At 11:30, all tips surgery for patients with cirrhosis were completed.

Li Jianguo sent the patient down. On this day, his job was to send the patient down, then check the information of the next patient, and then send it to the patient.

By the time I came up, the tips surgery was almost done.

He could feel a different aura, which was different from the last time Zheng Ren came to the Affiliated Hospital of the Provincial Medical University for surgery.

This time, Teacher Gao was doing tips surgery himself!

It turns out that tips surgery can be so simple as long as you find a solution.

In the operating room, Zheng Ren and Gao Shaojie were talking about the key points that need to be paid attention to in the second phase of the operation.

Because Director Kong came suddenly and Zheng Ren was caught off guard, he wanted Gao Shaojie to grasp everything about tips surgery as soon as possible.

Many details were mentioned in the office. At this time, Zheng Ren sighed in his heart when he saw Gao Shaojie's slightly confused eyes.

"Old Gao, let's talk about it when I go on stage." Zheng Ren knew that he was too hasty. The professor might be able to do it, but Gao Shaojie... should not be able to do it.

Gao Shaojie also realized that the first-stage surgery and the second-stage surgery are completely different concepts. Zheng Ren's tone and expression diluted the joy of successfully completing the first-stage surgery.

"Boss, I think you can use hemostatic pliers to hit him. I've learned how to pull it fast. I personally experience it. I recommend it seriously." Professor Rudolf Wagner said seriously when he heard the conversation between the two.

However, this is the Affiliated Hospital of the University of Medical Sciences. Gao Shaojie told him that he would be better not to hit him. Zheng Ren was too immersed just now and knocked him. He was still a little embarrassed now.

Then forget it, Zheng Ren thought, take it slowly faster.

Gao Shaojie frowned and thoughtful, and didn't say anything.

"Doctor Zheng, have some lunch before surgery." President Qi was in a good mood. Although he could not dig Zheng Ren to the Affiliated Hospital of the Medical University, wasn't that normal? He heard an abnormality in Lao Wu's tone.

The young man in front of him should go to the imperial capital, and he should even go to large medical centers in Europe and the United States.

Stay in the provincial capital?

That is absolutely impossible.

"Director Qi, I won't eat at noon." Zheng Ren said with a serious expression: "The subsequent surgery will be more difficult, and I'm afraid I won't finish it today."

Is the subsequent surgery more difficult?

Dean Qi didn't mind Zheng Ren's refusal, but was surprised that the tips surgery had been completed, so why the subsequent surgery was even more difficult?

From a surgical point of view, generally, the second-stage surgery is more specific and simpler than the first-stage surgery.

Dean Qi glanced at Gao Shaojie and saw that he had been thinking about something, but he didn't continue to be polite and invited Zheng Ren to dinner.

If you can't keep Dr. Zheng, you must keep Gao Shaojie.

Dean Qi had guessed the value of the new approach to tips surgery from his classmates across the ocean, and his little abacus in his heart was crackling.

Soon, Li Jianguo sent the patient with the second stage tips surgery.

The operation begins.

"Xiao Liu, Dr. Zheng just said that the second phase surgery is more difficult than the first phase, is that right?" Dean Qi stood in the operation room, looked at Zheng Ren and Gao Shaojie inside through the leaded glass, and asked in a low voice.

Professor Liu was already jealous of the eyes. He always thought that the person who stood inside and learned tips surgery would be fine if he was himself.

Unfortunately, there are no assumptions in life.

President Qi asked, Professor Liu was stunned for a moment, sorted out his emotions, and thought for a while and said, "Director, according to the conventional surgical method, there is no second stage of tips surgery."

"Hmm?" President Qi was surprised.

"It is already a national intervention level that can be done in the first phase." Professor Liu smiled bitterly. He was able to do it himself, and the surgery level was slightly better than Gao Shaojie just a month ago.

But in just a short time, Gao Shaojie could no longer see the shadow he fell into.

A few days ago, Gao Shaojie called in Haicheng and asked himself to help collect the patient with tips surgery. He didn't realize the problem at that time, but now he thought about it... It would be great if he could just say it.

Professor Liu was hopelessly distracted.

After hearing his words, he remained silent. Dean Qi turned his head and nodded with his nose, slightly dissatisfied.

Professor Liu realized that he was immersed in the inexplicable loss and regret again, and smiled bitterly, saying: "In the past, the tips surgery was enough to connect the hepatic vein and the portal vein. The chance of complications in patients after the operation was very high, such as hepatic encephalopathy."

"Because of the thickness of the stent, it is too thick and there is a lot of blood flowing back from the vein, and it has not been metabolized by the liver, and the blood ammonia content is high, which leads to hepatic encephalopathy.

However, if the stent is thin, there are problems. The patient has less hepatic encephalopathy, but there is not enough return venous blood, and problems such as varicose veins in the gastric fundus, portal hypertension, etc. have only been alleviated and have not been completely solved."

"That is to say, there will be a risk of vomiting blood in the future."

Dean Qi pondered.

What Professor Liu said is very simple and easy to understand. They are all clinically born, and Dean Qi knew the problem instantly.

"Teacher Zheng has taken off two stents, the first one is a stent with a membrane, which is what ordinary tips surgery needs to do." Professor Liu's eyes were full of envy, and that emotion seemed to melt the leaded glass.

"But he put 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 in the venous blood, he will take out the recyclable stent, which will perfectly solve the problem of postoperative complications."

"But...it's too difficult to get the stent from the liver."

"Is that true?" asked Dean Qi.

"The liver parenchyma will cause damage and bleeding. I can't think of what to do to successfully remove the recyclable stent." Professor Liu sighed a little.

Because I don't understand, I'm even more curious.

While answering Dean Qi's question, he stared at the screen in the operating room.

The operation has begun, and the recyclable stent airbag is deflated and is being removed.

In the operating room, Gao Shaojie's movements were very light and slow.

Although I am stepping on the line, my body is under the irradiation of x-rays every minute and every second, causing damage to the body.

But he didn't dare to be quick.

Seeing Zheng Ren undergoing a second phase surgery was a mess.

But only after I get started, I know the difficulties.

As soon as I moved, I felt the resistance coming.

"Old Gao, at seven o'clock, 15° down, lightly press," Zheng Ren looked at the screen without turning his eyes and said lightly.

Gao Shaojie reacted for a moment, then nodded, and did it cautiously according to Zheng Ren's words.

But at seven o'clock... it's still 15° down. Is this human word?

Gao Shaojie tried several times, and finally succeeded in following Zheng Ren's instructions and did this.

The recyclable bracket moved a few millimeters away and was almost invisible on the image.

He was not happy at all. Gao Shaojie himself didn't know why he succeeded.

"Below, at five o'clock, bend your wrist, 25° angle, tap, and then tap."

This time, Gao Shaojie tried four or five times, but failed.

Fearing that liver parenchymal injury and bleeding occurred, Zheng Ren finally had no choice but to exchange positions with Gao Shaojie. Zheng Ren took action and completed the operation within ten minutes.
Chapter completed!