<h4>Chapter 769: Simtion Mannequin +19</h4>
<strong>Trantor: </strong>EndlessFantasy Trantion <strong>Editor: </strong>EndlessFantasy Trantion
Blunt dissection was performed on the right rectus abdominis. The abdominal wall was cut open and blunt dissection was performed.
Zheng Ren was extremely familiar with the simtion mannequin. He only used electricity to burn three blood capiries that could not be avoided. There was almost no bleeding. Then, blunt dissection was performed. The peritoneum was protected and the abdominal cavity of the simtion mannequin was opened.
After entering the abdominal cavity, Zheng Ren was dumbfounded.
Once the abdominal cavity was opened, there was no space to be seen. The huge liver and the space that upied the entire operative view had been blocked.
The huge space at the second hepatic portal did not seem to be so big from the radiographic films. However, Zheng Ren was not surprised or hesitant. He began to move along the mouth. Then, he used an automatic hook to pull open the muscle, exposing the operative view.
It took Zheng Ren nearly ten minutes to open the abdominal cavity and expose the operative view.
The left liver upied arge space near the second hilum of the liver, apanied by necrosis of the cyst. The right liver was obviously hyperstic and edema. The original shape of the entire liver could no longer be seen.
The edema of the right liver made it very difficult for the liver autotransntation.
The surgery was difficult...
However, no matter how difficult it was, it had to be done. Zheng Ren gritted his teeth and began the surgery as one person.
Moreover, it was not just one person’s surgery. The surgical approach was f*cking wrong.
Zheng Ren soon discovered that although the surgery was for hepatic echinocosis, the right kidney or the right kidney segment had to be removed first.
Because of the invasion and spread of the echinocosis, the liver and kidneys had been connected and fixed in one ce.
After all, he was not a doctor in the genitourinary surgery department. Although Zheng Ren’s standard in reading radiographic films was high, it was not omnipotent.
Zheng Ren now felt that he was not afraid of being lonely during a solo surgery. The simtion mannequin was the most difficult part.
‘Damn System. It isn’t smart enough to give me additional help,’ Zheng Ren thought.
He had no choice but to change the position of the patient. Then, Zheng Ren clicked on an intermediate skill book and felt his heart ache again.
Although the intermediate skill book was not usually used, it was too luxurious to use a book for a simtion mannequin.
But I can’t help it. Do I want to start all over again?
Simtion mannequin’s leftteral decubitus, rightteral upward, traditional 11th intercostal incision to expose the right kidney.
Separation of the kidney, renal vascr separation, and control, careful not to cause hemorrhage. Although it was an experimental subject, Zheng Ren still went all out.
The intermediate skills of the Department of Genitourinary Surgery were still a little rough, but they could not hold up against Zheng Ren’s good foundation and the high skill level of a General Surgery Department’s trainee. All kinds of blunt dissection and mp were easy to handle.
The main skill that had been upgraded was the understanding of the anatomy structure.
Zheng Ren did not look at the skill tree. He reckoned that the skill tree of the Department of Genitourinary Surgery was also growing at a crazy rate.
However, he was not interested in the Department of Genitourinary Surgery. It was only because he had a need for surgery that he passed by and gave it some skill points.
The surgery was a little crude, but Zheng Ren did not have that much time to polish this part. After the nephrectomy, no active bleeding was detected. Once he washed the renal pelvis and calyx, he immediately changed the position of the experimental subject.
If a doctor from the Genitourinary Surgery Department performed the nephrectomy, he would definitely be very careful. But who was Zheng Ren? He was a man who stood at the top of the world in interventional surgery.
In the Sea City General Hospital with the help of the System, Zheng Ren performed an interventional embolization for a patient who had a blood vessel rupture about a month after the nephrectomy.
Therefore, Zheng Ren did not feel any psychological burden when he performed a segmental nephrectomy.
