It turns out that my teacher values ​​Ruan Bin so much!

Early the next morning, Ruan Bin and Vice President Lin came to Ruijin Hospital of the Magic City.

When I came here, I found that the competition venue was crowded. After all, it was a national competition. Five representatives from each province arrived here, and there were also leaders and other leaders.

After entering, we start drawing lots and groupings.

This final mode is still the same as the preliminary round.

The two groups of groups on the first day, the semi-finals of the next morning, and the finals in the afternoon!

Finally, the first, second and third place were determined by the final score!

"Which hospital's opponent was chosen?" Vice President Lin asked after seeing Ruan Bin's draw of lots.

"I am a contestant from the First Hospital of Yunnan Province. I can't remember so much in other hospitals." Ruan Bin said.

"Oh, it's not a very famous hospital, you should be sure to win."

Because there were too many people in the preliminary round, Ruan Bin waited for more than an hour before it was his turn to enter the exam.

There are 5 people in their group.

Anyway, there will be five people playing, and then the first team in the group will be qualifying for the afternoon group stage.

After Ruan Bin's turn to go in, he looked at the test question - renal artery anastomosis.

A third-level minor surgery.

"The test questions for today's first round of group stage are the basics!" Ruan Bin said in his heart.

This surgery is mainly used to relieve renal artery obstruction, and eliminating renin production has been the main means of surgical treatment for a long time. Renal artery stenosis can be caused by intraluminal obstruction and extravascular compression. The pathological classification of renal artery diseases and the range of lesions are the basis for determining the surgical method.

With the continuous development of imaging diagnosis technology, it provides an extremely valuable basis for the selection of surgery and the prediction of preoperative antihypertensive effects. Splenic-renal artery anastomosis was used in 1956 to treat left renal artery stenosis. Because the surgical method is simple and easy to perform and the surgical effect is good, it was later widely used.

For the five players who can stand out in each province gathered in the national finals.

I believe that basically everyone will do this surgery.

But although it belongs to a mere tertiary surgery.

But if you want to get high scores in the group stage, you must be accurate and accurate!

The faster the speed, the higher the accuracy. Every step is not accurate, so that you can reflect your deep basic skills.

So this operation is a matter of minutes for Ruan Bin!

The splenic flexes and descends the colon, and the stomach pulls upwards, and the spleen artery parallel to the upper edge is seen.

The lower edge of the deep side of the pancreas is exposed.

Select the normal part that is anastomotic to the spleen artery and wash it with heparin salt liquid in the spleen artery cavity.

Cut the distal orifice into an inclined surface to complete the end-lateral anastomosis of the spleen-renal artery!

Completed in just thirteen minutes!

All the examiners were stunned.

"This speed..."

"There is no place to reduce points at all. The matching is very good, and there are no problems to choose from."

“Accurate, fast, no solution!”

"I'll give you 99 points."

"I'll score 98."

"No, I'll give you 100 points!"

...

There is no doubt that in the first round of the group stage in the morning, Ruan Bin of course easily won the first place in the group.

The second round of the group stage in the afternoon continued.

The test question is: common bile duct jejunal anastomosis.

It's still a third-level surgery.

But it is a bit more difficult than the morning test questions.

It still relies on the basics, but it is a high-level foundation.

If the common bile duct anastomosis is not well anastomotic, a gallbladder leak will be found and a series of infection problems will occur.

So this matching must be accurate and fast!

Therefore, it is a huge test for your experience and clinical level accumulation of general surgical skills.

Everyone will do this surgery, it depends on who does it quickly and well, so that your score will be high.

Ruan Bin took 5 minutes to get it done!

The main reason is that this surgery does not require you to wander freely. Just give the props aligned with the jejunum.

With his fast gunner speed, it's a minute!

So he came out after five minutes.

Many people in the audience saw it.

"It's out in five minutes?"

“Give up the exam?”

"Five minutes? It shouldn't be done, at least ten minutes!"

"Who is that person? A contestant from which province?"

"have no idea!"

In the audience, when Vice President Lin saw Ruan Bin coming out so soon, he knew that this wave of group stage was stable and he should be able to advance to the semi-finals tomorrow morning.

Sure enough, the scores came out and it was stable!

It's really a victory.

No, it should be called abusive!

The two group matches on the first day were finally over.

The next morning.

That is the day for the semi-finals of this National Ordinary Surgical Technology Competition.

A national final with nearly 200 people.

Only 30 people remained in the semi-finals.

Twenty people will be eliminated by then, and the remaining ten people will enter the afternoon finals.

This semi-finals are divided into ten groups, one group of three people.

Qualified first in the group!

The opponents Ruan Bin assigned were from Peking Union Medical College Hospital, and one from Yangcheng Hospital. They were all contestants from top hospitals!

It is his first affiliated hospital in the Demon City, which is much less famous than other people's hospitals.

Due to the semi-finals, since part of the examination room has been vacant, all contestants can compete at the same time.

After Ruan Bin entered, he introduced himself to the examiner and began to look at the exam questions.

The test question this time is: Explore the safe range of liver resection and whether to perform extreme liver resection surgery.

To put it simply, it is a partial liver resection surgery!

At this time, the data given in the test questions are as follows: colon cancer accompanied by huge liver metastasis, and the liver volume reaches 2878.83 ml.

Q: What is the percentage of liver removal expected? Can surgery be performed?

After reading this test question, Ruan Bin found it interesting.

This time, it is not just a test for you to have the surgery, but it is to let you judge whether you can have this surgery first.

He leaned closer to the prop and found that the tumor on the person's liver was twice as big as his own!

If it really needs to be removed, it will be the critical point, or even the critical point that exceeds the critical point!

The method of resection of the critical point is already a restricted area surgery, and the risk is very high!

Ruan Bin knows that the liver weight of an adult is equivalent to 2% of his body weight, and the liver volume of a normal adult male is about 1200-1500 ml.

Moreover, according to the current world-recognized standards, the maximum proportion of safe liver resection in normal adults is 75%, which is also the "command height" of routine liver resection surgery.

Of course, some people also broke this commanding heights!

But the difficulty is conceivable!

"It's interesting. The difficulty of the semi-final test questions is not average, and it is a little more difficult than the stitching of liver ducts on 2 mm." Ruan Bin said in his heart.

His liver partial liver resection surgery has been upgraded to world-class!

"Advance to innovation level!" Ruan Bin said in his heart.

He must take this surgery!
Chapter completed!