"Brother, when are you going back to the magic capital? I'll pick a gift for you when the time comes. Ruan Yingyao asked.

"In about a week. Ruan Bin counted the days.

There are also a few days to go through some procedures for the doctor's profession to work in the magic capital.

"Why did you give me a gift?" Ruan Bin asked curiously.

"Thank you for giving me plastic surgery!" Ruan Yingyao said in a low voice.

"That's not necessary, more things. Ruan Bin secretly said in his heart that if you knew that I treated you as a guinea pig, it is estimated that you would chase me for three streets with a kitchen knife.

"I finally asked Liu Kaituo to buy a Rolex green water ghost for his friend who traveled abroad, and I want to give it to you, if you don't want to take me to my dad." Ruan Yingyao scratched her head and said.

"Green Water Ghost?" Ruan Bin's eyes widened. The price in China is 100,000 yuan!

"If you want it, I don't think this watch is in line with his style of tyrant gold at all, you should buy him a big gold watch to match him!" Ruan Bin immediately regretted.

The green water ghost definitely sets off his handsome temperament!

Ruan Yingyao: ......

"Brother Ruan, what, do you want to send your uncle to the Demon Capital for healing?" asked Liu Kai with concern. To be honest, he thinks it's still reliable for big hospitals to do surgery.

"No, I'll do it. Ruan Bin waved his hand, to be honest, he felt that he was the most reliable to operate on his relatives.

Not all the doctors in big hospitals are powerful, besides, no matter how powerful they are, they are not so powerful!

"Okay. Liu Kai didn't insist.

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

The next morning, Ruan Bin personally operated on his second uncle!

"System!"

【Partial hepatic resection】——Expert!(Traditional laparotomy, laparoscopy)

After reconfirming the operating room expert level that was rewarded in the last mission, he began the operation.

It was still Ding Xuezhi who was his assistant.

General anesthesia!

After the anesthesia was effective, Ruan Bin made an incision of about 1cm on the upper edge of the umbilical ring and began to establish pneumoperitoneum. The laparoscope was used to explore the abdominal cavity, and expert experience told him that laparoscopic surgery could be performed in the case of the cavity and abdomen.

Then insert the trocar in the corresponding position!

Piercing a success!

It's still so smooth.

The round and sickle ligaments were severed first, and then the right perihepatic ligament was severed to separate the right lobe.

At this point, the entire tumor is visible in front of the surgical field!

To be honest, Ding Xuezhi at this time watched Ruan Bin do the operation very seriously and nervously.

Serious because he wants to learn something, nervous because he is afraid that Ruan Bin will make a mistake in the operation, and no one will be able to help Ruan Bin at that time.

Here he is the most skilled.

In the next second, Ruan Bin tentatively made a small knife on the tumor.

When he was done, he stopped.

"What's wrong?" Seeing Ruan Bin stop, Ding Xuezhi asked with a puzzled expression.

"This tumor has caused 3 vascular mutations in the liver!" Ruan Bin frowned slightly.

"Intrahepatic vascular mutation?" Ding Xuezhi's face changed after hearing this!

He's seen similar cases on the Doctor Forum!

It is still a patient case from Beijing 101 Hospital, and some patients with special tumors will be accompanied by multiple vascular mutations, which makes this patient's condition particularly complicated!

"Why don't you close your abdomen and send it to the provincial hospital?" If this kind of tumor causes intrahepatic vascular mutations, it is best to have a 3D visual examination, and formulate a scientific surgical plan through 3D visualization technology and 3D printing models?" Ding Xuezhi asked in a low voice. This vascular variant can only be detected by 3D visual examination.

Their county hospitals don't have this kind of equipment at all, not even city hospitals, except because of big cities. They Jiang City is also a fourth-tier small city~

Ruan Bin was silent, and his mind began to quickly deduce and simulate.

He has expert experience and skills, and he is starting to calculate how sure he is of this operation!

First of all, the common hepatic artery of the second uncle at this time was absent, the right hepatic artery was supplied by the superior mesenteric artery, and the second was the left hepatic artery supplied by the left gastric artery. However, the most serious is the absence of a 4-segment portal vein.

In the face of the complex hepatic artery combined with portal vein vascular variation, if he also performs conventional midliver tumor resection, the patient will only have 337.52ml of functional liver volume left, and the residual liver ratio is only 31.37%. Such a small residual liver ratio is very likely to lead to liver failure and even death after the second uncle's surgery.

"The resection of the reduced middle liver and right liver and the intact protection of the variant 4-segment portal vein can ensure that the remaining functional liver volume reaches 580.04ml, accounting for 57.25%, which should be no problem. Ruan Bin still found the way he wanted.

"No need to send it! Ruan Bin's hands continued to move smartly.

"Ahh Heavy bleeding can easily occur during surgery. And ......" Ding Xuezhi is very worried, after all, there are no two identical leaves in this world, and there are no two identical people.

This is the case with mutant blood vessels now!

"You have to believe me!" Ruan Bin smiled slightly.

The scalpel flew again.

Dissect the second hepatic hilum at the top of the liver, cut the liver parenchyma along the middle hepatic fissure equivalent to the middle hepatic vein, about 2cm deep, separate the middle hepatic vein, and ligate and cut the middle hepatic vein about 1cm below the entrance of the inferior vena cava......

Every knife is just right.

Even the tumor adhered to the blood vessels of the hepatic artery was eliminated by Ruan Bin little by little.

It's like cutting meat on an egg!

I saw that Ding Xuezhi's scalp was numb.

In case, in case the hepatic artery blood vessels are broken, things will be in trouble.

"Why is Ruan Bin's knife skills so strong? It would be a waste for him not to become a chef when I went. Suddenly, Ding Xuezhi had such a feeling.

Soon, the entire tumor was removed by Ruan Bin, and the mutated blood vessels were also treated.

The remaining blood supply and circulation problems to the liver have also been completely solved!

The liver still has a great regenerative function.

At present, only half of it has been removed, and it is believed that it will not affect your health in the future.

Clean up, close the belly!

Finish!

The surgery went well!

After watching this operation, Ding Xuezhi definitely admired Ruan Bin's five-body body.

"How do I feel like Ruan Bin will have any surgery! ”

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

Walking out of the operating room, the second aunt's family all gathered around.

"Xiaobin, how is the operation? Is your second uncle okay?" the second aunt hurriedly asked.

"It's okay, the surgery went well, just wait to see how the recovery is after the surgery. Ruan Bin said with a smile.

"That's good, that's good!"

"How much it costs, I'll pay for it. Liu Kai is also very happy, his future father-in-law is fine.

"I'll talk about it when I'm discharged. Ruan Bin secretly said that this kid has a heart.