"No, but this is something that needs everyone's help. When we do the autogenous liver transplantation in the end, the imaging will be faster."
"Then why did you call Zheng Ren?"
"I can't do anything. It doesn't mean that Boss Zheng Can't do anything either." Professor Zhao leaned against the chair and closed his eyes as if he was deep in thought.
"He..."
"The last time I did scientific research, I heard that he graduated from the General Surgery Department."
"Then you're letting him go? Are you giving him a chance to show his face in front of others?" Professor Zhao's wife did not understand.
"A chance? I'm just afraid that he won't dare to do it." Professor Zhao smiled and said, "He's from Sea City. I don't know why Department Chief Kong has taken a fancy to him. He's the chief resident of the emergency department in Sea City. I'm hoping that he will perform the surgery. Tell me, no matter who it is, can he be allowed to perform the surgery? I'm not giving him a bed for free."
"You're the only one with a lot of thoughts."
"If he dares to request to perform the surgery, then he won't be able to stand on his feet in the Imperial Capital Hospital anymore." Professor Zhao smiled and said, "If that's the case, then it would really save us a lot of trouble."
"It's the same for Department Chief Kong. He's just a junior doctor. Is there a need for him to snatch the bed from you guys?"
"He's a candidate for the Nobel Prize. If I were Department Chief Kong, I would do the same. Anyway, he's going to retire soon. It doesn't matter. It's a pity. If I had fought for the position of chief director two years later and met him again, how great would that have been?"
"He's so capable?" Professor Zhao's wife was surprised.
"I can't compete with him in surgery, especially in TIPS surgery. His technique is so smooth. However, he's young and impetuous. He's so capable at such a young age, so he must be very ambitious. I don't know what's going on over there today. If he really doesn't know his limits and wants to go on stage, it'll be fun to watch."
"He won't really go on stage to be the chief surgeon, will he?"
"How is that possible? Is the emergency department's reputation just a joke? Besides, was Yang Rui, who had stayed at home in the Department of Hepatobiliary and Pancreatic Surgery, someone who was easy to deal with? In all these years, he has never submitted to anyone. A few years ago, he was still in a heated argument with Lin Guodong. In the end, Lin Guodong was forced to leave. What right does a junior doctor who isn't even thirty years old in the interventional department, have to steal Yang Rui's spotlight? In that case, I'm really looking forward to it."
Chapter 768 - The System's Mission Had Two Consecutive Hits
At the Imperial Capital hospital, it was still easier than at Sea City General Hospital. Zheng Ren did not have to worry about the patient's pre-operation and post-operation instructions. He did not have to worry about whether the patient's family members were in a stable mood or whether there was a risk of being sued.
After looking at the CT radiographic films and the relevant examination reports, Zheng Ren saw Dong Jia bring the people from the medical administration division with cameras and other equipment to the doctor's office to go through the procedures. He then walked out.
"Boss, don't even think about going on stage," Su Yun warned him for the third time. "This isn't Sea City. Old Chief Physician Pan isn't standing behind you to support you. Besides, it's not just general surgery and thoracic surgery. You'll also have to go on stage with urology and vascular surgery. By then, half of the hospital's surgical departments will be on stage. It'll be quite lively. They're all big shots in the surgical field. If you go on stage, you'll offend someone for no reason."
Although Su Yun was warning him and his tone was not very gentle, he was telling the truth.
During this special period, more than half of the doctors in the Imperial Capital Hospital were not at home. They rushed to the frontline to provide support. At this time, they encountered such a complicated case. It was really a headache.
They should go up and take a look. Zheng Ren still did not give up. He looked at Professor Yang's expression and knew that the possibility of the surgery being taken down was not high. Or to be honest, Professor Yang could not do this surgery.
"Yiren, you and Chang Yue should go back first," Zheng Ren looked at Xie Yiren and said.
"Hmm?"
"There is a very complicated surgery that involves many departments. I estimate that the surgery won't be done within fifteen hours. I want to go take a look." Zheng Ren gave a very conservative estimate.
Fifteen hours of surgery was considered a conservative estimate.
"Then why don't you go back and rest?" Xie Yiren was still very worried.
Although Zheng Ren had a good sleep last night, he still couldn't rest.
Xie Yiren was especially afraid that Zheng Ren would get sick if he was tired after he came back.
Zheng Ren smiled and rubbed Xie Yiren's head. After he went home, she stopped combing her ponytail. He rubbed it. It was fluffy and adorable.
"You should rest early." Xie Yiren was still full of worry. Zheng Ren smiled and nodded.
Zheng Ren was not in a hurry to see the patient off. Emergency treatment had little to do with him after coming to the Imperial Capital Hospital, but it gave him another kind of experience.
"We agreed to only go up today to take a look." Su Yun glanced at Zheng Ren and warned him again and again.
"We'll see, we'll see." Zheng Ren smiled honestly.
Su Yun really did not know whether Zheng Ren was stupid, he was tired and muddled, or if he had just returned from the frontline and had not corrected his mentality of shouldering everything.
