The patient's liver showed nodular cirrhosis, and the overall atrophy was very obvious.

Zheng Ren reached out and a latex tube fell into his hand.

He used latex tubes to pass through the omentum hole and wrap around the liver and duodenal ligament in order to prevent the blood flow from entering the liver.

Then lift the right liver and put a abdominal towel under the right diaphragm to expose the right liver.

"Can you touch it?" Su Yun asked.

"Yes, the boundaries are still clear." Zheng Ren said.

After saying that, he left his hand away from his liver and Su Yun reached out his hand.

Gently touch the right liver and apply a little force, you can feel a relatively large lump inside the liver.

After Su Yun touched her, Professor Yang touched her hands.

The touch is... harder than the liver cancer mass I remember, not a little harder.

Could it be that it is interventional embolism and the changes after tumor tissue necrosis are so big? Professor Yang is a little puzzled.

Normally, the texture of tumor tissue is harder than that of ordinary surrounding tissue, but it should never be so hard.

Use an electric knife to make the liver envelope about 2 cm away from the mass as the incision edge, and use a large needle No. 7 thread on both sides of the incision edge to intersect the sewing.

This operation is prepared for the assistant, lifting the liver tissue and exposing the field of vision, relying on line 7 to lift.

Su Yun and Professor Yang pulled a thread each to expose their liver.

Zheng Ren looked at the operation area, stretched out his hand, and gently patted the ultrasonic knife in his hand.

He began to perform blunt separation with the pliers on the head of the ultrasonic knife.

Papa, the slow sound kept ringing.

Small blood vessels, slow coagulation with less power, will cause a sound of slapping. For larger blood vessels, fast coagulation with more power, will cause a sound of slapping.

The operation was not fast, but it was not too slow.

In the background music of Good Luck, the sound of slap is constantly ringing. In Professor Yang's opinion, Zheng Ren's hands seem to have a wonderful rhythm.

The small blood vessels and bile ducts are closed and cut off with an ultrasonic knife. When encountering those above 4-5mm, Zheng Ren does not use the high power of the ultrasonic knife, but chooses to use a titanium clip to close and cut off with a titanium clip.

"Boss Zheng, an ultrasonic knife can cut a maximum of 6mm of blood vessels." Professor Yang reminded.

"It is reported that blood vessels with a diameter of more than 4mm are cut off with an ultrasonic knife, and there is a 3-5% chance of rupture and bleeding after the operation." Zheng Ren said while undergoing the operation: "Although the pressure here is relatively high after the operation, even if the bleeding can be stopped, it is not necessary."

Professor Yang thought about it and had never seen a similar report.

However, Boss Zheng's surgery was so clean. His liver had been split and there was not much blood in the field of surgery. He was holding the suction device in his hand, and the hissing sound indicated that the suction device was ready to go.

However, there was only a few milliliters of blood in the pipe of the suction device. The entire process of slashing the liver was almost bleeding.

As a second aid, Su Yun clamped a piece of gauze with hemostasis pliers in his hand, and occasionally dipped it in blood to expose the clear art of the surgeon.

On the white gauze, there were red blood stains, like plum blossoms in the twelfth lunar month.

The bleeding is so low that it is hard to believe.

A black, hard tumor tissue appeared in the surgery field.

"It looks a bit different from normal liver tumors." Su Yun said in a low voice after seeing it.

"There is a big difference. You will know when you wander for a while." Zheng Ren said.

"Boss Zheng, is it because the blood supply artery is embolized?" Professor Yang asked.

"There are reasons for this, but more because of necrosis of tumor tissue, which is very different from normal tissue. The surgery is more accurate and simpler." Zheng Ren said in the operation area.

This is a live broadcast of the operation. Zheng Ren learned from the last operation and Xie Yiren's experience and feelings. He did not look up at all, and his vision was always locked in the liver tumor in the operating area.

Start to free the tumor.

Zheng Ren used an ultrasonic knife and titanium clip to land on the upper half of the tumor, and the free tissue was about 0.7 cm away from the tumor tissue.

Soon, Professor Yang discovered a different place.

Just as Zheng Ren said, the operation seemed much easier than he expected and he also had less bleeding.

Ultrasonic knife is also used in hepatobiliary surgery. Even sub-helium knife, which is a high-value consumable that is like a welding gun, is occasionally used when bleeding continues.

Surgery is the same surgery.

But under Boss Zheng's hands, it seemed to suddenly become extremely simple.

The pincers on the head of the ultrasonic knife are constantly performing blunt separation, and the sound of slapping is constantly, and the operation is very smooth.

Bleeding?

Professor Yang took a look at the attractor in his hand and the gauze in Su Yun's hand.

Saying that is not, that's nonsense.

But there are bleeding in the stars... How to write the surgical record? 3ml of bleeding?

MD! If you write this way, it will not be considered a false medical record.

"Director Zhou, what the boss is about to cut off is the feeding vessel from the phrenic artery." Su Yun suddenly said.

Since Zhou Chunyong got on the operating table, he has been silent and has observed carefully.

This is the first time he has seen the anatomy after interventional embolization of liver cancer.

Are phrenic artery branches?

Zhou Chunyong still remembers that when he had an interventional embolization operation, he did not find this artery on the preoperative film.

Boss Zheng was super-selected, and he didn't see the embolization process himself.

But...where?

Papa, the sound rang, and Zheng Ren continued to wander downwards. Zhou Chunyong was a little confused and asked in a low voice: "Doctor Su, where is it?"

"The ultrasound knife cut off just now." Su Yun said: "Didn't you see it?"

"Oh, that's it." Zhou Chunyong said embarrassedly, pretending to see it.

He felt ashamed.

I am not a surgery myself, and the anatomy is only learned from images and in books.

If I really open the belly and see the actual situation with my own eyes, I will be stunned.

You can see a yarn! Apart from the lack of bleeding and the clean operation, you can’t see anything good.

But Zhou Chunyong knew that the operation was done cleanly, and that was good!

Before the operation, Professor Yang from 912 liver and gallbladder also said that he should prepare blood. Now, it seems that there is no need.

"Director Zhou, even if I do the common liver splitting surgery, the bleeding should be around 100ml until now." Zheng Ren said: "There is less bleeding because the tumor's supply blood vessels are embolized."

Upon hearing Zheng Ren's prompt, Zhou Chunyong felt an indescribable feeling in his heart.

After working for twenty years, I saw my own job with my own eyes for the first time, and Boss Zheng had to tell him what the effect was.

This...ah.

Professor Yang felt even more uncomfortable when he heard Zheng Ren's words.

There is no common liver splitting surgery combined with liver interventional embolism before the operation. If you change to yourself, you will have to have at least 500ml of bleeding to the current level.

Well, this is all extraordinary performance.

To prevent it, blood transfusions have already started at this time.

But Boss Zheng said that if he did it, he only bleeded 100ml?
Chapter completed!