#1526 Arena Status

"How much do you estimate it will take?"

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

"..." Professor Yang was slightly startled.

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

But this time, the liver was split, and the tumor tissue was removed from the inside.

tumor tissue! Surrounded by abnormally proliferating blood vessels, only the tumor is removed and the liver is preserved, which will inevitably cause massive bleeding during the operation.

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

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

Liver split without blood transfusion? Isn't that bullshit. Professor Yang scoffed at this.

But he didn't say it, just a little pessimistic about the result of the live broadcast of the surgery.

Boss Zheng, this operation went smoothly, and it started to float.

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

"Well, as expected." Zheng Ren replied flatly.

"How to do it?"

"Split the liver, use an ultrasonic knife to dissociate it and cut it off." Zheng Ren answered very simply and easily.

"Boss, can you not have good luck in the next surgery?" Su Yun glanced at the film, knowing what to do, and began to complain about the background music.

Zheng Ren didn't speak, he held his cheek with his right hand and watched the film seriously.

The film looks very simple, a shiny silver irregular ball can be seen at the posterior end of the right liver, with a mottled center in the middle.

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

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

Zheng Ren seized the time before the operation, doing 64-slice CT 3D reconstruction in his mind, pondering the surgical approach and simulating the surgical process again.

Seeing that Zheng Ren had turned into wood, Su Yun gave him a contemptuous look, then turned around and said to Lao He, "Do you dare to change the background music for the next surgery."

"Doctor Su, I really don't dare." Lao He said with a smile.

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

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

The Xie Yi people had already dressed and counted the equipment. She handed the curved plate and oval forceps to Su Yun, grabbed another handful of sterile gauze, and put it in the curved plate.

"Yiren, next time your family's Zheng Ren has an operation like an intracavitary appendix, if he doesn't call you again, he will turn his back on him." Su Yun said sternly.

The Shei people narrowed their eyes and smiled.

His eyes were like crescent moons, with a slight gleam of bright light.

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

"Yes." Su Yun picked up the iodophor gauze with the oval forceps, and began to disinfect while saying: "The intracavitary appendix, or the intracavitary ectopic appendix, is 12cm above the ileocecal area. This kind of surgery only cares about Do it yourself. Lao He, do you think this is still a human thing?"

Professor Yang agrees with Su Yun's words.

Intracavitary appendix, Bermuda known as a general surgeon.

Luckily for me, I never encountered it once when I had an appendectomy. I didn't expect to encounter the stomach and intestines in the past few days?

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

"It's said to be a colonoscopy."

"Tsk tsk."

"Boss, it's almost finished disinfection, let's brush your hands." Su Yun said.

"Okay." Zheng Ren finally switched from the state of wood and went to brush his hands.

"Brother Yang, are you nervous?" Su Yun asked as he began to lay out sterile sheets.

"A little."

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

"Um."

"Changfeng also doesn't produce ultrasonic knives, it's still a small company." Su Yun sighed.

During the operation, I couldn't see Feng Xuhui and his two big boxes, and I always felt that something was missing.

Professor Yang started to get dressed and said with a smile, "We have prepared two ultrasonic knives."

"It's too wasteful." Su Yun said.

"Isn't this afraid of bleeding?" Professor Yang said: "For a tumor of about 8cm, it is estimated that the blood will be about 1000ml."

Professor Yang got dressed, stood in the position of a helper, and began to play with the ultrasonic knife, electric burner and other equipment.

"You said you're not nervous. The two ultrasonic knives are prepared for the boss to notice. You can check and fill in the gaps." Su Yun smiled.

Professor Yang was distracted, 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 a surgical gown, looked at Xiao Yiren and smiled.

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

The surgery officially begins.

The right upper quadrant was taken to make a right subcostal incision, and the skin, subcutaneous and muscle were incised layer by layer from the left side of the xiphoid process to the 12th costal margin.

Professor Yang was a little nervous and his hands were a little hard.

But it's just opening the abdomen, it doesn't affect anything, and Zheng Ren doesn't seem to notice.

"It's a tour, to get blood." Professor Yang said when Zheng Ren was dealing with subcutaneous capillaries.

"Okay, Professor Yang." The itinerant nurse asked, "How much?"

"Red blood cells, take 10 units first."

"Wait and see, it's not necessary." Zheng Ren didn't lift his head, looked at Shu Ye seriously and said.

The itinerant nurses were overwhelmed.

Who do you listen to?

Normally, it is to listen to the practitioner, but Professor Yang has another way of saying it.

I hate this situation the most, no matter what you do, you will offend people.

"Boss Zheng, are you sure?" Professor Yang did not expect the dispute to appear at the very beginning.

Recalling what Director Li had said to himself, he decided that he must firmly grasp the rhythm of the operation. Everything Boss Zheng did seems to be too rash.

"Alright, try it out."

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

"Okay, take a few units to prepare." Zheng Ren unexpectedly did not exercise the authority of the practitioner. Professor Yang insisted, and he agreed.

The itinerant nurse let out a long sigh of relief, the splint was uncomfortable.

In a few words, this side has been protected by the peritoneum and entered the abdominal cavity.

Professor Yang glanced at the surgery area and immediately became nervous.

How to do it so fast! You need to be fully focused on the support station, this is a live broadcast of surgery!

After cutting off the round ligament of the liver, Zheng Ren stretched his hand in.

Afterwards, he skillfully separated the hepatic ligament, right coronary ligament, right deltoid ligament, and hepatorenal ligament while bluntly separated the bare liver area to reach the inferior vena cava, and continued to dissociate the right liver.

This is the preparatory work in the early stage. Although it is simple, Boss Zheng is very skilled, as if he has done more than 1,000 cases. I didn't see any big movements, most of them were constantly moving their fingers, which looked really pleasing to the eyes, Professor Yang thought to himself.