"Boss, I think it's almost done in two hours."

"But he couldn't hold it for two minutes. His biceps had already started to spasm involuntarily. The lactic acid level in his body was too high. It was not good for his health to barely persist." Zheng Ren glanced at Professor Zhan and said.

"Oh, can you still see the lactic acid level? Tell me how to judge it." Su Yun said, but his head was still moving, his fingers were subtle, and his movements were in harmony with Zheng Ren's freedom.

"It must be that the sodium potassium pump in the body is in disorder. If you do a serum ion test, the potassium ions should be above 5."

Professor Zhan was speechless.

I usually joke like this, saying something slandering.

But on the operating table in front of me, Boss Zheng and his assistant were having an almost impossible operation. Why did they still have this idea?

"Director Ma!" Zheng Ren shouted, then asked in a low voice: "It's Director Ma."

"right."

"Oh, I just visited the operation and didn't listen carefully."

Ma Liang threw Dean Li aside and ran over happily.

"Boss Zheng, what orders are you?"

Dean Li looked at Ma Liang helplessly. He didn't look like a senior director, but a doctor in the further study.

"If you change a young and strong person to pull the hook, your hands must be stable and you must persist in 30 minutes to replace people." Zheng Ren said, "Look for a few more, the operation may take a long time."

"Oh, OK!" Ma Liang immediately arranged this matter.

But the first one to come up was Ma Liang himself.

Ma Liang would not miss this kind of opportunity.

He replaced Professor Zhan, pulled his internal organs apart, exposed his savage field, and asked, "Boss Zheng, do you think this is OK?"

"The backhand is a little higher." Zheng Ren said.

"Oh, OK." Ma Liang immediately did what Zheng Ren said.

But the backhand was a little higher, but I didn't feel any changes in the art area.

He was a little confused and asked: "Boss Zheng, what are the benefits of doing this?"

"You haven't pulled the hook?" Su Yun asked.

"It was pulled more than 20 years ago."

"Your current posture can make your hooks more stable, more labor-saving, and last longer, probably maintaining about 412″." Zheng Ren continued the operation and explained to Director Ma Liang in his mouth.

Ma Liang did not question Zheng Ren's statement. Even if it was accurate to the second, he still did not doubt it.

The operation continued, Zheng Ren and Su Yun were freeing the tumor tissue, but the people who were pulling the hook kept changing.

There must be no tremor when performing microsurgery.

It is possible that the assistant just changed his hand shape and the operation failed.

Three hours and 34 minutes later, the hemostatic forceps in Su Yun's hand finally took out a piece of black abnormal tissue from the patient's abdominal cavity.

"It's going well. Hello, have you made an appointment to freeze during the operation?" Su Yun asked.

Professor Zhan nodded quickly.

The fatigue I just pulled the hook down, I had been relieved for several hours and had not recovered yet.

"I made an appointment, I made an appointment."

"Think of it is a retroperitoneal paraganglioma, so I'll send it to freeze." Zheng Ren said, and then began to deal with the surgical stump.

Seeing that the tumor tissue was cut off, everyone was very energetic and surrounded them to see the operation.

In the operation area, the black tumor tissue disappeared without any bleeding. There was a section of the inferior vena cava that seemed a little thin, but it was hard to bleed.

President Li asked in a low voice: "Professor Zhan, how can he be free of tumor tissue? Isn't it very heavy adhesion to the inferior vena cava?"

"Some of the outer membrane of the inferior vena cava separated by Boss Zheng has reached the middle membrane, and the outer layer of the middle membrane has also been freed and cut off." Professor Zhan looked at the operation area and guessed with all his heart.

"Uh...what should I do if the pressure in the inferior vena cava is high?" asked Dean Li.

Professor Zhan looked at him speechlessly, sighed, and said, "Dean Li, there was a masked stent inside just now."

Only then did President Li realize how stupid his problem was.

It's better not to talk, it's funny.

He glanced at the ECG monitoring, and the above values ​​told him that Director Jin's vital signs were stable and that he should be able to step down alive.

Zheng Ren also looked up at his blood pressure and said nothing.

The next step is to be ready to shut up, Dean Li judged.

But Zheng Ren sighed and said, "Take me a look at the pre-operative film."

"Uh..." The doctor on this side was stunned for a moment.

"Hurry up, the operation time has been very long." Zheng Ren was a little unhappy.

No matter what you say, you can't do it as soon as possible. The medical level in the provincial capital is quite high, so why is it different from your own memory?

"Boss Zheng, are you considering transfer?" Professor Zhan asked.

"Yes." Zheng Ren looked at the values ​​on ECG monitoring, "The renal peritoneal paraganglioma is often accompanied by the characteristics of lower blood pressure after resection, and further expansion is still needed."

"If there is persistent hypertension after tumor resection, or if the blood pressure does not drop, it indicates that there may be another tumor or metastatic lesion, try to find and remove the metastatic lesion to reduce functional tumor tissue, and extensive surgical resection is necessary."

"Oh, my blood pressure is still very stable, and I guess there are tumor tissues."

This news is simply bad news. I originally thought the operation was over and the operation was done cleanly and beautifully, and it was perfect.

But the craftsman actually said that it was not finished yet...

The film started to hang up, Zheng Ren put his hands under his armpits and began to read the film.

Su Yun also came over and watched with him.

If you are within half a meter of two people, don’t enter.

When an accident occurs in the operation, the surgeon is generally more irritable. Now it should be considered an accident. What should I do if I get close to it and touch a sterile clothing?!

The savant has a bad temper and will definitely scold him.

"Boss, something is not right under the right kidney." Su Yun said.

"Well, I can only cut it." Zheng Ren said: "Old Gao!"

Gao Shaojie was silent all the time. He couldn't understand the surgery, so he didn't participate too much.

"Here, Boss Zheng." Gao Shaojie agreed immediately.

"You have had an embolization surgery after resection of the kidney segment." Zheng Ren asked.

"Did it." Gao Shaojie immediately gave Zheng Ren a positive answer.

"Then let's cut the kidney section, try to cut the damage as small as possible." Zheng Ren then looked at Professor Zhan and asked: "Before the operation, tell the patient's family that it is possible to cut the right kidney or part of the right kidney?"

"Sayed."

Zheng Ren is still quite pleased that the most basic thing is not missed.

Return to the operating table and start a nephrectomy.

This operation was soon, and there was no careful removal of the tissue adhered to the inferior vena cava tumor, but was removed with drastic steps.

Although Professor Zhan had some questions, he did not speak, but kept observing the patient's blood pressure.

After cutting off and removing, the blood pressure suddenly dropped from 110 mmHg to 75 mmHg.
Chapter completed!