Surgical artist

Chapter 319 All Dumbfounded

In the operating room, equipment nurses and others are conducting the last instrument inspection, drug inspection, and environmental inspection.

"Temperature and humidity are properly adjusted."

This operating room is a high-standard laminar flow operating room, and the temperature and humidity can be adjusted at any time according to the needs.

It is to meet the needs of patients to increase body temperature during transplantation.

"Vascular blocking forceps, long non-injured forceps, blood vessel clamps, liver retractor, flushing flat needle, fine forceps, fine scissors, fine needle holder, small biliary tract bougie, liver retractor. The inspection is correct!"

"The electric knife, argon knife, defibrillator, variable temperature blanket, heating blower, infusion warmer, and body temperature monitor are all operating normally."

This operation is extremely strict.

Everyone was nervous and serious, checking surgical instruments and instruments one by one.

Preparations are over.

Surgery, officially started!
In the operating room, there are a total of two operating tables.

On one side are Professor Jiang, Professor Shu Yun, Professor Feng, Professor Kong Yanjin and others, who are responsible for removing the liver, pancreas and duodenum and other organ clusters from the corpse and the "donor" respectively, and storing them at a constant temperature .

On the other side is Zhao Peiru, who is in charge of the receptors, that is, all the surgical parts of the patient. In addition to Xiaomeng as his assistant, Zhao Peiru also selected Director Han from the project team as his assistant.

The cameras in the live broadcast room were aimed at the operating tables on both sides.

The display screen is also divided into left and right sides, showing the situation of the two operating tables at the same time.

But obviously, almost everyone in the studio is here today for Zhao Peiru.

All eyes focused on Zhao Peiru's half of the screen.

Zhao Peiru used a scalpel to make a "herringbone"-shaped incision under the double costal margin and entered the abdomen.

As soon as it entered the abdomen, the situation in the abdominal cavity was immediately revealed.

When everyone saw the situation inside, their breathing froze!

"Is this abdominal adhesion so serious?"

"The patient had a history of liver transplantation and had an operation before, coupled with the continuous invasion and involvement of the malignant tumor, the adhesion was so severe."

"It can be stuck like this, how to do this?"

On the monitor, the abdominal cavity appears bloody, messy, cohesive, ugly, and dilapidated!
Everyone who saw it was stunned!
Just this adhesion and separation is a big job!

"Director Zhao chose this patient as the first case, it is indeed a bit reckless!"

"Such a serious adhesion, what should he do?"

In the observation room, everyone was a little anxious.Especially the members of the task force swallowed nervously.

When they deduced the surgical procedure before, they deduced it with "common" patients.

Never considered such a critically ill patient who had a history of liver transplantation.

So at this moment, they are completely at a loss.

With such serious adhesions, it takes a lot of time to separate and work in isolation.Will the remaining time be enough for whole body organ cluster transplantation?
How long can the patient's body last?

Not only the people at the scene were nervous, but everyone watching the live broadcast couldn't help but feel worried at the moment.

Especially when they saw the bloody and messy intra-abdominal condition, everyone's scalps trembled.

If they were to do it, just to separate these adhesions, I'm afraid I'd have to break a sweat!Not to mention the transplant surgery later!

"Director Zhao."

As an assistant, Director Han also looked solemn, with a questioning look in his eyes.

This is to ask Zhao Peiru whether the operation should continue.

If it ends now, you can stop the loss in time.

Close the abdomen and suture it.

But... In the live broadcast room, so many people are watching, it's a bit embarrassing to give up after the beginning.

The operating table on the other side.

Professor Jiang, Professor Feng, Professor Kong Yanjin and others who were on standby also looked this way.Seeing this scene, he also frowned.

"The patient's situation is more complicated than we imagined."

Everyone looked at Zhao Peiru.

Wait for him to make up his mind.

Zhao Peiru wore a mask, without any superfluous expression, he directly said indifferently: "Continue."

"Xiao Meng, give me the electric knife."

The tone is unmistakable.

It directly dispelled everyone's hesitation.

"Director Han, prepare the argon gas knife and be ready to stop the bleeding at any time."

"I want to separate the abdominal adhesions layer by layer. Director Han, please cooperate with me. Xiaomeng, please use cleaning tablets to help Director Han clean the head of the argon knife in time."

With this degree of adhesion, every time the bleeding is stopped, the knife head will be stained with abdominal mucus or broken tissue.If it is not removed in time, it will affect the hemostatic effect.

