Chapter 437: with translation of chapter title

429 Could it be that even doing Shou Bing can sprinkle dog food?

Upon hearing it was a doctor, the circulating nurse didn't bother with what kind of chief or such, handed the negative pressure suction machine to Wang Qiang, and said: 'Hurry up, I'm going to make a phone call.'

Su Yun finished inserting the chest bottle, Zheng Ren passed over a needle holder with a No. 7 line.

After suturing was completed, Su Yun scrubbed her hands again and stood in the surgeon's position.

But at this moment, Gao Shaojie had already begun placing an arterial sheath.

Although Zheng Ren and Su Yun didn't speak, they observed him out of the corner of their eyes while busy.

If the needle can't go in, Gao Shaojie will definitely be kicked off the operating table.

Don't think that just because he's proficient in procedures like scrubbing hands, but this kind of emergency rescue isn't something you can just brag about being a certain chief to participate in.

Gao Shaojie probably doesn't realize he's at a critical juncture in his life.

Perhaps this is the most important femoral artery puncture of his life.

He was very Calm, not agitated, took the puncture kit, disinfected, wiped, and immediately began the puncture.

Femoral artery puncture, blood on the first try.

Place the arterial sheath, advance the guidewire inside.

Zheng Ren saw that the puncture was successful, stopped paying attention to it, and began handling the liver with Su Yun.

The suction device was sleeved, inserted into the abdominal cavity, and dark red blood was sucked out along its walls, seemingly endless.

After clearing the intra-abdominal hematoma and temporarily controlling bleeding, Zheng Ren carefully examined the liver.

He used his right hand to explore the diaphragmatic and visceral surfaces of the left lateral lobe, and his left hand to explore the diaphragmatic surface, lateral surface, visceral surface, hepatic portal, and inferior vena cava area of the right lobe.

The purposes of the exploration are several: estimate the bleeding amount, the location and extent of liver injury, and whether there is combined injury to other intra-abdominal organs/tissues.

Zheng Ren finished the exploration as quickly as possible, estimating the patient's bleeding volume should be over 3000 ml. Transfusion…

'How's the Blood Bank/Department side?' Zheng Ren immediately shouted.

'Right away, I'll go get blood!' the circulating nurse shouted back.

The patient's right liver lobe is shattered and cannot be repaired; the left lobe also has two large defects. The spleen is fine, just has a small subcapsular hematoma, estimated to heal on its own.

The patient was walking on the road when the securing rope on a truck carrying steel pipes loosened, a steel pipe flew out and directly struck the right side of the thoracoabdominal junction.

The tremendous impact force directly shattered the patient's liver.

If it weren't for City First Hospital being not far away, arriving a few minutes later would have meant death.

But the current situation is also not optimistic.

Chu Yanran administered many vasopressors, dopamine, hydroxylamine… but the patient's blood pressure still couldn't be measured.

'Prepare for right liver lobectomy. Hey you, do angiography, see if there's bleeding elsewhere.' Zheng Ren was unsparing, treating the Columbia University graduate Doctor, the Deputy Chief of the Intervention Department at Sheng Cheng Medical University Affiliated Hospital, as a lowly subordinate doctor.

Gao Shaojie nodded, sent the Microguidewire into position at top speed, then began to advance the Microcatheter.

Zheng Ren pushed the upper edge of the left inner lobe upward, exposing the horizontal, angular, and sagittal portions of the left portal vein.

Have Su Yun hold the Retractor, he continued to expose the left inner lobe artery.

The left hepatic artery lies in the superficial plane between the hepatic duct and portal vein, making it easy to separate.

The left hepatic duct is located above, covering the horizontal portion of the left portal vein branch; it begins to separate the ductal system of the left inner lobe from the medial side of the sagittal and angular portions of the left portal vein branch and the distal end of its horizontal portion.

The technique is so fast it's dazzling; Su Yun is fully focused, yet she still can't keep up with Zheng Ren's pace.

