Chapter 613: The "Last Frontier" of Liver Surgery

At the dinner in the evening, Ruan Bin once again let this group of people know what a wine barrel is!

Anyway, I drank a bunch of people!

The next day, Ruan Bin came to the hospital as usual.

Because today is the fourth batch of volunteers who have been using KE to test the effect, they have been using the drug for more than a month and five days. Originally, Ruan Bin was going to go over to check the situation a few days ago, but he was not available a few days ago.

When he came to the oncology department, Ruan Bin bumped into Li Chengzhi, the director of the oncology department.

"Ruan Bin, I was just going to find you!" Li Chengzhi said with a happy face after seeing Ruan Bin.

"Oh, what's the matter with me?"

"All the results of the fourth batch of volunteers who used KE have come out, and all the cancer lesions in their bodies have become benign! Later, you can arrange surgery for them step by step to remove the benign tumors in their bodies. Li Chengzhi said with a smile.

"I see! Yes, thank you!" Ruan Bin thanked Li Chengzhi.

Almost all of the patients who volunteered for self-medication were hospitalized in the oncology department, and they needed to stay for a month anyway, and then they would not leave until the surgery was done.

"Ruan Bin, you also know that the beds in my department are very tight now, and the operation of your group of volunteers must be completed as soon as possible, are you free? Why don't you help make a few?" Li Chengzhi asked with a smile.

"Well, I'm free. Ruan Bin was embarrassed to refuse.

"Okay, why don't you go for surgery now? I have arranged three for you, it should be able to be done, right? are all tricky surgeries, I think it will definitely save time and effort for you to get out of the horse!"

“......”

"Okay. ”

Soon, Ruan Bin looked at the information in his hand.

The first patient was named Wang, 59 years old this year, who had suffered from chronic hepatitis for more than 20 years, and was found to have a liver mass during a physical examination half a year ago. The tumor is close to a sphere, about 5cm in diameter!

The diameter is 5 centimeters, which is already very large!

Originally, the other party was in the terminal stage of cancer and was about to give up treatment, but I didn't expect to be lucky enough to be selected and become one of the fourth batch of KE volunteers.

As a result, the tumor in his body has become benign after a month's treatment.

However, benign tumors in the body still need to be removed!

If you want to remove it, you have to have surgery!

"No wonder Director Li threw it to me, this operation is not easy!" Ruan Bin sighed.

He looked at the examination imaging data and judged that this operation was very risky, because the caudate lobe tumor grew deep and was surrounded by various arterial and venous vessels and other tissues, and the surgical team needed to concentrate 200% of the attention during the operation, otherwise the slightest accidental injury to other blood vessels would lead to life-threatening hemorrhage.

Moreover, the caudate lobe of the liver is the I segment of Couinaud's hepatic segmentation method, which is located between the portal vein and the inferior vena cava of the first hepatic hila, up to the second hepatic hilum, immediately adjacent to the third hepatic hilum and inferior vena cava posteriorly, and occluded by other liver tissues anteriorly.

At present, surgery is the most effective treatment method, and if the caudate lobe tumor can be completely removed, it can bring a radical curative effect to the patient. However, this type of surgery is difficult and can cause serious complications such as fatal bleeding if you are not careful. This position was once called a "surgical no-go zone" by hepatobiliary surgeons and the "last frontier" of liver surgery.

However, Ruan Bin has a number of innovative liver surgeries, so the dissection and understanding of the entire liver is very detailed, to the point of frightening.

Therefore, he does not need kryptonite surgery, and now he can accurately evaluate the anatomical characteristics of the tumor and the surrounding important organs before the operation, and can formulate and simulate an accurate surgical plan at any time.

Eventually, Ruan Bin planned to use the method of total hepatic blood flow occlusion plus right hepatic vein occlusion to resect the tumor through the right pathway.

Just when Ruan Bin was planning the operation, Li Chengzhi walked in in a hurry: "Ruan Bin, you have no problem with this first operation, do you want to come for a consultation?"

If he couldn't meet Ruan Bin today, he would have to challenge this operation, but fortunately, Ruan Bin came over, and he was too busy to throw this hot taro to the other party.

"I don't need a consultation, I've come up with a surgical plan, do you want to hear it?"

"Well, of course!"

When Ruan Bin finished speaking, Li Chengzhi's eyes lit up and he sighed.

This is a master!

Half an hour later, after communicating with the patient and his family, Ruan Bin immediately began to perform lobe liver cancer resection!

In the operating room.

With the cooperation of the Department of Anesthesiology, Ruan Bin et al. first dissociated the patient's right liver, pre-blocked the hepatoduodenal ligament, suprahepatic and inferior hepatic vena castroca, separated and ligated the short hepatic veins around the caudate lobe tumor, and found that the tumor compressed the inferior vena cava and right hepatic vein. Therefore, the right hepatic vein was carefully pre-blocked, and the caudate lobe tumor was completely resected under the whole hepatic blood flow pre-blockade.

Ruan Bin's speed in the whole process was not slow, and it could even be said that some of them were fast! Anyway, the No. 1 and No. 2 assistants were too scared. It was as if they were sitting in the co-pilot of an F1 driver, and when they often encountered those intertwined and intricate arteries, veins, blood vessels and other tissues, when they saw Ruan Bin like a quick knife cutting through the mess, he would swing the knife to deal with it quickly, and almost scared them out of heart disease.

Eldest brother!

If you're not careful, you're going to bleed heavily, look at your speed...... It's just drag racing, ah no, flying planes!

However, the entire operation went very smoothly, and the huge tumor in the caudate lobe of the liver was completely removed in only one hour, and the intraoperative bleeding was less than 50ml.

This result left everyone stunned!

Sure enough, the shadow of the famous tree of people, there is no vanity under the fame!

Seeing that the operation was successfully completed, as soon as he came out, Ruan Bin received a lot of thanks from his family, excited thanks, and very grateful. The pennants are all ready.

Well, these pennants, Ruan Bin doesn't know where to put them, there are too many, there are not a thousand but eight hundred.

After that, the patient recovered smoothly after surgery, the wound healed well, and he was discharged from the hospital in a few days.

On this day, Ruan Bin was very fast, and he did a total of 8 surgeries. It is worthy of being called a surgical harvester by the hospital!

After three days of surgery in the oncology department, Ruan Bin returned to his laboratory to tinker with KE. After a few days of tinkering, I continued to devote myself to the study of diabetes.

Now, in addition to developing KE, he spends most of his time researching systematically rewarded SF diabetic serum.

If this drug comes out, it will be a new drug as sensational as KE when the time comes.

Of course, the status is definitely not as good as KE's.