Around 11: 30 pm, all the patients with cirrhosis had completed their TIPS surgeries.
Li Jianguo sent the patient down. That day, his job was to send the patient down, then check the information of the next patient before sending the 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 Capital Medical University for surgery.
This time, Teacher Gao was personally performing the TIPS surgery!
It turned out that as long as he found a way, TIPS surgery could become so simple.
In the operating theater, Zheng Ren and Gao Shaojie discussed the key points to pay attention to in the second-stage surgery.
Because of Department Chief Kong's sudden arrival, Zheng Ren was caught off guard. Therefore, he wanted Gao Shaojie to master everything about TIPS surgery as soon as possible.
Many details had been said in the office. At this time, Zheng Ren saw Gao Shaojie's slightly confused eyes and sighed in his heart.
"Old Gao, let's talk on stage." Zheng Ren knew that he was being too hasty. The Professor might be able to do it, but Gao Shaojie … probably could not.
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 completing the first stage of the surgery.
"Boss, I think you should hit him with the hemostatic forceps. You're a fast learner. I highly recommend it," Professor Rudolf Wagner said seriously when he heard the conversation between the two.
However, this was the First Affiliated Hospital of Provincial Capital Medical University. Gao Shaojie had told him that it was best not to hit him. Zheng Ren was too engrossed just now and knocked on the door. He was still a little embarrassed.
'Forget it then,' Zheng Ren thought. It would be faster to take it slow.
Gao Shaojie frowned and pondered, not saying a word.
"Doctor Zheng, let's have lunch before the surgery." Chief Qi was in a good mood. Although he could not poach Zheng Ren to the First Affiliated Hospital of Provincial Capital Medical University, was that not normal? He could tell from Old Wu's tone that something was off.
The young man in front of him should go to the Imperial Capital or Sorcery Capital. He should even go to a large medical center in Europe or America.
As for staying in the Provincial Capital?
That was absolutely impossible.
"Principal Qi, I won't be having lunch today." Zheng Ren's expression was serious as he said, "The later surgeries will be more difficult. I'm afraid I won't be able to finish them today."
The later surgeries would be even more difficult?
Chief Qi did not mind Zheng Ren's rejection. He was just surprised that the TIPS surgery was already completed. Why was the surgery after that even more difficult?
From a surgical point of view, second-stage surgeries were usually much simpler and clearer than first-stage surgeries.
Chief Qi glanced at Gao Shaojie. Seeing that he was deep in thought, she did not continue to be polite and invited Zheng Ren to eat.
If he could not make Doctor Zheng stay, he had to make Gao Shaojie stay.
Chief Qi had already guessed the value of the new approach to TIPS surgery from his classmate on the other side of the ocean. The little abacus in his heart was crackling.
Soon, Li Jianguo sent the patients for the second stage of TIPS surgery up.
The surgery began.
"Xiao Liu, Dr. Zheng just said that the second-stage surgery is more difficult than the first-stage surgery. Is that true?" Chief Qi stood in the operating room and looked at Zheng Ren and Gao Shaojie through the lead-lined glass.
Chief Liu was already extremely jealous. Every time he thought that it would be great if he was the person standing inside to learn TIPS surgery.
Unfortunately, there were no assumptions in life.
Chief Qi asked. Chief Liu was stunned for a moment. He sorted out his emotions and thought for a moment before saying, "Chief, according to the conventional surgical method, there is no second stage of TIPS surgery."
"Mn?" Principal Qi was surprised.
"To be able to do the first stage, it's already at the national level." Chief Liu smiled bitterly. He could do it. Just a month ago, his surgical skills were still slightly better than Gao Shaojie's.
However, in a short period of time, Gao Shaojie had already lost sight of his shadow.
A few days ago, Gao Shaojie had called Sea City and asked him to help take in the patients for the TIPS surgery. At that time, he did not realize the problem. Now that he thought about it … it would have been better if he had said it.
Chief Liu was hopelessly distracted.
Hearing him fall silent halfway through his sentence, Chief Qi tilted his head and snorted with slight dissatisfaction.
Chief Liu realized that he was immersed in that inexplicable sense of loss and regret again. He smiled bitterly and said, "In the past, TIPS surgery only needed to connect the hepatic vein and the portal vein. The probability of complications after the surgery is very high, such as hepatic encephalopathy.
"Because of the thickness of the stent, if it's too thick, more blood will flow back from the veins. It will not be metabolized by the liver, and the blood ammonia content will be high, which will lead to hepatic encephalopathy.
"However, if the stent is too thin, there are also problems. "The patient has less hepatic encephalopathy, but there is not enough blood flowing back to the veins. The problems of gastric varicose veins and portal hypertension are only alleviated, but they are not completely solved.
"In other words, there will be a risk of vomiting blood in the future."
Chief Qi was deep in thought.
Chief Liu's words were already very simple and easy to understand. They were all from clinical backgrounds, so Chief Qi instantly knew the problem.
"Teacher Zheng has placed two stents. The first is a membrane stent. This is what ordinary TIPS surgery has to do." Chief Liu's eyes were filled with envy. That kind of emotion seemed to be able to melt lead-lined glass.
"But he has placed another recyclable stent. The advantage of this stent is that it can solve both of the above problems. After the patient adapts to the blood ammonia concentration of the venous blood, the recyclable stent can be removed. It will solve the problem of postoperative complications perfectly. "
"But … it's too difficult to remove the stent from the liver."
"Is that so?" Chief Qi asked.
"The liver parenchyma will be damaged and bleed. I can't think of how to smoothly remove the recyclable stent." Chief Liu was a little emotional.
Because he did not understand, he was even more curious.
As he answered Chief Qi's question, he stared at the screen in the operating room.
The surgery had already begun. The airbag of the recyclable stent had deflated and was being removed.
In the operating theater, Gao Shaojie's movements were very light and slow.
Although he was stepping on the line, his body was being irradiated by X-rays every minute and every second, causing damage to his body.
However, he did not dare to be fast.
Watching Zheng Ren perform the second-stage surgery was extremely simple.
However, when he did it himself, he only knew how difficult it was.
As soon as he moved, he felt resistance.
"Old Gao, at the seven o 'clock position, move 15 ° down. Be gentle," Zheng Ren said lightly as he stared at the screen.
Gao Shaojie reacted for a moment, then nodded and carefully followed Zheng Ren's instructions.
But at the seven o 'clock position … and it was 15 ° down. Was that even human?
Gao Shaojie tried a few times and finally succeeded in following Zheng Ren's instructions.
The recyclable stent moved a few millimeters and was almost invisible on the image.
He was not happy at all. Even Gao Shaojie himself did not know why he succeeded.
"Next, at the five o 'clock position, bend your wrist at a 25 ° angle. Be gentle, be gentle."
This time, Gao Shaojie tried four or five times, but he did not succeed.
Afraid that there would be liver parenchyma damage and bleeding, Zheng Ren had no choice but to exchange positions with Gao Shaojie. Zheng Ren performed the surgery and completed the surgery within ten minutes.
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