Boss, I think two hours is enough. "
"But he can't even hold on for two minutes. His biceps have already started to spasm involuntarily. The lactic acid level in his body is too high. It's not good for his body to barely hold on," Zheng Ren said as he glanced at Professor Zhan.
"Oh, you can even tell the lactic acid level? Tell me how you determined it. " Su Yun spoke, but his head did not move at all. His fingers moved slightly, cooperating with Zheng Ren's wandering.
"There must be a disorder in the sodium and potassium pump in the body. If we do a serum ion test now, the potassium ion should be above 5."
Professor Zhan was speechless.
Usually, he would joke around like this and say some specious things without much thought.
However, on the operating table in front of them, Boss Zheng and his assistant were performing an almost impossible surgery. How could they still have the mood to do so?
"Chief Ma!" Zheng Ren shouted and then asked in a low voice, "Is it Chief Ma?"
"Yes."
"Oh, I was focused on the surgery just now and didn't listen carefully."
Ma Liang tossed Dean Li aside and ran over.
"Boss Zheng, what can I do for you?"
Director Li looked at Ma Liang helplessly. He did not look like a chief. He was more like a doctor for training.
"Change a young and strong person to pull the retractor. His hand has to be steady. Hold on for 30 minutes before changing," Zheng Ren said. "Find a few more people. The surgery might take a long time."
"Oh, okay!" Ma Liang immediately went to arrange this matter.
However, the first person to come up was Ma Liang himself.
Ma Liang would not miss such an opportunity.
He replaced Professor Zhan, pulled out the internal organs, and exposed the surgical field. He asked, "Boss Zheng, do you think this is okay?"
"The back hand should be higher," Zheng Ren said.
"Oh, okay." Ma Liang immediately followed Zheng Ren's instructions.
However, the back hand was higher, but he did not feel any change in the operating area.
He was a little puzzled and asked, "Boss Zheng, what's the benefit of doing this?"
"You've never pulled the retractor before?" Su Yun asked.
"I did it more than 20 years ago."
"Your current position will allow you to retract the retractor more stably and effortlessly. You'll be able to maintain the retractor for about 4 '12 ″ or so," Zheng Ren explained to Chief Ma Liang as he continued the surgery.
Ma Liang did not question Zheng Ren's words. Even if it was accurate to the second, he still did not doubt it.
The surgery continued. Zheng Ren and Su Yun were dissecting the tumor tissue, but the person retracting the retractor kept changing.
There must be no tremors in microsurgery.
It was possible that the assistant had just changed his hand shape, and the surgery had failed.
Three hours and thirty-four minutes later, the hemostatic forceps in Su Yun's hand finally clamped a piece of black abnormal tissue out of the patient's abdominal cavity.
"It went well. Hey, did you guys make an appointment for intraoperative freezing?" Su Yun asked.
Professor Zhan quickly nodded.
Even after a few hours of rest, he still hadn't recovered from the tiredness of pulling the retractor.
"Yes, yes."
"Consider it a retroperitoneal paraganglioma. Send it to be frozen," Zheng Ren said, then began to deal with the surgical stump.
Seeing that the tumor tissue had been removed, everyone became excited and gathered around to watch the surgery.
In the surgical area, the dark tumor tissue had disappeared, and there was no bleeding. A section of the inferior vena cava seemed to be a little thinner, but there was no bleeding.
President Li was puzzled and asked in a low voice, "Professor Zhan, how can there be free tumor tissue? Isn't there a lot of adhesion to the inferior vena cava? "
"Boss Zheng separated the epineurium of the inferior vena cava. Some parts have already reached the tunica media. The outer layer of the tunica media has also been separated and cut off at a few points." Professor Zhan looked at the surgical area and guessed to his heart's content.
"Uh … Then what if the pressure of the inferior vena cava is high?" President Li asked.
Professor Zhan looked at him speechlessly and sighed. He said, "President Li, there was a membrane stent placed inside just now."
Only then did President Li know how stupid his question was.
It was better not to speak. He would make a fool of himself.
He glanced at the ECG monitor. The values on it told him that Chief Jin's vital signs were stable. He was fine and should be able to leave the stage alive.
Zheng Ren also raised his head to look at the blood pressure and did not say a word.
The next step was to prepare to close the abdomen, President Li judged.
However, Zheng Ren sighed and said, "Let me take a look at the radiographic films before the surgery."
"Uh …" The doctor was stunned for a moment.
"Hurry up. The surgery has been going on for a long time." Zheng Ren was a little unhappy.
No matter what he said, he could not do it immediately. In his memory, the medical standards of the Provincial Capital were quite high. Why was it different from what he remembered?
"Boss Zheng, are you considering a transfer?" Professor Zhan asked.
"Yes." Zheng Ren looked at the values on the ECG monitor. "After the resection of retroperitoneal paraganglioma, there are often characteristics such as a decrease in blood pressure. Further expansion is still needed.
"If there is persistent hypertension after the tumor is removed, or if the blood pressure does not decrease, it suggests that there may be another tumor or metastasis. We should try our best to find and remove the metastasis to reduce the functional tumor tissue. Extensive surgical resection is necessary.
"Sigh, the blood pressure is still very stable. There is probably still tumor tissue."
This news was simply bad news. He originally thought that the surgery was over and that it was done cleanly and beautifully. It could be said to be perfect.
However, the surgeon actually said that it was not over yet …
After hanging up the radiographic films, Zheng Ren put his hands under his armpits and began to read the radiographic films.
Su Yun also leaned over and looked at it together.
No one was allowed to approach within half a meter of the two of them.
When there was an accident during the surgery, the surgeon was usually more irritable. And now, it should be considered an accident. What if he got close and touched the sterile clothes?!
When the surgeon's temper was irritable, he would definitely be scolded.
"Boss, the lower end of the right kidney doesn't look right," Su Yun said.
"Yes, we can only cut it," Zheng Ren said. "Old Gao!"
Gao Shaojie had been silent the whole time. He did not understand the surgery, so he did not participate too much.
"Yes, Boss Zheng," Gao Shaojie immediately agreed.
"Bleeding after the nephrectomy. You've done embolization surgery before, right?" Zheng Ren asked.
"Yes." Gao Shaojie immediately gave Zheng Ren an affirmative answer.
"Then let's cut the kidney segment. Try to minimize the damage." Zheng Ren then glanced at Professor Zhan and asked, "Before the surgery, did you tell the patient's family about the intraoperative observation? Is it possible to cut the right kidney or part of the right kidney?"
"I did."
Zheng Ren was still quite gratified. It was good that the most basic things were not missed.
He returned to the operating table and began to perform the segmental nephrectomy.
This surgery was very fast. There was no need to be as careful as the previous surgery to remove the tumor tissue that adhered to the inferior vena cava. Instead, it was a bold and decisive surgery.
Although Professor Zhan had some doubts, he did not say anything. Instead, he kept observing the patient's blood pressure.
After it was cut off and removed, the blood pressure suddenly dropped from 110 millimeters of mercury to 75 millimeters of mercury.
Seeing the blood pressure drop, Zheng Ren was not worried. Instead, he let out a long sigh of relief. "Abdominal closure!"
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