Chapter 920: and translation of title line (which is line [1] but we need to translate the title

901 Why is the completion rate only 79%?

Because the whole Hospital had mobilized, Zheng Ren didn't have to face those huge pre-surgery hassles.

What are the various approval procedures before organ transplantation, communicating and interacting with patients' families, facing families who cry and pour out their grievances, and why such strange trauma occurs.

Just having two little guys in critical condition, and explaining the illness to their families, is enough to give one a headache.

But fortunately, I only need to assist Director Miao with the kidney transplant, and that's enough.

This also counts as a kind of happiness—being a pure technician, just doing surgery, is still very joyful.

"Your instrument nurse, assisting with kidney transplant, do you have experience?" Director Miao asked.

Now the Head Nurse of the Operating Room is leading staff to tidy another Shujian, waiting for the severely burned patient to be brought in, then opening the table to harvest the kidney.

During the brief intermission, everyone no longer wanted to think about anything else; they were chatting, relaxing their tense nerves, preparing to deal with an emergency kidney transplant surgery.

"Let me ask." Zheng Ren found it strange; Director Miao looked at his low spirits, yet still let him go on stage and also have Xiao Yi Ren come up. This was no longer mere appreciation; there must be something else going on.

Zheng Ren picked up his phone and called Xie Yiren. Su Yun slipped away like a mouse, waiting for Zheng Ren to finish his call, then he grabbed Zheng Ren and said doubtfully: 'Boss, I feel Director Miao is acting odd today.'

"I have that feeling too." Zheng Ren nodded, speaking softly, "But I think the risk isn't big."

"Be careful." Su Yun also couldn't understand the reasoning; even if something happened, even if the sky fell, there would be a high point holding it up, so there shouldn't be any problem.

Would the esteemed chief surgeon of 912 trip up a junior doctor? Although Zheng Ren is now hardly a junior doctor anymore, with no conflict of interest, the likelihood of such a situation occurring is low.

Zheng Ren returned to the Shujian and whispered: 'Director Miao, she had performed two or three kidney transplant surgeries during her internship in Modu; she can cooperate.'

"Let her come up to scrub." Director Miao, scrubbing his hands, said: "I'll go harvest the kidney, and meanwhile find the Vascular Department to re-establish the venous access. On your side, first stop the bleeding, then wait for me."

Zheng Ren was still somewhat puzzled, but said nothing; he messaged Xiao Yi Ren to come up.

Feeling a hint of abnormality, Zheng Ren still carefully took advantage of the intermission to come to the System Space.

He used that brand‑new master‑level skill book he had just gotten, applying it to the urology skill tree he usually looked down on.

Watching the skill tree flourish, the surrounding skill trees resonated, leaves rubbing together, a swishing sound filling the air; Zheng Ren knew his urology skill, though only master level, was far stronger than that of an ordinary Team-leading Professor.

After all, he had a master‑level General Surgery skill as a foundation.

Are hepatobiliary and Gastroenterology Surgery called general surgery? Because the field initially involved in surgery is exactly here.

The General Surgery Department is the foundation of all surgery.

Many years ago, in third‑ and fourth‑tier cities, the General Surgery Department was practically synonymous with surgery. Neurosurgery, thoracic surgery, Urology Department, and Orthopedic Surgery all originated from it.

Zheng Ren felt a warm current, immediately purchased Surgical Training Time, and began kidney transplant training.

The situation he feared most did not occur.

In the System Operating Room, no two experimental subjects appeared requiring Zheng Ren to first harvest the kidney and then perform the transplant; even the Burn Department's skin grafts would have to be done by Zheng Ren.

If that were the case, the already scarce Surgical Training Time would be wasted in large amounts.

The experimental subject lay on the System Operating Table; Zheng Ren focused and began Surgical Training.

Zheng Ren knew the kidney transplant procedure. Actually this surgery is so simple it's ridiculous; someone could do it nearly a hundred years ago—what difficulty could there be now?

Incise the skin, expose the subcutaneous layers, and bluntly expand the right iliac fossa.

The transplanted kidney is not placed in its original position but rather in the right iliac fossa.

When choosing left or right placement, under normal circumstances the right side is selected because of the arterial course.

Expose the right external iliac vein, cut and ligate the vascular sheath and its intervening lymphatic vessels.

Expose the right internal iliac artery, strip off its vascular sheath; the experimental subject's internal iliac artery is short, only about 2 cm from the bifurcation of the iliac artery to where it gives off its branch.

Zheng Ren took a Satinsky clamp, occluding the right external iliac vein's blood flow. Then he used a sharp knife to make a small opening in the vessel wall, flushed with heparinized saline, and trimmed it to appropriate length with scissors. He placed the donor kidney into the right iliac fossa and performed an end-to-side anastomosis of the donor renal vein to the recipient's external iliac vein.

Four‑point technique, continuous 6‑0 nylon suture for edge locking.

This is the crux of the surgery!

For the arterial anastomosis, Zheng Ren's thought triggered the purchased Microscope to appear above his head.

In the System Operating Room everything is very convenient. However, Zheng Ren sometimes thinks wildly, preferring that the Little White Fox come alive to be his assistant.

It's really a bit lonely.

Dozens, even hundreds of Surgical Training—this feeling of loneliness can drive a person mad.

Ordinary kidney transplant does not require Microscope anastomosis.

But Zheng Ren voluntarily increased the surgical difficulty, and the system did not prohibit it.

Unlike Capillary, anastomosis of large vessels is relatively low in surgical difficulty.

Before completing the anastomosis, flush with heparinized saline, doubly ligate the distal internal iliac artery, place two vascular clamps proximally, cut the internal iliac artery, and flush with heparinized saline.

Perform an end-to-end anastomosis of the donor renal artery to the recipient's internal iliac artery using a three-point technique with interrupted 6-0 nylon sutures, flush with heparinized saline before completion, and inject protamine sulfate.

After Zheng Ren carefully checked that the arterial and venous anastomoses showed no bleeding, he opened renal blood flow; about five minutes later, a small amount of clear pale yellow urine flowed from the ureteral stump.

Having reached this point, Zheng Ren let out a sigh of relief.

There's urine! Damn good!

He clenched his right fist, expressing his excitement!

Then Zheng Ren inserted a urinary catheter, filled the bladder with water, placed the double‑J stent into the ureteral stump and bladder, performed a J-shaped anastomosis of the recipient's ureter to the bladder, and carried out anti‑reflux treatment.

The operative field showed no active bleeding; a drainage tube was placed around the kidney and around the ureteral anastomosis. After re-checking the field and confirming no active bleeding, all anastomotic sites were inspected and the incision was closed layer by layer.

The surgery ended.

However, Zheng Ren discovered that the Big Pig Trotter gave a surgical completion rate of only 79%.

Good grief… Zheng Ren carefully recalled, the surgery was fine.

The difficulty of kidney transplant surgery lies not in the operation itself but in the organ source and matching.

Has the Big Pig Trotter broken down? How could it output a surgical completion rate of just 79%?

Upon reflection, there was no mistake whatsoever. Moreover, for the vascular anastomosis Zheng Ren used Neurosurgery's microsurgical technique, which is over ten times more precise than ordinary Urology Department surgery.

The experimental subject's urine had no issues: pale yellow, clear and bright, with no blood streaks.

Zheng Ren was confused.