Take the right rectus abdominal incision, incite the abdominal wall, and separate bluntly.

Zheng Ren was extremely proficient in doing these things. He only used electric burns three unavoidable capillaries, and there was almost no bleeding. He began to be bluntly separated, protect the peritoneal cavity, and open the abdominal cavity of the experiment.

After entering the abdominal cavity, Zheng Ren became stupid.

Once the peritoneum was opened, there was no cavity at all. The huge liver and the full space occupied blocked the artifact.

The huge space occupied by the second liver vent should not be so big in the film. However, Zheng Ren did not be surprised or hesitated, and began to vent the mouth, then used an automatic hook to pull open the muscles to expose the surgical field.

It took nearly ten minutes before Zheng Ren opened his abdominal cavity and exposed his surgery field.

The left liver occupies a huge space near the second liver duct, accompanied by necrosis in the sac. The right liver hyperplasia and obvious edema, and the entire liver can basically no longer see the original form.

Right liver edema brings great difficulties to autologous liver transplantation.

The surgery is difficult...

But no matter how difficult it is, you have to do it. Zheng Ren gritted his teeth and started a one-person operation.

And it’s not just a person’s surgery, but the surgical approach is also very wrong.

Zheng Ren soon discovered that although this surgery was liver hydatosis, he had to undergo right nephrectomy or right kidney segment resection first.

Because the hydatum infiltrates and spreads, it has connected the liver and kidneys and fixed them in one place.

After all, he is not a urology doctor. Although Zheng Ren’s level of watching movies is high, it is not omnipotent.

Zheng Ren now feels that if you are alone in surgery, you are not afraid of loneliness or anything. Moving the experimental subject and changing the position alone is the most difficult thing.

The hateful big pig's hooves are not smart at all, Zheng Ren thought to himself.

There was no choice but to change the patient's position by himself. Then Zheng Ren ordered an intermediate skill book, and his heart ached again.

Although intermediate skills are not usually used, it is too luxurious to use a book for surgical training.

But there is no way, who made the big pig's hooves have to start from scratch?

The experiment subject was taken to lie on the left side, facing upward on the right side, and the traditional 11th intercostal incision exposed the right kidney.

Separate the kidneys, separate and control the kidney blood vessels, and be careful not to have major bleeding. Although it is the subject of the experiment, Zheng Ren still goes all out.

The intermediate skills of urology are still a little rough, but they can't stand Zheng Ren's foundation. The general surgery skills are high. Various blunt separations and clamps are easy to handle.

The skills to improve are mainly about understanding the anatomy.

Zheng Ren didn't look at the skill tree, and it is estimated that the skill tree in urology is growing wildly now.

But he was not interested in urology, just because he needed surgery, so he just passed by and clicked on the skill point.

The operation was a little rough, but Zheng Ren didn't have so much time to polish this section. After the renal segment was removed, there was no active bleeding, and the renal pelvis was washed, and the kidney calyx was immediately changed to the experiment.

If a urology doctor performs nephrectomy, he will definitely be very careful and cautious. But who is Zheng Ren? He is a man standing at the top of the world in interventional surgery.

In Haicheng First Hospital, when the first time was assisted by the big pig's hooves, Zheng Ren underwent an interventional embolization of a patient with vascular rupture and bleeding about one month after nephrectomy.

Therefore, Zheng Ren had no psychological burden for renal segmentation after undergoing renal resection.

If you don’t work, just get involved in the embolization. You are very familiar with it. Moreover, bleeding after nephroectomy cannot be completely avoided.

After all, the kidneys are so brittle, which is determined by the nature of the organs themselves and has nothing to do with the level of the surgeon.

Following the original incision step by step, suddenly, a blood vessel in the second liver vent was broken, and blood spurted Zheng Ren's head and face.

The subject of experiment, death.

The blood vessels are so fragile... Zheng Ren was helpless. After training in the local anesthesia surgery in Nanchuan Town, and breaking through the shackles between life and death, he has reached the peak of the master level and is about to break through and become a master level.

But unexpectedly, this situation will occur when the blood vessels are freed!

If I were outside, I would have been able to kill the patient at this moment and I would have been scared to death.

Zheng Ren shivered, sighed, thanked the big pig's hoof, and then started the operation again.

The experimental subject was immediately changed to a complete one, and this time Zheng Ren knew the order of the operation.

After the renal segment resection, the abdomen was opened again. The last time I escaped the location of the second liver vent, I was more cautious this time.

The liver hydatum is indeed worthy of being a worm cancer, with extremely strong corrosion. The second liver hibiscus and surrounding ligaments have layers of connective tissues that are very brittle and thin. Looking at the normal tissue structure, it was accidentally sprayed with blood.

The subject of experiment, death.

The subject of experiment, death.

Experimental subject, death...

The more Zheng Ren did, the colder he felt. His general surgery level was not bad, and even after extreme earthquake relief surgery, he could be said to be very strong.

But this level is still not enough.

At this time, Zheng Ren had completely forgotten the benefits brought to him by the system tasks, and he didn't care about his heartache.

He was twisting and tried his best to get the operation.

The so-called benefits, great benefits, cannot compare to a life.

Finally, during the 19th surgical training, Zheng Ren successfully stripped the blood vessels and ligaments at the second hilar hilar.

A warm current echoed around the body, and this feeling was so familiar.

Zheng Ren had similar experiences, and he knew that he had become a master of general technology without realizing it.

If it were normal, Zheng Ren would definitely be ecstatic.

It is a big deal to be born in a foreign country, and this major can be upgraded to the level of a master and surpass the level of a department director of a large tertiary hospital.

However, in the system operating room, the operation has just begun.

Free the liver, remove the gallbladder, separate the perihepatic ligament and the second hilar portal, and free the superior-subordinate vena cava. Separate and open the diaphragm, break above the stenosis of the thoracic vena cava, free the first hilar portal, and move out of the liver completely. See that the thoracic abdomen transition section of the inferior vena cava is invaded and narrowed...

Zheng Ren did not go to the portal end-side anastomosis of the vascular surgery in vascular surgery. This section was directly bypassed, and even if the completion of the surgery given by the system was not high enough, it didn't matter.

He really didn't have time to complete this very long operation.

because,

Next,

Liver transplant is about to be done.

Autologous liver transplantation!

Zheng Ren has only heard of autologous liver transplantation, but has never seen it.

Autologous liver transplantation was first implemented by Professor Pichlmayr, the Hannover Organ Transplantation Center in Germany in 1988. The liver was removed from the body and was re-implanted in vitro for lesions after resecting in situ. Later, hannoun and sauvanet were improved, and the first liver hierarchy was not separated, which was called semi-exclusive autologous liver transplantation.

Autologous liver transplant surgery technology comes from allogeneic liver transplant technology and is higher than its technology, and is called the last barrier of liver surgery!

As a doctor from general surgery, Zheng Ren knew about this. Zheng Ren had been "very drooling" about the final barrier.
Chapter completed!