Chapter 1578: with translation of the chapter title
1529 bleeding, 30ml (Alliance Leader Dong Ming--Prosperity United extra update 2)
Only by consoling himself, thinking that Zheng Lao Ban is bragging, does Professor Yang feel a bit better in his heart.
However, no matter how one thinks about it, one cannot deny that this Shou Bing was truly clean.
"Professor Yang, the blood has been retrieved." The circulating nurse, holding the blood bag, opened the airtight door and walked in, saying.
"Oh." Professor Yang, preoccupied with thoughts, let out an absent-minded "oh."
"Should we warm a few bags first?" The circulating nurse, without looking at the Shou Bing, directly asked Professor Yang.
"Uh..." Professor Yang paused, then realized, somewhat embarrassedly saying: "Just leave it, no need to warm."
The circulating nurse was immediately unhappy.
Not warming means no transfusion needed, so you're making me go fetch blood?
Are you monkeying around?!
The nurses in the Operating Room are all feisty; if you really anger them, even a senior director dares to yell back a couple of sentences.
She lifted her head and stared at Yang Rui.
Professor Yang also felt the opposite gaze sharp as a knife; he lowered his head somewhat embarrassedly, pretending to seriously "help" Zheng Ren expose the Operating Field.
"Brother Yang, use a bit less force, lift slightly upward to the upper right." Zheng Ren said: "Right, just like that. The live broadcast is troublesome; we must be able to see it."
Zheng Ren felt regretful.
If it weren't for the live broadcast surgery, the speed would be a bit faster.
But to let the doctors watching the live broadcast see the surgical process, the Operating Field is indispensable.
Although one could perform it without looking, that wouldn't do; it doesn't meet the requirements of the Surgery live broadcast.
The pap-pap-pap sound continued to be interspersed in the background music of Good Luck Come, the 6×7 cm tumor gradually being "completely" peeled off.
Professor Yang had already been dumbfounded by the sight; such a Shou Bing process did not exist in his mind.
Is it because I've performed too few Shou Bing?
How could that be!
912, although not a Specialty hospital like the Di Du Hepatobiliary or Modu Hepatobiliary, still sees around 2000 Liver Cancer Resections per year in its Gan Dan Wai Ke.
Professor Yang himself has performed at least 400-500 cases. Over his career, the total number of liver cancer surgeries he has performed is at least 7000.
Although the number is large, none of them are as simple and clean as this Shou Bing before our eyes.
Rather than saying this Shou Bing before our eyes is a Liver Cancer Resection following hepatic division, it is actually more like a resection of superficial lipoma.
Make a small incision, squeeze with fingers, and the lipoma pops out. All that remains is to cut a little adhesion tissue, and the Shou Bing is complete.
To treat liver cancer like a superficial lipoma is something Professor Yang dare not imagine.
Even after seeing this with his own eyes, he still dares not believe it.
"Zheng Lao Ban, the Shou Bing went quite smoothly." Lao He said with a smile, "The Liver Cancer Resections I've coordinated have numbered at least over a thousand, and this is the cleanest one."
"Well, liver cancer after Interventional embolization is relatively easier to cut." Zheng Ren said firmly.
"Old Yang, you also need to keep up with the times." Lao He joked.
Having been pointed out the anesthesia by Zheng Lao Ban, one must certainly provide timely comic relief.
However, having not been exposed to many Surgery live broadcasts, Lao He is somewhat unsure about the timing and extent of speaking during the procedure.
Let's slowly figure it out.
Professor Yang feels somewhat perplexed; if that's indeed the case, having a doctor specializing in organ intervention in the department seems also worth considering.
However, the organ intervention field overlaps with the business scopes of Zheng Lao Ban and the Intervention Department.
Moreover, they can perform radiofrequency ablation Shou Bing on their own.
After 15′23″, an irregularly shaped tumor was smoothly cut off.
The interior of the liver was hollowed out, yet there was little bleeding, still maintaining a clean operative area.