Under Zhao Peiru's command, the three began to work together, separating and dissociated layer by layer.

Gradually, the patient was a mess, and the various tissues and channels that were seriously adhered to each other gradually became clear under Zhao Peiru's cleaning.

Gradually become organized and orderly.

"Hiss! It's still Director Zhao's superb technique!"

Everyone in the live broadcast room praised this scene loudly.

"A doctor who is proficient in anatomy is really scary. Even such a serious adhesion can be separated quickly, free and clear, and his skills are really strong!"

"It's no wonder that the 863 project can be won, there are really two brushes!"

"Not to mention anything else, just this one-handed free work is enough to teach us a lesson!"

Experts from various provinces were all amazed when they saw this free operation.

Zhao Peiru's many detailed operations just now are enough for them to chew carefully for a long time.

As for Zhou Heping from Suzhou Province, he snorted coldly at this moment.

"What's the use of the basic operation? The free adhesion alone will take at least an hour of your time."

"And this, the operation of organ cluster transplantation has not really started yet."

"How long can the patient last?"

"And how long can your own body last?"

Zhou Heping scoffed at Zhao Peiru.

"To choose this kind of patient, one must have the awareness of various unexpected situations like this."

In his view, Zhao Peiru is purely asking for guilt.

Similarly, it is also making the patient suffer.

……

After all the adhesions were separated and dissociated, half an hour had passed.

This time is already extremely good.

In other words, in addition to the course of "Integral Organ Cluster Transplantation", Zhao Peiru gave another half-hour course on "How to Deal with Severe Abdominal Adhesions".

Adhesion separation is a very basic operation.

But the more basic it is, the more you can distinguish between superior and inferior, reflecting the level of "big boss".

Many experts from various provinces who watched the live broadcast said that they have benefited a lot just from watching the half-hour live broadcast.

Many operational details of the separation are worthy of their repeated pondering, scrutiny, appreciation, and reference!

It has a strong reference significance for them to do "adhesion and separation" work in the future!
"Next, it's finally the top priority!"

Everyone, cheer up.

The people watching the live broadcast are no longer satisfied with watching on their mobile phones. Such a small screen can't show the exquisiteness of Zhao Peiru's high-end operation at all.

It must be on a computer, or even on a projector or light curtain.

The bigger the screen the better!

Even Su Sheng Zhou Heping, who had been lying on the sofa, couldn't help but sit up straight at this moment, his eyes locked on the computer screen.

……

Zhao Peiru stretched out his hand: "Long tweezers."

"Angle pliers."

"Electric knife."

The equipment nurse hurriedly handed over the corresponding models of equipment that had been prepared to Zhao Peiru one by one.

The instrument nurses who participated in the operation this time are also experienced nurses in the Department of Hepatobiliary and Pancreatic Surgery. They were drawn from the entire fourth hospital. They are the most capable, active, and responsive.

Zhao Peiru freed the patient's colon, superior mesenteric meridian, and pancreas in sequence.

Afterwards, the stomach and lower parts are freed.

Subsequently, the spleen was removed.

The hepatic artery coming out of the superior mesenteric artery was freed, ligated, and severed.

All the organs that needed to be "transplanted and replaced" were separated and separated one by one by Zhao Peiru skillfully.

"Director Han, pay attention to the patient's temperature."

Director Han nodded deeply.

From now on, because the patient will gradually begin to lose various organs in the body, and because many blood vessels are temporarily ligated, the entire blood flow will be affected, and the body temperature will inevitably begin to drop.

If it is not handled properly, it will directly affect the life of the patient.

However, everyone was already prepared.This was originally one of the difficulties that needed to be overcome in their special team.All kinds of preparations have been prepared for a long time.

Zhao Peiru stretched out his hand again: "Line cutter."

"Xiao Meng, the stomach and jejunum are about to be completely severed, get ready."

"Director Han, you use the blocking pliers. After I'm disconnected, use the blocking pliers to block it as soon as possible."

Both Meng Xiang and Director Han clicked, followed the operation steps practiced in the rehearsal, and cooperated with Zhao Peiru.

Soon, the stomach and jejunum were completely severed. Director Han had quick eyesight and quick hands, and blocked the mesenteric vein and retrohepatic inferior vena cava with blocking forceps.

Zhao Peiru glanced at Director Han's operation and nodded slightly.

