In fact, in terms of surgical selection, the least invasive for patients is endoscopic sphincterotomy + biliary debridement.

However, according to literature reports around the world, although the trauma is small, there is a high possibility of recurrence after surgery, about 30%.

The patient is not young, and if it recurs after 5-10 years, the patient is about 70 years old, and the surgical operation will take a huge risk.

Therefore, Zheng Ren ruled out the possibility of endoscopic sphincterotomy + biliary debridement at the beginning.

It is necessary to look not only at the current treatment effect, but also at the long-term treatment effect.

Walking to the operating room, Shay had finished brushing his hands, opened the sterile surgical bag with the cooperation of the itinerant nurse, and began to prepare the instruments.

"Zheng Ren, what kind of technique?" asked Shay.

In the operating room, plus the emergency ward, there were only two people who called Zheng Ren's name directly - Director Pan and Shay.

"Oddi sphincteroplasty + biliary duct cleansing + liver abscess drainage. Zheng Rendao.

Shay nodded, not thinking at all how difficult it would be to have more techniques.

She asked the itinerant nurse to take a few possible instruments, and if there were no ready-made ones, she directly used a high-pressure steamer to sterilize them immediately.

It really saved a lot of thought, Zheng Ren saw that Xiao Yiren was busy chattering, and his heart was happy.

Together with Su Yun and Yang Lei, the patient was lifted onto the operating table, and Chu Yanran began anesthesia. The professor didn't reach out to help, perhaps in his opinion, these jobs were not his own, so he habitually stayed away.

Anesthesia, sterilization, laying of sterile sheets, and the operation begins.

Standing in front of the operating table, the sound of "ding dong" came from Zheng Ren's ears, and the system issued the task.

[Emergency Mission: Cesspool Treater.]

Task content: Complete the surgical treatment of a patient with sinkhole syndrome.

Rewards: 2,000 skill points, 25,000 experience points.

Mission duration: 4 hours. 】

The task is decent, and for Zheng Ren, there is no difficulty. Having just completed the first phase of the crown jewel task, Zheng Ren belongs to the outbreak stage.

Glancing at the task and looking at the time limit, Zheng Renyi stretched out his hand, and the hemostatic pliers clamped the iodophor gauze and landed on his hand.

In the live broadcast room of Xinglinyuan, the live broadcast of surgery is open as scheduled.

[What is the surgery today?]

[I just finished reading it, it's cesspool syndrome...... Saying that the surgeon's surgery is getting more and more weird, although I don't do general surgery, most of the surgeries are still heard of by people. However, this name is the first time I have heard of it. 】

[Fortunately, this disease is not uncommon in general surgery and gastroenterology, and several cases can be seen every year. Most of them are postoperative patients who have undergone a common bile duct and duodenal lateral anastomosis. 】

[It's so high-end, I'm also very new to this surgical method. 】

[There are many unfamiliar things, Montreal Medical Center, but the world's top five large medical institutions, what rare cases have not been seen?

I guess more cases won't be livestreamed at all.

Pity me, an extracerebral doctor, holding his mobile phone every day to watch general surgery and interventional surgery. I don't know when the rain and dew will be even, and I will also broadcast the surgery outside the brain. 】

In the barrage in the live broadcast room, everyone began to chat after learning about the condition. The first step was nothing to look at, so the surgeon chose an incision with an incision on the right costal margin, which was about 15cm long.

Because the patient has a scalpel incision, scar tissue needs to be avoided, the incision looks a little odd.

The next step is naturally blunt separation, opening the peritoneum, and then the operation is worth watching, so everyone hurry up and send a barrage.

The words of the brain surgeon resonated with many people, and everyone complained.

Live broadcast of surgery, watching the operation from the perspective of the operator, the experience value obtained by the doctors is far beyond the ordinary surgical viewing platform, and even better than the vision of doing a help.

Modern medicine is an empirical science, and there are mature surgeons to show surgeries and show a variety of different difficult cases, how rare this opportunity is, all the doctors who watched the live broadcast in Xinglin Garden know.

But so far, there are only general surgery and interventional surgery, and they are all regretful, but at the same time, they have greater expectations.

The barrage floated for a few minutes, and after opening the peritoneum, everyone invariably reduced the number of barrages and watched the operation carefully.

In the abdominal cavity, because of an operation, the normal physiological structure is changed.

Coupled with the inflammatory stimulation of this illness, the eyes are inflammatory edema and adhesions that cannot distinguish tissue structures.

[If I substitute it, I think I can give up surgery at this time.] Do a switch surgery to save the patient from getting off the stage. 】

[The adhesion is so strong, will it damage the hyperplastic blood vessels? 】

[Yes, I can't see the organizational structure at all.] This surgery...... I want to give up when I see it. 】

Zheng Ren saw the patient's intra-abdominal situation, and his mood did not change in the slightest, and as soon as he stretched out his hand, Shay slapped the blunt scissors in his palm.

The blunt tip of the blunt scissors separates the hypertrophic connective tissue, sometimes peeling off, sometimes shearing, the action is neither urgent nor slow, and it is extremely stable.

Su Yun's eyebrows furrowed.

The adhesions are so serious, how did Zheng Ren distinguish the location of the abnormally proliferated blood vessels?

This is definitely not the knowledge that can be written in a book.

It's weird.

Although Yang Lei has found Zheng Ren, he wants to learn more surgical skills. But when he was brought on stage, he found that he couldn't understand Zheng Ren's surgery method at all.

When Zheng Ren separated, clamped, and ligated a slightly thick blood vessel with the 4# thread, Su Yun asked, "How did you find out that there are blood vessels here?"

"Touched. Zheng Ren replied indifferently.

He focused all his attention on the patient's operation, where did he have time to explain to Su Yun that even abnormally proliferated blood vessels would pulse, and if his fingers could keenly feel the pulse of the blood vessels, he would be able to know it in his heart.

Zheng Ren was also in the system operating room, and he mastered this skill after a lot of tempering.

On top of that, Jung Jin didn't know how to describe this seemingly small, but actually important skill.

[Suddenly, I feel that the surgeon has a clairing eye, and can see abnormal blood vessels hidden in the connective tissue.] 】

[Yes, I feel this way too, otherwise I wouldn't be able to explain how the surgeon can quickly and bluntly separate connective tissue without damaging blood vessels.] 】

[Up to now, the surgical bleeding is less than 5ml, which can be said to be miraculous.] 】

The doctors in the apricot grove garden were also surprised by this, but they ...... They had no way of understanding how Jeong-in did it.

Layers of tissue were broken apart by Zheng Ren, and the complex abnormal anatomy became clear.

Although Su Yun didn't know how Zheng Ren found the blood vessels, he completely understood the meaning of Zheng Ren's every move.

The appendix retractor and small retractor in his hand always appear where they should be, helping Zheng Ren to expose his vision of the next step.

Finally, 5 minutes later, Zheng Ren peeled off the last layer of connective tissue, and a smell of rotting fishy pus spread.