"Yes, it is estimated that it will take us 3 hours to isolate the tumor from the adhesions of the duodenum, pancreas, and caudate lobe of the liver, and the time to isolate the entanglement of the right renal vein branch blood vessels from the tumor!" said the director of vascular surgery.

These two places are already complicated, and they are also adhered by tumors, so they need to be careful, troublesome and complicated to separate, and it must take a long time!

"Ding-dong...... Temporary task of the system: show off your skills in front of the experts of the eight departments to shorten the operation time! This physique enhancement potion can double the physique of ordinary people! As the saying goes, only with a good body can you pretend to be happy!"

"Physique Enhancement Elixir?" Ruan Bin was immediately ecstatic after reading this system task.

"Double the enhancement doesn't seem like a lot, but for me it's definitely a waste of money. ”

Doctors often have to work night shifts, stay up late, and usually don't have much time to exercise.

Many middle-aged doctors will have physical conditions, resulting in a violent death before retirement. There are a lot of news reports about this kind of thing.

After all, doctors are human beings!

However, the doubling of the physique, whether it is human immunity or physical strength, etc., has been enhanced, which is undoubtedly a great thing for Ruan Bin.

"But how can we shorten the operation time?" Ruan Bin began to think.

"The important surgical steps of the whole operation must not be shortened, but the time can be shortened in other auxiliary steps, such as the time to separate the tumor from the adhesions of the duodenum, pancreas, and hepatic caudate, and the separation of the right renal vein branch blood vessels from the tumor. The entanglement of tumors in these two places is very tricky, and the director of vascular surgery just now said that it is estimated that it will take 3 hours, and if I do it instead, it is estimated that it can be completed within an hour, so that it can save 2 hours!" Ruan Bin estimated in his heart.

Of course, to separate the tumor from the duodenum, pancreas, and hepatic caudate lobes, you must have a detailed understanding of the pancreaticoduodenum, pancreas, and hepatic tail structures and blood vessels. If you don't know, even if Ruan Bin has an innovative debridement suture, he won't dare to do it rashly.

It just so happened that Ruan Bin was rewarded with a world-class pancreaticoduodenectomy in the first few missions! This is a fourth-level operation. For the pancreaticoduodenum, pancreas and other structures are naturally well understood. He also knows about partial hepatic resection, so there is no problem with the tail of the liver. He has also had kidney surgery, so there is absolutely no problem with the separation of the renal veins!

Coupled with his innovative debridement and suturing techniques, the time to separate will definitely be so fast that it will fly!

"Maybe I can shorten the time!" Ruan Bin raised his hand and said suddenly.

As soon as this sentence came out, everyone looked at Ruan Bin in unison.

Who is this?

Many people in other departments don't know Ruan Bin.

Which section director or expert, why don't you know it?

"Which department are you from?" asked the director of the Department of Vascular Surgery, looking at Ruan Bin.

"Emergency Department, resident doctor Nguyen Bin. Ruan Bin said truthfully.

"Huh?"

As soon as this sentence came out, many people frowned and were surprised.

The frown is that in such a joint consultation, the junior doctors do not have the opportunity to speak. Surprised, Ruan Bin's name is like thunder!

Created the first pre-hospital REBOA in China!

They've heard of it.

"Oh, Ruan Bin, don't you say that I almost forgot about you! Last time Professor Chen came to our hospital for laparoscopic pancreaticoduodenectomy, he encountered a problem, that is, the adhesion of the root tumor of the mesenteric vein. Director Qian patted his head and almost forgot about Ruan Bin.

That kind of 'nano' operation, maybe the separation of the tumor from the duodenum, pancreas, and hepatic caudate adhesions can speed up, so you can save time!

"Mesenteric vein root?"

"Master!"

Everyone was shocked when they heard this.

For the name of Professor Chen, although they are not hepatobiliary and pancreatic surgery, of course they have heard of this big guy!

"I can isolate and isolate the tumor from the duodenum, pancreas, and hepatic caudate adhesions, and the right renal vein branch blood vessels from the tumor where they are entangled, and I can complete the separation within an hour!" said Ruan Bin.

"What? in an hour? This ...... It's impossible, these two places are too complicated, the branch veins are so thin, and they are also adherent to the tumor, so it is too time-consuming and laborious to separate. If you operate too quickly, it is easy to injure the blood vessels and cause bleeding!" The director of vascular surgery subconsciously didn't believe it!

"I don't think I can do it in an hour!" several other experts shook their heads.

At this time, Director Qian knew that these guys would not believe it.

So he took out his mobile phone and found the video of Ruan Bin's operation to separate the root of the mesenteric vein in his mobile phone.

"Look at Dr. Ruan, see how his surgery works!"

When these people finished watching it, they were all dumbfounded!

"It's like a robot that doesn't make mistakes!"

"In this case, it can be done in an hour!"

"Not an hour, I don't think it will be more than an hour and a half!"

"What kind of operation is this? Dr. Ruan, have you been practicing the basic skills of surgery since you were a child? Your ancestors were all surgeons?" asked the director of general surgery curiously.

If you have the basic skills of such an unnatural operation, you have to start practicing it at the age of 3, right?

"Ahem, maybe I'm a little bit more talented. Ruan Bin said embarrassedly.

All:......

"Well, that's it. ”

In the afternoon, the kidney function test was detected, and the standard was up to the standard for surgery.

So Director Qian decided to start the operation at 9 a.m. tomorrow! Because some other types of artificial blood vessels were also borrowed from other brother hospitals.

8:50 a.m. the next morning. Huang Zhuyao was sent to the operating room early, and the director of vascular surgery personally performed vena cava angiography for the patient under local anesthesia, and placed compliance balloons in the inferior vena cava in the posterior hepatic segment above the tumor and the inferior vena cava below the tumor, respectively, to create conditions for inferior vena cava and tumor resection and artificial vascular implantation anastomosis.

Subsequently, the deputy director of the Department of Anesthesiology performed general anesthesia for the patient, and performed routine non-invasive monitoring and invasive arterial blood pressure monitoring...... The nurses have prepared blood recovery machines, renal perfusion protective solutions, etc., and the operating room of the anesthesiology department has deployed elite soldiers and strong generals, and has prepared operation-related instruments such as vascular intervention, oncological surgery, urology, and vascular surgery, and the medical staff are ready together.

In this operation, Director Qian and Director Wu of the Department of Urology served as the main force of the surgical team.

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~