Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
At nearly 11.30 pm, all the patients with cirrhosis completed their TIPS surgery.
Li Jianguo sent the patient down. On that day, his job was to send the patient down, check the information of the next patient, and then send the next patient up.
When he came up, the TIPS surgery was almost done.
He could feel a different aura. It was different from the last time Zheng Ren came to the First Affiliated Hospital of Provincial Medical University for surgery.
This time, it was Teacher Gao who was doing the TIPS surgery himself!
It turned out that as long as he found a way, the TIPS surgery could be so simple.
In the operating room, Zheng Ren and Gao Shaojie were talking about the important points to pay attention to in the second-stage surgery.
Because Department Chief Kong came suddenly, Zheng Ren was caught off guard a little and wanted Gao Shaojie to learn everything about the TIPS surgery as soon as possible.
Many details had been mentioned in the office. When Zheng Ren saw Gao Shaojie’s confused look, he sighed in his heart.
“Old Gao, let’s talk on stage.” Zheng Ren knew that he had been too hasty. The professor might be able to do it but Gao Shaojie…probably was not up to par yet.
Gao Shaojie also realized that first-stage surgery and second-stage surgery were two completely different concepts. Zheng Ren’s tone and expression diluted the joy of successfully completing the first-stage surgery.
“Boss, I think you should hit him with the hemostatic forceps. You’re a quick learner and have experienced it yourself. I highly recommend it,” Professor Rudolph Wagner said seriously when he heard the conversation between the two.
However, they were at the First Affiliated Hospital of Provincial Capital Medical University. Gao Shaojie had told him that it was best not to hit him. Zheng Ren had been too engrossed in his thoughts just now and had done it once out of habit. He was still a little embarrassed.
‘Forget it then,’ Zheng Ren thought. It would be faster to take things slow.
Gao Shaojie frowned and fell into deep thought. He did not say anything.
“Doctor Zheng, let’s have lunch before the surgery.” Chief Qi was in a good mood. Although he had not managed to recruit Zheng Ren to the First Affiliated Hospital of Provincial Capital Medical University, was the outcome not normal? He could hear the abnormality in Old Wu’s tone.
The young man in front of him should have gone to the Imperial Capital or Sorcery Capital. He should have even gone to the large medical centers in Europe and the United States.
However, to stay in the Provincial Capital?
That was absolutely impossible.
“Chief Qi, we won’t be having lunch at noon.” Zheng Ren’s expression was serious as he said, “The surgery in the future will be more difficult. I’m afraid that we won’t be able to finish it today.”
The later surgeries would be more difficult?
chief Qi did not mind Zheng Ren’s rejection. He was just surprised that the TIPS surgery had already been completed. Why would the later surgeries be more difficult?
From a surgical point of view, the second-stage surgeries were usually more targeted and simpler than the first-stage surgeries.
Chief Qi glanced at Gao Shaojie. Seeing that he was deep in thought, he did not continue to be polite and invite Zheng Ren to lunch.
Since he could not keep doctor Zheng there, he had to make sure Gao Shaojie remained.
Chief Qi had already guessed the value of the new approach to TIPS surgery from his classmates across the ocean. The little calculations in his heart began to crackle.
Soon, Li Jianguo sent up the patients for the second-stage TIPS surgery.
The surgery began.
“Xiao Liu, Doctor Zheng just said that the second-stage surgery is more difficult than the first-stage surgery. Is that so?” Chief Qi stood in the operating room and looked at Zheng Ren and Gao Shaojie through the lead-lined glass as he asked that question in a low voice.
Professor Liu’s eyes were already red with envy. Every time he thought about the person who was learning TIPS surgery in the operating room, he wished that he was the one.
Unfortunately, there were no assumptions in life.
When Chief Qi asked the question, Professor Liu was stunned for a moment. He sorted out his emotions and thought for a moment before he said, “Chief, according to conventional surgical methods, there is no such thing as second-stage TIPS surgery.”
“Huh?” Chief Qi was surprised.
“To be able to perform the first stage is already considered a national intervention level surgery.” Professor Liu smiled bitterly. If he was able to perform the first stage just a month ago, his surgical level would be slightly better than Gao Shaojie’s.
However, in a short period of time, Gao Shaojie had already lost sight of his own shadow.
A few days ago, Gao Shaojie called Sea City and asked him to help take in the patients for TIPS surgery. During that time, he had not realized the problem. Now that he thought about it… It would have been better if he had just said it.
Professor Liu was hopelessly absent-minded.
Hearing him fall silent halfway through his words, Chief Qi tilted his head and snorted with slight dissatisfaction.
Professor Liu realized that he was immersed in an inexplicable feeling of loss and regret again. He smiled bitterly. “In the past, TIPS surgery was only needed to connect the hepatic vein and portal vein. The probability of complications after the surgery is very high. For example, hepatic encephalopathy. Because of the thickness of the stent, too much blood flowed back from the veins. It did not pass through the liver’s metabolism and the blood ammonia content was high, resulting in hepatic encephalopathy.
“However, if the stent is too thin, there will be a problem. The patient has less hepatic encephalopathy but there is not enough blood flowing back from the veins. Problems such as gastric fundus, varicose veins, and portal hypertension have only been alleviated, not completely resolved. In other words, there will be a risk of vomiting blood in the future.”
Chief Qi pondered.
Professor Liu’s words were very simple and easy to understand. They were both from clinical backgrounds, so Chief Qi instantly knew where the problem lay.
“Professor Zheng has put down two stents. The first one is a membrane stent. That is required for normal TIPS surgery.” Professor Liu’s eyes were filled with envy, it was almost as if they could melt the lead-tinted glass.
“But he has put down another recyclable stent. The advantage of this stent is that it can solve both of the above problems. After the patient gets used to the blood ammonia concentration in the veins, the recyclable stent will be taken out. This will solve the problem of postoperative complications perfectly. But…it’s too difficult to take out the stent from the liver.”
“Is that so?” Chief Qi asked.
“The liver will be damaged and bleed. I can’t think of what to do to successfully take out the recyclable stent.” Professor Liu sighed.
Because he did not understand, he was even more curious.
While answering Chief Qi’s question, he stared at the screen in the operating room.
The surgery had already begun but the airbag on the retractable stent had deflated and was being removed.
In the operating room, Gao Shaojie’s movements were very light and slow.
Even though he was stepping on the line, his body was being exposed to the X-rays every minute and every second, causing damage to his body.
However, he did not dare to rush.
Watching Zheng Ren perform the second-stage surgery, it was so simple that it looked like nothing.
However, he only knew how difficult it was when he started.
The moment he moved, he felt resistance.
“Old Gao, seven o’clock position, fifteen degrees down. Use a little more force ” Zheng Ren said calmly as he stared at the screen.
Gao Shaojie reacted for a moment, then nodded and carefully followed Zheng Ren’s instructions.
However, the seven o’clock position…and 15 degrees down. Was he even speaking in a human language?
Gao Shaojie tried a few times and finally succeeded in following Zheng Ren’s instructions.
However, the retractable stent moved a few millimeters and could not be seen on the image.
He was not happy at all. Even Gao Shaojie himself did not know how he had succeeded.
“Next, at five o’clock, bend your wrist at twenty-five degrees. Gently, gently.”
This time, Gao Shaojie tried four or five times but failed.
Afraid of bleeding from the liver parenchyma, Zheng Ren helplessly switched places with Gao Shaojie. With Zheng Ren’s help, the operation was completed within ten minutes.