Why was he so stubborn today?
After sending Xie Yiren and Chang Yue away, Su Yun said, "We've rested for a whole day today and are in good condition. I even wanted to drag Chang Yue for a drink."
"You can't beat her."
"Who told you that? After reaching a certain level, it's a competition of endurance." Su Yun looked down on Zheng Ren. There was nothing to talk about with a person like Zheng Ren who did not drink.
"Let's go to the operating theater." Zheng Ren was in a hurry to go to the System space to train for the surgery.
The huge amount of time for the surgery training given by the Final Mission of The Crown Jewel was almost used up at the frontline. There was less than a month left.
People really did not know how to be satisfied. In the past, Zheng Ren had dozens of hours of surgical training time and was happy as hell. But now, in terms of months, he felt that it was too little.
It was always easy to go from simple to extravagant, and it was always difficult to go from extravagant to simple.
When he came to the operating theater, Su Yun changed his clothes and went straight in. The extravagant and lascivious Zheng Ren changed into his isolation suit, found the smoking area, lit a cigarette, and entered the System space.
Zheng Ren had a general idea about the patient's surgery.
The surgery was divided into three stages: in-vivo surgery, extracorporeal hepatectomy, reconstruction of the inferior vena cava, and autologous residual liver transplantation.
In-vivo surgery was the simplest part, such as kidney segmentectomy, lung resection, exfoliating hydatid invasion, and so on.
But extracorporeal hepatectomy and reconstruction of the inferior vena cava were more difficult.
In the later stage, autogenous liver transplantation was as difficult as attempting to fly.
The patient was the same as the patient with Budd-chiari syndrome that Zheng Ren had dealt with in the Secondary Hospital. The portal vein was blocked and blood flowed from the side branches of the vein. In addition, the left liver occupied a huge space and was in acute septic shock. His physical fitness was extremely poor.
If he wanted a successful liver transplant, even an autogenous liver transplant would be very difficult.<
br />
It was such a difficult surgery and it was a general surgery. Zheng Ren really wanted to do it!
However, what Su Yun said made sense. Zheng Ren calmed down and thought about it carefully. He decided to go and take a look at the situation first. If there was really a need, it would not be too late to spend the time to train for the surgery.
He found countless excuses for himself.
Ding dong.
Just as Zheng Ren was thinking about it, the long-awaited voice of the system mission rang in his ears.
[System mission: Show your talent, first stage.
Mission content: Complete the surgical treatment of hepatic echinococcosis.
Mission reward: 10,000 experience points, +2 luck points, activate passive skill [Reconstruction].
Mission time: 24 hours.]
Ding dong.
[System mission: Break through the final barrier of the Department of Hepatobiliary and Pancreatic Surgery!
Mission content: complete an autologous liver transplant operation.
Mission reward: 10,000 experience points, +4 luck points.
Mission time: 24 hours.]
'Huh?' Zheng Ren was stunned.
In the past, when the system frequently issued missions, there had never been a case of two consecutive missions.
Now that the System had not issued missions for a long time, this time, it actually issued two missions at once! Zheng Ren had a better reason, so he did not have to persuade himself to give up on the operation.
The mission time was actually 24 hours... Zheng Ren was speechless at this. This meant that the System determined that the average time for successful surgery was 24 hours.
This surgery was really difficult.
However, the reward was also very generous. Zheng Ren had basically ignored the 10,000 experience points. How could a person who was already so far ahead be scared by 10,000 experience points?
He paid attention to the +2 and +4 luck points.
The luck attribute brought Zheng Ren a lot of inexplicable benefits. There was also the passive ability [Reconstruction]. Zheng Ren did not know what it was, but he felt that it had something to do with the image examination.
The System had finally issued a mission, and it was a two-hit mission. This was a good thing.
Autologous liver transplantation, known as the last technical barrier of hepatobiliary surgery, was the System's name for the mission.
Forget it, don't think so much, just do it. Zheng Ren suppressed his palpitating heart and clicked to buy surgery training time.
The simulation mannequin rose from the ground, the experimental body in position as Zheng Ren began the operation training.
Outside, there are people from the relevant departments doing the surgery. But in the System, Zheng Ren soon discovered a bitter fact—he had to start from scratch.
This is absolutely maddening.
Zheng Ren felt like his heart was bleeding as he wasted a lot of his surgical training time on surgeries in other departments instead of autologous liver transplants.
After a short excitement, Zheng Ren focused his mind, cast aside distracting thoughts, and began the operation.
Chapter 769 - Simulation Mannequin +19
Blunt dissection was performed on the right rectus abdominis. The abdominal wall was cut open and blunt dissection was performed.
Zheng Ren was extremely familiar with the simulation mannequin. He only used electricity to burn three blood capillaries that could not be avoided. There was almost no bleeding. Then, blunt dissection was performed. The peritoneum was protected and the abdominal cavity of the simulation mannequin was opened.
After entering the abdominal cavity, Zheng Ren was dumbfounded.
Once the abdominal cavity was opened, there was no space to be seen. The huge liver and the space that occupied the entire operative view had been blocked.
