A warm current reverberated around his body. This feeling was so familiar.
Zheng Ren had a similar experience. He knew that his general surgery skills had unknowingly reached the Legend-level.
Normally, Zheng Ren would be ecstatic.
Coming from the General Surgery Department, it was a big deal that his specialty could be upgraded to the Legend-level, surpassing the level of a department chief from a Class Three Grade A hospital.
However, in the operating theater, the surgery had just begun.
The liver was separated, the gallbladder was removed, the ligaments around the liver and the second hepatic portal were separated, as well as the superior and inferior vena cava. Separate and open the diaphragm, break off above the stenosis of the thoracic vena cava, free the first hepatic hilum, and completely move out of the liver. The thoracic and abdominal transitional section of the inferior vena cava was invaded and narrowed.
Zheng Ren did not go into vascular surgery for the end-to-side anastomosis of the portal vein to the artificial blood vessel bypass. If he directly bypassed this section, even if the surgical progress bar given by the system was not high enough, it would not matter.
He really did not have the time to complete this extremely long surgery.
Because...he was going to do a liver transplant.
An autogenous liver transplant!
Zheng Ren had only heard of it, but he had never seen it before.
An autogenous liver transplant was first carried out in 1988 by Professor Pichlmayr of the Organ Transplant Center in Hannover, Germany. The whole liver was removed from the body. After being removed, the liver was replanted in situ. Later, Hannoun and Sauvanet improved the technique and did not remove the first hepatic portal. It was known as semi-detached autologous liver transplantation.
The technique of autologous liver transplantation originated from the technique of allogeneic liver transplantation and was superior to its technique. It was known as the last barrier of liver surgery!
As a doctor who had graduated from the General Surgery Department, Zheng Ren knew about this. Zheng Ren had always been 'salivating' over this last barrier.
Now that he had to do it himself, he knew how difficult it would be once he started.
Chapter 770 - People Went To The Empty Live Broadcast Room
It was not that he was not at the Legend-level, but that he did not have the corresponding experience and the guidance of a teacher for the surgery.
'If only I could watch a video of the surgery once, how great would that be?' Zheng Ren thought in a trance.
Who was that... In the operating theater of the system, Zheng Ren suddenly remembered a rather old interventional doctor in the operating theater of Pengxi Village Hospital. He looked quite honest.
He compared himself with the other surgeons in Xinglin Garden's live broadcast room. In the end, he felt that he was stronger and now seemed to be a little disappointed.
'It seems that the surgeons in the live broadcast room of the surgery are very strong,' Zheng Ren thought and smiled.
However, his smile immediately turned into a bitter smile.
Sigh, if the live broadcast room could broadcast the surgery of autologous liver transplantation, how good would that be?
There was once a joke that talked about the similarities between doctors and the underworld. One of the points was—who didn't have a few lives on their hands?
Although all the doctors tried their best to avoid making mistakes, they were still unable to make a 100% correct diagnosis. This was especially true for the diagnosis and treatment of this rare disease. Experienced doctors would use human lives to acc.u.mulate their experience.
Zheng Ren was an idiot, but he was an exception. He got his experience from operating on the System's simulation mannequin.
Stop daydreaming. Zheng Ren snapped out of his daze and immediately began the surgery.
Failure!
Failure!
Failure!
Zheng Ren was on the verge of breaking down as he watched the simulation mannequins die one after another. Every time the surgery failed, he had to start all over again.
However, the training time for the surgery was getting shorter and shorter. Zheng Ren seemed to see an incomparably dark future waiting for him—the training time for the surgery had been exhausted, but he still could not completely master the technique of autologous liver transplantation.
Xinglin Garden's live broadcast room? Zheng Ren had the thought of giving it a try in a helpless situation. After the death of the simulation mannequin No. 32, he walked out of the System's operating theater helplessly. The system operating theater collapsed and dissipated behind Zheng Ren. He did not even look at it. He walked straight out.
The wisp of green smoke from the cigarette in his hand did not seem to have changed at all. Zheng Ren took a fierce puff of the smoke and then picked up his phone.
Xinglin Garden? Zheng Ren had not visited it for a long time.
Was there really a live broadcast room? Were the medical websites so advanced these days? Zheng Ren remembered that when he often logged into Xinglin Garden, it was mainly based on various academic case reports.
After logging in, Zheng Ren began to quickly browse through various sections. There was indeed a spot for a live broadcast, but the last time he saw a live broadcast of the surgery was a few months ago.
Sure enough, there was nothing that could help him. Zheng Ren wailed.
He had no choice but to study it himself. Zheng Ren did not have much hope for the surgery live broadcast room, so he was not too disappointed.
Zheng Ren steadied his mind and smoked silently. He was not in a hurry to go to the operating theater to start the surgery.
He began to recall and recall the process of the surgery.
The fingers of his right hand, which was holding the cigarette, trembled slightly as if he was a patient with Parkinson's disease. Countless details and fragments flooded Zheng Ren's mind like a tide.
