Chapter 769: Simulation Mannequin +19
Translator: EndlessFantasy Translation Editor: EndlessFantasy Translation
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 simulation mannequin. He only used electricity to burn three blood capillaries 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 simulation 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 occupied 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 occupied a large space near the second hilum of the liver, accompanied by necrosis of the cyst. The right liver was obviously hyperplastic 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 autotransplantation.
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 echinococcosis, the right kidney or the right kidney segment had to be removed first.
Because of the invasion and spread of the echinococcosis, the liver and kidneys had been connected and fixed in one place.
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 simulation 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 simulation mannequin.
But I can’t help it. Do I want to start all over again?
Simulation mannequin’s left lateral decubitus, right lateral upward, traditional 11th intercostal incision to expose the right kidney.
Separation of the kidney, renal vascular 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 clamp 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 to completely 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 simulation 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 becoming 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 simulation mannequin was replaced 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 and layers 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.
Simulation Mannequin, dead.
Simulation Mannequin, dead.
Simulation 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 had completely 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 to complete the surgery.
The so-called benefits, even the greatest benefits, could not be compared to a human life.
Finally, during the nineteenth surgical training, Zheng Ren successfully 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 similar 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 Class Three Grade A hospital.
However, in the operating theater, the surgery had just begun.
The liver was separated, the gallbladder 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, and completely 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 vascular 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 to complete this extremely long surgery.
Because…he was going to do a liver transplant.
An autogenous liver transplant!
Zheng Ren had only heard of it, but he had never seen it before.
An autogenous liver transplant was first carried out in 1988 by Professor Pichlmayr of the Organ Transplant Center in Hannover, Germany. The whole liver was removed from the body. After being removed, the liver was replanted in situ. Later, Hannoun and Sauvanet improved the technique and did not remove the first hepatic portal. It was known as semi-detached autologous liver transplantation.
The technique of autologous liver transplantation originated from the technique of allogeneic liver transplantation and was superior to its technique. It was known as the last 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 this last barrier.
Now that he had to do it himself, he knew how difficult it would be once he started.