(Thanks to [skywang074] for the two thousand coins reward! Thanks to [Langxin Tianxia] for the one thousand coins reward!)

"Yes, the patient's jaundice is still rising rapidly, and liver function is continuing to deteriorate. The condition is very urgent, and surgery must be done as soon as possible." Dai Yaowen said in a deep voice.

This type of obstructive jaundice is almost considered a "accurate emergency" and must be operated as soon as possible. If the best time for surgery is missed, acute liver failure will soon lead to death.

Ruan Bin was speechless after hearing this.

He has never done this kind of surgery, and he has consulted himself for Mao! He has never had a similar surgery case at the First Affiliated Hospital of the Magic City.

Liver bile duct surgery and cholecystectomy are not the same surgery, and the location is different.

Could it be that I will have to spend money again later, right?

If Ruan Bin is not wrong in guessing, the surgery on the patient should be performed using the hilar bile duct and the intrahepatic bile duct jejunal anastomosis internal drainage! This is a level 4 surgery!

The difficulty can be imagined.

Soon, he followed Dai Yaowen to the consultation room.

At this time, Hu Changmao, the attending doctor, was waiting here in the consultation room.

"This is the patient's CT examination image, you can see." Dai Yaowen handed it to Ruan Bin.

Ruan Bin took it and looked a little solemn. He saw that the tumor had indeed transferred to multiple places, especially with many blood vessels. The difficulty of this surgery is not unusual.

"That...Di Director Dai, do you have a feasible surgical plan?" Ruan Bin asked tentatively.

"Yes, since the tumor has invaded the second-grade bile duct on the left, we plan to no longer retain the left liver lobe, and the first-grade bile duct on the right liver lobe will also be removed." Dai Yaowen said.

Forehead……

You all have feasible surgical plans, so what kind of consultation should I do?

He said, there are many talents in general surgery, and no one can get a level 4 surgery, right?

"Then Director Dai, you asked me to come for consultation... and I don't understand this fourth-level surgery either." Ruan Bin looked at the other party and asked softly.

"Ahem... It's like this. There is one part of our surgical plan that is more difficult to perform surgery, which should be a huge difficulty! This difficulty is the separation of blood vessels of the hepatic artery! Every step is like walking on thin ice, and if you are not careful, it will cause heavy bleeding. The main reason is that we are not very sure about the separation of the right hepatic artery, so I think Dr. Ruan, you can help separate it!" Dai Yaowen laughed.

"Me?" Ruan Bin was a little surprised. It turned out that you were not asking me to consult, but to be the executioner.

"That's right, last time you served as an assistant to Professor Chen, and that time, the tumor dissection of the patient at the root of the mesenteric vein was so successful. I believe you have no problem with the tumor dissection of the right hepatic artery." Dai Yao said.

In the last time, everyone found it difficult and felt that the operation could not be carried out at all.

Because that situation is too difficult to separate.

But Ruan Bin did it last time!

That kind of god-level operation simply blinds everyone's eyes and can be called a "nano" operation.

So this time he came to Ruan Bin just to let Ruan Bin act as a super knife master to separate the blood vessels of the right hepatic artery!

"Yes, Dr. Ruan, you should be very confident, right? At least you are more confident than us!" Hu Changmao slapped his horse's legs.

"This..." Ruan Bin thought in his heart.

First of all, he has innovative debridement and suture techniques. There is no problem in doing this kind of dissection, cleaning, suture, hemostasis, ligation, etc.

But it does not mean that you can do anything with this kind of amazing basic surgery!

First, all the blood vessels, structures, muscles, etc. in the human body are different.

Take the blood vessels in the liver, the structure and tissue around you, etc. If you don’t understand, don’t know its structure, then do the desolation. Even if you have innovative debridement and suture techniques, you may make mistakes.

Because you don't know the structure of this part!

So if you want to separate the right hepatic artery, you must have enough knowledge of the liver.

Fortunately, he had undergone liver surgery and partial liver resection before, so he naturally had enough understanding and understanding of the structure of the liver.

His partial liver resection seems to be an expert!

With this part of the foundation and innovative debridement and suture, there should be no problem if he separates the right hepatic artery for the patient later!

After all, most of the other four-level surgery are not required, such as repairing the portal vein defect, the left liver lobe and the right first-level bile duct, extrahepatic bile duct removal, and the two secondary bile ducts in the right liver lobe anastomosis with the jejunum. These are done by Director Dai and others.

When the right hepatic artery is separated, he can just separate the right hepatic artery!

So he doesn't need to understand the hilar bile duct and the intrahepatic bile duct jejunal anastomosis internal drainage surgery!

"I am 90% sure." Ruan Bin said.

"Haha... I knew that Dr. Ruan, you are not young, so let's start the operation immediately now! Then wait until the right hepatic artery is separated and you will take action." Dai Yaowen smiled and patted Ruan Bin's shoulder.

The operation has begun.

Dai Yaowen is the chief scientist, Hu Changmao is the assistant, and Ruan Bin watches first.

Dai Yaowen first removed the left liver and extrahepatic bile duct.

The other party's surgery is indeed very high, meticulous and has almost no mistakes.

Ruan Bin will soon be on the stage.

Because this step is about the separation of the right hepatic artery!

I saw that at this time, many cancer cell tissues were stuck around the right hepatic artery, and the condition had to be cleaned and separated.

This operation is undoubtedly cutting vegetables on cooked eggs!

Pick the bones in the eggs!

However, as an absolutely confident Ruan Bin naturally picked up the scalpel and started moving it.

I saw that his movements were neither slow nor fast, calm and powerful. Every strike was extremely accurate, and every strike was just right.

Pull the silk and peel off the cocoon, and cut the cow, like an arm and finger, separate the right hepatic artery with the wind sweeps away the fallen leaves!

This delicate operation is simply amazing, and Dai Yaowen and others praised it all.

"Doctor Ruan, you are really amazing!" Dai Yaowen gave Ruan Bin a thumbs up.

Next, Dai Yaowen began to take the last step - the two secondary bile ducts in the right liver lobe coincided with the jejunum!

Finally, the entire operation was completed successfully.

The patient's vital signs are very stable, so it depends on recovery after surgery.

Outside the operating room.

"Doctor Ruan, thank you so much for your help this time. Next time I buy a pig from my hometown and come back. Then I will get a full pig banquet. You must come here to have a meal at that time." Dai Yaowen said with a smile on his face.

"Sure!" Ruan Bin said politely.

After that, I will continue to be busy in the emergency room.

A busy day has finally passed.

However, Director Qian told everyone a good news, that is, in another 5 days, Director Liu will come back to work.
Chapter completed!