But I didn't expect this to happen when the blood vessels were freed!

If it was outside, the surgery would be performed with real swords and guns, and the patient would die at this moment, and he would be scared to death.

Zheng Ren shuddered, sighed, thanked the big pig's trotters, and started the operation again.

The experimental subject was immediately replaced with a complete one, this time Zheng Ren knew the order of the operation.

After nephrectomy, laparotomy was performed again. The last time I freed the hemorrhage at the second hepatic hilum, I was more careful this time.

Hepatic hydatid really deserves to be called worm cancer, and it is extremely erosive. The second hepatic hilum, surrounding ligaments, and layers of connective tissue are very brittle and thin. Looking at the normal tissue structure, he was accidentally sprayed with blood all over his head.

Experimental subject, dead.

Experimental subject, dead.

Experimental subject, death...

The more he was Zheng Ren, the colder he felt. His level of general surgery was not bad, even after undergoing surgery in extreme cases of earthquake relief, it can be said that he was very strong.

But this level is still not enough.

At this moment, Zheng Ren had completely forgotten the benefits that the system tasks brought him, let alone caring about his distress.

With all his strength, he went all out to win this operation.

The so-called benefits, great benefits, are nothing compared to a human life.

Finally, during the nineteenth surgical training, Zheng Ren successfully stripped the blood vessels and ligaments at the second hepatic hilum.

A warm current reverberates around the body, this feeling is so familiar.

Zheng Ren had a similar experience, and he knew that his general surgery skills had become a master before he knew it.

Normally, Zheng Ren would be ecstatic.

With a background in general surgery, it is a big deal that this major can be promoted to the level of a master, surpassing the level of a department director of a large tertiary hospital.

However, in the system operating room, the operation has just begun.

Free the liver, remove the gallbladder, separate the perihepatic ligament and the second porta hepatis, and free the suprahepatic-inferior vena cava. The diaphragm was separated and opened, cut above the stenosis of the thoracic vena cava, the first hepatic porta was freed, and the liver was completely removed. See the invasion and narrowing of the thoracoabdominal transition of the inferior vena cava...

Zheng Ren didn't do the end-to-side anastomosis of the portal vein to the artificial vascular bypass in vascular surgery. This paragraph is directly bypassed, even if the degree of completion of the operation given by the system is not high enough, it doesn't matter.

He really didn't have time to complete this super long operation.

because,

Next,

Going to have a liver transplant.

Autologous liver transplantation!

Zheng Ren had only heard of autologous liver transplantation, but had never seen it.

Autologous liver transplantation was first implemented by Professor Pichlmayr of the Hannover Organ Transplantation Center in Germany in 1988. The whole liver was resected freely and taken out of the body for lesion resection and then replanted in situ. Later, Hannoun and Sauvanet et al. modified it without dividing the first hepatic hilum, which was called semi-isolated autologous liver transplantation.

The technique of autologous liver transplantation is derived from the technique of allogeneic liver transplantation and is superior to other techniques. It is called the last barrier of liver surgery!

As a doctor with a background in general surgery, Zheng Ren knew about this. The last barrier, Zheng Ren has been "salivating" for it.

Now I have to do it myself, and I don't know how difficult it is until I get started.