The system takes me for surgery

When Liang Yize chose to temporarily block the hepatic hilum, he cut the liver capsule on the right side of the hepatic falciform ligament, separated the liver parenchyma, and cut off the encountered pipeline structure with forceps directly above the first hepatic hilum, allowing the left side of the liver to The resection margin of the inner lobe meets the cut site of the left hepatic duct.

Next is the most difficult part of the operation, which is as dangerous as walking a high-altitude tightrope.

When separating the liver parenchyma, it is necessary to pay great attention to the position of the middle hepatic vein. The key point of difficulty is that it needs to be cut and sutured in the liver parenchyma. During blunt dissection, it is very easy to tear the wall of the hepatic vein and cause massive blood loss.

This "patient" had gallbladder cancer for many years and had a history of gallbladder stones for many years. Long-term inflammation not only led to canceration, but also chronic inflammation, adhesion, and even tumor invasion of the hepatoduodenal ligament and surrounding organs, making the whole operation very complicated.

Even Kuaishou Xiao Yongheng didn't dare to be careless, he stripped every inch, and didn't dare to cross the "Thunder Pond" half a step.

The continuous and difficult operation is not only a technical test, but also a great test of mental strength.

Liang Yi adopts macro-holistic thinking. He observes first, and then builds a precise anatomical structure in his brain before starting to do it.

He used separation to cut the triangular ligament and coronary ligament of the right lobe of the liver, freed the right lobe of the liver and turned it to the left, separated the adhesion between the right adrenal gland and the liver, and finally separated the subhepatic inferior vena cava, along the front and outside of the inferior vena cava The side was separated, and the right short hepatic vein was ligated and cut off one by one.

Liang Yi suddenly stopped, wow, there is also a thick right inferior hepatic vein that flows into the inferior vena cava, fortunately he started slowly, otherwise it would be broken, this anatomical location is very insidious.

And Wang Chenlun also encountered the same problem. He was anxious and touched the right inferior liver vein, so he quickly stitched it up.

Sweat dripped down his forehead.

At this time, Shan Linfei, who was playing steadily, gradually caught up and reached the No.3 position, and Wang Chenlun reached No.4 at this time.

He began to have distracting thoughts, began to have "idol baggage", and seemed to feel that the audience was starting to discuss that he was the last one, that he was eliminated, and his random thoughts made him lose his position.

Xiao Yongheng was still in the first place, but when the short hepatic vein was cut off and the liver was stretched forward and upward to reveal the place where the right hepatic vein merged into the inferior vena cava, the right hepatic vein was flat, short and thick, and Xiao Yongheng felt trapped by Liang. Yi chased after him, his mind was distracted, and he almost missed the right hepatic vein by mistake.

He quickly used the vena cava forceps to clamp the root of the right hepatic vein together with part of the wall of the inferior vena cava, and cut off the right hepatic vein between the two forceps. pass this level.

Liang Yi seems to be slowing down, this guy can clearly surpass me, why should he do this?

Is he embroidering?

Xiao Yongheng didn't dare to look at the screen and could only make subjective assumptions.

Liang Yi unhurriedly removed the right lobe of the liver, part of the left inner lobe, gallbladder, and lymphatic connective tissue in the hilar area.

Then it stopped, yes, it stopped, he watched Shan Linfei's screen for a full minute.

The audience suddenly fell into a daze, unable to understand Liang Yi's current behavior.

Various speculations in the audience...

"Is that Liang Yi from the Affiliated Hospital of Haiping City lacking stamina?"

"That must be true. You can see that he was very fast ahead, but now the pace has slowed down."

"It's also possible that you won't be able to do it later, so wait for the top student to finish the questions before copying homework."

"Haha, this metaphor is too vivid."

Liu Zhongqi asked Jiang Wenfeng, "Is Liang Yi stuck?"

Jiang Wenfeng said: "It's not stuck, he probably pressed the gun."

"How to say?"

"He wanted to stay steady. He was shooting, and he accurately sniped Xiao Yongheng or Wang Chenlun. It was Wang Chenlun by visual inspection."

After Liang Yi slowed down the pace, he surpassed No.1 Xiao Yongheng from time to time and suddenly fell behind No.3 Wang Chenlun.

When the operation lasted for 25 hours and 4 minutes, Liang Yi was No. 3 for the time being, while Shan Linfei played steadily regardless of the fierce fighting situation around him, passed the two dangers smoothly, saved a lot of time, and steadily rose to the second position, and No.[-] Wang Chenlun has a certain gap with Shan Linfei.

At this point in the competition, the four contestants are already very exhausted. Due to the anatomical relationship and pathological characteristics of biliary tract tumors, surgery requires not only resection of biliary tract tumors, but also liver resection, lymphatic dissection, and precise biliary-enteric anastomosis, so the operation is more complicated. It is also a battle of high physical exertion and time-consuming.

The four of them asked the equipment nurse to hand over [-]% glucose to supplement their energy.

The operation after liver resection is coming to an end, and the whole competition has also entered a white-hot stage.

Xiao Yongheng saw the light. He lifted the upper jejunum to confirm the relationship between the upper end of the jejunum and the ligament of Treitz.The jejunum was treated with bile duct jejunostomy, and the jejunal loop was left open with a length of 50 cm, and the broken end was sutured and closed, and the left hepatic duct was anastomosed at the end and side of the broken end of the left hepatic duct by pulling up from the front of the colon to the section of the remaining liver, and the jejunal loop was sutured In the space formed between the mesentery and the transverse mesocolon, a biliary drainage tube was placed, the abdomen was closed quickly, and the operation was completed first.

Shan Linfei followed closely behind, quickly closed her stomach, and pressed the end button.

Everyone's hearts were suspended, Liang Yi and Wang Chenlun placed the bile duct drainage tube together.

Press the end key at the same time!
The audience is almost boiling!
All four players are out of surgery.

Although time is just a latitude of evaluation, it also raises the suspense to the maximum, making this operation a classic battle.

Liang Yi said silently in his heart: Li Junhao, my brother can only help you so far. If you can't get the heat up, you can only blame your poor operation ability.

Internet communication requires an ignition point, and Liang Yi also believes that this time-limited competition will definitely become an ignition point.

Li Junhao and Ouyang Ping'an, who were hundreds of kilometers away, were also watching the live broadcast of the surgery.

Li Junhao said with a smile: "Brother Yi, you are really good buddies, such an intense and exciting game, haha ​​is simply a good introduction for short videos."

Ouyang Pingan smiled: "Indeed, this clip is absolutely popular when it is released on the short video platform, and it will definitely gain a wave of fans."

"Then I have to thank him well, and ask him if he did it on purpose."

"No way, in such an important game, will he deliberately press the time? And the error is very small."

"I don't know, but for Brother Yi, it's hard to say."

"That's right, he can do anything."

"Haha... This is what I said, let's go, let's go to Longzhou."

"Now?"

"immediately!"

"Can I bring it"

"it is good……"

The scene of the game.

Because the time difference between Liang Yi and Wang Chenlun was very small, it was difficult for the timer to identify who was first and who was behind. The audience at the competition site waited anxiously.