"Are you confident after surgery?"

Wang Yang looked at Li Xiang and asked.

Li Xiang shook his head and said, "Hepatic encephalopathy has no way to prevent it, it can only be controlled through drugs."

Mainly, there is no good way to treat this symptom in clinical practice, and there is not even multiple choices.

Wang Yang frowned and didn't say anything, and took Wang Yang to the gastroenterology department.

When Director Yu saw Wang Yang, a hint of embarrassment appeared on his face. It was mainly the patient with gallbladder metastasis. Director Yu suspected Wang Yang and finally proved that Wang Yang was right. This situation made Director Yu feel that he couldn't raise his head in front of Wang Yang.

However, Director Yu didn't think much about it. They were all doctors, so it was normal for the director to suspect that the lower-level doctors were.

"Director Yu, which ward is the patient in?"

Wang Yang did not have any other emotions, it was just very dull, as if Director Yu’s previous suspicion did not appear.

"Come with me!"

Director Yu cleaned up his emotions and took Wang Yang to the emergency room. The patient has been transferred to the emergency room for preliminary rescue.

When Wang Yang saw the patient, this was the first time hepatic and venereal disease patient. The patient was about 60 years old, with a pale complexion. He was lying on the hospital bed and vomiting blood into a basin.

A strong smell of blood came to my face, and Wang Yang looked at the information given on the system light board.

Hemorrhagic shock, hepatitis B cirrhosis, electrolyte metabolism disorders in the body, etc.

Especially when Wang Yang saw that the patient had undergone an operation, he had a splenectomy, which proved that the liver was removed together.

"The patient vomited blood three days ago and had a splenectomy. We chose conservative treatment, but the bleeding was controlled. We were originally going to go to Didu to find an expert for TIPS surgery, but unexpectedly, the patient vomited blood again without time to get on the plane."

Director Yu introduced the condition.

Three groups of hemostatic drugs have been used, but the fourth group will definitely not be used. The patient is older and is not like a young man. His blood vessels have a limit.

After using the fourth group, complications of cerebral infarction and myocardial infarction are prone to occur, and the situation will be even worse by then. Wang Yang will definitely not be able to save him. Even the god of surgery cannot do it, and his skills are a little dissatisfied.

Wang Yang looked at the time left on the system light board. Wang Yang was not sure about TIPS surgery. Even if there was a training room, he still didn't know if the skill points were enough.

Director Yu looked at Wang Yang and smiled bitterly: "In our hospital, you are the only one who can intervene in the surgery, so you can only call you to come and try it."

Wang Yang's condition seems normal to Director Yu. After all, TIPS is the most difficult operation. Even if Director Yu does not intervene in the operation, it does not mean that Director Yu does not know the most difficult operation.

"Don't worry, try it boldly. The patient is my classmate. Even if you can't get off the operating table, no one blames you. Just do your best."

Director Yu comforted.

This sentence can also be regarded as a reassurance for Wang Yang, allowing Wang Yang to undergo surgery with confidence. After all, the postoperative farce is very bad and will ruin a doctor's good mood for a day.

This is also impossible. After all, Director Yu felt a little uneasy when he let his classmates wait for death and didn't make any attempt.

"Director Yu, I have never had TIPS surgery. I can only say that I have tried my best and dare not make a guarantee."

Wang Yangdao.

"Just do your best, thank you."

Director Yu said.

Director Yu negotiated with the patient's family. The family nodded in tears, turned around and asked, "Do you have any consumables related to the hospital?"

"I have contacted the supplier and it will be delivered there in about twenty minutes. Let's prepare to send the patient to the operating room first, and sign it before the operation."

Wang Yangdao.

"Yeah, I've signed it."

Director Yu looked at Wang Yang.

Wang Yang looked at Director Yu in surprise, but he didn't expect Director Yu to make the decision and sign first. You should know that most family members are afraid of something, so they sign and make trouble. Like Director Yu, there are few who act first and then report.

"Then prepare for the surgery!"

Wang Yangdao.

[Advanced Task: Advanced Interventional Task Content: Complete the most difficult transjugate intrahepatic portal shunt in an interventional surgery.

Mission reward: Grandmaster-level interventional skills, skill points 5,000, and 5 specified techniques.

】    Wang Yang was so shocked that he couldn't speak. The reward was too generous!    5,000 skill points are enough to enter the master level with one skill, and there are designated techniques. This is simply a magical tool, and a master-level interventional skill. If this surgery is successful, Wang Yang's interventional surgery can be said to have reached the level of Sven Brenlich.

But thinking about it, behind the generous rewards also means that the operation is extremely difficult, after all, risks and benefits coexist.

Wang Yang's brain was running at high speed and he began to figure out all the steps of TIPS surgery.

The surgical process is simple, but it is actually intravenous puncture, then the guidewire catheter is used to enter the portal vein and hepatic vein, balloon dilation, and then release the stent.

The difficulty of TIPS surgery is the puncture needle and the opening of the channels between the hepatic veins and the portal veins, and it can only be blindly penetrated, all depends on your understanding of the organ structure. No matter how high the level is, TIPS surgery depends on the right time, place and people.

The threshold for TIPS surgery is not an exaggeration at all. Wang Yang can really do this surgery. In fact, Wang Yang's interventional surgery level has reached the master level. After all, Professor Sven Brenlich dares not say that he has 100% successful in TIPS surgery.

When Wang Yang frowned, he suddenly thought of Professor Sven Brenlich. The world's top experts are all in the emergency department, so why did he forget him?

"Professor, it's me, Wang Yang."

Wang Yang called the professor.

"Wang, what's wrong?

I still want to have a good sleep.”

Professor Sven Brenlich was obviously a little angry.

"I have a tips surgery here, and I'm going to do this surgery myself."

Wang Yangdao.

"What?

Oh my god, Wang, why didn’t you say you would have a surgery on Mingzhu? It was a mountain in interventional school. After turning over, you will be almost like me. Then you go to Germany with me and I can apply to build a laboratory with you.”

Professor Sven Brenlich woke up instantly when he heard Wang Yang's words.

Wang Yang ignored the professor's later words and told the professor directly in the emergency operating room of the Department of Gastroenterology. He asked the professor to come over and hung up the phone.

"Li Xiang, you are ready to accept the interventional consumables over there."

Wang Yang commanded.

Li Xiang nodded, Wang Yang took a look at the more than a thousand skill points he had just obtained, and directly chose to enter the training room for training.

But unexpectedly, Wang Yang's first TIPS surgery failed when he chose the portal vein supersed.

Wang Yang fell into silence and spent half an hour, but unexpectedly failed directly, and there were no 60 skill points.
Chapter completed!