Chapter 1527

"How much do you estimate?"

"No blood transfusion." Zheng Ren said with certainty.

"..." Professor Yang was slightly stunned.

Generally, the whole segment of the liver may not need blood transfusion. After all, the anatomical structure is clearer.

But this time it's splitting the liver and removing the tumor tissue from it.

Tumor tissue! There are abnormally proliferating blood vessels around. If only the tumor is cut and the liver is preserved, it will inevitably cause a lot of bleeding during the operation.

Therefore, doctors in many provincial and municipal hospitals are still used to directly removing the left lobe or right lobe of the liver.

This operation is relatively simple. Of course, relatively speaking, the trauma to patients is also relatively large.

Liver splitting without blood transfusion? That's bullshit. Professor Yang scoffed at this.

But he didn't say, but he was not optimistic about the results of the live broadcast of the operation.

Boss Zheng, this is a smooth operation. It's beginning to float.

"Boss, the effect of embolism is good." Su Yun said while watching the film.

"Well, as expected." Zheng Renping answered lightly.

"How?"

"Split the liver, free it with an ultrasonic knife and cut it off." Zheng Ren's answer is very simple and easy.

"Boss, next time you have an operation, can you not let it go?" Su Yun looked at the film, knew it well, and began to complain about the background music.

Zheng Ren didn't speak. He held his cheek in his right hand and looked at the film seriously.

The film looks very simple. A shiny silver irregular ball can be seen at the rear end of the right liver, with spots in the middle.

That is the imaging manifestation that the lipiodol deposited liver cancer tissue has begun to necrosis after interventional surgery.

However, in order to completely inactivate such a large liver cancer, interventional embolization of liver cancer should be performed at least 3-5 times.

Zheng Ren seized the time before the operation, doing 64 row CT three-dimensional reconstruction in his mind, thinking about the surgical approach and simulating the surgical process again.

Su Yun looked at Zheng Ren disdainfully when he saw that he had become a wood. He looked back and said to Lao he, "dare you change the background music for the next operation."

"Dr. Su, I dare not." Lao he said with a smile.

Su Yun was helpless. Seeing that Lao he was busy, he put the patient in a position with Professor Yang, and then went to brush his hands.

Brush your hands, disinfect and come to the instrument table.

The Shay had already dressed and counted the equipment. She gave Su Yun the bending plate and oval pliers, grabbed a handful of sterile gauze and put it in the bending plate.

"Yi Ren, next time Zheng Ren in your family has an operation like intracavitary appendix, if he doesn't call you again, he will turn against him." Su Yun said.

Shay narrowed his eyes and smiled.

Eyes are like crescent moon, shining with bright light.

"What? Intracavitary appendix?" Lao he and Professor Yang were stunned when they heard what Su Yun said.

"Yes." Su Yun took the oval forceps and clamped up the iodophor gauze. He began to disinfect while saying, "the intracavitary appendix or the intracavitary ectopic appendix is 12cm above the ileocecal part. This kind of operation is only done by himself. Lao he, do you think it's still a human thing?"

Professor Yang agrees with Su Yun's words.

Intracavitary appendix, Bermuda, known as general surgeon.

I was lucky. I didn't encounter it once when I had an appendectomy. I didn't expect to meet you these days?

"How did you find it?" Professor Yang asked in surprise.

"It is said that I saw it through colonoscopy."

"Tut tut."

"Boss, it's almost finished detoxification. Brush your hands." Su Yun said.

"OK." Zheng Ren finally switched from the state of wood to brush his hands.

"Brother Yang, are you nervous?" Su Yun began to spread sterile sheets and asked.

"A little."

"Just get used to it." Su Yun said with a smile, "the ultrasonic knife is Johnson's?"

"Yes."

"Changfeng doesn't produce ultrasonic knife. It's still a small company." Su Yun sighed.

During the operation, I couldn't see feng Xuhui and his two big boxes. I always felt that there were some shortcomings.

Professor Yang began to dress and said with a smile, "two ultrasound knives are ready."

"What a waste." Su yundao.

"This is not afraid of bleeding." Professor Yang said: "splitting the liver, about 8cm tumor, it is estimated that about 1000ml blood can be obtained."

Professor Yang put on his clothes, stood in the position of a helper and began to play with ultrasonic knife, electric burn and other instruments.

"You're not nervous. Two ultrasonic knives are for the place where the boss hasn't noticed. Check and make up your deficiencies." Su Yun smiled.

Professor Yang was upset, but he didn't say much, just smiled.

Isn't it normal to prepare more things for the operation to avoid accidents?

Zheng Ren came in after brushing his hands, wearing sterile gloves and surgical clothes, looked at Xiao Yi and smiled.

When she came to the operator's position, Hu Yanhui put on live glasses, connected the signal and made a start gesture.

The operation officially began.

Take the right upper abdomen to make a right infracostal incision, and cut the skin, subcutaneous and muscle layer by layer from the left side of xiphoid process to the 12th costal edge.

Professor Yang is a little nervous and his hands are a little hard.

But just an open stomach doesn't affect anything. Zheng Ren doesn't seem to notice.

"Go on a tour and get blood." Professor Yang said when Zheng Ren dealt with subcutaneous capillaries.

"OK, Professor Yang." The itinerant nurse asked, "how much?"

"Red blood cells, take 10 units first."

"Wait and see, there's no need." Zheng Ren didn't lift his head. He looked at Shu Ye seriously and said.

The itinerant nurse was at a loss.

Listen to who?

Normally speaking, we should listen to the performer, but Professor Yang has another saying.

I hate this situation most. I offend people no matter what I do.

"Boss Zheng, are you sure?" Professor Yang didn't expect the dispute to appear at the beginning.

Recalling what director Li said to himself, he decided to firmly grasp the rhythm of the operation. Everything boss Zheng did seemed too aggressive.

"OK, try it."

"Boss Zheng, prepare some blood first. What if you want to use it?" Professor Yang insisted.

"OK, take some units and keep them." Zheng Ren unexpectedly did not exercise the authority of the performer. Professor Yang insisted and agreed.

The itinerant head nurse breathed a sigh of relief. It was hard.

In a few words, this side has done a good job of peritoneal protection and entered the abdominal cavity.

Professor Yang glanced at the operation area and immediately began to get nervous.

How to do so fast! I have to concentrate on the stage. This is the live broadcast of the operation!

After breaking the round ligament of the liver, Zheng Ren put his hand in.

Then he skillfully separated the hepatic limbic ligament, right coronary ligament, right triangular ligament and hepatic renal ligament. At the same time, he blunt separated the bare area of the liver directly to the inferior vena cava and continued to free the right liver.

This is the preparatory work in the early stage. Although it is simple, boss Zheng is skilled. It seems that he has done more than a thousand cases. There were no big moves. Most of them were fingers moving constantly. It looked really pleasing to the eyes. Professor Yang thought to himself.