This assistant is a good choice.

In fact, in the previous part of the experiment and the deduction of the operation, Zhao Peiru could see that Director Han's operation level was very high.

There is a bit of Xiaomeng's shadow in Director Han's body.

He is obedient, quick in response, works with his head covered, and executes instructions thoroughly.This is an advantage, but also a disadvantage, it depends on how to use this kind of person.

Wait until all blocking is complete.

All the preparations for "before transplantation and resection" will be completed!
The next step is to remove the patient's entire organ cluster from his body!
At this time, Zhao Peiru glanced to the side.

"It's not going fast."

The movements of his hands also slowed down.

At this time, the people in the live broadcast room were watching Zhao Peiru's exquisite operation with great interest, and suddenly noticed that Zhao Peiru's speed had suddenly slowed down, and they couldn't help frowning.

"What's the matter, I enjoyed watching it just now, why did the movement start to slow down?"

"Could it be... Director Zhao, he's starting to run out of energy?"

Everyone looked at the time, from the beginning of the operation to the present, four hours have passed without knowing it.

"Maybe it's because the initial adhesion separation operation and the subsequent clamping and blocking work took too much energy from him?"

"This kind of high-intensity operation itself consumes energy. It is not easy to maintain it for four hours."

"But the problem is...the next operation is expected to take 16 hours, what should I do?"

Just when some people thought that Zhao Peiru was really exhausted.

Several comments appeared in the comment area.

"Director Zhao is not physically exhausted, he should be waiting for the progress of organ extraction from the operating table next to him."

"He's counting the time. Don't want the patient to be anhepatic for too long."

The patient's anhepatic period has lasted for a long time, and the body temperature will drop faster, even to the point of being uncontrollable.

Everyone glanced at the split screen next to them.

Professor Shu Yun, Professor Feng, and Professor Jiang, the troika of Jiangnan Province, are removing the corresponding organs from the donors in a tense atmosphere.

The speed of the three of them is actually not slow.

It is also completely in accordance with the progress in the deduction plan.

The only reason is that Zhao Peiru's speed is faster than in the deduction, which makes the troika seem to be lagging behind.

This time, considering the difficulty of the operation, Zhao Peiru used the "Master Level" card.

Compared with the usual "professional level", the proficiency, accuracy, as well as the knowledge of medical science and the perception of this operation have all reached a big level.

Even if he suppressed his own strength to cooperate with Director Han and Xiao Meng, his speed was much faster unconsciously.

Beside, everyone in the project team watching the operation was shocked.

"We still underestimated Director Zhao's superb operation."

"It turns out that the previous speed is not his limit speed?"

Everyone guessed in their hearts that it was Zhao Peiru who encountered such a major operation, and began to treat it seriously, and cheered up, which made it faster.

"almost."

After Zhao Peiru waited for a while, he sped up his movements again.

Begin en bloc resection of liver, pancreas, duodenum and other organs.

"Sure enough, Director Zhao's speed is faster again! He was really waiting just now!"

"It can be seen from this that Zhao Peiru's personal strength is already far higher than the level of the troika of Hepatobiliary and Pancreatic Science in Jiangnan Province!"

"In the past, the ceiling of Jiangnan Province was in this troika."

"But now, it has changed!"

Many experts, seeing Zhao Peiru's exquisite operation, felt in their hearts that they could no longer look at Jiangnan Province with old eyes.

A person like Zhao Peiru can raise the cutting-edge level of Jiangnan Province to a higher level.

In their hearts, many people are also secretly comparing themselves with Zhao Peiru.

Can I do Zhao Peiru's excellent operation?
There is a big question mark in everyone's heart.

Finally, the operations on both sides were synchronized.

On Zhao Peiru's side, he took out all kinds of bloody, ugly, ferocious, and dilapidated organs.

On the other side of the troika, the healthy liver, pancreas, duodenum, etc. were also taken out.

The two sides began to handover.

With the help of everyone, the entire organ cluster was directly put into the patient's body in a holistic manner.

The people watching were dumbfounded.

"Is this...all in?"

"Isn't it placed, reconstructed, and fitted one by one?"

"Put the whole thing in, won't it make it more difficult?"

Everyone couldn't figure it out.

Putting it in as a whole, there are too many things that need to be taken care of.Needing to re-establish so many intricate plumbing at the same time...

Really can't go wrong?
(End of this chapter)