An incision was made next to the right rectus abdominis muscle, and the abdominal wall was incised for blunt dissection.
He only used electricity to burn three unavoidable capillaries. There was almost no bleeding. Then, he began the blunt dissection, protected the peritoneum, and opened the experimental subject's abdominal cavity.
After entering the abdominal cavity, Zheng Ren was dumbfounded.
Once the peritoneum was opened, there was no cavity at all. The huge liver and the occupying space completely blocked the surgical field.
The huge space at the second hepatic portal did not seem to be so big on the radiographic films. However, Zheng Ren was not surprised or hesitant. He began to move along the mouth, then used an automatic hook to pull open the muscles to expose the surgical field.
It took Zheng Ren nearly ten minutes to open the abdominal cavity and expose the surgical field.
There was a large space occupying near the second hepatic portal, accompanied by cystic necrosis. The right hepatic hyperplasia and edema were obvious, and the entire liver could no longer be seen in its original form.
The right liver was edematous, which made the autologous liver transplantation very difficult.
The surgery was difficult …
However, he had to do it no matter how difficult it was. He gritted his teeth and began the surgery alone.
Moreover, it was not only a one-man operation, but the surgical approach was also f * cking wrong.
Zheng Ren quickly discovered that although this surgery was for liver hydatid disease, he had to first do a right nephrectomy or a right kidney segmentectomy.
Because of the infiltration and spread of hydatid worms, the liver and kidneys had been connected and fixed in one place.
After all, he was not a doctor from the Department of Genitourinary Surgery. Although he was good at reading scans, he was not omnipotent.
Now, Zheng Ren felt that he was not afraid of loneliness when operating alone. The hardest part was moving the Experimentals and changing their positions.
'This detestable System is not intelligent at all,' Zheng Ren thought to himself.
He had no choice but to change the patient's position by himself. After that, Zheng Ren clicked on an Intermediate skill book and his heart ached again.
Although the Intermediate Skill was not usually used, it was too extravagant to use a book for surgical training.
But there was nothing he could do. Who asked the System to make him start from scratch?
The subject was placed in the left decubitus position with the right side facing upwards. The right kidney was exposed through the traditional 11th intercostal incision.
Separate the kidneys. Separate and control the blood vessels of the kidneys. Be careful not to bleed heavily. Although it was a test subject, Zheng Ren still gave it his all.
The Intermediate Genitourinary Surgery skill was still a little rough, but Zheng Ren had a good foundation and a high standard of general surgery. All kinds of blunt dissections and clamps came easily to him.
The skill upgrade was mainly to understand the anatomical structure.
Zheng Ren did not look at the skill tree. The genitourinary surgery skill tree was probably growing at an insane rate.
However, he was not interested in the Department of Genitourinary Surgery. He was only passing by because there was a need for surgery.
The surgery was a little rough, but Zheng Ren did not have that much time to polish it. After the segmental nephrectomy, there was no active bleeding. After washing the renal pelvis and calyces, the test subject was immediately changed into a new position.
If a doctor from the Department of Genitourinary Surgery performed a segmental nephrectomy, he would definitely be very careful. But who was Zheng Ren? He was a man who stood at the top of the world in interventional surgery.
In Sea City General Hospital, when he first had the assistance of the System, Zheng Ren had performed an interventional embolization for a patient with blood vessel rupture and bleeding about a month after nephrectomy.
Therefore, Zheng Ren did not have any psychological burden when he performed the segmental nephrectomy.
If it doesn't work, then I'll just perform an interventional embolization. I'm very familiar with it. Moreover, postoperative bleeding after nephrectomy was unavoidable.
After all, the kidney was so fragile. This was determined by the nature of the organ itself and had nothing to do with the level of the surgeon.
He followed the original incision step by step. Suddenly, a blood vessel at the second hepatic portal ruptured and blood sprayed all over his face.
The test subject was dead.
Blood vessels were so f * cking fragile … Zheng Ren felt helpless. His level of general surgery had been tempered by the local anesthesia surgery in Nanchuan Town. In addition to breaking through the shackles between life and death, he had already reached more than 98000 points. He had reached the peak of the Grandmaster rank and was about to break through to the Legend rank.
However, he did not expect that such a situation would occur when he separated the blood vessels!
If it was outside and he was performing a real surgery, the patient would have died at this moment and he would have been scared half to death.
Zheng Ren shivered and sighed. He thanked the System and began the surgery again.
The test subject was then replaced with a complete one. This time, Zheng Ren knew the sequence of the surgery.
After the segmental nephrectomy, he opened the abdomen again. The last time, he separated the bleeding position at the second hepatic portal. This time, he was even more careful.
Hepatic hydatid worms were indeed worthy of being called worm cancer. They were extremely corrosive. The second hepatic portal, the surrounding ligaments, and the layers of connective tissue were very fragile and thin. Looking at the normal tissue structure, if he was not careful, his head would be sprayed with blood.
The test subject died.
The test subject died.
The test subject died …
The more he did it, the colder Zheng Ren's heart became. His level of general surgery was not bad. In fact, he had even experienced extreme earthquake relief surgery. It could be said that he was very strong.
However, this level was still not enough.
At this moment, Zheng Ren had completely forgotten the benefits that the System mission had brought to him, and he could not care less about his heartache.
He was filled with energy and went all out to win this surgery.
The so-called benefits, no matter how great the benefits were, could not compare to a human life.
Finally, during Zheng Ren's nineteenth surgical training, he successfully separated the blood vessels and ligaments at the second hepatic portal.
A warm current reverberated around his body. This feeling was so familiar.
Zheng Ren had a similar experience. He knew that his general surgery skills had unknowingly reached the Legend level.
If it was any other time, Zheng Ren would definitely be ecstatic.
It was a big deal for someone who came from the General Surgery Department to be able to reach the level of a Legend and surpass the level of a department director in a large Class Three Grade A Hospital.
However, in the operating theater of the System, the surgery had just begun.
The liver was separated, the gallbladder was resected, the perihepatic ligaments and the second hepatic portal were separated, and the superior and inferior vena cava were separated. The diaphragm was separated and opened, the first hepatic portal was separated above the stenosis of the thoracic vena cava, and the liver was completely removed. The thoracoabdominal transitional segment of the inferior vena cava was invaded and narrowed …
Zheng Ren did not go to the vascular surgery's end-to-side anastomosis of the portal vein to the artificial blood vessel bypass. He directly bypassed this section. Even if the completion rate given by the System was not high enough, it did not matter.
He really did not have time to complete this extremely long surgery.
Because …
Next …
He was going to do a liver transplant.
Autologous liver transplantation!
Zheng Ren had only heard of autologous liver transplantation but had never seen it before.
Autologous liver transplantation was first carried out by Professor Pichlmayr of the Organ Transplant Center in Hannover, Germany, in 1988. The whole liver was removed from the body, and the lesion was removed and replanted in situ. After that, Hannoun and Sauvanet and the others improved it. They did not cut off the first hepatic portal, which was called semi-isolated autologous liver transplantation.
The technique of autologous liver transplantation originated from the technique of allogeneic liver transplantation, but it was higher than its technique. It was known as the last barrier of liver surgery!
As a doctor from the General Surgery Department, Zheng Ren knew about this. The last barrier, Zheng Ren had always been 'salivating' about it.
Now that he had to do it himself, he only knew how difficult it was when he started.
。 m.
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