Zheng Ren and Su Yun didn't have any communication, even if it was an unconventional operation like stacking stents.

Su Yun has gradually become accustomed to Zheng Ren's operation mode, as long as there are various surgical methods, they may appear in the operation.

As a flawless assistant, this kind of thing still needs to be asked?

Inexistent.

After the passage between the portal vein and the hepatic vein is established, the relief of portal hypertension is immediate. The patient's gastric vein bleeding was immediately relieved.

The agitation was much lighter, and the difficulty of the operation immediately decreased.

The entry of the second membrane stent is much smoother than the first, the jugular vein, the superior heart cavity, all the way to the hepatic vein, and follows the guide ribbon membrane stent to the position of the previous membrane stent.

At this moment, Zheng Ren's movements became lighter and slower. Although it is impossible to determine the location with images due to the overlapping of images, Jung in estimates the location based on experience.

The bracket stopped, Zheng Ren fine-tuned the position again, and then opened the bracket.

The second bracket is recyclable. The operation is slightly different from the first bracket, but in Zheng Ren's opinion, the difference is not big.

At this time, except for Zheng Ren, even Su Yun, the assistant and the professor, could not determine whether the position of the stent was suitable or not.

On contrast again, the contrast agent happily flows through the stent between the hepatic artery and the portal vein. The image of the stent is initially revealed, and the overlap is excellent, and there is basically no excessive abduction.

This means that the friction between the stents is maximized, making it difficult for the stents to be carried away by the bloodstream.

The surgery was successful!

Zheng Ren then turned off the device and pulled out the guidewire.

[Handsome!It's so handsome!]

[Counting the time of the patient's agitation, it took 1 hour and 54 minutes.] This is the shortest TIPS surgery I've ever seen!]

[People who don't know about TIPS surgery at all float by, silently float by.] I just think that the practitioner is doing a very good job, so powerful. 】

Although there is no image in the live broadcast room, it does not prevent everyone from using this as a chat room to exchange postoperative experiences.

When the guidewire was taken out and Zheng Ren was about to step down, the crisp and pleasant sound of the task being completed sounded in his ears.

[Main Quest: Crown Jewels Phase 1 completed.]

Assignment: Complete a TIPS operation.

Reward: Because the first time you complete the TIPS surgery, it is an emergency surgery, and the difficulty coefficient is increased to 2.The completion time of the operation is 1 hour and 54 minutes, and the surgical training time is 149×2×2=596 hours.

In addition, you will get a Luck +2 reward and two Golden Chests, with 200,000 experience points.

Task time: 6 hours, 1 hour and 54 minutes to complete the operation, and the balance is 4 hours and 6 minutes. 】

The main quest, the first stage of the crown jewel, has been completed, and the system has given a large number of experience points and rewards.

In particular, the surgical training time is as long as 600 hours!

This is equivalent to 25 days.

This is the biggest wealth that Zheng Ren has accumulated!

Jung in is happy, which means he can squander once or twice?

Tearing off the sterile surgical gown, going to the locker room, and putting the radiation ray energy conversion lead suit into the system space, Zheng Ren returned to the operation room with a smile on his face.

Professor Rudolf Wagner was pondering, and when he saw Zheng Ren returning, he shook his head and said, "Zheng, your surgery is like a perfect work of art. ”

"Professor, it's over. Zheng Ren replied with a smile.

The professor sighed softly and didn't argue with Zheng Ren about the matter.

Director Xia is not an interventionist, in fact, she does not understand the operation. Seeing Zheng Ren talking to Professor Rudolf Wagner, who seemed to say that the operation was successful and very beautiful, he asked, "Dr. Zheng, the operation was successful?"

"Sort of. Zheng Ren said: "Be careful of complications such as hepatic encephalopathy after surgery." In addition, I have two stents in place, and if hepatic encephalopathy is not severe, I can consider removing a second stent to widen the outflow tract between the hepatic vein and the portal vein. ”

Director Xia was silent and nodded.

"Do you want the patient to go back to you, or to the ICU?" asked Zheng Ren.

"The treatment of postoperative related complications is still more certain to us. Director Xia still carried the pride and self-esteem of the big director, and gave Zheng Ren an answer.

Zheng Ren didn't care, the operation was done very beautifully, and two stents were indwelled, the outflow tract was a little smaller than 8mm, and the possibility of hepatic encephalopathy was much smaller than that of a single stent.

It is also possible to go to the gastroenterology department, after all, they are the most professional in dealing with hepatic encephalopathy.

In the operating room, Su Yun had already bandaged the patient, and Chu Yanran and others lifted the patient onto the flat car and handed it over to the doctor in the Department of Gastroenterology.

Director Xia followed the flat car away, and before leaving, she hesitated, but still asked, "Doctor Zheng, I also have a patient with decompensated liver cirrhosis and refractory ascites. ”

"If the patient's family agrees with this risky surgical method, it can be surgically treated. Zheng Ren smiled.

"Good. Director Xia was also very straightforward and left in a hurry.

Zheng Ren estimates that if this patient is relatively stable after surgery, there will be an endless stream of patients who need to undergo TIPS surgery in the gastroenterology department in the future.

From an epidemiological point of view, the 60s of the last century was the era of a large-scale outbreak of hepatitis B.

Since the late 80s, hepatitis B has been largely controlled. Although it has not been eradicated like polio, it has not been as rapid as it used to be.

In other words, those patients who have hepatitis B are now about 60 years old.

If there is no perennial oral entecavir to control the activity of the hepatitis B virus, there should be symptoms like the patient mentioned by Director Xia.

TIPS surgery can improve the symptoms of portal hypertension in patients, and will greatly prolong the survival time and quality of life of patients.

No wonder the system wants to give itself so many rewards.

Zheng Ren felt that he seemed to have touched some of the behavioral rules of the big pig's trotters in the system.

"What are you smiling at? Do you think the operation is beautiful?" Thinking about the system, Su Yun's voice appeared in his ears.

"Hehe, the operation is fine. Zheng Ren said casually.

"Tomorrow, there will be a newcomer report, and there is this big emergency surgery today, and you are invincible at this time. Su Yun said.

Zheng Ren really couldn't think of what it had to do with the TIPS surgery he could be on duty flexibly tomorrow and tonight, but he didn't bother to argue with Su Yun, so he just smiled.

Professor Rudolf Wagner walked out in a trance, his eyes slightly distracted.

"Ah, forget the professor. Su Yun laughed quietly: "I knew that your surgery was so beautiful, so I wouldn't have pulled the professor over." ”

Zheng Ren was speechless, thinking to himself, how do I know if I can learn it?

"Should the professor think that he pulled me here just to see the surgery? Is it really a visit to study? If the professor is a little bit of a rat belly, this matter will not be able to cross the threshold, and in the future, in the academic world, no matter what point of view you put forward, the professor will be the first to stand up and oppose it. ”

Su Yun's divine logic...... Zheng Ren thought about it, and it seemed to make some sense.