"It was wrapped too tightly, and the part left was too short to be removed. Director Sun touched the broken gallbladder with hemostat forceps and said helplessly.

"Don't untie it. Zheng Ren said solemnly: "Gangrene lasts for a long time, and if the necrotic tissue in the gallbladder retrograde enters the liver duct, there may be great trouble after surgery." ”

"But ......" Director Sun glanced at the cystic duct, arteriovenous and hepatic ducts twisted together, very helpless.

There is no room for excision and suture below, and if it is too short, there is a high probability that the ligature will fall off if it is forcibly ligated. However, if you do not untie the various tissues that are twisted together by the twisting of the gallbladder, there is no way to remove the gallbladder.

"I'll try?" asked Zheng Ren politely.

Director Sun was overjoyed and nodded again and again.

What are you looking for, isn't it just surgery? It's just Director Sun's words...... Didn't dare to say it.

In hospitals, on-stage consultations are one thing.

If you rush to the surgery without asking the doctor's opinion, the meaning of contempt is too strong, and the hatred will not end.

After asking, Zheng Ren went to brush his hands and change his clothes.

"Xiao Zheng, you come to me. Zheng Ren changed his clothes, and Director Sun greeted.

Zheng Ren hesitated slightly, but still chose to go to Director Sun's position.

The surgeon's perspective is undoubtedly the best. Only in some special cases, the operator's angle is limited, and the position of Ichisuke can be used as a supplement.

Director Sun moved to the side, and Zheng Ren was no longer polite, and stood directly in the position of the surgeon, concentrating on examining the gallbladder.

Originally, Director Sun did a laparoscopic cholecystectomy, but the situation was found to be special during the operation, so it was changed to open surgery.

After opening the abdominal cavity, there is no way to solve the problem. This kind of twisting is like the gallbladder of the eighteenth street twist, and it is the first time that Director Sun has encountered it.

If the gangrene tissue does not appear or has just appeared a few hours earlier, the operation is relatively simple, and the root tissue of the gallbladder can be dissolved.

However, after a few hours of progression, a large amount of exudate is entangled with the cystic duct and liver duct that have gangrene, and I am afraid that the tissue will tear if I move.

If that were the case, the consequences would be dire.

There was no one driving in the entire operating room, not because Dean Xiao was there, but because the patient's condition was troublesome.

Generally, when encountering this kind of problem, the surgeon will not be in a good mood. At this time, he was still driving and laughing next to him, and the strong director threw a hemostatic pliers over, and everyone's faces were not good-looking.

Zheng Ren stretched out his hand, paused, realized something, and whispered, "Hemostatic pliers." ”

The pliers were slapped on Zheng Ren's hand, and the force was a little strong, and Zheng Ren felt very bad.

Blunt separation of the surrounding edema and adhesion tissue, Director Sun was frightened. Xiao Zheng is really bold, this kind of edema tissue is very brittle. If you don't use force, you can't break it down. Force, it is very likely to cause irreversible tears.

"Scissors. A few minutes later, Zheng Ren stretched out his hand and said.

A pair of scissors slapped Zheng Ren's hand.

After glancing, Zheng Ren slapped the scissors on the patient's leg and said, "Blunt scissors." ”

The instrument nurse was stunned for a moment, then picked up the blunt scissors and slapped them.

It's not my own instrument nurse, it's really uncomfortable to use, Zheng Ren sighed in his heart.

But if you want to change the Shay, it seems too much, so let's bear with it.

"The retractor goes up a little more. ”

"The appendix retractor is forceful. ”

"Here, help me clamp it with hemostat forceps, and pay attention to the strength. ”

Jung in kept talking to Ichisuke, and it seemed that it took me longer than the operation to change the hook.

Dean Xiao shook his head when he saw it, in front of foreign experts, Director Sun and his subordinates were really embarrassed.

But I can't say anything at the moment, everything is waiting for the surgery to be done.

In the operating room, only Zheng Ren's voice kept ringing. The voice was not loud, and there was no emotion, but Ichisuke, who was constantly reminded, became more and more unbearable on his face.

Anger burned in his heart.

In his opinion, as long as the hook leaves enough vision, the surgeon is enough, and Zheng Ren is nitpicking!

If there is a problem with the operation, and the level of the assistant is too poor, the responsibility can be reduced by 30%.

"Prepare 3 #0 non-damage sutures, small needles, minimal. Zheng Ren said again: "The small hook exposes the direction of the liver." ”

The little monster in the hospitalized heart of the second department of general surgery began to run wild.

"Don't shake your hands, yes, hold on if you're tired. ”

The little monster continues to grow, and it can vaguely breathe fire.

"I'm going to blunt separate the liver envelope to help me expose my vision. ”

"The big retractor is fixed, don't move. ”

A long time of reeling is a huge test of the assistant's physical strength.

The hospitalization of the second department of general surgery could not understand what Zheng Ren was going to do, so the next step could not be predicted in advance, and the surgeon was satisfied.

Jung In lowered his head to perform the operation, talked to Ichisuke, and talked more and more to the instrument nurse.

The atmosphere on the operating table was strange and a little awkward.

The little monster in Ichisuke's heart has grown into Godzilla, if he hadn't been patient and wanted to expose the "truth" that Jung Ren couldn't do this operation in public and put the blame on himself, I'm afraid he would have left a long time ago.

"Boss, shall I go?" Su Yun's voice came from behind the crowd.

"Did the patient go to the ICU?"

"Well, the state is stable, but there are more fractures, and the amount of bleeding is large. It's that fibrinogen is relatively difficult to find, so I asked Director Qian to contact him, and it's hard to say if I can't find it. Su Yun said lightly.

"Director Sun?" Zheng Ren asked softly, his voice was very small, only Director Sun and Ichisuke beside him could hear it.

Ichisuke understood what Zheng Ren meant, and the green tendons on his forehead jumped.

"Xiao Lei, you rest for a while, Su Yun, you come to help. Director Sun gave the general manager a step down.

Su Yun immediately went to brush his hands and get dressed.

"What to do?" After taking the stage, Su Yun was also stunned when he saw the situation of the patient's organs.

"Split the liver. Zheng Ren's answer was very simple.

But this word, like a thunderbolt, did not slash on the liver, but on the heads of many doctors present.

Liver splitting surgery is mostly used for resection of 3-5cm liver cancer. Moreover, the vast majority of doctors have not mastered this technique.

After all, the liver is brittle and the blood vessels are abundant, and after wedge resection, it is a huge problem to suture the liver tissue to stop bleeding.

After Su Yun asked about the procedure, he turned his head and smiled with the nurse in the operating room, and asked for a large number of instruments and put them on the side of the patient's leg.

The operating table is finally cleaned.

Every move of Zheng Ren, Su Yun prepared in advance. Whether it is a retractor, exposing the field of vision, or cutting the liver, stopping bleeding, and suturing.

The surgery is smooth, smooth and pleasing to the eye.

The degree of tacit cooperation is compared with the previous hospitalization of the second department of general surgery...... There is no comparison.

One in heaven and one on earth.

A section of liver tissue is cut to stop bleeding, the cystic duct, hepatic duct, arteries and veins are blocked, and the gallbladder is removed. The bleeding was stopped again, and the liver split site was sutured with a continuous mattress suture......

The little monster in the hospitalized heart of the second department of general surgery was directly exploded.

It's not that Zheng Ren has a lot of things, it's true that his level is not enough.

Looking at the cooperation of the two people, and then thinking about their previous cooperation, they always hid their faces and walked away in the hospital.