"Brother, when will you go back to the Demon City? I will pick a gift for you at that time." Ruan Yingyao asked.

"It will take about a week." Ruan Bin calculated the day.

I will take a few days to complete the procedures for some doctors who have transferred to the Magic City to work.

"Why are you giving me a gift?" Ruan Bin asked curiously.

"Thank you for giving me plastic surgery!" Ruan Yingyao whispered.

"No need, there's more to do." Ruan Bin thought to himself that if you knew that I treated you as a guinea pig, you would probably chase me through three streets with a kitchen knife.

"It's really not necessary? I finally asked Liu Kai to ask his friend who traveled abroad to buy a Rolex Green Water Ghost and come back to give it to you. If you don't give it to my dad, you'll give it to me." Ruan Yingyao scratched her head and said.

"Green Water Ghost?" Ruan Bin widened his eyes. It costs 100,000 yuan in China! And it is still the kind that has no market price!

"If you want it, I think this watch is completely inconsistent with his rich gold style. You should buy him a big gold watch more suitable for him!" Ruan Bin immediately repented.

The Green Water Ghost definitely looks at his handsome temperament!

Ruan Yingyao:...

"Brother Ruan, what, do you want to send your uncle to the devil's city for treatment?" Liu Kai asked with concern. To be honest, he thought it was more reliable for surgery in a large hospital.

"No, I'll do it." Ruan Bin waved his hand. To be honest, he felt that he was the most reliable for his relatives to perform surgery.

Not all the doctors in large hospitals are powerful. Besides, no matter how powerful they are, they are not as good as they are cheating themselves!

"Okay." Liu Kai didn't insist either.

…………

The next morning, Ruan Bin personally performed an operation on his second uncle!

"system!"

[Partial liver resection] Expert level! (Traditional open laparoscopy)

After confirming the operating room expert level rewarded for the last mission, he began the operation.

It was still Ding Xuezhi who was his assistant.

Total anesthesia!

After the anesthesia was effective, Ruan Bin made an incision about 1m on the upper edge of the umbilical ring and began to establish a pneumocytosis. Laparoscopic exploration of the abdominal cavity was used, and expert experience told him that laparoscopic surgery could be performed in the abdominal cavity.

Then enter the troar at the corresponding position!

One puncture was successful!

It's still so smooth.

First cut off the round hepatic ligament and sickle ligament, then cut off the right perihepatic ligament, and separate the right lobe of the liver.

At this time, the entire tumor is displayed on the front of the surgical field of view!

To be honest, Ding Xuezhi looked at Ruan Bin for the operation very seriously and nervously.

He is serious because he wants to learn something, and he is nervous because he is afraid that Ruan Bin will make mistakes in surgery. No one can help Ruan Bin at that time.

He is the most skilled here.

The next second, Ruan Bin tried to cut a small knife on the tumor.

After cutting, he stopped.

"What's wrong?" Ding Xuezhi asked with confusion when he saw Ruan Bin stop.

"This tumor caused 3 vascular mutations in the liver!" Ruan Bin frowned slightly.

"Vascular vascular mutation in the liver?" Ding Xuezhi's face changed after hearing this!

He has seen similar cases on the Doctor Forum!

It is also a patient case from Beijing 101 Hospital. Some special tumors will be accompanied by multiple vascular mutations, making the patient's condition particularly complicated!

"Do you want to send it to the provincial hospital if you don't turn it off? A tumor like this causes vascular mutation in the liver. It is best to have a 3D visual examination and formulate a scientific surgical plan through 3D visualization technology and 3D printing model?" Ding Xuezhi asked in a low voice. This vascular mutation must be detected by 3D visual examination.

Their county hospitals do not have such equipment at all, and even municipal hospitals do not, unless it is a big city. Their Jiang City is a small fourth-tier city~

Ruan Bin remained silent and began to quickly infer and simulate.

He has expert experience and skills, and began to calculate how confident this operation is!

First, the common hepatic artery at this time is missing, the right hepatic artery is supplied by the superior mesenteric artery, and the second is the left hepatic artery is supplied by the left gastric artery. However, the most serious is the lack of the four-section portal veins.

Faced with Uncle Er's complex hepatic artery combined with portal vein vascular mutation, if he still undergoes routine resection of the middle liver tumor, the patient will have only 337.52ml of functional liver volume remaining, and the residual liver ratio is only 31.37%. Such a small residual liver ratio is very likely to lead to hepatic failure or even death after surgery.

"Taking the reduction of the middle liver and right liver resection to protect the mutated 4-segment portal vein intact, it can ensure that the remaining functional liver volume reaches 580.04ml, accounting for 57.25%, and there should be no problem." Ruan Bin still found the method he wanted.

"No need to send it! Continue the operation." Ruan Bin's hands continued to move with agility.

"Ah? Continue the operation? Yes, but after the blood vessel mutates, you don't know the specific location of the blood vessel. It is easy to cause heavy bleeding during the operation. And..." Ding Xuezhi was very worried. After all, there are no two exactly the same leaves in this world, and there are no two exactly the same people.

This is the case with mutated blood vessels now!

"You have to believe me!" Ruan Bin smiled slightly.

The scalpel danced again.

The second liver hilar is dissected at the top of the liver, and the liver parenchyma is cut along the middle liver fissure that is equivalent to the middle hepatic vein. It is about 2m deep, and the middle hepatic vein is isolated. The middle hepatic vein is ligated about 1m below the entrance of the inferior vena cava, and the middle hepatic vein is cut off...

Each knife is just right.

Even the tumors adhesion to the blood vessels of the hepatic artery were removed bit by bit by bit by Ruan Bin.

It feels like cutting meat on an egg!

Ding Xuezhi's scalp was numb.

If the blood vessels of the hepatic artery are broken, things will be very serious.

"Why is Ruan Bin's knife skills so strong? It would be a waste if I went there and he didn't become a chef." Suddenly, Ding Xuezhi felt this way.

Soon, the entire tumor was removed by Ruan Bin, and the mutated blood vessels were also processed.

The blood supply and circulation problem of the remaining liver has also been completely solved!

The liver still has a great regenerative function.

At present, only half of it is removed, and I believe it will not affect your health in the future.

Clean up, close your abdomen!

Finish!

The operation went smoothly!

After watching this operation, Ding Xuezhi was absolutely impressed by Ruan Bin.

"Why do I feel that Ruan Bin can have any surgery? It's so awesome."

…………

After walking out of the operating room, the second aunt and his family gathered around.

"Xiaobin, how about the surgery? Is your second uncle okay?" Second aunt asked hurriedly.

"It's okay, the operation goes smoothly, just wait and see how it recovers after the operation." Ruan Bin said with a smile.

"That's good, that's good!"

"I'll pay the fee." Liu Kai was also very happy. His future father-in-law was fine.

"Let's talk about it when you are discharged from the hospital." Ruan Bin thought to himself that this kid was interested.
Chapter completed!