The body's memory, the surgical techniques, and the details were mixed together. One after another, they whistled in Zheng Ren's mind.
However, after he finished smoking, Zheng Ren still did not gain anything.
The sound of a stretcher trolley could be heard coming from the operating theater. Professor Yang was calling the doctors from the Department of Genitourinary Surgery and the Department of Vascular Surgery.
As for the Department of Thoracic Surgery... There were four operating theaters in the operating theater. When the time came, no matter which operating theater completed the surgery, they could just directly pull up this operating table.
Time... What Zheng Ren lacked was time.
He really hoped that at this moment, Xinglin Garden's live broadcast room could really be like what the doctor called Liu Xuzhi had said. It would start a live broadcast of everything he wanted and teach him how to perform an autogenous liver transplant.
Valuable experience and free teaching. No matter how good the person who opened the live broadcast was, he must be a good person.
Zheng Ren randomly sent out a request. Then, he took another fierce puff of his cigarette. He put out the cigarette b.u.t.t and turned on his phone.
The miracle he had hoped for did not happen and the room was still blank.
Empty. That was the perfect way to describe it.
Zheng Ren shook his head and sighed. He could only head into the System space again.
The System's simulation mannequin and operating theater rose from the ground. After Zheng Ren entered the operating theater, he looked at the dummy in a daze but was not in a hurry to operate.
Zheng Ren kept the whole procedure in mind. However, autogenous liver transplantation was still difficult. It was not that it could not be achieved, but that the success rate was too low.
When was the last time he stood in the operating theatre in a daze? Zheng Ren vaguely remembered that it should be when he used nuclear MRI to determine the
surgical approach of the TIPS surgery.
If it was such a difficult operation, why couldn't it be done this time?
Zheng Ren encouraged himself. He threw away all kinds of distracting thoughts and began to carefully think about the operation.
..
..
"Set your position. Prepare to operate," the anesthesiologist said anxiously as he looked at the erratic vital signs after general anesthesia was completed.
The patient's condition was very unstable. He was using drugs to maintain his condition. Even if his skill level was high, he was not sure that the patient would be able to persist until the surgery was completed. Therefore, the sooner the surgery was started, the better.
A few professors who were called over surrounded the radiographic film viewer in the operating room and did the final consultation within the emergency department.
The patient's situation was complicated. The four departments had to work together, and the general surgery department had to make the final decision. Even though Professor Yang did not have any confidence in autologous liver transplantation, he had no choice but to do it in the face of the current situation.
After an emergency consultation, the Department of Genitourinary Surgery was confirmed to be the first to open the surgery. Zheng Ren, who did not have a similar experience, did not overlook the problem that many of the professors and chief physicians in the Imperial Capital Hospital's General Surgery Department did.
Even though the surgical risk was extremely high and the incident happened suddenly, they still made the correct judgment.
Su Yun stood quietly in a corner. He could not interrupt this kind of preoperative discussion between the chief physicians and professors.
If Zheng Ren were here, it was still possible.
In the surgical world, status did not seem like a thing but it was still there.
The patient lay on the left side. The doctors in the Department of Genitourinary Surgery began to disinfect the patient. The anesthesiologist nervously stared at the patient's vital signs and constantly modified the amount of medicine that was pumped in.
Using medicine to maintain the patient's vital signs was only temporary. It could not be maintained for long.
The patient's life and death would depend on the surgery.
Su Yun did not see Zheng Ren come out, and he did not look for him either. After countless surgeries, Su Yun believed that Zheng Ren would definitely appear here at the right time.
This guy was definitely thinking about the surgery. He did not know what he was going to do now. Although Su Yun's guess was not accurate, it was not far.
The Department of Genitourinary Surgery began. Su Yun quietly stood behind the surgeon and began to look at the surgery seriously.
The traditional incision was simple and careful.
Blunt dissection. After the kidney was exposed, whether it was the surgeon, the assistant, or the audience, they were all dumbfounded.
The cauliflower-shaped hydatid cyst was like a typical malignant tumor. It wrapped around the upper pole of the right kidney, making people feel like it had no end or beginning.
If it was possible, they really did not want to do this surgery.
When the department chief of genitourinary surgery saw this situation, he began to hesitate.
"Let's do a segmental nephrectomy. With the interventional department around, there's no need to worry about bleeding," Su Yun said softly.
He understood why the Chief of the Department of Genitourinary Surgery was hesitating, so he gave a direct answer.
"Interventional department, who's available?"
"Boss Zheng," Su Yun answered firmly.
"Huh? Who's Boss Zheng?" The department chief of the Department of Genitourinary Surgery asked in surprise.
"The candidate for the Nobel Prize, Boss Zheng Ren."
There was silence in the operating theater. The Chief of the Department of Genitourinary Surgery began to separate the renal pelvis and calyx. Without hesitation, he performed a segmental nephrectomy.
Although he had never seen Zheng Ren perform surgery before, the halo of the candidate for the Nobel Prize was bright enough.
