Chapter 769： Experimental death +1*10+9
Take the right rectus abdominis incision, cut the abdominal wall, and bluntly separate.
Zheng Ren has done this to the extreme. He only used three electric capillaries to avoid the capillaries. There was almost no bleeding, and he began to bluntly separate, protect the peritoneum and open the abdominal cavity of the experimental body.
After entering the abdominal cavity, Zheng Ren was directly stupid.
As soon as the peritoneum opened, there was no cavity at all, and the huge liver and the occupying place filled the field to block the surgery.
The huge occupying position at the second hepatic gate, it seems that there should not be such a big one on the film. However, Zheng Ren did not be surprised and hesitant, began to follow the mouth, and then used the automatic hook to open the muscles and expose the surgical field.
After nearly ten minutes, Zheng Rencai opened the abdominal cavity and exposed the surgical field.
The left liver is close to the second hepatic hilum, with a cystic necrosis. Right liver hyperplasia and edema are obvious, and the whole liver is basically unable to see the original form.
Right liver edema, which brings great difficulties to autologous liver transplantation.
It is difficult to do surgery...
However, it is hard to do it. Zheng Ren gritted his teeth and started a person's surgery.
And it's not just a person's surgery, but the surgery is also wrong.
Zheng Ren soon discovered that this operation, although hepatic echinococcosis, had to do a right kidney resection or a right kidney segment.
Because the hydatid infiltrates and spreads, the liver and kidneys have been connected and fixed in one place.
After all, it is not a doctor of urology. Although Zheng Ren’s film is high, it is not omnipotent.
Zheng Ren now feels that a person is not afraid of surgery and loneliness. It is the hardest work for a person to move an experimental body and change his position.
The hateful big pig's hoof is not smart at all, and Zheng Ren thinks.
There is no way, only to change the position of the patient. Then Zheng Ren ordered an intermediate skill book, and his heart hurts a bit.
Although intermediate skills are not usually used, it is necessary to use a book for surgery training. This is too luxurious.
But there is no way, who has to let the big pig hooves have to start from scratch?
The experimental body was taken to the left lateral position, and the right side was upward. The traditional 11th intercostal incision exposed the right kidney.
Separate the kidney, separate and control the renal blood vessels, and be careful not to have major bleeding. Although it is an experimental body, Zheng Ren still goes all out.
The intermediate skills of urology are still slightly rough, but they can't stand Zheng Ren's foundation. The surgical skills of general surgery are high. All kinds of blunt separation, clamping, handy.
The skills to improve are mainly to understand the anatomy.
Zheng Ren did not look at the skill tree. It is estimated that the skill tree of urology is also crazy.
But he has no interest in urology, just because of the need for surgery, passing a little skill point.
The operation was a bit rough, but Zheng Ren didn't have much time to polish this section. After the renal segment was resected, no active bleeding was detected. Immediately after flushing the renal pelvis and renal pelvis, the body position was changed.
If the urology doctor does a kidney resection, it will be very careful and cautious. But who is Zheng Ren? He is a man who is involved in surgery at the top of the world.
In the first hospital of Haicheng City, when the earliest assisted with large pig hooves, Zheng Ren did an interventional embolization in patients with vascular rupture and bleeding about 1 month after renal segmentectomy.
Therefore, Zheng Ren did a kidney resection without any psychological burden.
If you can't, you will get involved in embolization. You are very familiar with yourself. And bleeding after renal segmentectomy can not be completely avoided.
After all, the kidney is so brittle, which is determined by the nature of the organ itself, and has nothing to do with the level of the surgeon.
Step by step along the original incision, suddenly, a blood vessel at the second liver gate was broken, and the blood sprayed Zheng Ren's face.
Experimental body, death.
The blood vessels are so cute... Zheng Ren’s heart is helpless, his level of general surgery has been exercised in the local anesthesia operation in Nanchuan Town, and there has been more than 98,000 points in the breakthrough between life and death, reaching the peak of the master class. Break through and become a master level.
I did not expect that this happens when the blood vessels are freed!
If it is outside, the surgery of a real knife is afraid that the patient died at this moment, and he was scared to death.
Zheng Ren made a sigh, sighed, thanked the big pig hoof, and then started surgery again.
The experimental body was then replaced with a complete one, and this time Zheng Ren knew the sequence of surgery.
After the kidney segment is removed, the laparotomy is performed again. The location of the last bleeding at the second hepatic hilum was more careful this time.
The liver hydatid is not a worm, and it is highly erosive. The second hepatic hilum and the surrounding ligaments and layers of connective tissue are very brittle and thin. Looking at the normal tissue structure, a blood that has been accidentally sprayed.
