() The degree of completion of the operation is not high because Zheng Ren is unable to operate two guidewire catheters at the same time. No matter how high the level is, even if it reaches the peak level, I am afraid that it is impossible to operate two guidewires and catheters at the same time.

If it's an octopus man, it's probably still possible.

Zheng Ren is already very satisfied with the completion of 88% of the surgery. If there is a professor's cooperation, it is estimated that it will reach more than 95%.

The operation probably has a spectrum, what to do, Zheng Ren recalled it again in his mind.

Well, that's pretty much it.

It was the first time that Zheng Ren experienced the surgical training of a double surgeon. In the past, in the operating room of the system, there was just no assistant, and Zheng Ren also practiced the ability to do surgery by himself.

But this time, it was different.

Retraining, there is no point, what to do with the operation, Zheng Ren has already figured it out. When you go for surgery, success or failure depends mainly on the cooperation of Professor Rudolf Wagner.

Zheng Ren continued to recall the surgical process, and made corrections and improvements in some small points.

Heidelberg is not big and there are not many cars, so you will soon be at the Heidelberg University Medical Center. Professor Rudolf Wagner's flamboyant blonde hair fluttered and waited anxiously.

After getting out of the car, Zheng Ren asked directly, "What's the situation?"

"Boss, you're finally here. The professor was a little frustrated, "I guess enough chokes and finishes the calf." ”

"......" Zheng Ren was speechless in the face of a finished calf.

"The patient is a 52-year-old woman with a history of hypertension for more than 20 years. He presented to the hospital for 6 weeks with chest and back pain, and CTA showed subacute type 2 aortic dissection from the proximal descending aorta to the bilateral common iliac arteries. ”

"Getting to the point. Zheng Ren strode in and said in a deep voice.

The professor hurriedly led the way in front and said, "The surgery done in the community hospital may be a problem with the instruments or a doctor. After the stent was removed, the patient's symptoms were not relieved after the operation, and they were aggravated. So another CTA was done, and it was found that the distal end of the stent went down into the aortic false lumen. ”

As he spoke, Professor Rudolf Wagner turned his head angrily and looked at Zheng Ren.

"One by one, the tigers are chirping, and the operation is hairy, how can you make this kind of mistake?!"

Zheng Renleng paused for a moment before he understood what the professor meant.

This kind of pure Northeast dialect, even Zheng Ren, has not spoken it for many years.

He shook his head and said, "I'll watch the film later, whether I can do it or not, I'll talk about it after watching it." Has the patient been sent to the operating room?"

"It's been sent, and it's being numb. The professor said.

"Do you have any opinions on this side?" asked Jung-in.

"If you have any opinions, they are all circled. Professor Rudolf Wagner said: "If you are not here, you must be trying to go to the stage, and no one can say whether the operation will come down or not." But I'm glad you're here. ”

What the professor said was logical, but Zheng Ren didn't listen to a word of the wind in his ears at the time.

Footsteps with the wind, all the way to the operating room.

After hurriedly changing his clothes, after entering, Professor Rudolf Wagner first showed the film to Zheng Ren.

"Rudolph, is he your boss in Huaxia?" a fat man, who was 240 pounds tall, came over and asked.

I feel that he doesn't need to wear a lead suit for surgery, and his body is fat enough to resist X-rays.

"Gad, please be respectful. Professor Rudolf Wagner looked at the big fat man with displeasure and said.

The big fat man's name is Gerd Müller, and he is a high-level doctor in the interventional department of the Heidelberg Medical Center, about the same level as Professor Rudolf Wagner.

The professor said that the person who wants to hit with hemostats is Professor Gerd Müller.

The relationship between the two does not seem to be harmonious. However, this is also easy to explain, where there are people, there are rivers and lakes, especially technicians like doctors, who are competitive and competitive.

This is also one of the driving forces behind human progress.

"Your boss looks so young, Rudolph, it's surprising that you're not going to just come up with him to make new spells. Professor Gerd Müller said in a very exaggerated tone.

Jung didn't notice what was going on around him, his attention was on the image.

The film looks a little lighter than the imaging done by myself, which means that the patient's condition is still progressing.

Even if the blood pressure is controlled with drugs and the pressure of the dissection is not too high, it still cannot contain the spread of the disease.

"Fugui'er, the two of us have to go through the operation together. Zheng Ren looked at the film and said.

Professor Rudolf Wagner didn't bother arguing with Professor Gerd Müller, he paused for a moment and hurriedly said, "Boss, for sure." I'll be your assistant, and I'll do it perfectly. ”

"Not an assistant. Zheng Ren said in a deep voice, "You are in the normal position of the surgeon, and I will go to the opposite side." Both femoral arteries start surgery at the same time, and you need to be well coordinated, so you need to pay more attention. ”

Professor Rudolf Wagner was really stunned this time.

Dual-sorcerer?

This kind of surgery is not to say that there has never been a clinical practice, but it is rare.

In the earliest radical rectal cancer surgery, there were two surgeons, one for the abdominal cavity and the other for the removal of the anal segment.

However, the importance of anal resection and the requirements for the surgeon are very low, and there is no double surgeon.

But this operation ......

Professor Gerd Müller was stunned when he saw that the professor had exchanged a few words with the young Huaxia Yisheng, and said, "Is it that your boss doesn't have any good ideas?" ”

"Gade, the kind of surgery you're talking about is a piece of cheese that smells like it! Professor Rudolf Wagner roared, like a lion.

"......" Professor Gerd Müller was also stunned.

Zheng Ren saw that the two had an argument, so he ordered some films, and the film reader made a "bang" sound.

"There are several important points of surgery. Zheng Ren said in a fluent Bavarian accent.

Professor Gerd Müller was in another trance as to how Rudolf Wagner's boss could speak in German, which he was extremely proficient in. Whether it's the tone or the vocabulary, if you close your eyes and listen, you will never hear that you are a Chinese.

"Surgery, it's hard, you need a double surgeon. Zheng Ren said with certainty: "At the time of the operation, Rudolph was on the right side and proceeded according to the normal operation. I'm going to be on the left side, putting the snare down in. At this time, there is the first difficulty of surgery, that is, the 5F catheter has to pass through the inner membrane between the true and false cavities and enter the snare. ”

Both professors were dumbfounded.

Is this also an operation that can be done by humans? No need to do it, just by listening, Professor Rudolf Wagner has the idea of giving up the operation.

"Another difficulty is to use a balloon to expand after exchanging a hard guidewire. Don't worry here, I'll do it. ”

After speaking, Zheng Ren put his left hand under his right armpit, supported his right cheek, and said lightly: "The operation is very simple, don't be afraid." ”