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"That's right, the patient's jaundice is still rising rapidly, and the liver function continues to deteriorate. The condition is urgent and surgery must be performed as soon as possible. Dai Yaowen said in a deep voice.

This type of obstructive jaundice is almost considered a "quasi-emergency" and must be operated on as soon as possible, as acute liver failure and death can soon occur if the best time is missed.

Ruan Bin was also speechless after hearing this.

He hadn't done this kind of surgery, he had a consultation with Mao! He hadn't done a similar operation in the First Affiliated Hospital of Modu.

Hepatic bile duct surgery and cholecystectomy are not the same surgery and are not located in the same location.

Shouldn't you get krypton gold again later?

If Ruan Bin is not wrong in his guess, the operation on the patient should be performed by intrahepatic bile duct and intrahepatic bile duct jejunostomy! This is a fourth-level operation!

The difficulty can be imagined.

Soon, he followed Dai Yaowen to the consultation room.

At this time, there was Hu Changmao, the attending doctor, waiting here in the consultation room.

"Here's a CT image of the patient, you see. Dai Yaowen handed it to Ruan Bin.

Ruan Bin took it and looked at it, his face was a little solemn, and he saw that the tumor had indeed metastasized to many places, especially with many blood vessels. This surgery is not ordinarily difficult.

"That...... Director Dai, do you have a feasible surgical plan?" asked Ruan Bin tentatively.

"Yes, since the tumor has invaded the secondary bile duct on the left side, we intend to leave the left liver lobe and the first bile duct in the right liver lobe to be removed. Dai Yaowen said.

Forehead......

You all have a feasible surgical plan, so what kind of consultation do you want me to do?

He said, there are a lot of talents in general surgery, and there won't be a fourth-level surgery that no one can take, right?

"Then Director Dai, you asked me to come for a consultation...... And I don't know about this fourth-level surgery. Ruan Bin looked at the other party and asked softly.

"Ahem...... In this way, there is a link in our surgical plan that is more difficult to start the operation, and it should be a huge difficulty! This difficulty is the separation of the hepatic artery blood vessels! It is like walking on thin ice at every step, and the slightest carelessness will cause heavy bleeding. The main reason is that we are not very sure about the separation of this right hepatic artery, so I would like to ask Dr. Ruan to help with the separation!" Dai Yaowen said with a smile.

"Me?" Ruan Bin was a little stunned. It turns out that you are not looking for Lao Tzu to come for consultation, but for Lao Tzu to be the executioner.

"That's right, the last time you were an assistant to Professor Chen, the tumor dissection of the mesenteric vein root on the patient was so successful. I believe that you have no problem with the tumor dissection of this right hepatic artery. Dai Yao said.

Last time, everyone felt that it was tricky, and they felt that the operation could not be carried out at all.

Because that situation is too difficult to separate.

But last time Nguyen Bin did it!

That kind of god-level operation is simply blinding everyone's dog eyes, and it can be called a 'nano' operation.

So this time he came to Ruan Bin, just to let Ruan Bin act as a super knife master to separate the right hepatic artery blood vessels!

"Yes, Doctor Ruan, you should be very sure, right? at least more sure than us!" Hu Changmao clapped his horse's legs.

"This ......," Ruan Bin thought to himself.

First of all, he has an innovative level of debridement and suture, and it is natural to do this kind of dissection, dissection, suturing, hemostasis, ligation and so on.

But it doesn't mean that you can do anything if you have this kind of basic skills for surgery!

First, first of all, all blood vessels, structures, muscles, etc. in the human body are different.

If you don't understand the blood vessels in the liver, the surrounding structures, etc., you can do dissection, even if you have innovative debridement and suture, you may make mistakes.

Because you don't know the structure of this part!

So in order to do right hepatic artery separation, you have to have enough knowledge of this liver.

Fortunately, he had liver surgery and partial liver resection before, so he naturally has enough knowledge and understanding of the structure of the liver.

His partial liver resection seems to be an expert!

With the foundation of this part and the innovative debridement suture, it should be no problem for him to do right hepatic artery separation for the patient later!

After all, he did not need to do most of the other aspects of this fourth-level surgery, such as the repair of the portal vein defect, the resection of the left liver lobe along with the right first-degree bile duct and extrahepatic bile duct, and the two second-level bile ducts of the right liver lobe were anastomosed with the jejunum. These are all done by Director Dai.

When it comes to the separation of the right hepatic artery, he can go out and separate the right hepatic artery!

Therefore, he does not need to understand hilar bile duct and intrahepatic bile duct jejunostosis internal drainage!

"Ninety percent sure. Ruan Bin said.

"Haha...... I know that Dr. Ruan, you are not too small, so let's start the operation right now! Dai Yaowen smiled and patted Ruan Bin's shoulder.

The operation began.

Dai Yaowen was the main knife, Hu Changmao was the assistant, and Ruan Bin watched from the sidelines.

I saw Dai Yaowen first remove his left liver and extrahepatic bile duct.

The other party's surgical level is indeed very high, meticulous, and there are almost no mistakes.

Soon it was time for Ruan Bin to play.

Because this step is going to the separation of the right hepatic artery!

At this time, there were a lot of cancer cells and tissues adhered around the right hepatic artery, and the disease had to be cleaned and separated.

This operation is undoubtedly chopping vegetables on a hard-boiled egg!

Pick a bone in an egg!

However, as an absolutely confident Ruan Bin, he naturally picked up the scalpel and moved.

I saw that his movements were not slow or fast, calm and powerful, every knife was extremely accurate, and every knife was just right.

Peel off the cocoon, Ku Ding unravels the cow, like an arm to make a finger, and separates the right hepatic artery with the momentum of sweeping the leaves in the breeze!

This delicate operation is simply miraculous, and Dai Yaowen and others are full of praise.

"Doctor Ruan, you are really amazing!" Dai Yaowen gave Ruan Bin a thumbs up.

Next, Dai Yaowen began to do the final step - the two secondary bile ducts of the right liver lobe are anastomosed with the jejunum!

In the end, the whole operation was successfully completed.

The patient's vital signs are stable, and it depends on the postoperative recovery.

Outside the operating room.

"Doctor Ruan, thank you so much for your help this time, next time I buy a little pig from my hometown and come back, and then I will have a whole pig feast, and you must come over for dinner at that time." Dai Yaowen said with a smile on his face.

"Definitely!" Ruan Bin said politely.

That's it, I'll continue to be busy in the emergency room.

A busy day has finally passed.

However, Director Qian told everyone a good news, that is, in 5 days, Director Liu will return to work. 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~