system!"

Ruan Bin thought silently in his heart.

The next second, the system came out.

[System points]: 222,400

[Partial hepatic resection]: world-class+ (traditional laparotomy, laparoscopy)

"Level up!"

"Ding-dong...... Deduct 13,000 points, [Partial Hepatic Resection] - Innovative!"

Rumble......

A huge memory melted into his mind.

......

At this time, the outside world.

In the audience, guests from all walks of life, and some bigwigs who were specially invited to watch the game were slightly surprised when they saw the semi-final exam questions on the electronic screen.

Because this year's semi-final exam questions are more unexpected than in previous years, and the difficulty is also very high!

"Among these thirty candidates, it is estimated that a quarter of them will take the exam!" Chen Chengquan looked at the exam questions on the electronic screen and said to Bai Xiaofei beside him.

Bai Xiaofei happened to rest today, so he specially rushed over to chat with his teacher, and at the same time cheered for his senior brother.

"This year, the semi-finals and finals of our Magic Capital preliminary round are also more difficult than in previous years. I don't know why I did this way. Bai Xiaofei said puzzled.

"Actually, there are advantages and disadvantages to doing this, and the advantage is that it is an advantage for which top hospitals and first-class hospitals. But for the players in ordinary hospitals, it will be a headache. For example, the tumor on this liver is twice as large as your own liver. You need to estimate what percentage of the liver will need to be removed, and if the percentage is removed, will the remaining liver be able to recover to the size of a doctor's liver of 1,160 milliliters in a short period of time? Thus restoring the normal compensatory function!"

"If the resection is beyond the tolerance range, in case it directly leads to liver failure, it is a failure of the operation or the fundamental operation is inoperable in the first place! If the judgment is wrong, even if the follow-up operation is successful, it is equivalent to failure!" Chen Chengquan said in a deep voice.

"Teacher, you mean that the most important thing is to estimate the scope of liver resection, right?

"Yes!"

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

Inside the exam room.

Ruan Bin watched it for a few minutes, according to the information given by the exam questions in his heart, and at the same time there were various questions on the props. He began to judge in his mind.

"Ladies and gentlemen, I already have the answer. Ruan Bin said.

"Speak. ”

"I estimate that about 2,200 milliliters of liver will be removed. The proportion of resected liver volume is about 79%, and the residual liver volume is about 21%. Ruan Bin said in a deep voice.

As soon as this sentence came out, the faces of the three examiners in the examination all changed slightly! According to the world's current recognized standards, the maximum proportion of safe liver resection in normal adults is 75%.

In other words, the maximum cut-off point for resection is the removal of 75% of the liver. But now the excision rate of Ruan Bin's mouth has reached 79%!

Exceeding the threshold of internationally recognized standards!

Approaching a critical point, this means that patients may develop liver failure after surgery, which is extremely risky and has a very high mortality rate. But now the tipping point is 4% exceeded!

This young doctor is bold enough!

However, it was not this that made the faces of the three examiners change slightly, but Ruan Bin's accurate and perfect judgment rate made their faces change slightly!

This question was written by an academician of Beijing Union Hospital, and the props were also designed by him himself, various parameters and lesions.

The data he gave is that the maximum limit is that about 2,200 milliliters of liver can be removed, and the volume of the resected liver reaches 79%! The remaining residual liver volume is about 21%!

Of course, 75% of the surgery can be removed, but there is a defect, and there is a high chance of recurrence if 75% is removed.

However, if 79% is removed, it is definitely the most perfect excision ratio.

No way, that's how the surgery was designed, because the tumor on the liver is twice as big as your own liver!

"Okay, then you can start the operation. One of the examiners and the other two glanced at each other, and then said to Ruan Bin.

"Yes. Ruan Bin nodded.

So he started the operation.

At this time, the three examiners began to evaluate the upper part of Ruan Bin first.

That is, a score that predicts how much liver will need to be removed.

This time the scoring method is different from the past.

50 points for evaluation and 50 points for surgical operation.

"The estimate is completely accurate, no mistake, I score 50!"

"I'll hit fifty points too!"

"Me ...... too"

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

Next, Ruan Bin began surgery.

With an innovative partial hepatic resection, he is of course handy.

Let these examiners see what it means to be fast, clean and natural!

This operation was completed in just half an hour!

Although there are many steps that do not need to be done in this surgery, only a part of the liver tumor can be removed, but it generally takes about 2 hours.

It also takes more than an hour for high masters.

Look at this handsome young doctor, in half an hour, the tumor weighing 1.8093 kg was removed.

The amount of bleeding is very small, only 100 ml!

Perfect!

There is no bleeding in the case of rupture of large blood vessels.

You must know that the removal of so many livers has huge blood vessels, and it is easy to accidentally injure them!

It's like walking on the edge of the forbidden area.

But the speed in front of me is still so fast!

"Is it because this is a prosthetic prop that he is not afraid of problems during the operation?" said one of the examiners, who couldn't help but say his guess.

"There may be no psychological burden. However, if there is a mistake during the operation, the prosthetic props will also bleed profusely and cause problems. Because as soon as the blood from all the arteries and veins in the prosthesis prop ruptures, it will bleed immediately!"

"And he's so fast, with zero mistakes, I think his surgery has reached a terrifying level. ”

"Give it a score. ”

"49 points! plus I scored 50 points before, a total of 99 points!"

"I'll score 48 points, plus the original, 98 points!"

“......”

Get out of the exam room.

Ruan Bin came to Vice President Lin's side.

At this time, I saw that Vice Dean Lin and Professor Chen Chengquan were chatting.

"Hello Professor Chen. This was the second time he had seen this Chen Chengquan, and of course Ruan Bin greeted him politely.

At the same time, he also found out that Bai Xiaofei was also here.

"Ruan Bin, long time no see. Chen Chengquan saw Ruan Bin with admiration in his eyes.

"You came out of the exam so soon?" Chen Chengquan looked at the time, and it was only more than half an hour that had passed.

Ruan Bin was the first to come out, and others thought that he had given up the exam, but Chen Chengquan and others knew that Ruan Bin was unfathomable and must have completed the exam.