Time ticked by, and the surgery was done very slowly.
The cyst wall of the hydatid worm was invading the healthy tissues. Although the patient was only in her twenties, she must have had hydatid disease for at least three to five years. Otherwise, it would not be so serious.
She was lucky to be able to reach the Imperial Capital Hospital in time. Although she was abandoned, she was abandoned at the door of the Imperial Capital Hospital.
Apart from a few hospitals in the Imperial Capital and Sorcery Capital, there was no other place in the country that could treat such a complicated disease.
One hour and 23 minutes later, the right kidney segment had been removed. After the suture was completed, he began to change his position.
When he had just removed the kidney segment, Professor Yang from the general surgery department could vaguely see the situation inside. His expression was grave. He did not look at the genitourinary doctor's suture or rest. Instead, he stood in front of the radiographic film viewer and stared at the patient's radiographic films in a daze.
Actually, he already knew the surgical method. After the abdominal cavity was opened, the liver was free and the gallbladder was removed. Then, the Vascular Surgery Department would perform the portal vein surgery.
And after that? Thoracic surgery.
No matter what, the patient had liver echinococcosis. In the end, most of the liver was removed, and the job of performing an autologous liver transplant would still fall to the patient.
Autologous liver transplant...
It was the most difficult surgery in the Department of Hepatobiliary and Pancreatic Surgery, and it was also almost the most difficult surgery in the entire general surgery department.
Could he do it? Professor Yang was not confident.
However, even if he couldn't, he still had to do it.
Professor Yang responded to the call. He washed his hands and changed his clothes. After that, the general surgery department started the surgery.
The task this time was not difficult. It was to free the liver, remove the gallbladder, expose the second hepatic hilum, and prepare for vascular surgery.
When he opened the abdominal cavity, Professor Yang let out a long sigh.
The situation was worse than he had imagined. It was definitely not better.
At least 65% of the entire liver had been invaded by hepatic hydatid cyst. At the second hepatic portal, the lumps were all covered with gray-white vesicles that made one's scalp tingle.
He had to bite the bullet and go on...
The gauze pad covered the incision and the organs around the cyst. Then, he placed a layer of gauze soaked in 10% formaldehyde solution on the gauze pad to prevent the fluid from spreading and contaminating the cyst or causing an allergic reaction.
Before the puncture, two traction lines were sewn on the cyst wall. The fluid in the cyst was punctured between the two lines and s.u.c.k.e.d out. After the cyst was confirmed to be a hydatid cyst, the puncture needle was pulled out.
The trocar handle of the trocar was connected to the y-shaped tube. Then, the trocar was connected to the injector and aspirator respectively. The rubber tube connected to the injector was temporarily clamped with a hemostatic clamp.
The trocar was inserted into the cyst along the puncture site. The aspirator was pulled out above the trocar handle and the fluid in the cyst was s.u.c.k.e.d out with the aspirator.
After dealing with all of this, Professor Yang still did not have any operative view.
Where was the second hepatic portal? The local anatomical structure was in a mess, and it was impossible to see clearly.
"Professor Yang, do you need an assistant?" Zheng Ren's voice drifted over.
Chapter 771 - My Skill Level...Is Very High
Zheng Ren's voice sounded i
n Su Yun's ears. In his tone rang a biological certainty, as if it was the will of the universe.
He could tell that Professor Yang did not dare to make a move.
Who would dare to make a move in this kind of situation? There was no operative view. The grayish-white vesicle walls that had been extracted from the vesicles covered the hepatic portal softly. He had no idea what was going on inside.
The only thing they had to do was to trim the vesicle walls bit by bit, exposing their visual field, and then decide what to do.
The operation time was infinitely prolonged. The patient was already in a state of shock. If the ventilator assisted breathing for too long, even if the operation was successful, the situation after the operation would still be unknown.
This guy was finally here!
Su Yun clenched his right fist tightly.
Although he had always advised Zheng Ren not to get involved, there was still a d.e.s.i.r.e in the depths of his heart.
At this moment, Su Yun forgot about the medical dispute. He was just a doctor.
Professor Yang was in a dilemma. When he heard someone speak, he was delighted.
But he immediately thought that the people in his department who were qualified to perform the surgery were all at the frontline. Other than himself, no one else would and could do it.
Even he...could not do it. His mood immediately became gloomy.
Yang Rui looked back and saw that the person who spoke seemed to have seen him before. Because he was wearing a sterile cap, he could not tell at once.
However, in a moment of thought, Professor Yang remembered who it was.
"You are..."
"Zheng Ren."
The surgery room was completely silent. There was only the mechanical ventilation of the ventilator and the sirens of the monitoring device. It proved that this was a living world.
"Professor Yang, I specialize in general surgery. My skill level...is very high," Zheng Ren said seriously.
Someone had actually dared to utter those words?
He said that his skill level was very high?
Was he shameless?!
The Surgeon's Studio c1-799 Page 365
