In the operating room, someone is checking whether the display, camera equipment, light source host, high-frequency electric knife, surgical workstation, carbon dioxide pneumoperitoneum machine, CO2 gas storage cylinder, ultrasonic knife, and automatic suction device are operating normally.

Instrument nurses routinely prepare dressing kits, laparoscopic surgical instruments, endoluminal incision closures, staplers, titanium clip absorbable threads, warm distilled water, medium delta needles, silk threads (No. 4), suction device connecting tubes, sterile gloves, silicone negative pressure balls, etc.

The anesthesiologist begins to administer general anesthesia to the patient.

Surgery, start anytime!

"System!" Ruan Bin opened the system.

[System points]: 90,400

[Radical rectal cancer resection]: Not started+

Since Ruan Bin does not know how to do rectal cancer surgery at present, if he needs to go out at that time, he will not know the blood vessels and nerves near the rectal cancer site and the sacrum, and the operation will definitely not be carried out. So now he needs to improve this surgical skill!

"Level up!"

"Ding-dong...... Deduct 6000 points, [Radical Rectal Cancer Surgery] - Beginner+!"

"Ding-dong...... Deduct 9000 points, [Radical Rectal Cancer Surgery] - Proficiency Level +!"

"Ding-dong...... Deduct 12,000 points, [Radical Rectal Cancer Surgery] - Director Level +!"

"Ding-dong...... Deduct 15,000 points, [Radical Rectal Cancer Surgery] - Expert +!"

"Ding-dong...... Deduct 18,000 points, [Radical Rectal Cancer Surgery] - world-class +!"

Rumble...

The huge amount of information entered his head, and his hands felt as if he had undergone tens of thousands of rectal cancer surgeries.

At this point, everything is ready and the surgery begins!

Director Qian was the first to take the knife, and Dai Yaowen was the assistant.

Wait for the surgery to proceed to the sacral step and then hand it over to Ruan Bin!

I saw that Director Qian established an artificial pneumoperitoneum, and placed one 10 mm Trocar and two 5 mm Trocars under a pressure of about 15 mmHg.

A 5mm Trocar was placed on the left and right sides of the abdomen. Successive non-injury forceps, separating forceps, and ultrasound knife were handed over continuously, and the abdominal cavity was routinely examined to determine whether there was metastasis in the abdominal cavity liver and omentum.

The mesenteric root is then further explored for enlarged lymph nodes. Then, the tissue around the rectum is freed by ultrasound knife and released to 5cm below the tumor. The peritoneum is cut from the right side of the root of the sigmoid mesangoid colon, so that the submesenteric vessels and the upper inferior quadrant plexus in front of the abdominal aorta are fully exposed, the lymphoid tissue of the mesangial root is dissected, and the submesenteric arteries and veins are clamped with titanium clips......

Director Qian's series of operations are also smooth.

It is worthy of being the leader of the general surgery department in all hospitals in the entire magic capital back then!

"Ruan Bin, it's your turn. Director Qian gave up his position.

"Good. ”

Ruan Bin took over the shift and used ultrasound knife to separate the presacral space downward at the level of the sacral blade. Open the peritoneal fold and detach downstream along the Denonvilliers fascia to separate the anterior rectal wall from the ** gland.

Between the lateral walls of the mesentery, the lateral rectal ligament is removed up to the levator ani level, allowing the distal mesorectum to be completely removed......

Originally, Director Qian was worried that Ruan Bin would not be able to perform this operation, so he instructed Ruan Bin to do the operation.

But he found that his speech speed couldn't keep up with Ruan Bin's hand speed!

Terrifying!

So he simply didn't explain and guide Ruan Bin!

Looks like people don't need it anymore!

"Shhh...... Ruan Bin, are you sure it's the first time to have rectal cancer surgery?" Dai Yaowen was dumbfounded.

"Didn't your first rectal cancer surgery go well?" asked Ruan Bin without raising his head.

Dai Yaowen blushed after hearing this!

He promised that next time he couldn't ask such a stupid question in front of a genius!

At this time, Shao Dagang saw that Ruan Bin's operation was as fast as lightning and there were zero mistakes, and his original hanging heart was slightly relaxed.

This Ruan Bin is as strong as this!

The first time I had rectal cancer surgery, it was so bullish that I could only see it.

The next step is to separate the blood vessels and nerves near the sacrum.

Everyone held their breath.

"Ruan Bin, do you want to start using the abdominal aortic balloon to completely block the blood flow and reduce the blood inflow near the sacrum?" Director Qian couldn't help but ask.

According to the previous surgical plan, this should be used at this step, and the abdominal aortic balloon should be used to completely block the blood flow!

Because in case of a mistake when separating the blood vessels and nerves near the sacrum, there is a cyst to block the large artery, and the amount of bleeding can be controlled!

"No, I'll wait until I've finished separating the arteries and nerves near the sacrum, and cutting the sacrum will inevitably cut off a small part of the blood vessels, so then use an abdominal aortic balloon to completely block blood flow!" Ruan Bin began.

Because the abdominal aortic balloon can only last for half an hour to completely block blood flow, it is very difficult to cut the sacrum, and it takes a lot of time!

"But if you don't use it now, in case there is an accident during the separation process...... Shao Dagang is extremely worried.

"Trust me, okay? I promise that I can successfully separate the blood vessels and nerves!" Ruan Bin said confidently.

"So, give it a try?"

"Based on the current situation, can you stop the bleeding in ten minutes?" asked Director Qian.

"Yes!"

"Let's give it a go!"

The arteries and nerves near the sacrum began to be separated by Ruan Bin one by one.

It's still lightning-fast, it's still smooth, it's still zero mistakes!

As if Ruan Bin could see through, the hidden blood vessels were dug out by him one by one and then separated.

Strands of nerves embedded in the vicinity and even the edges of the bones were discovered and separated by him!

This kind of artistic performance operation made Director Qian and the three of them stunned!

Witness the miracle!

There was no major bleeding.

Not even the arteries were injured.

Only a few small blood vessels were cut by the touch, but they were quickly stopped by electrocoagulation!

Harmless, okay?

"The separation is complete, Director Shao, it's time for you to go!" Ruan Bin said to Shao Dagang, the director of the Department of Orthopedics.

"Okay, good!" Shao Dagang woke up like a dream.

Director Qian immediately used an abdominal aortic balloon to completely block blood flow and reduce the blood inflow near the sacrum, followed by Shao Dagang's rapid severance of the sacrum......

Dai Yaowen was in full swing to carry out follow-up tumor resection and treatment of the presacral venous plexus to properly stop the bleeding!

At the same time, a curved end stapler was inserted through the gang gate to complete the sigmoid colon and rectal end end anastomosis......

In the end, the surgery was a success!

All cancerous sites were removed! The tumor specimen was very complete and met the medical standard of "complete resection".

"We've succeeded!" Dai Yaowen was excited.

"Yes, it worked!"

"Ruan Bin, you are the biggest hero!" Shao Dagang said with a smile.

There, the method that Director Qian came up with to completely block blood flow with an abdominal aortic balloon is the key. Ruan Bin said modestly.

"The amount of blood loss in our operation is only about 500 ml, which is 300 ml lower than the current global record of Professor Philip, a famous anorectal expert at Mayo Clinic, who had a rectal cancer pelvic recurrence combined with sacrum resection last year, and the blood loss was only 800 ml!" said Director Qian.