How difficult the operation of this patient is, Zheng Ren has a preliminary judgment.

Hepatic echinococcosis, autologous liver transplant patients, and large pig trotters were not given a task grade. And this patient actually gave an S-level judgment.

Is the surgery S-class?

Zheng Renleng paused, what is the difficulty? Do you want to save the kidneys?!

He recalled the image of the kidneys presented in the film, and began to rebuild it in his mind. Both kidneys are so shattered that it is difficult to preserve. At least Zheng Ren, judging from his own level, it is indeed difficult to keep.

I have a Grandmaster-level skill book in my hand, and I can try to use it if I need it. Then there is still some training time for the surgery, which should be able to support the completion of this operation.

However, the S-class surgery hung over Zheng Ren's heart like a lingering shadow.

Judging from the judgment of the big pig's trotters, he knew that what Director Miao said, that is, to try, the probability of success was less than 20. But it's better than watching the film yourself and thinking that there is no way to operate, and you have to wait for death.

"Let's go together, squeeze it, we have to hurry up, and we can't delay. Director Miao said.

Brush your hands and get on stage.

Fang Lin didn't even have a position, and the director of the chest department should have heard from the emergency department that the chest trauma was not serious, so he had to come up later. Let Fang Lin come, the next chest bottle will be enough.

Hepatobiliary, urology, intervention, three departments opened at the same time.

Bags of hot plasma were poured in, and the blood pressure was still very low. Time is of the essence, no one speaks in the operating room, only hurried footsteps echo.

It's a difficult task to lay out a list, but everyone can deal with it.

Zheng Ren pressed Director Kong on the chair and motioned that it was enough for him to go up alone. Then go to put on a lead suit and brush your hands.

Professor Yang and Director Miao also wore lead clothes to brush their hands, they were very unaccustomed to it, and it was too awkward to wear more than a dozen catties of things on their bodies.

But interventional embolization surgery for severe pelvic fracture takes about two hours, so how many threads do you have to take?!

It is possible that the surgery on the stomach has been completed, and the interventional surgery cannot be overselected.

So it should be awkward, it should still be awkward.

The hospitalized presidents knew that the time was urgent, and they acted very quickly, so Mr. Yu and Mr. Dong quickly laid out the list. After Professor Yang and Director Miao came up, they stood on the right side of the patient, and the two hospitalized directors stood in the position of one assistant.

Zheng Ren stood on the side of his leg and beckoned Su Yun to lift a corner of the sterile sheet, and he immediately began to do femoral artery puncture.

The posture is particularly awkward, but all this is difficult for Zheng Ren. Director Miao and Professor Yang had a brief exchange, and when they chose an incision that was acceptable to both of them, Zheng Ren had already completed the femoral artery puncture, and the guidewire was smoothed in.

"Prepare to step on the line. Zheng Ren felt that the guidewire was in place, so he said in a deep voice.

The airtight lead door closed, and Director Miao was a little surprised, how could it be so fast? But he didn't have time to think about things, so he cut the patient's abdomen from the bottom to the top, and connected it with Professor Yang's incision.

Quickly separate the skin, subcutaneous tissue, and enter the abdominal cavity.

After a glance, Director Miao wanted to turn around and step down.

A huge hematoma near the kidneys, although covered with yellow fat, is visible to the naked eye that both kidneys are shattered.

It is estimated that he came to the hospital early, so he had a chance to be rescued. If it's three or five minutes late, there's really no chance at all.

Even so, Director Miao felt that it was no longer possible.

The injuries to the liver and spleen were relatively minor, and Professor Yang had already begun to suture them.

Director Miao carefully separated and continued to be ligated. He wanted to keep at least one kidney.

But five minutes later, I found that my left kidney was no longer available.

Almost all of them are shattered, and they can't be sewn.

The renal artery was blocked and the left nephrectomy began. For the rest, we can only pray that the patient's right kidney still has a chance to be preserved......

"How much urine is there?"

"No urine. The anesthesiologist replied.

No urine! This is a manifestation of the disappearance of kidney function.

If you want to remove the kidney entirely, Director Miao should not be too skilled. For him, it's a matter of minutes.

However, it is extremely difficult to make this choice.

The left kidney was removed, the operation was simple, and the bleeding could be stopped immediately. But once the right kidney is not good, what should I do?

However, the suction device was sucking arterial blood, and the hissing voice reminded Director Miao that he could not hesitate any longer.

Renal pedicle forceps are clamped directly to cut the ligament and prepare for the left nephrotomy.

Because there are a lot of people on the operating table, the nurse delivers the instruments on the upper and lower instruments, but Director Miao stands in the middle, which is very inconvenient.

He clamped the kidney, and just as he was about to ask for something, a pair of blunt scissors slapped into his hand. A sterile gloved hand took the renal pedicle forceps in his hand.

Belch......

Director Miao was stunned for a moment.

This is...... Boss Zheng?

"Is the operation done?" asked Director Miao in surprise.

"Well, the embolism is over. Zheng Ren took the pliers and did not step down, but stood on the operating table and acted as an assistant to Director Miao.

Su Yun drilled under the operating table, squeezed in the slit, hid under the sterile sheet, and pressurized the puncture point in an extremely awkward posture.

Although the patient is now in a state of hemorrhagic shock, if the bleeding can be stopped, the blood pressure will definitely rise. Don't finish the surgery above, and look at the blood of the lower one, and the pants are wet.

That kind of bleeding should be at least about 1000L. The patient has already suffered hemorrhagic shock, and it is a point to save some blood.

Director Miao glanced up at the time, it only took ten minutes to open the stage, and Zheng Ren's surgery was completed?

"Is the posterior peritoneum injured severe?" Director Miao asked seemingly casually while cutting the kidney.

"Five blood vessels are bleeding, all of them are plugged, no problem. Zheng Ren knew his doubts and answered the question.

Director Miao glanced up at the screen opposite, and the picture stopped at the interface of the embolization, and there was no postoperative imaging.

"Why didn't you take a photo to confirm it?"

"The patient has no urine, and taking less contrast will be beneficial to the postoperative recovery. Zheng Ren said as a matter of course: "Can the right kidney be saved?"

"It depends. Director Miao neatly cut off the left kidney, and then he explored the right kidney, and handed over the left kidney residue to Zheng Ren to pick up little by little and put it in the pathological basin next to him.

The left kidney is broken like a rag doll that can't be sewn, and the right kidney is ...... It's a little better, but it's not much better.

Zheng Ren watched Director Miao suture as much as he could, trying his best to save his right kidney, and knew in his heart that this was just a dying struggle.

No wonder the system judged it to be an S-class mission, which couldn't be completed at all.

"Su Yun, how much urine is there?" Zheng Ren helped Director Miao repair it and began to care about the amount of urine.

If there is a few milliliters of urine, it can also prove that the injured person's right kidney is still functioning.

However, Su Yun's words made Zheng Renru fall into an ice cave.

"There was no urine, no urine in the catheter. Su Yun said calmly.

After Director Miao heard Su Yun's words, his hand paused.