"But let me make it clear to you, surgery is risky, and no one can guarantee 100% success. The worst possible outcome is a total splenectomy! If you can accept it, I'll do it right away. Ruan Bin still said the most fundamental problem.

"Huh, can't you guarantee that it will succeed?" Lu Erhei suddenly panicked.

"Lu Erhei, even the doctors in the capital can't guarantee a 100% success rate, unless it's the Buddha, you understand?" Ding Xuezhi said in popular science.

"Yes, but I'm 90% sure. Ruan Bin continued to take a dose of fierce medicine. In fact, the reason why they can succeed in the capital is because of their superb technology and slightly improved methods. Ruan Bin thinks he has no problem upgrading his surgical skills to the world.

Although Lu Erhei has no culture, he can still understand clearly after thinking about it. It's like the big pig's head in the village next door to him, it can't be possible to get a sow pregnant every time, right?

Sometimes you have to come here a few times!

"Well, I'll listen to you. Lu Erhei finally made a decision.

The main thing is that he clearly knows that the reimbursement for surgery in the county hospital is the highest, and the money he has on hand should be enough!

If he can really only cut his spleen at that time, he can only accept his fate.

Soon, Lu Erhei signed.

Back in the consultation room, most of the doctors from the hospital were gone.

However, Li Ning and a few others are still there.

"What do the patient's families say?" asked Li Ning with concern. If the patient really can't afford to go to the hospital in the capital, he can only transfer to the hospital where he is. When the time comes, we can go back together.

"Stay in our hospital for surgery!" Ding Xuezhi said.

"You're going to have a total resection?" Li Ning frowned. He still has some understanding of Ding Xuezhi's level. Although this product also knows how to do splenectomy or splenic repair, it is still in the state of half a bucket of water. Such patients are still sent to their city hospitals for more insurance.

"No, it was Ruan Bin who did it. Ding Xuezhi pointed at Ruan Bin.

"Doctor Ruan, will you also have a splenectomy or splenic repair?" Li Ning was surprised.

"Well, it's okay. I'm going to remove the splenic cyst and keep the rest. Ruan Bin said.

"Huh, you, can you do it?" Li Ning was completely shocked at this moment!

"I'm ninety percent sure!" Ruan Bin nodded confidently.

"This ......" Li Ning originally wanted to say something, but when he thought that he was now just a doctor outside the hospital. He didn't want to intervene in the arrangement of the surgery in this hospital.

However, he plans to stay and watch Ruan Bin have the operation, and if the operation doesn't work then, he may be able to help then.

To be honest, he didn't believe that Ruan Bin had the level that was comparable to those doctors in the capital hospital!

He thinks that Ruan Bin is completely taking risks!

Still, the surgery began.

Ding Xuezhi personally served as Ruan Bin's assistant.

Li Ning was also interested in watching it through video outside.

"System!" Ruan Bin immediately turned on the system. He gave his parents 30,000 yuan last time, and at this time he still had about 85,000 yuan in his bank card.

[System Points]: 5300

[Splenectomy or splenic repair]: Entry+ (traditional laparotomy, laparoscopy)

Since he had kryptonite once last time, this surgical skill is entry-level.

"Top up - 50,000 in!"

"Level up!"

"Ding-dong...... Deduct 9,000 points, splenectomy or splenic repair - proficient!"

"Ding-dong...... Deduct 12,000 points, splenectomy or splenic repair - director!"

"Ding-dong...... Deduct 15,000 points, splenectomy or splenic repair – expert!"

"Ding-dong...... Deduct 18,000 points, splenectomy or splenic repair – world-class!"

[System Points] 1300

Seeing that there were still 1,300 points left in the system, and more than 50,000 yuan was spent at once, he had mixed feelings!

"Krypton is invincible, it's just a bit expensive!" "Before he came back from the magic capital, he was still a big 115,000 yuan, and now there are 35,000 left in the card.

"It's okay, Ruan Bin, you have to believe in yourself, you who have a system will get rich sooner or later, yes, don't give up!" Ruan Bin secretly cheered himself up in his heart.

Surgery begins.

Ruan Bin made an incision in the left hypochondrium, the 10th rib margin, cut the skin, and lifted the skin into the pneumoperitoneum needle to establish a pneumoperitoneum!

The action is fluid.

"This incision is in the wrong position! Could it be a special position that I have researched?" Li Ning outside was a little stunned when he saw this step, he had never seen this kind of incision!

In fact, Ruan Bin did use a special position at this time to improve the exposure of the spleen hilum under laparoscopy.

"Single-hole operation?" Next, Li Ning finally found out that Ruan Bin did not use three-hole or four-hole operation, but single-hole!

The single hole is the most difficult!

But trauma is also minimal.

"But if you operate a single hole, this incision is not right!" Li Ning frowned.

Sure enough, in the next step, Li Ning saw that the entire spleen was exposed to the surgical field, and the exposed place was completely this field of vision of the cyst!

"Shhh...... So accurately, the incision was made directly above the splenic cyst!"

Although Li Ning was surprised, he knew that the next step was the main event!

If the 6.5 cm cyst at the upper pole of the spleen is removed, it can be saved without bleeding and the remaining spleen must be spared.

To be honest, it's too difficult!

First of all, the spleen is very brittle, and it is definitely easy to break when you cut it out.

The knife is moving!

Moved on top of the cyst.

The action is very fast, as if peeling off the cocoon and solving the cow.

A little bit of the cyst is cut off, one small piece, one small piece.

"This is not a whole excision, but a little excision?" Li Ning was dumbfounded: "But, you have to cut a little bit to the year of the monkey? How do you avoid the numerous vascular branches inside?"

However, the next second he was dumbfounded.

At this time, Ruan Bin seemed to have opened his perspective eyes, completely avoiding all the vascular branches in the cyst!

Except for the capillaries!

"Oh my God! What a terrible way this man has walked with the branches of the spleen hilum vessels?

However, ten minutes later, Ruan Bin still accidentally cut a blood vessel!

Puff......

Blood spurted out!

"Hahaha...... I thought you were invincible! You miss sometimes, hahaha. Li Ning looked a little gloating outside.

However, in the next second, this blood vessel was nourished and the electric knife was used to stop the bleeding......

"Uh...... This blood vessel is small, and the bleeding will stop at once~" Li Ning pinched his nose in embarrassment.

Ruan Bin was seen dissecting and treating the cysts of the hilum of the spleen from top to bottom, from front to back, and avoiding these vascular branches.

Finally, half an hour later, the cyst was removed.

Begin by removing excess blood vessel segments one by one and then suture them together.

Finally, suture the spleen!

With world-class debridement and suturing, he has no pressure at all.

Next, wash and close your belly!

Finish!

It takes 58 minutes!

There was no major bleeding!

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