There was no communication between Zheng Ren and Su Yun, even if it was an unconventional procedure such as stenting.
Su Yun had gradually gotten used to Zheng Ren's operating style. Any surgical method that existed could appear in the surgery.
As a flawless assistant, was there a need to ask such questions?
It was impossible.
After the portal vein and hepatic vein were established, the relief of portal hypertension was immediate. The patient's gastric vein bleeding was immediately alleviated.
The agitation was much less severe, and the surgery difficulty was immediately reduced.
The second stent was inserted much more smoothly than the first. It went from the jugular vein, the superior cavity of the heart, all the way to the hepatic vein, and followed the guide wire to the position of the previous stent.
At that moment, Zheng Ren's movements became lighter and slower. Although the images overlapped and could not be confirmed with the images, Zheng Ren estimated the position based on his experience.
The stent stopped. Zheng Ren adjusted its position slightly and opened the stent.
The second stent was recyclable. The operation was slightly different from the first stent, but in Zheng Ren's opinion, the difference was not significant.
At that moment, other than Zheng Ren, even Su Yun, the assistant, and the professor could not determine whether the stent's position was appropriate.
After another angiogram, the contrast medium flowed happily through the stent between the hepatic artery and portal vein. The initial image of the stent appeared. The overlap was excellent, and there was no excessive abduction.
This meant that the friction between the stents was at its maximum, and it was difficult for the stent to be carried away by the blood flow.
The surgery was a success!
Zheng Ren turned off the equipment and pulled out the guide wire.
[Awesome! So awesome!]
[Including the patient's agitation, it took one hour and 54 minutes. This is the shortest TIPS surgery I've ever seen!]
[People who don't know about TIPS surgery floated past silently. I just think the surgeon did a great job. So powerful.]
The doctors in Xinglin Garden began to comment. Although there was no video in the live broadcast room, it did not prevent people from using it as a chat room to exchange postoperative experiences.
When Zheng Ren removed the guide wire and was about to leave the stage, he heard the crisp, pleasant sound of mission completion.
[Main Mission: Crown Jewel completed first stage.
Mission Content: Complete a TIPS surgery.
Mission Reward: Because this is the first TIPS surgery, which is an emergency surgery, the difficulty factor is increased to 2. Completed surgery in one hour and 54 minutes. Surgery training time obtained: 149 × 2 × 2 = 596 hours.
In addition, you have obtained Luck + 2, two Gold Treasure Chests, and 200,000 EXP.
[Time: 6 hours. The surgery took 1 hour and 54 minutes to complete. 4 hours and 6 minutes remaining.]
The first stage of the Main Quest, The Crown Jewel, had been completed. The system had given him a massive amount of experience points and rewards.
Especially the surgical training time, as long as 600 hours!
That was equivalent to 25 days.
This was the largest amount of wealth that Zheng Ren had ever accumulated.
Zheng Ren was very happy. Did this mean that he could splurge once or twice?
He tore off the sterile surgical gown and went to the changing room. He stored the lead apron in the System and returned to the console console with a smile on his face.
Professor Rudolf Wagner was deep in thought. When he saw Zheng Ren, he shook his head and said, "Zheng, your surgery is like a perfect work of art."
"You flatter me, Professor," Zheng Ren replied with a smile.
The professor sighed softly and did not argue with him.
Chief Xia was not an interventional surgeon. In fact, she did not understand the surgery. Zheng Ren and Professor Rudolf Wagner seemed to be talking about the success of the surgery. She asked, "Doctor Zheng, was the surgery a success?"
"You can say that," Zheng Ren said. "Just be careful of postoperative complications such as hepatic encephalopathy. Also, I placed two stents. If hepatic encephalopathy is not severe, we can consider removing the second stent to enlarge the outflow tract between the hepatic vein and portal vein. "
Chief Xia was silent and nodded.
"Is the patient going back to your department or the ICU?" Zheng Ren asked.
"Regarding postoperative complications, it's better to return to our department," Chief Xia answered with the same pride and arrogance as a department chief.
Zheng Ren did not mind. The surgery had been done beautifully. The outflow tract was smaller than 8mm, so the possibility of hepatic encephalopathy was much lower than a single stent.
The gastroenterology department was also fine. After all, they were the most professional in dealing with hepatic encephalopathy.
In the operating theater, Su Yun had already bandaged the patient. Chu Yanran and the others carried the patient onto the stretcher trolley and handed him over to the gastroenterology department.
Chief Xia left with the stretcher trolley. Before she left, she hesitated for a moment before asking, "Doctor Zheng, I have another patient with decompensated cirrhosis and refractory ascites."
"If the patient's family approves of this risky surgery, we can accept it." Zheng Ren smiled.
"Okay." Chief Xia was also very straightforward and left in a hurry.
Zheng Ren estimated that if the patient's postoperative condition was stable, the gastroenterology department would have an endless stream of patients needing TIPS surgery in the future.
From an epidemiological perspective, the 1960s had been the era of large-scale hepatitis B outbreaks.
Hepatitis B had been under control since the end of the 1980s. Although it had not been eradicated like polio, it was no longer as contagious as before.
In other words, the patients with hepatitis B were now in their sixties.
Without years of oral entecavir to control the activity of the hepatitis B virus, they would have developed symptoms similar to the patient Chief Xia mentioned.
TIPS surgery could improve the symptoms of portal hypertension and greatly prolong the patient's life span and quality of life.
No wonder the System had given him so many rewards.
Zheng Ren felt like he had discovered some of the System's behavior patterns.
"Why are you smiling like an idiot? Do you think the surgery was beautiful? "Su Yun's voice rang out in his ears as he was thinking about the System.
"Hehe, the surgery was fine," Zheng Ren said perfunctorily.
"There's a newcomer tomorrow and there's a big emergency surgery today. You're invincible," Su Yun said.
Zheng Ren could not figure out the relationship between his flexible shift tomorrow and the TIPS surgery tonight. He could not be bothered to bicker with Su Yun, so he just smiled.
Professor Rudolf Wagner walked out of the operating theater in a daze, his eyes unfocused.
"Ah, I forgot about the professor." Su Yun chuckled. "If I knew you were so good at the surgery, I wouldn't have brought the professor here."
Zheng Ren was speechless. 'How do I know if I can learn it?'
"Don't tell me the professor brought me here just to watch the surgery? Is it really a learning experience? If the professor is narrow-minded, he won't be able to get past this. In the future, no matter what you say in the academic world, the professor will be the first to oppose it. "
Su Yun's logic … Zheng Ren thought about it and realized it made sense.
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