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"Keep upgrading!" Ruan Bin said silently in his heart.

"Ding-dong...... Deduct 21,000 points, [Radical thyroidectomy] - innovative level!"

[System Points]: 23400

Rumble......

With this fourth-level surgery reaching an innovative level, Ruan Bin instantly had all the surgical skills and surgical experience about [Radical Thyroidectomy] in his mind, as well as various versions of improved surgeries, and even new surgeries!

Even in a rare case like Liu Jitang, where thyroid cancer grows from the neck to the heart, he has dozens of surgical experiences in his mind, and even several of them are more serious than Liu Jitang, and the veins and arteries of the entire upper body are adhered to by adenocarcinoma.

"Otherwise, let's do this for this consultation first, and wait until we find a way to continue the consultation. Someone suggested.

After all, everyone is very busy, and there is no way at the moment, so we can only run aground first!

"Wait a minute, I've figured out a way!" Ruan Bin began.

Just now, he had found in his mind an extracorporeal ECMO circulation system suitable for Liu Jitang's situation!

When everyone saw Ruan Bin's opening, they were all shocked and puzzled.

Although Ruan Bin's name has been quite strong recently, he has been crowned with the title of a little genius. But this is something that vascular surgery and cardiothoracic surgery are good at, and even they don't have a trick. What can you do as a resident doctor who is more proficient in first aid?

Even Director Qian and Director Dai looked at Ruan Bin in some surprise.

"Tell me about it. Director Qian still spoke.

"First of all, Liu Jitang's situation is more complicated, and if the traditional ECMO cardiopulmonary bypass technology is used, it will definitely not work. So I came up with a new ECMO method!I'm going to call it [Internal Jugular Vein-Femoral Venous Diversion System]!" Ruan Bin said.

"New technique?"

"A new approach?"

Everyone was slightly stunned.

"Let's be specific!" Liu Bin said with interest.

"My new operation is based on the advantages of diversion and V-A diversion and combines the advantages of the two, it abandons the venous blood through the oxygenator and the carbon dioxide is removed and pumped into the other vein, and the venous blood is drawn out through the oxygenator and the carbon dioxide is removed and pumped into the artery. Instead, blood is drawn from the right jugular vein, oxygenated through an oxygenator, and carbon dioxide is removed before being pumped into the femoral vein. ”

"What about the choice of arteries?" Liu Bin listened a little as if he didn't understand, but how did the arteries introduce blood circulation?

"It's the same, from the femoral vein to the back jugular vein! That's why I call it the internal jugular vein-femoral vein diversion system. Ruan Bin said lightly.

As soon as this sentence came out, Liu Bin's eyes lit up, at least theoretically, it sounded okay! It is also very suitable for Liu Jitang's current need for extracorporeal transfer!

"Well, what do you think? Is it feasible?" Dai Yaowen asked. He wasn't very good at it, so he couldn't tell if it was feasible or not.

"I think I can try it out in a simulation, and if it's possible, it shouldn't be a big problem!" Liu Bin said excitedly.

Soon, everyone found tools, and Ruan Bin began to transform some auxiliary tools and began to simulate.

After a few simulations, I was able to achieve the desired effect!

"Dr. Ruan, you are really a genius! You can come up with this new technique. Your method will definitely shock the world!" Liu Bin looked at Ruan Bin in disbelief and exclaimed after seeing that the result was feasible.

At this moment, all the directors and experts present did not dare to underestimate Ruan Bin, a small resident doctor.

Since they were able to make the first pre-hospital REBOA in China, they didn't expect that they could also innovate this new ECMO circulation method!

"Ruan Bin, if our operation can be successful, your new operation will definitely bring good news to countless patients!" Director Qian said with emotion.

"Haha, you're going to be famous again. Dai Yaowen said with a smile.

"Hehe~ If we can succeed in this operation, we are all working miracles, right? Maybe we can be in the news together. Ruan Bin said modestly.

"Well said, now that our first problem has been solved, then we will move on to the next few problems. Liu Bin patted Ruan Bin on the shoulder.

Ruan Bin's new technique this time is definitely the first step to solve the most difficult problem for everyone!

The second problem is that the left internal jugular vein, the left subclavian vein, the left and right innominate veins, and the superior vena cava need to be resected, and the large cancer thrombus in the above-mentioned large blood vessels, the left intracranial vein, and the right atrium is completely removed, and the superior vena circulation is reconstructed by artificial vascular replacement: including the vascular access of the high left internal jugular vein-right atrium, right innominate vein, and right atrium.

This is a technical problem.

It's up to everyone to operate.

So many veins need to be removed and reconstructed, and the superior venarian circulation needs to be rebuilt, especially the veins in the right atrium, which need to be removed and reopened.

The danger is very high!

But they have already come to this point, and they can only do it hard, and no one can guarantee whether they can succeed or not, and they will only know after doing it!

However, people in vascular surgery and cardiothoracic surgery are saying that they do their best!

The third problem is the need to remove a large area of the entire cervicomediastinum of the large recurrent thyroid tumor and the thymus that has been invaded by the tumor. Director Qian swore that he could handle this. He is still very confident in his radical thyroidectomy.

After 2 hours, most of the surgical plans have been finalized.

Tonight everyone decided to finalize the plan again, and the operation will start at 9 o'clock tomorrow morning.

Everyone knows very well that this operation cannot be delayed, and the patient will have a cerebral infarction at any time

............

When he was about to get off work, he unexpectedly received a call from Vice President Lin.

"Ruan Bin, did you write the paper I asked you to write last time?" Vice Dean Lin hated the way that iron does not become steel. He couldn't figure it out because Mao Ruan Bin didn't like to write papers!

If other doctors do something superbly or improved on the operation, they are all rushing to write papers and publish them to pretend to be forced.

This kid is good, he doesn't have much interest in pretending!

"What paper?"

"It's about the anastomosis of the modified version of the common bile duct jejunum in your laparoscopic congenital choledochal cystectomy last time!" Vice President Lin said speechlessly.

"Oooh oh...... I'll hand it over to you tomorrow. Ruan Bin almost forgot. Well, tonight, I read it at night, just a few thousand words, and I can do it in minutes. There is a lot of material in my head, after all, it is world-class, and I can get it at your fingertips!

"Okay, this time you are preparing tens of thousands of words? Your 30,000-word paper last time is simply full of dry goods, and it is sought after by countless people in the industry!"

"Well, six thousand words. ”

"......" wants to chat with more like-minded people about "Krypton Doctor", and WeChat pays attention to "excellent reading literature", chatting about life and finding confidants~