The huge space at the second hepatic portal did not seem to be so big from the radiographic films. However, Zheng Ren was not surprised or hesitant. He began to move along the mouth. Then, he used an automatic hook to pull open the muscle, exposing the operative view.
It took Zheng Ren nearly ten minutes to open the abdominal cavity and expose the operative view.
The left liver occupied a large space near the second hilum of the liver, accompanied by necrosis of the cyst. The right liver was obviously hyperplastic and edema. The original shape of the entire liver could no longer be seen.
The edema of the right liver made it very difficult for the liver autotransplantation.
The surgery was difficult...
However, no matter how difficult it was, it had to be done. Zheng Ren gritted his teeth and began the surgery as one person.
Moreover, it was not just one person's surgery. The surgical approach was f*cking wrong.
Zheng Ren soon discovered that although the surgery was for hepatic echinococcosis, the right kidney or the right kidney segment had to be removed first.
Because of the invasion and spread of the echinococcosis, the liver and kidneys had been connected and fixed in one place.
After all, he was not a doctor in the genitourinary surgery department. Although Zheng Ren's standard in reading radiographic films was high, it was not omnipotent.
Zheng Ren now felt that he was not afraid of being lonely during a solo surgery. The simulation mannequin was the most difficult part.
'Damn System. It isn't smart enough to give me additional help,' Zheng Ren thought.
He had no choice but to change the position of the patient. Then, Zheng Ren clicked on an intermediate skill book and felt his heart ache again.
Although the intermediate skill book was not usually used, it was too luxurious to use a book for a simulation mannequin.
But I can't help it. Do I want to start all over again?
Simulation mannequin's left lateral decubitus, right lateral upward, traditional 11th intercostal incision to expose the right kidney.
Separation of the kidney, renal vascular separation, and control, careful not to cause hemorrhage. Although it was an experimental subject, Zheng Ren still went all out.
The intermediate skills of the Department of Genitourinary Surgery were still a little rough, but they could not hold up against Zheng Ren's good foundation and the high skill level of a General Surgery Department's trainee. All kinds of blunt dissection and clamp were easy to handle.
The main skill that had been upgraded was the understanding of the anatomy structure.
Zheng Ren did not look at the skill tree. He reckoned that the skill tree of the Department of Genitourinary Surgery was also growing at a crazy rate.
However, he was not interested in the Department of Genitourinary Surgery. It was only because he had a need for surgery that he passed by and gave it some skill points.
The surgery was a little crude, but Zheng Ren did not have that much time to polish this part. After the nephrectomy, no active bleeding was detected. Once he washed the renal pelvis and calyx, he immediately changed the position of the experimental subject.
If a doctor from the Genitourinary Surgery Department performed the 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 the Sea City General Hospital with the help of the System, Zheng Ren performed an interventional embolization for a patient who had a blood vessel rupture about a month after the nephrectomy.
Therefore, Zheng Ren did not feel any psychological burden when he performed a segmental nephrectomy.
If it did not work, he would just perform an interventional embolization. He was very familiar with it. Moreover, it was impossible to completely avoid bleeding after a segmental nephrectomy.
After all, the kidney was so fragile. This was determined by the nature of the organ itself. It had nothing to do with the surgeon's level.
He followed the original incision step by step. Suddenly, a blood vessel at the second hepa
tic portal was ruptured. Blood sprayed all over Zheng Ren's face and head.
The simulation mannequin was dead.
The blood vessels are so damn fragile... Zheng Ren felt helpless. His general surgery skills had been trained through the local anesthesia surgery in Nanchuan Town. In addition to the breakthrough between life and death, he had already reached more than 98,000 points. He had reached the peak of the Grandmaster level and was about to break through to becoming a Legend.
However, he did not expect that this kind of situation would happen when the blood vessels were detached!
If this was a real surgery outside, the patient would probably 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 simulation mannequin was replaced immediately. This time, Zheng Ren knew the order of the surgery.
After the nephrectomy, he opened the abdomen again. He was even more careful this time when he left the bleeding position at the second hepatic portal.
The hepatic hydatid tumor was indeed a parasitic cancer. It was extremely invasive. The ligaments and layers of connective tissue around the second hepatic portal were very fragile and thin. Looking at the normal tissue structure, if one was not careful, his head would be sprayed with blood.
Simulation Mannequin, dead.
Simulation Mannequin, dead.
Simulation Mannequin, dead.
The more Zheng Ren did, the colder his heart became. His standard in the general surgery department was not bad and he could even be said to be very strong after going through the emergency surgery of earthquake and disaster relief.
However, this level was still not enough.
At this moment, Zheng Ren had completely forgotten the benefits that the System mission brought to him and could not care less about his heartache.
He exerted all his strength and went all out to complete the surgery.
The so-called benefits, even the greatest benefits, could not be compared to a human life.
Finally, during the nineteenth surgical training, Zheng Ren successfully peeled off the blood vessels and ligaments at the second hepatic portal.
The Surgeon's Studio c1-799 Page 364