Chapter 781

Take an incision beside the right rectus abdominis, open the abdominal wall, perform Blunt Dissection.

Zheng Ren had these procedures down to perfection, using electrocautery on three unavoidable Capillaries, barely any bleeding, then began Blunt Dissection, protecting the peritoneum, and opened the Experimental Subject's abdominal cavity.

After entering the abdominal cavity, Zheng Ren was dumbfounded.

Once the peritoneum opened, there was no space to see; the huge liver and the occupying lesion completely blocked the Operating Field.

The huge occupying lesion at the second hepatic portal, as seen on the film, seemed not that big. However, Zheng Ren showed no surprise or hesitation, began along the incision, then used an automatic hook to pull open the muscle, exposing the Shou Bing Operating Field.

It took nearly ten Minutes for Zheng Ren to open the abdominal cavity and expose the Operating Field.

Near the second hepatic portal on the left liver, there was a huge occupying lesion with necrotic cavity. The right liver showed hyperplasia and obvious Ming; the entire liver basically lost its original shape.

Right liver edema caused great difficulty for autologous liver transplantation.

Shou Bing is difficult……

No matter how difficult, it must be done; Zheng Ren gritted his teeth and began a solo Shou Bing.

Moreover, it's not just a solo Shou Bing; the Shou Bing approach is also messed up.

Zheng Ren quickly realized that this Shou Bing, although hepatic hydatid disease, required first a right nephrectomy or right renal segment resection.

Because the hydatid cyst had infiltrated and spread, it had connected the liver and kidney, fixing them together.

After all, he's not a Urology Department doctor; Zheng Ren's ability to read images is high, but not omnipotent.

Zheng Ren now feels that performing a solo Shou Bing, he fears nothing like loneliness; moving an Experimental Subject alone and changing its position is truly the hardest.

The detestable Big Pig Trotter is not intelligent at all, Zheng Ren thought.

There was no choice; he could only pantingly change the patient's position himself. Afterwards, Zheng Ren pointed to a medium-level Skill book, and his heart ached a bit.

Although medium-level Skill is not usually used, performing Surgical Training requires a book, which is too luxurious.

But there's no choice; who let the Big Pig Trotter force him to start from scratch?

The Experimental Subject was placed in left lateral decubitus, right side up, and the traditional 11th intercostal incision exposed the right kidney.

Separate the kidney, separate and control the renal Blood Vessel, watch out for major bleeding. Although it's an Experimental Subject, Zheng Ren still gave his all.

The Urology Department's medium-level Skill is still a bit rough, but Zheng Ren's solid foundation in General Surgery gives him high Shou Bing skill proficiency. Various Blunt Dissection and clamps are handled with ease.

The enhanced Skill mainly involved understanding anatomical structure.

Zheng Ren didn't look at the Skill Tree; he estimated that the Urology Department's Skill Tree was also growing wildly.

But he had no interest in the Urology Department; he just needed a Shou Bing, so he casually added a Skill point.

The Shou Bing was a bit rough, but Zheng Ren didn't have time to polish this part. After renal segment resection, no active bleeding was found; after rinsing the renal pelvis and calyces, he immediately changed the Experimental Subject's position.

If a Urology Department doctor performed the renal segment resection Shou Bing, they would surely be very careful and cautious. But who is Zheng Ren? He is the man who stands at the pinnacle of Interventional surgery in the world.

At Haicheng Shi Yiyuan, when Big Pig Trotter first assisted, Zheng Ren had already performed an Interventional embolization procedure on a patient who suffered Blood Vessel rupture bleeding about a month after a renal segment resection.

Therefore, Zheng Ren performs renal segment resection with no psychological burden whatsoever.

If not, just do Interventional embolization; he's very familiar with it. Moreover, bleeding after renal segment resection cannot be completely avoided.

After all, the kidney is so fragile; this is determined by the organ's nature, and has little to do with the operator's skill.

