I am a kryptonian doctor

Jiangbei First Hospital.

Surgical emergency room.

At this time, Yang Tian, Zhu Youcai and several other doctors who came for training were watching Yang Jinrong perform a liver interventional portal vein surgery. The surgical skills are called various shunts and devascularization of portal hypertension.

This surgery is a very difficult level 4 surgery.

The advantage of this operation is that the shunt can directly reduce the portal vein pressure, but after the shunt, the blood flowing from the portal vein to the liver is reduced, so the nutrients absorbed by the gastrointestinal tract are decomposed and metabolized by the liver in less amount, which affects the absorption of nutrients in the human body. ;

After the patient is treated with devascularization, a large amount of blood still flows into the liver from the portal vein, and the nutrients absorbed by the body are still absorbed and metabolized through the liver. The patient has a low probability of hepatic encephalopathy, but portal hypertension has not been alleviated. So this surgery came into being.

This surgery is one of the most advanced in the world.

Even many large hospitals in China may not have such interventional departments!

Currently, in the entire surgical emergency room, only Yang Jinrong can perform this operation. According to him, he has performed more than 100 operations so far.

Don’t underestimate the 100 cases. Even a world-famous doctor may have only performed about 200 to 300 cases.

"The outer and posterior walls of the portal vein and the anterior and inner walls of the inferior vena cava were selected as the side-to-side anastomosis sites.

Atraumatic three-wing forceps were used to block the lateral walls of the portal vein and inferior vena cava.

Cut an oval hole in each blood vessel wall at the anastomosis site, with a maximum length of 0.

8 to 1.

2 cm.

The suturing method is the same as the end-to-side anastomosis of the portal cavity.

If the distance between the portal vein and the inferior vena cava is too large to close the anastomosis due to excessive size of the caudate lobe of the liver or other reasons, a section of Dacron or expanded artificial blood vessel can be used to anastomose the two ends end-to-side with the portal vein and inferior vena cava to form a portal cavity.

Venous H shunt.

In order to prevent the natural expansion of the shunt caliber, a restrictive portal cavity side-to-side shunt can be used, and a restriction ring with the same inner diameter as the anastomosis is placed outside the anastomosis.

The restriction ring may be constructed from an angiographic catheter……"Yang Jinrong was performing the operation while explaining it with Yang Tian and others.

After Yang Jinrong completed this operation, he asked everyone:"How do you feel after the operation? If you have to do the next operation yourself, I will guide you. How sure do you think you are of success?""

"Um... Director Yang, I, I don’t even have a 10% certainty. It’s too difficult."Zhu Youcai told the truth.

"Me, I estimate there are only 20% of them. Hepatic vein puncture is too difficult, and it probably requires long-term practice and simulation training. Otherwise, it will be difficult to succeed."Feng Jin bitterly

"I only have 10%, it’s too complicated, I have to go back and watch the video of this technique hundreds of times."He Yong also told the truth.

"Well, it is indeed very difficult to learn various shunting and devascularization techniques for high portal veins.

I watched the surgery video thousands of times.

After studying with the instructor for another month, I tried to perform this surgery for the first time.

A total of 28 surgeries were performed, and every time I couldn't continue the process, I had to rely on the instructor to complete the follow-up.

That means I failed 28 times.

By the 29th time, it took me over 3 hours to complete.

But don’t be discouraged.

Take your time and study diligently.

You can do it.

Yang Jinrong encouraged

"By the way, Yang Tian, how sure are you?"

"I'd say 70% if I do it myself. If you, the director, provide on-site guidance, I think I can complete this kind of surgery."Yang Tian said confidently.

In fact, he is terrible at it, but he is good at it!

"Are you sure you're not kidding?"Yang Jinrong was fascinated. He knew that Yang Tian was gifted as a monster. A first-level or second-level surgery like before can be performed once or several times.

But this is a very difficult fourth-level surgery. You are sure you will be able to do this after just one look. Are you sure?

At this time, even Zhu Youcai and the other three doctors who came to study looked shocked when they saw Yang Tian talking so much that they couldn't believe it. Do all capable people like to brag? ?

"I'm not joking. Yang Tian said seriously

"Okay, then next time there is such an operation, you will perform it yourself and I will direct it from the side."Yang Jinrong still chose to give Yang Tian a chance. First of all, Yang Tian's performance before was very evil. He even knew how to perform pancreaticoduodenectomy.

Maybe this kid was cheating.

Besides, he performed this operation on them today. Observing and learning was also a purposeful way to cultivate Yang Tian's exposure to this surgery. As for Zhu Youcai and the others, it was just incidental.

"Thank you, Director."

Fuck...

Feng Jin and the other three saw their jaws drop to the ground again. Such a serious topic, such a difficult operation, did they make a hasty decision like this?

At this moment, suddenly the door of the operating room opened. After being pushed away, Zhang Zongrong hurriedly walked in:"Director, have you finished the operation?"

"It’s done, what happened?"

"There is a patient who wants to see Yang Tian!"_To read the ununderlined version of the novel, please download Feilu