Experimental body, death.
Experimental body, death.
Experimental body, death...
The more the heart of Zheng Ren’s heart is cold, the level of his general surgery is not bad, and even the extreme surgery after earthquake relief can be said to be very strong.
But this level is still not enough.
At this time, Zheng Ren has completely forgotten the benefits that the system task brings to himself, but he does not care about his distress.
A bunch of people are coming up and going all out to get this operation.
The so-called benefits, the benefits of Tianda, are no more than a human life.
Finally, Zheng Ren successfully stripped the blood vessels and ligaments at the second hepatic gate during the 19th surgical training.
A warm current reverberates around the body, and this feeling is so familiar.
Zheng Ren had a similar experience. He knew that he had unconsciously had a master's degree in general surgery.
If it is normal, Zheng Ren will be ecstatic.
Born out of the ordinary, this major can be upgraded to the level of master level, beyond the level of the director of the large top three hospitals, this is a big deal.
However, in the operating room of the system, this operation has just begun.
Free liver, remove the gallbladder, separate the perihepatic ligament and the second hepatic hilum, free upper hepatic-inferior vena cava. Separate and open the diaphragm, disconnected from the stenosis of the thoracic vena cava, free the first hepatic hilum, and completely remove the liver. See the inferior vena cava, the chest and abdomen transition section is invaded and narrowed...
Zheng Ren did not go to the end-to-side anastomosis of vascular surgery for artificial blood vessel bypass. This paragraph is directly bypassed, even if the system does not provide enough completion, it does not matter.
He really has no time to complete this extra long operation because,
Next,
Have a liver transplant.
Autologous liver transplantation!
Autologous liver transplantation, Zheng Ren has only heard of, but has not seen.
Autologous liver transplantation was first performed by a professor at the Hannover Organ Transplantation Center in Germany in 1988. The whole liver was freely removed and removed in vitro for replantation after incision. Later, hannoun and sauva were improved, and the first hepatic hilum was not disconnected, which was called semi-autologous autotransplantation.
Autologous liver transplantation surgery technology is derived from allogeneic liver transplantation technology and its technology is called the last barrier of liver surgery!
As a doctor of general surgery, Zheng Ren knows this. The last barrier, Zheng Ren has been "coveted."
Now I have to do it myself, and I know how difficult it is when I get started.
Zheng Ren has done this to the extreme. He only used three electric capillaries to avoid the capillaries. There was almost no bleeding, and he began to bluntly separate, protect the peritoneum and open the abdominal cavity of the experimental body.
After entering the abdominal cavity, Zheng Ren was directly stupid.
As soon as the peritoneum opened, there was no cavity at all, and the huge liver and the occupying place filled the field to block the surgery.
The huge occupying position at the second hepatic gate, it seems that there should not be such a big one on the film. However, Zheng Ren did not be surprised and hesitant, began to follow the mouth, and then used the automatic hook to open the muscles and expose the surgical field.
After nearly ten minutes, Zheng Rencai opened the abdominal cavity and exposed the surgical field.
The left liver is close to the second hepatic hilum, with a cystic necrosis. Right liver hyperplasia and edema are obvious, and the whole liver is basically unable to see the original form.
Right liver edema, which brings great difficulties to autologous liver transplantation.
It is difficult to do surgery...
However, it is hard to do it. Zheng Ren gritted his teeth and started a person's surgery.
And it's not just a person's surgery, but the surgery is also wrong.
Zheng Ren soon discovered that this operation, although hepatic echinococcosis, had to do a right kidney resection or a right kidney segment.
Because the hydatid infiltrates and spreads, the liver and kidneys have been connected and fixed in one place.
After all, it is not a doctor of urology. Although Zheng Ren’s film is high, it is not omnipotent.
Zheng Ren now feels that a person is not afraid of surgery and loneliness. It is the hardest work for a person to move an experimental body and change his position.
The hateful big pig's hoof is not smart at all, and Zheng Ren thinks.
There is no way, only to change the position of the patient. Then Zheng Ren ordered an intermediate skill book, and his heart hurts a bit.
Although intermediate skills are not usually used, it is necessary to use a book for surgery training. This is too luxurious.
But there is no way, who has to let the big pig hooves have to start from scratch?
The experimental body was taken to the left lateral position, and the right side was upward. The traditional 11th intercostal incision exposed the right kidney.
Separate the kidney, separate and control the renal blood vessels, and be careful not to have major bleeding. Although it is an experimental body, Zheng Ren still goes all out.
