Zheng Ren and Su Yun had no communication, even if they were doing unconventional operations such as brackets and brackets.

Su Yun gradually got used to Zheng Ren's operating mode. As long as there are various procedures, they may appear during the operation.

As a flawless assistant, what else should I ask about this?

It does not exist.

After the passage between the portal vein and the hepatic vein was established, the relief of portal hypertension was immediate. The patient's gastric fundus vein bleeding was immediately relieved.

The restlessness became much lighter, and the difficulty of the operation immediately decreased.

The entry of the second diaphragmatic stent is much smoother than the first one, the jugular vein, the upper heart cavity, and all the way to the hepatic vein, along the guide ribbon membrane stent, to the position of the previous diaphragmatic stent.

At this moment, Zheng Ren's movements became lighter and slower. Although it was impossible to determine with images due to overlapping images, Zheng Ren estimated his position based on his experience.

The bracket stopped, Zheng Ren fine-tuned the position again and opened the bracket.

The second bracket is recyclable. It is slightly different from the first bracket when operating, but in Zheng Ren's opinion, the difference is not big.

At this time, except for Zheng Ren, even Su Yun, the assistant and the professor, could not determine whether the position of the bracket was appropriate.

After the contrast was re-encapsulated, the contrast agent happily flowed through the stent between the hepatic artery and the portal vein. The image of the stent appeared initially, with excellent overlap and basically no excessive abduction.

This means that the friction between the stents reaches the maximum extent, and it is difficult to cause the stent to be taken away by blood.

The operation was successful!

Zheng Ren turned off the equipment and pulled out the guide wire.

【Handsome! So handsome!】

[Including the patient's agitation time, it took 1 hour and 54 minutes. This is the shortest TIPS surgery I have ever seen!]

[The person who didn't know that TIPS surgery was floating by, silently. I just felt that the surgeon did a very good job and was very powerful.]

The doctors in Xinglin Garden began to show up barrage. Although there was no image in the live broadcast room, it did not prevent everyone from treating this place as a chat room and communicating their postoperative experience.

When Zheng Ren was taking out the guide wire and preparing to step down, a crisp and pleasant sound of completing the task sounded in his ears.

[Main mission: The first phase of the crown is completed.

Task content: Complete a TIPS surgery.

Task reward: Because the first time TIPS surgery is completed, it is an emergency surgery, and the difficulty coefficient is added to 2. The completion time is 1 hour and 54 minutes, and the surgical training time is 149×2×2=596 hours.

You will also get two lucky points +2 rewards and golden treasure chests, with experience values ​​of 200,000 points.

Task time: 6 hours, 1 hour and 54 minutes of completion of the operation, and 4 hours and 6 minutes of balance.]

The main task is completed in the first stage of the crown, and the system gives a large amount of experience values ​​and rewards.

Especially the surgical training time is as long as 600 hours!

It is equivalent to 25 days.

This is the biggest wealth Zheng Ren has accumulated!

Zheng Ren is very happy, which means he can squander once or twice?

Tear off the sterile surgical gown, go to the locker room, put the radiation ray energy-converting lead gown into the system space, and Zheng Ren returned to the operation room with a smile on his face.

Professor Rudolf Wagner was pondering. When he saw Zheng Ren coming back, he shook his head and said, "Zheng, your surgery is like a perfect work of art."

"Professor, it's too much." Zheng Ren replied with a smile.

The professor sighed softly and did not argue with Zheng Ren about this matter.

Director Xia is not an interventionist, and in fact she didn't understand the operation. Seeing that Zheng Ren talked to Professor Rudolph Wagner, what she said seemed to be successful in the operation and was doing it very beautifully, she asked: "Doctor Zheng, has the operation been successful?"

"That's right." Zheng Ren said: "You can take care of complications such as hepatic encephalopathy after the operation. In addition, I left two stents. If the hepatic encephalopathy is not serious, you can consider taking out the second stent to expand the outflow tract between the hepatic vein and the portal vein."

Director Xia was silent and nodded.

"The patient will go back to your place, or go to the ICU?" Zheng Ren asked.

"We are more sure of handling postoperative complications." Director Xia still gave Zheng Ren an answer with the pride and self-pride of the director.

Zheng Ren doesn't care. The surgery was beautiful and he was left with two stents. The outflow tract is a little smaller than 8mm. The possibility of hepatic encephalopathy is much smaller than that of a single stent.

It is also possible to go to gastroenterology, after all, they are the most professional in dealing with hepatic encephalopathy.

In the operating room, Su Yun had already bandaged the patient, and carried the patient onto the flat car with Chu Yanran and others and handed it over to a doctor in the gastroenterology department.

Director Xia followed the flat car and left. Before leaving, she hesitated for a moment, but still asked: "Doctor Zheng, I have a patient with cirrhosis decompensation period and stubborn ascites."

"If the patient's family recognizes this risky surgical method, surgical treatment can be performed." Zheng Ren smiled.

"Okay." Director Xia was also very straightforward and left in a hurry.

Zheng Ren estimated that if this patient had a relatively stable postoperative period, there would be a steady stream of patients who needed TIPS surgery in the gastroenterology department in the future.

From an epidemiological perspective, the 1960s was the era of a large-scale outbreak of hepatitis B.

Since the late 1980s, hepatitis B was basically under control. Although it was not eliminated like polio, it has no longer had the rapid contagious momentum of the past.

In other words, those patients with hepatitis B are now at around 60 years old.

If the patient did not have oral administration of entecavir for years to control the activity of the hepatitis B virus, symptoms should appear like the patient mentioned by Director Xia.

Can perform TIPS surgery to improve the symptoms of portal hypertension in patients and will greatly prolong the patient's survival and quality of life.

No wonder the system has to give itself so many rewards.

Zheng Ren felt that he seemed to have touched some behavioral rules of the big pig's hooves in the system.

"What are you smirking? I also think the surgery is beautiful?" While thinking about the system, Su Yun's voice appeared in his ears.

"Haha, the operation is fine." Zheng Ren casually said perfunctory.

"There will be a newcomer tomorrow, and today I will have this big emergency surgery. Your luck will be invincible." Su Yun said.

Zheng Ren really couldn't think of the relationship between being able to be on duty tomorrow and having TIPS surgery tonight, but he was too lazy to argue with Su Yun and just smiled.

Professor Rudolf Wagner walked out in a daze, his eyes slightly distracted.

"Oh, I forgot about the professor." Su Yun laughed softly, "If I had known that you had done such a beautiful surgery, I wouldn't have pulled the professor over."

Zheng Ren was speechless and thought to himself, how did I know if I could learn it?

"Why would the professor want to pull me over just to see the surgery? Is it really a visit and study? If the professor is a little petty, this matter will not be able to overcome the threshold. In the future, no matter what point you put forward, the professor will be the first to stand up and oppose it."
Chapter completed!