Chapter 1**5

"Boss Zheng, it's all right now. Can you tell me how you put the support in just now?" The director of vascular Department came up and asked.

He wore a sterile mask, which almost covered most of his expression.

However, from the exposed eyes, Zheng Ren can feel the pleasure and expectation of the director of vascular department.

Is this a fan? Zheng Ren is a little confused.

It is said that only those traffic stars will have fans. How come when I came to the Affiliated Hospital of Medical University today, I first met the anesthesiologist to find his signature, and the director of foot vascular department rushed to chat with himself.

It seems very annoying. Do you want to wear a mask when you go out in the future?

Zheng Ren thought, thinking a little far, a little erratic.

"Pa ~" Zheng Ren's hemostatic forceps trembled.

"Boss, what are you thinking?" Su Yun asked.

"Er... How did you get off the support just now? What should I say, this..."

"My last name is Ma, Ma Liang. Ma Liang, the magic pen Ma Liang." The director of vascular Department said with a smile.

"Director Ma, that's right." Zheng Ren said, "if you do more surgery, you will have a perception of the anatomical structure. You can understand that."

Director Ma Liangma thought and nodded.

At this time, he no longer joked or said something excitedly, but carefully pondered what Zheng Ren said.

Are you familiar with human anatomy? Boss Zheng should say this. Ma Liang pretends to understand.

"When I came in and saw the situation on the operating table, I had a certain understanding of the patient's anatomical structure in my mind, such as the location of femoral vein puncture, the distance from inferior vena cava, etc." Zheng Ren's serious nonsense.

“......”

Not to mention Professor Ma Liang and Professor Zhan, even special Su Yun was confused.

At a glance, you can understand the anatomical structure? You can also estimate the distance. Like the mechanical eyes of biochemical soldiers, direct perspective, all kinds of data written clearly?

"You can already operate without X-rays?" Ma Liang asked a mysterious question in amazement.

"What I'm talking about is that if you do more, you'll have more, but it doesn't mean you can get rid of X-rays." Zheng Rendao said, "this is a coincidence. The inferior vena cava is very straight, simple in structure, and there is almost no variation. Therefore, depending on the patient's body, we can roughly estimate the length of the guide wire."

"Er... What about the bleeding point?"

"There is on the endoscopic equipment. Although it is bloody, it can still recognize the surrounding tissue structure. The density is different, the density is different..." Zheng Ren began to regret.

I should dress up as Gao Leng and say nothing.

This kind of thing can't be said to be system space. The more you explain it, the more wrong it will be.

It is absolutely impossible to make up for another lie with one lie. Finally, I have more and more things to explain.

Besides, Su Yun's goods are on the side. His eyes are sharp.

Zheng Ren still remembers that when he came in, the mirror screen was red and he couldn't see anything.

Forget it, talk nonsense. I didn't expect that they were not good enough.

Su Yun stared at Zheng Ren. Is the level of the goods so high? No! At that time

"Boss..."

"Boss Zheng, I brought Miss Xie in." Gao Shaojie appeared in time to relieve Zheng Ren. "It takes 20 minutes to send the instrument box to be sterilized at high temperature again."

"Oh, OK." Zheng Ren said, "where's Yi?"

"Change your clothes and you'll be there soon." Gao Shaojie said with emotion. Seeing boss Zheng's extravagance and going out for surgery, he even took his assistant and instrument nurse with him.

This is what he didn't see. When he went abroad for surgery, Zheng renlian took an anesthesiologist with him.

Zheng Ren opened the warm saline gauze. He really didn't want to chat. The more he said, the more he made mistakes. He couldn't explain the operation just now.

Then have an operation.

The tumor tissue is located at the right renal hilum, most of the tumor body is located behind the inferior vena cava, local adhesion is serious, the tumor body invades the inferior vena cava and right ureter, and the boundary with the surrounding organs is unclear.

In people's words, it's a mess.

Zheng Ren began to drift away from the surrounding parts. At this time, his hand speed was not open, and Su Yun was a little leisurely.

"Professor Zhan, what do you think? You can't see it from the film? It's so sticky that you have endoscopic surgery." Su yundao.

Professor Zhan was distressed and bowed his head. His blood pressure was 182

"That's it. I guess the boss can't do it with a mirror." Su Yun continued to nag, "where did your inexplicable self-confidence come from?"

Professor Zhan pulled the hook and exposed Zheng Ren to the operation field. His blood pressure was 184.

"Boss, I think it's better to cut from 12 ribs." Su Yun looked at Zheng Ren doing a simple dissociation and put forward his opinions.

"Normally, it's like this, but isn't there bleeding? The heaven and earth mouth next to the rectus abdominis is so heroic that you're not ready to suture the inferior vena cava." Zheng Rendao.

"I carry out your doctor's orders. Look, be firm." Su Yun asked for an electric fire and began to stop bleeding.

I was in a hurry when I came in. Blood was seeping in many places.

Especially at that time, the blood pressure was a little low, and some capillaries were flat. But after talking for 20 minutes, the blood had already been transfused. Now the patient's high blood pressure is 100 mm Hg, and some blood vessels are reopened.

"Here I am." The Shay came in and said.

"Go on stage first, director Lin, let your instrument nurse stay. It's too troublesome to count." Zheng Ren said: "look at the instruments. The surgical instrument box will be sent up after disinfection. The operation time is estimated to be very long. It will take three or four hours. You need your cooperation."

"Well, OK." Director Lin stood aside and saw all kinds of things that had happened.

Director Ma Liangma directly "defected", and director Lin was also very helpless.

What has boss Zheng done? How can the director of vascular surgery stand by and serve carefully like a small doctor flattering the director?

Alas, director Lin sighed.

"It's so sticky. Can you swim away, boss." Su Yun is not very confident.

"Two sets of microscopes or one set?" Zheng Ren asked.

"It must be two sets!"

"That's fine." Zheng Ren said, "in some places, I can't do it alone."

Su Yun's hand is slightly sticky. Is it so strong? There are operations that the boss can't do.

Zheng Ren looked at the mess of the right kidney tumor wrapping the inferior vena cava. He remembered what happened when the big pig hoof just appeared.

The top-level general surgery does not need Dr. Charles's instruments or Zeiss's microscope at all. Everything is done smoothly by hand.

But I can't do it yet.

Feel, Dr. Charles said, is the feeling of peak surgery.

Zheng Ren suddenly reached out and gently touched the inferior vena cava. Although he was wearing sterile gloves, he seemed to feel the elasticity of the adventitia of the inferior vena cava.