The intermediate skills of urology are still slightly rough, but they can't stand Zheng Ren's foundation. The surgical skills of general surgery are high. All kinds of blunt separation, clamping, handy.
The skills to improve are mainly to understand the anatomy.
Zheng Ren did not look at the skill tree. It is estimated that the skill tree of urology is also crazy.
But he has no interest in urology, just because of the need for surgery, passing a little skill point.
The operation was a bit rough, but Zheng Ren didn't have much time to polish this section. After the renal segment was resected, no active bleeding was detected. Immediately after flushing the renal pelvis and renal pelvis, the body position was changed.
If the urology doctor does a kidney resection, it will be very careful and cautious. But who is Zheng Ren? He is a man who is involved in surgery at the top of the world.
In the first hospital of Haicheng City, when the earliest assisted with large pig hooves, Zheng Ren did an interventional embolization in patients with vascular rupture and bleeding about 1 month after renal segmentectomy.
Therefore, Zheng Ren did a kidney resection without any psychological burden.
If you can't, you will get involved in embolization. You are very familiar with yourself. And bleeding after renal segmentectomy can not be completely avoided.
After all, the kidney is so brittle, which is determined by the nature of the organ itself, and has nothing to do with the level of the surgeon.
Step by step along the original incision, suddenly, a blood vessel at the second liver gate was broken, and the blood sprayed Zheng Ren's face.
Experimental body, death.
The blood vessels are so cute... Zheng Ren’s heart is helpless, his level of general surgery has been exercised in the local anesthesia operation in Nanchuan Town, and there has been more than 98,000 points in the breakthrough between life and death, reaching the peak of the master class. Break through and become a master level.
I did not expect that this happens when the blood vessels are freed!
If it is outside, the surgery of a real knife is afraid that the patient died at this moment, and he was scared to death.
Zheng Ren made a sigh, sighed, thanked the big pig hoof, and then started surgery again.
The experimental body was then replaced with a complete one, and this time Zheng Ren knew the sequence of surgery.
After the kidney segment is removed, the laparotomy is performed again. The location of the last bleeding at the second hepatic hilum was more careful this time.
The liver hydatid is not a worm, and it is highly erosive. The second hepatic hilum and the surrounding ligaments and layers of connective tissue are very brittle and thin. Looking at the normal tissue structure, a blood that has been accidentally sprayed.
Experimental body, death.
Experimental body, death.
Experimental body, death...
The more the heart of Zheng Ren’s heart is cold, the level of his general surgery is not bad, and even the extreme surgery after earthquake relief can be said to be very strong.
But this level is still not enough.
At this time, Zheng Ren has completely forgotten the benefits that the system task brings to himself, but he does not care about his distress.
A bunch of people are coming up and going all out to get this operation.
The so-called benefits, the benefits of Tianda, are no more than a human life.
Finally, Zheng Ren successfully stripped the blood vessels and ligaments at the second hepatic gate during the 19th surgical training.
A warm current reverberates around the body, and this feeling is so familiar.
Zheng Ren had a similar experience. He knew that he had unconsciously had a master's degree in general surgery.
If it is normal, Zheng Ren will be ecstatic.
Born out of the ordinary, this major can be upgraded to the level of master level, beyond the level of the director of the large top three hospitals, this is a big deal.
However, in the operating room of the system, this operation has just begun.
Free liver, remove the gallbladder, separate the perihepatic ligament and the second hepatic hilum, free upper hepatic-inferior vena cava. Separate and open the diaphragm, disconnected from the stenosis of the thoracic vena cava, free the first hepatic hilum, and completely remove the liver. See the inferior vena cava, the chest and abdomen transition section is invaded and narrowed...
Zheng Ren did not go to the end-to-side anastomosis of vascular surgery for artificial blood vessel bypass. This paragraph is directly bypassed, even if the system does not provide enough completion, it does not matter.
He really has no time to complete this extra long operation because,
Next,
Have a liver transplant.
Autologous liver transplantation!
Autologous liver transplantation, Zheng Ren has only heard of, but has not seen.
Autologous liver transplantation was first performed by a professor at the Hannover Organ Transplantation Center in Germany in 1988. The whole liver was freely removed and removed in vitro for replantation after incision. Later, hannoun and sauva were improved, and the first hepatic hilum was not disconnected, which was called semi-autologous autotransplantation.
Autologous liver transplantation surgery technology is derived from allogeneic liver transplantation technology and its technology is called the last barrier of liver surgery!
As a doctor of general surgery, Zheng Ren knows this. The last barrier, Zheng Ren has been "coveted."
Now I have to do it myself, and I know how difficult it is when I get started.
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