It turns out that my teacher attaches so much importance to this Ruan Bin!

Early the next morning, Ruan Bin and Vice President Lin came to Modu Ruijin Hospital.

When I came here, I found that the competition venue was already crowded, after all, it was a national competition, and five representatives from each province had arrived here, as well as team leaders or something.

Once inside, the lottery will begin.

This time, the format of the final round is still the same as that of the preliminary round.

Two groups of group stage on the first day, semi-finals in the morning and finals in the afternoon on the second day!

Finally, the champion, runner-up and third runner-up will be judged through the scores of the finals!

"The opponent of that hospital?" asked Vice President Lin after seeing Ruan Bin come back from the draw.

"It's a player from the first hospital of Yunan Province, and I can't remember so much about other hospitals. Ruan Bin said.

"Oh, it's not a very famous hospital, you should be sure of it. ”

Due to the large number of people in the preliminary round, Ruan Bin waited for more than an hour before it was his turn to enter the test competition.

There were 5 people in this group.

Anyway, the five-person competition, when the group first qualifier is in the afternoon group stage.

After it was Ruan Bin's turn to go in, he looked at the exam question - renal artery anastomosis.

A tertiary minor surgery.

"The exam questions in the first round of the group stage today are the basics!" Ruan Bin said secretly in his heart.

This surgery is mainly used to relieve renal artery obstruction, and eliminating renin production has been the main means of surgical treatment for a long time. Renal artery stenosis can be caused by endovascular obstruction and extravascular compression, and the pathological classification and lesion extent of renal artery disease are the basis for determining the surgical method.

With the continuous development of imaging diagnostic technology, the selection of surgery and the prediction of preoperative antihypertensive effect provide an extremely valuable basis, and spleen-renal artery anastomosis was used to treat left renal artery stenosis in 1956. Because of the simplicity of the surgical method and the good surgical effect, it was widely used later.

For the five players who can stand out in each province, they will gather in the national finals.

I believe that this surgery is basically done by everyone.

But although it belongs to a mere tertiary surgery.

But if you want to score high in the group stage, you have to be fast!

The faster the speed, the higher the accuracy, and every step is accurate, so as to reflect your deep basic skills.

So this operation is a matter of minutes for Ruan Bin!

The free colon splenic flexure and descending colon are pulled upward, and the splenic artery parallel to the upper border is seen.

The renal artery is exposed at the lower edge of the deep pancreas.

Select the normal part that is anastomosed with the splenic artery, and lavage the splenic artery with heparin saline in the lumen.

The distal orifice was cut into an inclined plane to complete the splenic-renal artery end-to-side anastomosis!

Done in just thirteen minutes!

Several examiners were stunned.

"This speed ......"

"There is nothing to minus at all, the fit is very good, there is nothing to fault with it. ”

"Precise, fast, unsolvable!"

"I'll give it a 99. ”

"I'm 98. ”

"It's not dark, I'll give 100 points!"

......

There was no doubt in the first round of the group stage in the morning, and Ruan Bin certainly easily qualified for the first place in the group.

The second round of group stage in the afternoon continued.

The exam question is: common bile duct jejunostomy.

It's still tertiary surgery.

However, it is more difficult than the morning exam.

It's still a foundation, but it's an advanced foundation.

If the common bile duct anastomosis jejunum is not well anastomosed, bile leakage will be found, and a series of infection problems will occur.

So this fit must be accurate and fast!

Therefore, it is a huge test for the experience and clinical level accumulation of your general surgical skills.

Everyone will do this surgery, and it depends on who does it quickly and well, so that your score will be high.

It took Ruan Bin 5 minutes to get it done!

The main thing is that this operation does not require you to free anything, just give the common bile duct of the prop and jejunum anastomosis.

At his fast gunner's speed, in minutes!

So five minutes inside and he came out.

It was seen by many people in the audience.

"Five minutes out?"

"Giving up the exam?"

"Five minutes? shouldn't be able to be done, at least ten minutes!"

"Who's that guy? Which province is the player?"

"I don't know!"

In the audience, when Vice President Lin saw Ruan Bin coming out so quickly, he knew that this wave of group games was stable. Should be able to qualify for tomorrow morning's semi-finals.

Sure enough, the score came out and it was stable!

It's really a pass.

No, it should be called abuse!

The first day of the two group stages is finally over.

The next morning.

That was the day of the semi-finals of the National General Surgery Skills Competition.

National finals with close to 200 people.

By the semi-final stage, there were only 30 people left.

Twenty people will be eliminated and the remaining ten will advance to the finals in the afternoon.

This time the semi-finals are divided into ten groups of three people.

The first place in the group results!

Ruan Bin's opponent was from Beijing Union Hospital, and the other was from Yangcheng Hospital. All of them are top hospital players!

It belongs to him, the First Affiliated Hospital of the Demon Capital, which is much less famous than other people's hospitals.

Due to the semi-finals, all players can compete at the same time because part of the examination room has been vacated.

After Ruan Bin entered, he introduced himself to the examiner, and then began to read the exam questions.

This time, the question is: to explore the scope of safe liver resection and whether to carry out extreme liver resection surgery.

To put it simply, it is a partial liver resection!

At this time, the data given in the exam questions is as follows: colon cancer with huge liver metastases, and the liver volume reaches 2878.83 ml.

Q: What percentage of the liver is expected to be removed, and can it be operated?

After reading the exam questions this time, Ruan Bin felt a little interesting.

This time, it is not just to test you to have surgery, but to let you judge whether you can have this surgery first.

He took a closer look at the prop and found that the tumor on the patient's liver was twice as large as his own liver!

If you really want to excision, then it is the critical point, or even the excision beyond the critical point!

The excision method of the critical point is already a forbidden area surgery, and the risk is very high!

Ruan Bin knows that the liver weight of an adult is equivalent to 2% of body weight, and the liver volume of a normal adult male is about 1200-1500 ml.

Moreover, according to the current world-recognized standard, the maximum proportion of safe liver resection in normal adults is 75%, which is also the "commanding height" of conventional liver resection surgery.

Of course, there are some who have broken this commanding height!

But the difficulty can be imagined!

"Interestingly, the difficulty of the questions in the semi-finals is not ordinarily high, it is a little more difficult than the 2 mm liver tube stitches. Ruan Bin said secretly in his heart.

His previous partial liver removal surgery has been upgraded to a world-class level!

"Upgrade to the innovation level!" Ruan Bin said secretly in his heart.

He must take this operation!