This guy… does he have any limits at all!

Although Su Yun had long been accustomed to Zheng Ren's monstrous state, as time went on he had the illusion that the harder he tried, the farther he was from Zheng Ren.

'Could it be that I've gone the wrong way…?' Sometimes Su Yun thinks that.

During the separation process, because there are variations in vascular branching, Zheng Ren didn't rush to ligate and cut, but carefully identified and only ligated and cut once he confirmed the duct indeed led to the left inner lobe.

Zheng Ren then pushed the liver, exposing the second hepatic portal; after Blunt Dissection of loose connective tissue, he exposed the right and middle hepatic veins.

Along the middle hepatic vein, incise the liver capsule 2~3 cm long; after Blunt Dissection of the hepatic parenchyma, the main trunk of the middle hepatic vein can be exposed and ligated within the liver.

At 1~1.5 cm to the right of the falciform ligament, incise the liver capsule; Blunt Dissect the hepatic tissue, and when encountering a duct, clamp and ligate/cut with a vascular clamp, all the way to the inferior vena cava.

Ligate and cut the middle and right hepatic veins.

The hemostasis method on the liver surface is the same as before; re-suture the falciform and round ligaments of the liver.

The Shou Bing was fast like a flash of lightning; in the shattered liver tissue from the impact, Zheng Ren still quickly located the various arteries and veins that needed ligation and suturing, operating on them one by one in an orderly manner.

Removal of the right liver lobe took only a few minutes.

Even Su Yun almost couldn't keep up with Zheng Ren's speed.

Damn it, there's no instrument nurse, yet you're still this fierce… Boss, your usual hand speed isn't high; is it all just to accommodate the instrument nurse?

Doing Shou Bing while sprinkling dog food, Boss, you've got a trick.

Su Yun was complaining in his heart.

'Hey you, do angiography!' Zheng Ren cut off the right liver lobe, threw the messy heap of tissue into the pathology basin, then shouted.

Gao Shaojie cried.

Very sad.

According to norm, Interventional surgery, if it's just an angiography, would be far simpler than liver resection.

But my Microcatheter hasn't reached the position yet, over there Chief Zheng has already removed the right liver lobe.

It's not a normally positioned right liver lobe; it's utterly ruined, basically impossible at a glance to find a normally structured right liver lobe.

Chief Zheng, do you have to be this fast…?

Wang Qiang was busy mumbling; hearing Zheng Ren speak so impolitely, his face immediately fell.

Just about to say something, then heard Gao Shaojie apologetically say: 'Chief Zheng, right away, right away. Your Shou Bing is too fast; I'm a bit behind on my end.'

Wang Qiang stood dumbly behind Zheng Ren, completely unable to understand the situation.

Gao Shaojie Teacher Gao can't keep up with a surgeon's hand speed? What's going on?

Impossible, it's just an angiogram, it's not a hassle.

And Teacher Gao is actually so polite—what on earth is going on?

Wang Qiang knew Gao Shaojie looked refined and genteel, rarely got angry, but though he had no arrogance, he possessed pride.

What on earth is happening this time? Even Teacher Gao used your honorific.

At Medical University Affiliated Hospital, not to mention the Head of Interventional Radiology Department, even the Supervisor who is the Vice President overseeing clinical work, Teacher Gao wouldn't address you that way.

He leaned over and saw Gao Shaojie was strenuously pushing the Microcatheter forward, while over there, they had already sutured the damaged point of the liver's left lobe.

This speed…

Wang Qiang clicked his tongue.

Liver resection is routinely performed at Eryuan. After all, it's a specialty hospital; its liver cancer resection volume is no less than that of City First Hospital.

But I've never seen such speed.

He dazedly glanced around, feeling he had only prepared for wall suction, while over there the Shou Bing was already half done.

No wonder Teacher Gao just knelt down—who wouldn't kneel if this happened to them?