Following the original incision step by step, suddenly a Blood Vessel at the second hepatic portal was ruptured, blood spraying Zheng Ren's head and face.

Experimental Subject, death.

Blood vessels are really fragile…… Zheng Ren felt helpless inside; his General Surgery Department surgical skill level, after being honed by the local anesthesia surgeries in Nanchuan Town, plus breaking through the bottleneck between life and death, already has over 98,000 points, reaching the peak of Grandmaster level, about to break through, becoming Master-level.

But I never expected that such a situation would occur when dissecting the Blood Vessel!

If this were outside, in a real surgery with real knives, the patient would probably be dead by now, and I would be frightened half to death.

Zheng Ren shivered, sighed, thanked the Big Pig Trotter, and then started the surgery again.

The experimental subject was immediately replaced with a complete one; this time Zheng Ren knew the surgical sequence.

After completing the renal segment resection, he opened the abdomen again. At the spot where bleeding occurred during the previous dissection of the second hepatic pedicle, he was now even more careful and cautious.

The hepatic fluke truly lives up to being a worm cancer, with extremely strong invasiveness; the second hepatic pedicle and surrounding ligaments, layer upon layer of connective tissue, are very fragile and thin; looking at the normal tissue structure, a little carelessness would result in being sprayed with blood all over the head.

Experimental subject, dead.

Experimental subject, dead.

Experimental subject, dead……

The more he did, the colder Zheng Ren's heart became; his General Surgery Department level was not bad, and even after performing surgeries in extreme Earthquake Relief situations, it could be said to be quite strong.

But this level was still not enough.

At this moment, Zheng Ren had completely forgotten the benefits brought by the System Quest, and couldn't even afford to feel sorry for himself.

A surge of determination rose, and he gave his all to complete this surgery.

So-called benefits, no matter how great, cannot compare to a single human life.

Finally, during the nineteenth Surgical Training, Zheng Ren successfully dissected the blood vessels and ligaments at the second hepatic pedicle.

A warm current circulated throughout his body; this feeling was so familiar.

Zheng Ren had similar experiences before; he knew that, without realizing it, his General Surgery Department Skill had already reached Master-level.

Under normal circumstances, Zheng Ren would surely be overjoyed.

Coming from General Surgery Department, being able to enhance this specialty to Master-level, surpassing the standard of a department head in a large tertiary hospital, is a major matter.

However, in the System Operating Room, this surgery has only just begun.

Dissecting the liver, removing the gallbladder, separating the hepatic ligaments and second hepatic pedicle, dissecting the hepatic upper and lower cava vein; separating and opening the diaphragm, above the narrowed part of the thoracic cava vein, dissecting and severing, dissecting the first hepatic pedicle, completely removing the liver; seeing the thoracic-abdominal transition segment of the inferior cava vein invaded and narrowed……

Zheng Ren did not perform the portal venous end-to-side anastomosis with an artificial vessel shunt of Blood Vessel Surgery; he simply bypassed this step, and even if the system's surgical completion degree was not high enough, it didn't matter.

He really didn't have time to complete this overly long surgery.

Because,

Next,

He was going to do a liver transplant.

Autologous liver transplant!

Autologous liver transplant, Zheng Ren has only heard of it but never seen it.

Autologous liver transplant was first performed in 1988 by Professor Pichlmayr of the Hannover Organ Transplant Center in Germany, in which the liver is completely dissected, removed from the body, the lesion excised, and then reimplanted in situ. Later, Hannoun and Sauvanet et al. made improvements, without transecting the first hepatic portal, and it was called semi‑ex vivo autologous liver transplant.

Autologous liver transplant Shou BingTechnique originates from allogeneic liver transplant Technique and surpasses its Technique, being called the last bastion of liver Shou Bing!

As a doctor from the General Surgery Department, Zheng Ren knows this matter. The last bastion, Zheng Ren has been drooling over it.

Now I have to do it myself; only when I start will I know how difficult it is.