Chapter 309: 303 Stent Stacking Stent (3/4)

In the Surgery Livestream Room, the picture froze, the doctors waited a few seconds, checked their own network, found no problem, and became puzzled.

【Why isn't it moving?】

【The Shou Bing isn't finished yet; it won't be that the puncture ends and that counts as Shou Bing completion, right?】

【I still want to see if the operator formally opens the hepatic vein and portal vein, whether there are any special Shou Bing steps.】

Several bullet comments flew out, everyone confirmed the network was fine, and they became even more puzzled.

Could there be some Shou Bing technique I don't know, like the emergency Shou Bing last time, one screen, two fields?

【Wrong, the patient's blood oxygen saturation is dropping!】

Soon, someone realized something was wrong.

Because the time was short, the patient's pulmonary aspiration caused the blood oxygen saturation change to just begin, but those watching the livestream were all doctors, infinitely sensitive to changes in vital signs, and they noticed it directly.

The surprise hadn't spread yet, and the view of the Surgery live broadcast started moving again.

But the Shou Bing Operating Field was unlike before, very shaky. It was like some high-fidelity documentary where the cameraman holds the camera and tracks.

Watching made one dizzy, the dizziness was especially severe.

Some doctors with underdeveloped vestibular nerves instantly felt nausea and the urge to vomit.

What's going on?

In the Operating Field, the 10mm covered stent moved forward firmly and quickly, following the guidewire into the portal vein, seeking the track left by the Puncture Needle.

【I can't watch… what's happening?】

【Did the patient suddenly vomit a lot of blood again?】

【It's highly possible! There's even a chance of aspiration. In this situation, should the operator continue the Shou Bing?】

The doctors watching the livestream quickly guessed the truth of the matter.

But the truth was so cruel that many couldn't bring themselves to believe it.

As the Shou Bing was about to finish, the patient suddenly vomited a lot of blood… Shou Bing… can it still be done?

Although the operator persisted, the vast majority of doctors had given up in their hearts.

Even calmly, it's hard to get in; inserting the covered stent is difficult, let alone the patient's current condition.

In the Operating Room, the patient's blood oxygen saturation was plummeting.

Director Xia held the suction tube in his hand, stunned. Ten seconds? Will it work? If the patient's suffocation and hypoxia time can be controlled within three to five minutes, there's still no problem.

But in this situation, the earlier it's handled, the better.

Zheng Ren demanded ten seconds……

Director Xia looked over; Zheng Ren and Su Yun's eyes were fixed on the screen, Zheng Ren's hand speed at full blast, the covered stent swiftly followed the guidewire to the puncture point of the portal vein and hepatic vein.

Su Yun struggled to keep the guidewire in place, adjusting with the patient's movements to buy Zheng Ren time.

When it was impossible to judge the extent of the patient's movements, Su Yun pushed the guidewire inward; even if it caused minor intra‑Blood Vessel damage, it was better than pulling the guidewire out and redoing the Shou Bing.

The 10mm covered stent was inserted, expanded, and the stent firmly contacted the Blood Vessel wall of the hepatic vein and portal vein.

Shou Bing completed!

「Director Xia, suction the foreign object. 」 Zheng Ren didn't relax this breath; the patient's respiratory aspiration was also a potentially fatal emergency.

Upon hearing Zheng Ren's words, Director Xia immediately picked up the suction tube and began sending it into the patient's nasal cavity.

While sending it in, he repeatedly pressed and released the outlet, letting the suction device rhythmically draw out the blood pooled in the patient's nasal cavity, oral cavity, and respiratory tract.

The aspiration time was still short, and the patient's condition wasn't good, but the inhaled foreign object wasn't deep.

In less than 3 Minutes, the dark‑red blood clot was sucked out.

Following that, the patient's blood oxygen saturation began to rise.

「Zheng Ren, did it succeed? 」 Director Xia still couldn't be sure, he asked.

「The first step succeeded. 」 Zheng Ren replied, with no thought of stepping down to end the Shou Bing.

The guidewire remained in Su Yun's hand, and she had no intention of pulling it out.

「The first step? 」 Director Xia was a bit puzzled.

What on earth is going on?

After observing for another 2 Minutes, the patient's condition obviously improved, no longer agitated, and the blood oxygen saturation recovered to 98%.

「You may leave now. 」 Zheng Ren then said.

Chu Yanran and Xie Yiren hesitated not at all, wearing Lead clothing they left the Operating Room.

Zheng Ren's tone was like that of a chief director's order; Director Xia stared blankly for a moment, then followed the two out.

「8mm covered stent. 」 Zheng Ren said.

Su Yun then picked up a thinner stent, and Zheng Ren immediately began sending it again along the guidewire.

【I'm blown away… the operator's god‑level move!】

【You can even insert that? Absolutely impressive, truly 6.】

【Speechless, the emergency TIPS Surgery was actually finished just like that. It's a shame we can't download the Shou Bing process; one could say this is a perfect Shou Bing.】

In Xinglin Yuan, the doctors watching the livestream started shouting 666.

But……

The Shou Bing hasn't ended yet!

Another covered stent was sent in along the guidewire.

【What kind of operation is this? Can someone explain?】

【Yeah, the stent wasn't already successfully placed? What does this stent mean?】

【Could the operator be flustered, forgetting that the stent is already in place?】

All kinds of speculation were unfounded, and the speakers weren't from the General Surgery Department or the Intervention Department.

Because the doctors of these two departments all turned off the barrage, so the barrage images wouldn't watch the surgery themselves.

Double stent, clinically also called stent-over-stent, is a method recently developed by general surgery and Intervention Department Doctor to improve postoperative hepatic encephalopathy.

If initially a relatively thin stent is placed, although hepatic encephalopathy can be controlled, because the venous outflow channel is narrow, it is impossible to completely improve the patient's portal hypertension symptoms.

Two stents are placed inward, narrowing the outflow channel. After completing the Shou Bing, the patient's bleeding Reduction; then, according to the severity of hepatic encephalopathy, the timing for removing the finer second stent is decided to completely improve the patient's portal hypertension symptoms.

This is the most proper measure.

Of course, there are also problems, and they are significant.

Stent-over-stent requires the two stents to overlap especially well; there cannot be unevenness.

If uneven, with too large a gap, it will cause the inner stent to be unstable, possibly detaching with blood flow.

If that happens…… the consequences will be severe.

Zheng Ren chose this method without hesitation.

Because in his upper right field of view the System Panel indicated that the patient had already shown hepatic encephalopathy symptoms, although mild. But this means that postoperative hepatic encephalopathy will be severe for the patient, even endangering the patient's life.

The silent professional doctors wouldn't even blink, staring fixedly at the phone screen.

Stent-over-stent, the operator's heart is really big!

Doesn't he know what 'quit while ahead' means? In the emergency situation, he had already successfully completed the TIPS Surgery, but his goal had actually been placed on the patient's postoperative hepatic encephalopathy complications.

Could this be the confidence of a world-top operator?