"How much do you think you will use?"

"No need for blood transfusion." Zheng Ren said with certainty.

"..." Professor Yang was slightly stunned.

Generally, blood transfusion may be required for cutting the entire liver, after all, the anatomy is clearer.

But this time it was a liver split and the tumor tissue was removed from it.

Tumor tissue! It is surrounded by abnormally proliferating blood vessels. Only the tumor is cut and the liver is retained, which will inevitably cause a large amount of bleeding during the operation.

Therefore, doctors from many provincial and municipal hospitals are still accustomed to directly resection of the left or right lobe of the liver.

This kind of surgery is relatively simple. Of course, it is relatively trauma to the patient.

If you split the liver, you don’t need to transfusion? Isn’t that nonsense? Professor Yang scoffed at this.

But he didn't say that, but he was a little unoptimistic about the results of the live broadcast of the surgery.

Boss Zheng did the surgery smoothly and started to float.

"Boss, the embolization effect is good." Su Yun said as he watched the film.

"Yeah, as expected." Zheng Ren replied calmly.

“How to do it?”

"Splitting the liver, use an ultrasonic knife to free it and cut it down." Zheng Ren's answer was very simple and easy.

"Boss, can you not give up good luck next time you have surgery?" Su Yun looked at the movie, knew it, and began to complain about the background music.

Zheng Ren didn't say anything, held his chin with his right hand and watched the movie seriously.

The film looks very simple. You can see a shiny silver irregular ball on the back of the right liver, with spots in the middle.

That is the imaging manifestation of the necrosis of liver cancer tissues deposited by iodine oil after interventional surgery.

But if such a large liver cancer is completely inactivated, at least 3-5 interventional embolization of liver cancer is required.

Zheng Ren seized the time before the operation and did 64-row CT three-dimensional reconstruction in his mind, thinking about the surgical approach and simulating the surgical process again.

Seeing Zheng Ren turning into wood, Su Yun looked at him with contempt, turned around and said to Lao He: "Do you dare to change the background music next time you have surgery."

"Doctor Su, I really don't dare." Old He said with a smile.

Su Yun had no choice but to see that Lao He had finished his work, so he put his position with Professor Yang for the patient and then went to brush his hands.

Brush your hands, disinfect them, and come to the instrument table.

Xie Yiren had already put on her clothes and counted the equipment. She handed the curved plate and oval pliers to Su Yun, grabbed another handful of sterile gauze, and put it in the curved plate.

"Yiren, next time your Zheng Ren has an intracological appendix surgery, if he doesn't ask you, he will turn against him." Su Yun urged.

Xie Yiren narrowed her eyes and smiled.

The eyes are like crescent moons, with bright light slightly shining.

"What? The appendix in the cavity?" Old He and Professor Yang were both stunned when they heard what Su Yun said.

"Yes." Su Yun took the oval forceps to clip the iodine gauze and began to disinfect it, saying: "The appendix in the cavity is still an ectopic appendix in the cavity, 12cm above the ileocele. This kind of surgery is only done by himself. Lao He, do you think this is still something humans do?"

Professor Yang agrees with Su Yun's words.

The intracavity appendix is ​​Bermuda, known as a general surgeon.

I was lucky and had never encountered it once when I had an appendectomy. I didn’t expect that I would have encountered it in the gastrointestinal tract these days?

"How did you find it?" Professor Yang asked in surprise.

"It is said to be seen from colonoscopy."

"Tsk tsk."

"Boss, you're almost done with disinfection, go and clean your hands." Su Yun said.

"Okay." Zheng Ren finally switched out of the wood state and went to brush his hands.

"Brother Yang, are you nervous?" Su Yun began to lay a sterile sheet and asked.

“A little bit.”

"Just get used to it." Su Yun smiled and said, "Is the ultrasonic knife from Johnson?"

"Um."

"Changfeng doesn't even have an ultrasonic knife, it's still a small company." Su Yun sighed.

After the operation, I couldn't see Feng Xuhui and his two big boxes, and I always felt that I had something to do with it.

Professor Yang started to put on his clothes and smiled and said, "I have prepared two ultrasound knives."

"It's a waste." Su Yun said.

"Isn't this afraid of bleeding?" Professor Yang said: "The liver is about 8cm of tumors, and it is estimated that about 1,000ml of blood will be obtained."

Professor Yang put on his clothes, stood at Ichisuke's position, and began to fiddle with ultrasonic knives, electric scorching and other equipment.

"You are not nervous yet. The two ultrasonic knives are the things you have prepared for if the boss has noticed. Please check for the gaps here." Su Yun said with a smile.

Professor Yang was pointed out, but he didn't say much, just smiled.

Isn’t this the most normal thing to prepare more for the operation to avoid accidents?

After brushing his hands, Zheng Ren came in, wore sterile gloves, surgical gowns, looked at Xiao Yiren, and smiled.

When he arrived at the position of the craftsman, Hu Yanhui put on live glasses, connected the signal, and made a starting gesture.

The operation officially began.

Take the right upper abdomen as the lower incision of the right costal margin, and cut the skin, subcutaneous and muscles layer by layer from the left side of the xiphoid process to the 12th costal margin.

Professor Yang was a little nervous and his hands were a little hard.

But it just opened the abdomen and didn't affect anything, and Zheng Ren didn't seem to notice it.

"Go around and get blood." Professor Yang said when Zheng Ren was dealing with subcutaneous capillaries.

"Okay, Professor Yang." The nurse in the tour asked: "How much do you want?"

"Red blood cells, take 10 units first."

"Wait, there's no need." Zheng Ren said without raising his head, looking at Shu Ye seriously.

The circuit nurse was at a loss.

Who are you listening to?

Normally, it is necessary to listen to the artist, but Professor Yang has another saying.

I hate this situation the most, no matter how you do it, you will offend others.

"Boss Zheng, are you really sure?" Professor Yang did not expect that the dispute would appear at the beginning.

Looking back at what Director Li said to him, he decided to firmly grasp the rhythm of the operation. Everything that Boss Zheng did seemed too aggressive.

"It's okay, give it a try."

"Boss Zheng, prepare some blood first, what if you need it?" Professor Yang insisted.

"Okay, take a few units to prepare." Zheng Ren unexpectedly did not exercise the authority of the craftsman. Professor Yang insisted for a while, and he agreed.

The tour nurse let out a sigh, and the splint was so uncomfortable.

After a few words, this side has been protected by peritoneal protection and enters the abdominal cavity.

Professor Yang took a look at the art area and immediately became nervous.

How did you do it so quickly! You have to concentrate on the platform, this is a live broadcast of the surgery!

After breaking the round liver ligament, Zheng Ren reached in.

Then he skillfully separated the liver-shaped ligament, right coronary ligament, right deltoid ligament, and liver and renal ligament at the same time bluntly separated the naked liver area and went straight to the inferior vena cava, and continued to free the right liver.
Chapter completed!