Chapter 310: 304 Massive Rewards (4/4 Uniform Subscription 3500 Bonus Chapter)

Zheng Ren and Su Yun had no communication; even if doing stent stacking, this kind of unconventional operation.

Su Yun gradually became accustomed to Zheng Ren's operating style; any existing technique could appear in the surgery.

As a flawless assistant, is this even something that needs to be asked?

It doesn't exist.

After the channel between the portal vein and hepatic vein was established, relief of portal hypertension was immediate. The patient's gastric variceal bleeding was immediately relieved.

The agitation lessened considerably, and the surgical difficulty dropped immediately.

The entry of the second covered stent was much smoother than the first; following the guidewire, it went from the jugular vein, through the right atrium, to the hepatic vein, arriving at the position of the previous covered stent.

By now, Zheng Ren's movements became lighter and slower. Although the overlapping images prevented visual confirmation, he estimated the position based on experience.

The stent stopped; Zheng Ren made a fine adjustment to its position and then deployed it.

The second stent was retrievable. Its operation differed slightly from the first, but to Zheng Ren the difference was not significant.

At this point, besides Zheng Ren, even the assistant Su Yun and the professor could not determine whether the stent position was appropriate.

A repeat angiogram showed contrast flowing happily through the stent between the hepatic artery and portal vein. The stent's image initially appeared, with excellent overlap, basically no excessive flare.

This meant the friction between the stents reached its maximum, making it unlikely for a stent to be carried away by blood flow.

Surgery successful!

Only then did Zheng Ren shut down the equipment and withdraw the guidewire.

【Handsome! Really handsome!】

【Including the patient's agitation time, it took 1 hour 54 minutes. This is the shortest TIPS surgery I've ever seen!】

【Those who don't know what TIPS surgery is just floated by silently. They just felt the operator did very well, so powerful.】

Doctors in Xinglin Yuan began posting barrage comments; although the live stream had no image, it didn't stop everyone from treating this place as a chat room to exchange postoperative experiences.

When the guidewire was removed and Zheng Ren prepared to step down, a clear, pleasant voice sounded in his ear announcing task completion.

【Main Line Quest: First stage of the Pearl on the Crown completed.

【Task content: Complete one TIPS surgery.

【Task reward: Because it was the first time completing a TIPS surgery, as an emergency surgery the difficulty coefficient was increased to 2. With a surgery time of 1 hour 54 minutes, surgical training time gained was 149 × 2 × 2 = 596 hours.

【Also gained Luck Value +2 reward and two golden treasure chests, experience points 200,000.

【Task time: 6 hours, surgery completed in 1 hour 54 minutes, leaving a surplus of 4 hours 6 minutes.】

Main Line Quest, first stage of the Pearl on the Crown completed, the system gave out massive experience points and rewards.

Especially the surgical training time, which reached as much as 600 hours!

Equivalent to 25 days of time.

This is the largest fortune Zheng Ren has accumulated!

Zheng Ren was very happy; this meant he could splurge once or twice?

After tearing off the sterile surgical gown, going to the changing room, placing the lead clothing that converts radiation energy into the system space, Zheng Ren returned to the operating room with a smile.

Professor Rudolf Wagner was pondering; when he saw Zheng Ren return, he shook his head and said, "Zheng, your surgery is like a perfect work of art."

"Professor, you overpraise me." Zheng Ren replied with a smile.

The professor let out a light sigh, not arguing with Zheng Ren about this.

Director Xia wasn't an interventional specialist; in fact she didn't understand the surgery. Seeing Zheng Ren and Professor Rudolf Wagner talking, saying the surgery seemed successful and done especially beautifully, she asked, "Doctor Zheng, was the surgery successful?"

"Probably." Zheng Ren said: "Postoperatively, just watch out for hepatic encephalopathy and other complications. Besides, I've left two stents; if hepatic encephalopathy is not severe, we can consider removing the second stent to enlarge the outflow tract between the hepatic vein and portal vein."

Director Xia remained silent, nodding.

"Should the patient go back to your side or to the ICU?" Zheng Ren asked.

"Handling postoperative complications is better managed by us." Director Xia, still carrying the pride and arrogance of a department head, gave Zheng Ren an answer.

Zheng Ren didn't mind; the surgery was very neat, and with two stents left in place, the outflow tract was slightly under 8 mm, making the chance of hepatic encephalopathy much lower than with a single stent.

Going to the Department of Gastroenterology is also fine, since they are the most specialized in handling hepatic encephalopathy.

In the operating room, Su Yun had already bandaged the patient, and together with Chu Yanran and others lifted the patient onto a stretcher, handing them over to the doctors of the Department of Gastroenterology.

Director Xia followed the stretcher out; before leaving, she hesitated a moment but still asked, "Doctor Zheng, I still have a patient with decompensated cirrhosis and refractory ascites."

"If the patient's family accepts this high-risk surgical approach, we can treat it surgically." Zheng Ren smiled.

"Good." Director Xia also acted decisively and left in a hurry.

Zheng Ren estimated that if this patient's postoperative course is relatively stable, patients in the Department of Gastroenterology needing TIPS surgery will come in an endless stream.

From an epidemiological perspective, the 1960s were a period of massive outbreak of hepatitis B.

Starting in the late 1980s, hepatitis B was basically under control. Although not eradicated like polio, it no longer had the previous rapid spread.

In other words, those patients who contracted hepatitis B back then are now around 60 years old.

If long-term oral entecavir were not taken to control hepatitis B virus activity, symptoms like those of the patient Director Xia mentioned would appear.

Being able to perform TIPS surgery, improving portal hypertension symptoms, would greatly extend patients' survival and quality of life.

No wonder the system gave so many rewards.

Zheng Ren felt he had grasped some behavioral patterns of the system's Big Pig Trotter.

"What are you smiling about? Do you also think the surgery turned out well?" As he was thinking about the system, Su Yun's voice appeared in his ear.

"Heh, the surgery was fine." Zheng Ren gave a casual reply.

"Tomorrow a newcomer reports for duty, and today we actually have this major emergency surgery; your luck right now makes you invincible." Su Yun said.

Zheng Ren really couldn't figure out what connection there was between his flexible shift tomorrow and tonight's TIPS surgery, but he couldn't be bothered to argue with Su Yun, so he just smiled.

Professor Rudolf Wagner walked out somewhat dazed, his eyes slightly unfocused.

"Oh, I forgot the professor." Su Yun whispered with a laugh: "If I'd known your surgery would be this good, I wouldn't have dragged the professor along."

Zheng Ren was speechless, thinking to himself, "How do I know whether I can learn it?"

The professor probably wouldn't think that I was dragged over just to watch the Shou Bing? Could it really just be a visit for learning? If the professor is petty and narrow-minded, this matter would be an insurmountable hurdle; thereafter in academia, no matter what viewpoint you raise, the professor will be the first to stand up and oppose.

Su Yun's divine logic…… Zheng Ren thought for a moment, seemed to also make some sense.