An incision was made on the right side of the rectus abdominis muscle, the abdominal wall was incised, and blunt separation was made.

Zheng Ren was already extremely skilled in doing this, and only used electrocalyption to light three unavoidable capillaries, and there was almost no bleeding, so he began blunt separation, peritoneal protection, and opened the abdominal cavity of the experimental subject.

After entering the abdominal cavity, Zheng Ren was directly stupid.

As soon as the peritoneum opened, there was no cavity at all, and the huge liver and mass occupied the field were blocked.

The huge occupancy at the second liver gate, judging from the film, it seems that it shouldn't be so big. However, Zheng Ren was not surprised or hesitated, and began to follow the mouth, and then used the automatic hook to pull the muscles apart, exposing the surgical field.

It took nearly ten minutes for Zheng Ren to open his abdominal cavity and expose the surgical field.

The left liver has a large mass near the second hepatic hilum with intracapsular necrosis. The right liver has hyperplasia and edema, and the original form of the whole liver is basically no longer visible.

The edema of the right liver makes autologous liver transplantation very difficult.

It's hard to do surgery......

But no matter how difficult it is, it has to be done, Zheng Ren gritted his teeth and began to operate alone.

And it's not just one person's surgery, the surgical approach is also very wrong.

Zheng Ren soon found out that although this operation was hepatic echinococcosis, it required a right nephrectomy or a right kidney segment resection first.

Because hydatid infiltration, it has connected the liver and kidneys and fixed them in one place.

After all, he is not a urology doctor, and although Zheng Ren's level of watching films is high, he is not omnipotent.

Zheng Ren now feels that he is not afraid of loneliness or anything after surgery alone. It is the hardest thing to move the test subject and change the position of the test body alone.

The hateful big pig's trotters are not intelligent at all, Zheng Ren thought to himself.

There is no choice but to change the patient's position by himself. Then Zheng Ren ordered an intermediate skill book, and his heart hurt a little again.

Although you don't usually use intermediate skills, you need to use a book for surgical training, which is too luxurious.

But it can't be helped, who made the big pig's trotters have to start from scratch?

The subject was placed in the left decubitus position, with the right side facing upward, and the right kidney was exposed through the traditional 11th intercostal incision.

Separation of the kidneys, renal vascular separation and control, taking care not to bleed. Although he is an experimental subject, Jung in still gives it his all.

The intermediate skills of urology are still a little rough, but they can't stand Zheng Ren's good foundation, and the surgical skills of general surgery are high. All kinds of blunt separation, clamping, handy.

The improved skills are mainly in understanding the anatomy.

Zheng Ren didn't look at the skill tree, and it is estimated that the skill tree of urology is also growing wildly.

But he didn't have much interest in urology, just because he needed surgery, so he passed by and clicked on his skills.

The surgery was a little rough, but Zheng Ren didn't have that much time to polish this section. After the resection of the renal segment, there was no active bleeding, and the subject was repositioned immediately after irrigation of the renal pelvis and renal calyces.

If a urologist performs a segmentectomy, he will be very careful and cautious. But who is Jung In? He's the man who stands on top of the world for interventional surgery.

In Haicheng First Hospital, when he was first assisted by a big pig's trotter, Zheng Ren performed interventional embolization for a patient with blood vessel rupture and bleeding about 1 month after segmentectomy.

Therefore, Zheng Ren did a renal segment resection without any psychological burden at all.

If you can't do it, you can intervene in the embolization, and you are very familiar with it. Moreover, bleeding after nephrectomy cannot be completely avoided.

After all, the kidneys are so brittle, which is determined by the nature of the organs themselves, and has nothing to do with the level of the surgeon.

Doing it step by step along the original incision, suddenly, a blood vessel at the second liver gate was broken, and blood sprayed Zheng Ren's head and face.

Subject, deceased.

The blood vessels are so brittle...... Zheng Ren was helpless in his heart, his level of general surgery had been exercised in Nanchuan Town's local anesthesia surgery, and he had broken through the shackles between life and death, and he had reached the peak of the grandmaster level, and he was about to break through and become a master.

I didn't expect this to happen when the blood vessels were free!

If it were outside, the real knife and gun surgery, I was afraid that the patient would die at this moment, and I would be scared half to death.

Zheng Ren shuddered, sighed, thanked the big pig's trotters, and then started the operation again.

The subject was then replaced with a complete one, and this time Jeong-in knew the order of the operation.

After the resection of the renal segment, the abdomen is opened again. The last time I left the site of the bleeding at the second hepatic hilum was more cautious this time.

Hepatic hydatid is indeed worthy of worm cancer, extremely erosive, the second hepatic portal and the surrounding ligaments, layers of connective tissue are very brittle and thin, looking at the normal tissue structure, one was accidentally sprayed with blood.

Subject, deceased.

Subject, deceased.

Subject, Death......

The more Zheng Ren's heart is colder, his level of general surgery is not bad, and even after extreme surgery for earthquake relief, it can be said that he is very strong.

But this level is still not enough.

At this time, Zheng Ren had completely forgotten the benefits brought to him by the system task, and he couldn't care about the distress.

A lot of energy came up, and they went all out to win this operation.

The so-called benefits, great benefits, are no more than a human life.

Finally, during the 19th surgical training, Zheng Ren successfully peeled off the blood vessels and ligaments at the second hepatic hilum.

A warm current echoed around me, and the feeling was so familiar.

Zheng Ren had a similar experience, and he knew that he had unknowingly mastered his general surgery skills.

If it were normal, Zheng Ren would definitely be ecstatic.

It is a big thing that this major can be upgraded to the level of a master and surpass the level of the director of a large tertiary hospital.

However, in the system operating room, the operation has only just begun.

Free liver, gallbladder resection, separation of perihepatic ligament and second hepatic hila, free superior and inferior vena cava. The diaphragm is detached and opened, severed above the stenosis of the thoracic vena cava, and the first hepatic portal is freed and completely removed from the liver. Narrowing of the inferior vena cava thoracoabdominal transition segment is seen......

Zheng Ren did not go to vascular surgery for portal vein end-to-side anastomosis with artificial vascular diversion. This section is directly bypassed, even if the completion of the operation given by the system is not high enough, it does not matter.

He really didn't have time to complete this very long operation.

Because

Next

I'm going to have a liver transplant.

Autologous liver transplant!

Autologous liver transplantation, Zheng Ren has only heard of it, but he has never seen it.

Autologous liver transplantation was first performed in 1988 by Professor Pichlmayr of the Hannover Organ Transplant Center in Germany. Later, Hannoun and Sauvanet et al. improved the first liver phylum without breaking it, which was called semi-isolated autologous liver transplantation.

Autologous liver transplantation technology is derived from allogeneic liver transplantation technology and is higher than its technology, which is known as the last barrier to liver surgery!

As a doctor with a background in general surgery, Zheng Ren knows about this. The last barrier, Zheng Ren has been "salivating" about it.

Now you have to do it yourself, and you don't know how difficult it is as soon as you get started.

。 m.