I am Dr. Krypton Gold

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Jiangbei First Hospital.

Surgical emergency room.

At this time, Yang Tian, Zhu Youcai and several other doctors who came to study were watching Yang Jinrong perform a liver interventional portal vein surgery. The skill of surgery is called various shunts and cut-off procedures for portal hypertension.

This operation is one of the four levels and is also a very difficult operation.

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

After the patient undergoes the treatment of cut-off surgery, a large amount of blood still flows into the liver from the portal vein, and the nutrients absorbed by the human body are still absorbed and metabolized through the liver, and the probability of hepatic encephalopathy in patients is low, but portal hypertension is not relieved. So this kind of surgery came into being.

This procedure is one of the most advanced surgeries currently available in the world.

Even many large hospitals in China do not necessarily have this kind of interventional department!

At present, only Yang Jinrong can perform this operation in the entire surgical emergency room, and according to him, he has done more than a hundred so far.

Don’t underestimate a hundred, even if it is a world-famous doctor, it is estimated that there are about two or three hundred units.

“The lateral posterior wall of the portal vein and the anterior medial wall of the inferior vena cava were selected as lateral anastomosis sites. Noninvasive tripteroceps are used to block the portal vein and inferior vena cava lateral wall. Cut an oval hole on the vascular wall at the anastomosis site, with a maximum length of 0.8~1.2cm, and the suture method is anastomosed with the end of the portal cavity. If the distance between the portal vein and the inferior vena cava is too large to be anastomosed due to excessive hepatic caudate lobe or other reasons, a section of polyester or bulked artificial blood vessels can be used to anastomosis with the portal vein and inferior vena cava at both ends to form a portal cava H shunt. In order to prevent the natural expansion of the shunt caliber, a restrictive lateral shunt of the door cavity can be used, and a restriction ring with the same inner diameter as the anastomosis is placed at the anastomotic port. The restriction ring can be composed of angiographic catheters…” Yang Jinrong explained to Yang Tian while performing the operation.

When Yang Jinrong finished this operation, he asked everyone: “After the operation, how do you feel?” If the next one is for you to do it yourself, I will guide you. How sure do you think you are? ”

“Oh… Director Yang, I, I guess I don’t even have a sense of it, it’s too difficult. Zhu Youcai told the truth.

“I, I estimate that only two percent, hepatic vein puncture is too difficult, it is estimated that it will require long-term practice and simulation training. Otherwise, it will be difficult to succeed. Feng Jin was bitter

“I’m only 100%, it’s too complicated, I have to go back and watch this video hundreds of times.” He Yong also told the truth.

“Well, all kinds of shunts and cut-off techniques with high portal veins are indeed very difficult to learn. I watched the surgery video thousands of times. After studying with the instructor for a month, I tried this surgery for the first time. A total of 28 surgeries were performed, and each intermediate process could not be done, and it could only be completed by the tutor. That is, I failed 28 times. By the twenty-ninth, it took me more than 3 hours to finish. But don’t be discouraged, take your time and study hard, you can. Yang Jinrong encouraged.

“By the way, Yang Tian, how sure are you?”

“If I do it myself, if I have the director and you guide you on the spot, I estimate that I can complete this kind of operation.” Yang Tian said confidently.

Actually, he can fart, but he hangs ah!

“Are you sure you’re not kidding?” Yang Jinrong was fascinated, he knew that Yang Tian was gifted with evil. As before, primary and secondary surgeries can be done after one or several times.

But this is a very difficult four-level surgery, are you sure you can be so sure that you can only look at it once?

At this time, even Zhu Youcai and the three doctors who came to study saw Yang Tian’s mouth full of cars and cannons, and they all looked shocked and unbelievable.

Do people with skills like to brag?

“I’m not kidding.” Yang Tian said seriously.

“Okay, then the next time there is this kind of operation, you will personally perform it, and I will direct it next to you.” Yang Jinrong still chose to give Yang Tian a chance. First of all, Yang Tian’s performance before was very enchanting. Even pancreaticoduodenectomy does.

Maybe this kid is open.

Besides, he did this operation today for them to observe and learn, and he also purposefully cultivated Yang Tian to contact this operation. As for Zhu Youcai’s three, they were just in passing.

“Thank you, Director.”

Groove…

Feng Jin and the other three saw that their jaws fell 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 was pushed open, and Zhang Zongrong hurriedly walked in: “Director, is the operation finished?” ”

“It’s done, what’s wrong?”

“There is a patient who wants to see Yang Tian by name!” _

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