Looking at another backup ultrasonic scalpel, Professor Yang felt some guilt and some perplexity.
It wasn't used at all.
Not only the ultrasonic scalpel, but the prepared blood was also not used.
The tumor tissue was tossed into the pathology basin, lacking the previous crisp sound of Hemostatic Forceps striking the pathology basin.
Zheng Ren changed a pair of Gloves to avoid tumor tissue contaminating the sterile gloves, which would pollute normal liver tissue and cause artificial implantation metastasis.
He covered the liver transection surface with a piece of hemostatic gauze and a pedunculated great omentum, securing it with suture thread.
The Shou Bing has reached this point; the difficult part is already over.
Professor Yang paused, then instinctively asked: "Zheng Lao Ban, aren't we leaving a drainage tube?"
According to convention, after a Liver Cancer Resection, a rubber tube drain should be placed respectively in the upper right liver and lower liver.
But Professor Yang did not see Zheng Ren doing that.
"No need." Zheng Ren said lightly, then requested warm saline to rinse the peritoneal cavity.
"Old Yang, if there's no bleeding, what's the point of a drainage tube? Risk of retrograde infection?" Su Yun lightly retorted Professor Yang out of habit.
Su Yun's habit is second nature; if someone unpleasant stood opposite, facing so many points of criticism, they'd likely have been retorted into a corner long ago.
Professor Yang sweated profusely.
Yeah, the drainage tube is prepared to draw out postoperative bleeding, but the surgery was spotless; within the visual field there was essentially no bleeding, so what the hell is a drainage tube for?!
"Clang-clang~" the sound of Hemostatic Forceps striking the Suction Device rang out.
"Brother Yang, get the set ready, prepare to aspirate saline." Zheng Ren's calm voice rang out.
Professor Yang paused, then realized he had overthought, already slightly delaying the progress of the Shou Bing.
He immediately requested the Suction Device set and began aspirating the warm saline.
The warm saline is relatively clean, not pale red; only faint red blood threads can be seen.
"Zheng Lao Ban, is the bleeding 100ml?" Professor Yang, although he personally witnessed Shou Bing, still dared not reduce the bleeding amount below 100ml.
Hepatectomy Shou Bing, bleeding at 100ml, has already infinitely exceeded Professor Yang's imagination.
「Bleeding 20……30ml,the Shou Bing record can just be written like this。」Zheng Ren examined, there was no active bleeding.
Xie Yiren has already begun to lightly count the number of Surgical Instruments with the circulating nurse, to avoid misoperation, so as not to miss the gauze placed somewhere in the patient's abdominal cavity.
The instruments and gauze were counted correctly, Xie Yiren made a gesture.
Zheng Ren smiled at Xie Yiren, and what greeted him were curved eyebrows and eyes, sparkling starlight.
After closing the peritoneum, Zheng Ren turned and stepped down.
This is the privilege of a badass practitioner; being able to reach this step of closing the abdomen is already considered doing one's utmost.
Otherwise, if there is no active bleeding on examination, the practitioner can step down.
He did not contaminate the sterile area, nor did he let Hu Yan Hui take off the live broadcast glasses, but instead went directly to the pathology basin, reached out and picked up the Willow Leaf Blade, and began to dissect the excised liver tissue.
The Willow Leaf Blade went straight down, cutting open the irregular sphere.
The interior is grayish-white, accompanied by a large amount of necrotic tissue, containing very little blood inside.
The necrosis after Interventional embolization is clear, and there's no need to say more.
Anyone involved in surgery can tell at a glance what that means.
Zheng Ren then cut each half of the tumor tissue once more, making the internal tissue of the tumor more clearly exposed.
Not only is the bleeding low during the Shou Bing procedure, but one can also see that before the Shou Bing, the tumor tissue already showed extensive necrosis.
The effect of Interventional surgery, through the Surgery live broadcast, Clarity is displayed before tens of thousands of doctors.
End of Chapter
