Chapter 428: 420 Inexhaustible Physical Strength

But less than a minute later, Gao Shaojie knew he was wrong again.

The channel between the hepatic vein and the portal vein was established, but the surgery was not over; the operator placed another 8 mm retrievable stent.

He stood quietly in front of the screen, intently watching as the retrievable stent moved slowly.

Gao Shaojie didn't understand why such a stent was being placed.

When retrieving it, one has to go through the liver, and many uncontrollable factors may arise, such as bleeding! Or when taking out the retrievable stent, the covered stent might get displaced.

If massive bleeding occurs, or if the covered stent's position shifts, it will cause the entire TIPS surgery to fail, and the patient will suffer more severe harm, even facing death.

In Gao Shaojie's mind, a three-dimensional image of the patient's liver and portal vein was rapidly sketched.

For the retrievable stent, the ideal position is to completely overlap the previous covered stent; the smaller the gap left, the lower the chance of complications when retrieving it.

But... the difficulty of this, Gao Shaojie knew all too well.

To others, it seemed merely placing a second stent, since the channel was already established—what's the big deal?

Only someone who doesn't understand TIPS surgery would think that way.

Gao Shaojie had performed similar surgeries before; because hepatic encephalopathy after TIPS is often severe, the only way to improve the patient's symptoms is to narrow the venous channel.

If the second stent is placed off-center, it will be washed away by the blood flow.

But stacking stents to achieve perfect overlap is not that easy. It's not like lower-limb arterial occlusion, where a stent is opened, then re-blocked, then reopened, and stents are stacked. Those arterial stents are several tens of centimeters long; even being off by a few centimeters doesn't matter much, because friction is sufficient.

But in TIPS surgery, the stent itself is short; missing even a little makes a world of difference in percentage terms.

His mind was wandering as the retrievable stent expanded,

landed,

and took root.

Looking at the images, without contrast, Gao Shaojie could tell the two stents almost perfectly matched.

It's absolutely awesome!

Gao Shaojie had no thoughts of winning or losing, no jealousy, only curiosity.

Jealousy only makes sense when the two people are roughly equal in strength and level.

Because Gao Shaojie understood and knew well, he felt only a sense of helplessness enveloping his whole body.

Thereafter, a feeling of worship, even reverence, burst from the depths of his heart.

The TIPS surgery was performed with such skill!

Even the Mayo Clinic couldn't do that!

Who exactly is inside?

Contrast imaging showed the stent position satisfactory, blood flow smooth, surgery completion 100%!

Zheng Ren turned and left, without a word.

Professor Rudolf Wagner then stood in Zheng Ren's position, beginning to compress the puncture site to stop bleeding.

Zheng Ren took off his Gloves, threw them into the medical waste bin, returned to the operating room, and said with a smile: "Director Ren, Director Zhang, it's done. Thank you; you chose a particularly suitable patient."

Although they had undergone a batch of TIPS surgeries before, the two directors in the operating room still couldn't quite believe what was happening before their eyes.

"You've worked hard, Chief Zheng." Director Zhang's tone was dry and bland; at that moment he forgot his enthusiasm.

Being able to speak is already good enough; still enthusiastic?

Director Zhang remembered that during the previous batch of TIPS surgeries, Zheng Ren and Professor Rudolf Wagner would occasionally—no, often—have disagreements.

Standing on the Operating table to argue, that looked really low-class.

But since their surgical results were good, the arguments became less important.

However, during this batch of TIPS surgeries, Zheng Ren and Professor Rudolf Wagner hardly communicated, almost maintaining silence.

The surgery was completed in silence.

After fewer than ten surgeries, has a new concept already taken shape?

Although Director Zhang's level isn't that high, after all he's done clinical work for decades. Medicine is an empirical science; every mature technique must be honed in clinical practice for decades.

During that period, countless attempts will fail.

Success is founded on those countless failures.

But... what happened before his eyes overturned Director Zhang's worldview.

Is this moving from one success to another?

It's terrifying; the talent this young man before us possesses is simply terrifying!

"The patient for stent removal can be brought up." Zheng Ren didn't care about the silent atmosphere in the operating room.

In his view, a little silence is a hundred times better than everyone speaking chaotically.

"Oh oh." Director Zhang responded instinctively, and a young doctor turned and left the operating room.

Nobody expected the surgery to be faster than last time; although the stent removal procedure had instructed the patient to fast and pre‑operative preparations were made, no one actually thought they would really go ahead and do it.

"Chief Zheng, take a break." Director Zhang's stomach growled, his biological function indicating it was already or past lunchtime.

"I'll have the cafeteria send over something; what do you think?"

"No." Zheng Ren refused directly, clean and decisive, without hesitation: "I'll head back soon; there are still matters at home."

Saying that, Zheng Ren picked up the phone placed on the Operating table and dialed.

"Chang Yue, it's me."

"From now on, let Elder Sister Zheng fast from water."

"Yes, go back and perform the surgery. Also, tell Su Yun to contact the CT Shi; after work we'll go do radiofrequency ablation."

"First do interventional embolization, use iodized oil for positioning, then push forward and do radiofrequency."

"During the day it's not suitable; the CT Shi has no free machines. Even if it's tomorrow, we still need this time slot."

"Good. By the way, isn't the house busy today?"

Okay, estimated to arrive home in three hours, you prepare first on your side.

After saying that, Zheng Ren hung up the phone.

Damn crazy, doing eight TIPS Surgeries, eight second-stage TIPS Surgeries, running between two Hospitals, and still have to do radiofrequency ablation when going back.

How abundant must this stamina be?

Wait, radiofrequency?

"Chief Zheng, are you going to do radiofrequency ablation for liver cancer?" Director Zhang asked.

"Well, a patient after two Interventional embolization Shou Bing, the tumor has shrunk to about 4 cm. This Shou Bing, we prepare to thoroughly solve the problem."

"I just heard you say, first Interventional embolization, then go to radiofrequency? Doing two Shou Bing in one day?" Director Zhang was somewhat dazed.

"Video ablation Shou Bing, Eryuan has also carried it out. Although the number done is not enough, after all it is a mature Shou Bing."

"Zheng Ren Chief Zheng going to do radiofrequency, this is no surprise, but doing Interventional embolization then radiofrequency ablation, what does that mean?"

"Huh? You all don't do it like this?" Zheng Renye not Understanding, "Not doing Interventional, injecting iodized oil inside, what marker to use?"

Sweat…… Director Zhang drenched in sweat.

"Chief Zheng, doing two Shou Bing at the same time, will the trauma to the patient be too great? Currently academia believes doing Interventional embolization 1 to 2 weeks in advance, then using radiofrequency to thoroughly kill tumor tissue, the effect will be good."

Gao Shaojie walked out from the corner, saying.