Chapter 1576: with translation of chapter title

"How much do you estimate we'll need?"

Better to keep the same punctuation style: use English double quotes. We'll do that.

"No transfusion needed." Zheng Ren said firmly.

"……" Professor Yang blinked slightly.

Generally, when removing a whole liver segment, perhaps no transfusion is needed, after all the anatomical structure is clearer.

But this time it's a hepatic split, removing tumor tissue from inside.

Tumor tissue! The surrounding area is full of abnormally proliferating blood vessels; removing only the tumor while preserving the liver will inevitably cause massive bleeding during surgery.

Therefore, many doctors at provincial and municipal hospitals still habitually directly remove the left or right lobe of the liver.

Doing the surgery this way is relatively simple. Of course, relatively speaking, the trauma to the patient is also greater.

"Hepatic split without transfusion? That's nonsense." Professor Yang scoffed.

But he didn't say that; he was just somewhat pessimistic about the outcome of the surgery live broadcast.

Boss Zheng's surgery is going smoothly—he's starting to get full of himself.

"Boss, the embolization effect is not bad." Su Yun said while looking at the images.

"Hmm, as expected." Zheng Ren answered calmly.

"How do we do it?"

"Hepatic split—just use the ultrasonic scalpel to dissect and cut it out." Zheng Ren answered simply and lightly.

"Boss, for the next surgery, could we not play Good Luck Come?" Su Yun glanced at the images, knew what was up, and started complaining about the background music.

Zheng Ren didn't speak, resting his right hand on his chin, seriously looking at the images.

The images look simple; at the posterior end of the right liver can be seen a shiny, silvery irregular spherical object, with speckles in the middle.

That is the imaging manifestation of hepatic tumor tissue that has begun to necrose after iodized oil deposition from the intervention.

But for such a large liver tumor, to completely ablate it requires at least 3-5 sessions of hepatic tumor interventional embolization.

Zheng Ren seized the pre-op time, mentally performing a 64-slice CT three-dimensional reconstruction, pondering the surgical approach and simulating the procedure once more.

Seeing Zheng Ren become like a wooden block, Su Yun looked at him disdainfully, turned to Lao He and said: "Next surgery, dare to change the background music?"

"Doctor Su, really not daring." Lao He said with a smiling squint.

Su Yun, helpless, seeing that Lao He was done on his side, then helped Professor Yang position the patient, and afterwards went to scrub.

Scrubbing hands, disinfecting, they came to the instrument table.

Xie Yiren had already put on her clothes, finished counting the instruments. She handed the tray and oval forceps to Su Yun, then grabbed a handful of sterile gauze and placed it in the tray.

"Yiren, if next time your family's Zheng Ren does an intra‑appendectomy or similar surgery and doesn't call you, I'll fall out with him." Su Yun urged.

Xie Yiren squinted her eyes and smiled.

Her eyes were like crescent moons, faintly sparkling with pure light.

"What? Intra‑appendectomy?" Lao He and Professor Yang both heard Su Yun's words and were startled in unison.

"Yeah." Su Yun picked up the iodophor gauze with the oval forceps, began disinfecting while saying: "Intra‑appendectomy, or ectopic intra‑appendectomy, located 12 cm above the cecum. This kind of surgery, only looking out for oneself. Lao He, do you say this is still something a person would do?"

Professor Yang strongly agreed with Su Yun's words.

Intra‑appendectomy, dubbed the Bermuda Triangle of General Surgery doctors.

I've been lucky, never encountered it during appendectomies before. I didn't expect to run into it in the gastrointestinal tract these days?

"How did you find it?" Professor Yang asked in surprise.

"Supposedly it was found via colonoscopy."

"Tsk tsk."

"Boss, almost done disinfecting, go scrub your hands." Su Yun said.

"Okay." Zheng Ren finally snapped out of his wooden state and went to scrub his hands.

"Professor Yang, nervous?" Su Yun began laying the sterile drape and asked.

"A little."

"Just get used to it." Su Yun laughed: "Is the ultrasonic scalpel from Johnson & Johnson?"

"Hmm."

"Even Changfeng doesn't produce ultrasonic scalpels; it's still a small company." Su Yun sighed.

During surgery, not seeing Feng Xu Hui and his two big boxes, always feels like something is missing.

Professor Yang began putting on his clothes, smiling: "I've prepared two ultrasonic scalpels."

"That's too wasteful." Su Yun said.

"Isn't this because we're afraid of bleeding?" Professor Yang said: "Hepatic split, an ~8 cm tumor, estimated to lose about 1000 ml of blood."

Professor Yang finished putting on his clothes, stood in the first assistant's position, and began handling the ultrasonic scalpel, electrocautery, etc.

"You say you're not nervous, but having two ultrasonic scalpels is preparation for the boss's blind spots; you should check for gaps on your side." Su Yun laughed.

Professor Yang had his thoughts exposed, but didn't say much, just smiled.

Preparing extra things for surgery to avoid accidents—isn't that just normal?

Zheng Ren finished scrubbing, entered, donned sterile gloves, put on the surgical gown, made eye contact with Xiao Yi Ren, and smiled.

Arriving at the surgeon's position, Hu Yan Hui put on the live‑broadcast glasses, connected the signal, and made a starting gesture.

The surgery officially began.

Take the right upper abdomen for a subcostal incision below the right costal margin, from the left side of the xiphoid process to the 12th rib, cutting layer by layer through skin, subcutaneous tissue, and muscle.

Professor Yang was a bit nervous, his hand slightly stiff.

But it's just opening the abdomen, not affecting anything; Zheng Ren seemingly didn't notice.

"Circulating nurse, go get blood." Professor Yang said while Zheng Ren was handling the subcutaneous capillaries.

"Okay, Professor Yang." the traveling nurse asked, "How much?"

Red blood cells, first take 10 units.

"Wait and see, it's not needed." Zheng Ren didn't lift his head, seriously looking at the operating field as he said.

The circulating nurse was at a loss.

Whose orders?

Normally one should listen to the surgeon, but Professor Yang has another opinion.

I hate situations like this; no matter what you do, you'll offend someone.

"Zheng Lao Ban, are you really sure?" Professor Yang didn't expect the disagreement to appear right at the start.

Recalling what Li Zhu ren had said, he decided he must firmly grasp the surgery's rhythm. Everything Zheng Lao Ban did seemed too rash.

All right, let's try.

"Zheng Lao Ban, prepare some blood just in case we need it," Professor Yang insisted.

"Okay, take a few units and have them ready." Zheng Ren unexpectedly did not exercise the surgeon's authority; Professor Yang insisted a bit, and he agreed.

The head nurse let out a sigh, the splint feeling uncomfortable.

In just a few words, the peritoneal protection was already in place, and they entered the abdominal cavity.

Professor Yang glanced at the operating area and immediately became tense.

How did you do it so fast! One needs to focus entirely on assisting, this is a surgery live broadcast!

To detach the liver's round ligament, Zheng Ren's hand reached in.

Then he skillfully separated the liver's falciform ligament, right coronary ligament, right triangular ligament, and hepatorenal ligament, bluntly dissecting the liver bare area straight to the inferior vena cava, continuing to mobilize the right liver.

This is just the preliminary preparation; although simple, Zheng Lao Ban's technique is proficient, as if he's done over a thousand cases. No big movements are seen; mostly his fingers keep moving, looking quite pleasing, Professor Yang thought.