If it did not work, he would just perform an interventional embolization. He was very familiar with it. Moreover, it was impossible topletely avoid bleeding after a segmental nephrectomy.
After all, the kidney was so fragile. This was determined by the nature of the organ itself. It had nothing to do with the surgeon’s level.
He followed the original incision step by step. Suddenly, a blood vessel at the second hepatic portal was ruptured. Blood sprayed all over Zheng Ren’s face and head.
The simtion mannequin was dead.
The blood vessels are so damn fragile... Zheng Ren felt helpless. His general surgery skills had been trained through the local anesthesia surgery in Nanchuan Town. In addition to the breakthrough between life and death, he had already reached more than 98,000 points. He had reached the peak of the Grandmaster level and was about to break through to bing a Legend.
However, he did not expect that this kind of situation would happen when the blood vessels were detached!
If this was a real surgery outside, the patient would probably have died at this moment and he would have been scared half to death.
Zheng Ren shivered and sighed. He thanked the System and began the surgery again.
The simtion mannequin was reced immediately. This time, Zheng Ren knew the order of the surgery.
After the nephrectomy, he opened the abdomen again. He was even more careful this time when he left the bleeding position at the second hepatic portal.
The hepatic hydatid tumor was indeed a parasitic cancer. It was extremely invasive. The ligaments andyers of connective tissue around the second hepatic portal were very fragile and thin. Looking at the normal tissue structure, if one was not careful, his head would be sprayed with blood.
Simtion Mannequin, dead.
Simtion Mannequin, dead.
Simtion Mannequin, dead.
The more Zheng Ren did, the colder his heart became. His standard in the general surgery department was not bad and he could even be said to be very strong after going through the emergency surgery of earthquake and disaster relief.
However, this level was still not enough.
At this moment, Zheng Ren hadpletely forgotten the benefits that the System mission brought to him and could not care less about his heartache.
He exerted all his strength and went all out toplete the surgery.
The so-called benefits, even the greatest benefits, could not bepared to a human life.
Finally, during the neenth surgical training, Zheng Ren sessfully peeled off the blood vessels and ligaments at the second hepatic portal.
A warm current reverberated around his body. This feeling was so familiar.
Zheng Ren had a simr experience. He knew that his general surgery skills had unknowingly reached the Legend-level.
Normally, Zheng Ren would be ecstatic.
Coming from the General Surgery Department, it was a big deal that his specialty could be upgraded to the Legend-level, surpassing the level of a department chief from a ss Three Grade A hospital.
However, in the operating theater, the surgery had just begun.
The liver was separated, the galldder was removed, the ligaments around the liver and the second hepatic portal were separated, as well as the superior and inferior vena cava. Separate and open the diaphragm, break off above the stenosis of the thoracic vena cava, free the first hepatic hilum, andpletely move out of the liver. The thoracic and abdominal transitional section of the inferior vena cava was invaded and narrowed.
Zheng Ren did not go into vascr surgery for the end-to-side anastomosis of the portal vein to the artificial blood vessel bypass. If he directly bypassed this section, even if the surgical progress bar given by the system was not high enough, it would not matter.
He really did not have the time toplete this extremely long surgery.
Because...he was going to do a liver transnt.
An autogenous liver transnt!
Zheng Ren had only heard of it, but he had never seen it before.
An autogenous liver transnt was first carried out in 1988 by Professor Pichlmayr of the Organ Transnt Center in Hannover, Germany. The whole liver was removed from the body. After being removed, the liver was rented in situ. Later, Hannoun and Sauv improved the technique and did not remove the first hepatic portal. It was known as semi-detached autologous liver transntation.
The technique of autologous liver transntation originated from the technique of allogeneic liver transntation and was superior to its technique. It was known as thest barrier of liver surgery!
As a doctor who had graduated from the General Surgery Department, Zheng Ren knew about this. Zheng Ren had always been ‘salivating’ over thisst barrier.
Now that he had to do it himself, he knew how difficult it would be once he started.