“How much do you think you’ll need?”
“There’s no need for blood transfusion,” Zheng Ren said with certainty.
“…” Professor yang was slightly stunned.
Blood transfusion might not be required when the liver was cut into whole sections. After all, the anatomical structure was clearer.
However, this time, he was splitting the liver and removing the tumor tissue from the inside.
Tumor tissue! There were abnormally proliferated blood vessels all around. If he only removed the tumor and kept the liver, it would definitely cause a lot of bleeding during the surgery.
Therefore, many doctors from provincial and municipal hospitals were still used to directly removing the left or right lobe of the liver.
It was relatively easier to perform the surgery this way. Of course, in comparison, the damage to the patient was greater.
Liver cancer, no need for blood transfusion? Wasn’t that bullsh * t? Professor yang scoffed at this.
However, he did not say it out loud. He was just not optimistic about the results of the live broadcast.
Boss Zheng’s ego was starting to rise because the surgery was going smoothly.
“Boss, the effect of embolism is pretty good.” Su Yun said as she looked at the x – ray.
“Well, it’s expected,” Zheng Ren replied calmly.
“What do we do?”
“We’ll just separate and cut off the liver with an ultrasonic knife. ” Zheng Ren’s answer was simple and relaxed.
“Boss, the next time we perform a surgery, can you not send it over?” Su Yun took a look at the film and started to complain about the background music.
Zheng Ren did not say anything. He rested his chin on his right hand and looked at the x – ray seriously.
The x – ray film looked very simple. There was a shiny, irregular, silver sphere at the end of the right lobe of the liver, and there were spots in the middle.
It was an MRI scan that showed that the liver cancer tissue, which had accumulated iodine oil after the interventional surgery, had begun to necrosis.
However, for such a large liver cancer to be completely inactivated, at least three to five interventional interventional interventional interventional interventional interventional interventional interventional interventional interventional interventional embolism in liver cancer would be required.
Zheng Ren made full use of the time before the surgery to do a three – dimensional reconstruction of the 64 – row CT scan in his mind, ponder over the surgical approach, and simulate the surgery process again.
Su Yun saw that Zheng Ren had turned into a block of wood and looked at him in disdain. She turned to old he and said,””Do you dare to change the background music for the next surgery?”
“Doctor su, I really don’t dare to.” Old he said with a smile.
Su Yun was helpless. Seeing that old he had finished his work, she and professor yang positioned the patient and went to wash their hands.
He washed his hands, disinfected them, and went to the equipment table.
Xie Yiren had already put on her clothes and checked the equipment. She handed the disc and oval pincers to Su Yun, grabbed a bunch of sterile gauze, and placed them on the disc.
“Yiren, if Zheng Ren doesn’t call you the next time he’s having an appendix surgery, I’m going to fall out with him.” Su Yun teased.
Xie Yiren narrowed her eyes and smiled.
Her eyes were like crescents, shining with a bright light.
“What? Vermiform appendix?” When old he and professor yang heard what Su Yun said, they were both stunned.
“Yeah,” Su Yun picked up the iodophor gauze with oval forceps and began to disinfect it as she said,””The appendix inside the cavity, or is it an ectopic Appendix inside the cavity? it’s 12 cm above the ileocecal region. He only cared about himself when it came to this kind of surgery. Old he, do you think this is something a human should do?”
Professor yang agreed with what Su Yun said.
“It’s the endocyptic Appendix, the Bermuda known as the General Surgery Department. “
‘I’m lucky, and I’ve never encountered such a thing even once when I was performing an appendectomy. He didn’t expect that his stomach and intestines would come into contact with it these few days.
“How did you find it?” Professor yang asked in surprise.
“It’s said that he saw it via colonoscopy. “
“Tsk, tsk.”
“Boss, I’m almost done. Go wash your hands.” Su Yun said.
“Alright,” he said. Zheng Ren finally switched out of his wooden state and went to wash his hands.
“Brother yang, are you nervous?” Su Yun started to lay out the sterile sheet and asked.
“A little.”
“You’ll get used to it,” “The ultrasonic knife is made of strong and weak materials?” Su Yun laughed.
“Yes.”
“Changfeng doesn’t even use an ultrasonic knife. They’re still a small company.” Su Yun sighed.
When she was performing surgery, she couldn’t see Feng Xuhui and his two big boxes, and she always felt that something was missing.
Professor yang started to put on his clothes and said with a smile, “I’ve prepared two ultrasonic knives. “
“It’s such a waste. ” Su Yun said.
“I’m just afraid of blood. ” Professor yang said,”split the liver. The tumor is about 8 cm in size. I estimate that we’ll have to draw about 1000 ml of blood.”
Professor yang put on his clothes, stood in the position of the first assistant, and began to fiddle with the ultrasonic knife, electrotherapy, and other equipment.
“You’re still saying that you’re not nervous? the two ultrasonic knives are for the boss to check if he doesn’t notice anything. ” Su Yun laughed.
Professor Yang’s thoughts had been seen through, but he didn’t say anything. He just smiled.
Wasn’t it normal to prepare more things for the surgery to avoid accidents?
Zheng Ren came in after washing his hands. He put on sterile gloves and scrubs, looked at Yiren, and smiled.
Hu Yanhui came to the Sorcerer’s position, put on her live broadcast glasses, connected the signal, and made a gesture to start.
The surgery officially began.
He took the right upper abdomen and made a subcostal incision from the left side of the sword process to the 12th rib. He cut the skin, beneath the skin, and the muscles layer by layer.
Professor yang was a little nervous, and his hands were a little hard.
However, it was only open surgery, and it did not affect anything. Zheng Ren did not seem to notice it.
“Circulating, go and take blood.” Professor yang said as Zheng Ren handled the subcutaneous capillaries.
“Sure, professor yang.” “How much do you need?” the circulating nurse asked.
“Red blood cells, take 10 units first.”
“Wait and see, no need.” Zheng Ren said as he looked at the surgical field seriously without raising his head.
The circulating nurse did not know what to do.
Listen to whose orders?
Normally, it was necessary to listen to the Warlock, but professor yang had another way of saying it.
He hated this kind of situation the most. No matter what he did, he would offend people.
“Boss Zheng, are you really confident?” Professor yang didn’t expect that the dispute would appear at the very beginning.
He recalled what chief physician li had told him, and he decided that he had to control the rhythm of the surgery steadily. Everything that boss Zheng had done seemed to be too rash.
“It’s alright, I’ll try. “
“Boss Zheng, let’s prepare some blood first. What if we need to use it?” Professor yang insisted.
“Alright, take a few units and prepare them.” Surprisingly, Zheng Ren did not exercise his authority as a surgeon. Professor yang insisted on it for a while, and he agreed.
The circulating nurse let out a long breath. The air from the splint was uncomfortable.
With just a few words, the peritoneum was already protected and entered the abdominal cavity.
Professor yang took a look at the operating area and immediately began to feel nervous.
How did he do it so quickly! He had to focus all his attention on setting up the stage. This was a live surgery!
After severing the round hepatic ligament, Zheng Ren’s hand reached in.
Then, he skillfully separated the lesser hepatic ligament, right coronary ligament, right triangular ligament, and liver kidney ligament at the same time. He then bluntly separated the naked liver area until it reached the inferior vena cava and continued to separate the right liver.
This was the preparatory work. Although it was simple, boss Zheng’s technique was skillful, as if he had done more than a thousand cases. ‘There aren’t any big movements, most of them are just fingers moving constantly, which is really pleasing to the eye,’ professor yang thought to himself.
