Auto chess in the operating room

Chapter 341 The first in China, one and a half ventricle correction

In the consultation room, Director Huang and Deputy Director Qian had already arrived. After Zhong Zhizhi went in, he directly handed the prepared materials to Director Huang. At the same time, he started to turn on the projector, and reported the general situation of the patient to Director Huang and Deputy Director Qian.

After finishing speaking, Zhong Zhizhi sat down and quietly listened to Director Huang and Deputy Director Qian's opinions. After all, he could no longer intervene in such a complicated disease.

Director Huang looked at Deputy Director Qian, ready to listen to his opinion first: "Director Qian, what do you think?"

Deputy Director Qian took the information and looked at it carefully, and then said slowly: "Speaking of which, the patient's condition is very clear. The traditional surgical treatment method is also very simple, which is to correct the abnormality of the heart. It’s just that after this traditional surgery, the right ventricle is still used as a systemic blood pump, unable to bear the pressure load of the systemic circulation, and it can’t last long after the operation. It can only be said that the life span of some patients should be extended as much as possible.”

Hearing what Deputy Director Qian said, both Director Huang and Zhong Zhizhi were silent for a while. Indeed, so far, there is still no effective and stable method for this disease. The only thing we can do is to prolong the patient's survival time as much as possible. .

"Speaking of which, I have seen Dean Tang perform single-ventricle correction before, that is, the patient loses the right ventricle that supports pulmonary circulation. However, after such treatment, the patient's circulatory system pattern is similar to the characteristics of reptilian arteries. Although Life was saved, but there were many short-term and long-term postoperative complications, and cardiac function and quality of life were unsatisfactory."

Director Huang also accepted Deputy Director Qian's words, and said helplessly, knowing that there are many complications in the operation, but it is the best solution so far. Medicine is like this. A small step forward, sometimes a doctor is needed Use one life to verify it.

"Then perform single ventricle correction?"

Deputy Director Qian sighed, there was no other way.

Director Huang looked at the information again, frowned, thought for a while, but had no clue. He suddenly looked up at Tanglou and asked casually: "Doctor Tang, do you have any ideas?"

"That's right, Doctor Tang, I think you seemed to be thinking about this just now?"

Zhong Zhizhi also looked at Tang Lou. For some reason, he had some expectations in his heart.

Tanglou didn't say anything. He took a marker from the table, stood up, turned over a piece of information in his hand, and then began to draw on the white paper on the back.

Seeing Tang Lou's brushstrokes, several doctors were a little puzzled, but they didn't interrupt, watching Tang Lou's brushstrokes quietly.

After a while, a heart appeared on it. Tang Lou began to draw the anatomical structure very carefully, and then an aorta appeared on the paper. I have to say that Tang Lou's drawing skills are very good, especially for the heart I know my anatomy well.

Tang Lou drew the aorta and left ventricle on paper, and then built a tunnel on it.

Looking at the picture of Tanglou, director Huang's eyesight was astonishing, and he blurted out: "Rastelli technique?"

Deputy Director Qian at the side also suddenly realized, but he didn't understand why Tang Lou painted this.

Tang Lou did not respond, and still described it on the white paper. Because the operation plan is very complicated, it is difficult to describe some detailed operations in words, so Tang Lou simply put the entire operation plan in the form of diagrams. show up.

"Blood from the inferior vena cava atrium which is the pericardial slice leads to the right ventricle"

Looking at Tang Lou's diagram, a beating heart has already appeared in Director Huang's mind, and under Tang Lou's operation, it is constantly being corrected.

Soon, Tanglou accurately drew a superior vena cava on the paper, and then neatly completed the right artery and connected it.

"This is."

When director Huang was shocked by Tang Lou's creative thinking, Tang Lou directly connected the last stroke with a pen, then picked up the whole picture and sucked it to the whiteboard with a small magnet.

He moved the whole small whiteboard over, and said calmly: "This is my improved plan for this operation, which I call "one and a half" ventricular correction."

Both Director Huang and Deputy Director Qian looked at the illustration of the surgical plan hand-painted by Tanglou in shock, and began to think about it.

As for Zhong Zhizhi, he licked his lips and didn't see anything, but it didn't hinder his unreasonable excitement, and he blew a wave first: "Amazing, Dr. Tang! But, what does this technique mean?"

Director Huang and Deputy Director Qian also seemed to understand. After all, this surgery in Tanglou was a hybrid of Rastelli + Semi-Mustard + Bidirectional Glenn surgery, three conventional surgeries.

Regarding the doubts of several doctors, it is normal. After all, it is the first improved technique in the country provided by the system. Tang Lou clicked on the blueprint with a straight and beautiful index finger.

He explained in a clear tone: "This "one and a half" ventricle correction operation has three significant advantages compared to the traditional single ventricle correction operation. First, the half-Mustard operation can reduce intra-atrial sutures and help reduce Late complications of atrial plate defect in Mustard operation, such as sinus node dysfunction, pulmonary vein obstruction, etc.

Hearing Tang Louyi's explanation, Director Huang couldn't help nodding: "Yes, pulmonary vein obstruction is a common high-incidence complication of traditional correction, and it is also a pain point that has been insurmountable."

Tang Lou continued: "Secondly, for patients with pulmonary artery-right external tube connection, the semi-Mustard/two-way Glenn operation can reduce the blood flow through the right ventricle-pulmonary external tube and prolong the service life of the external tube."

After hearing Tanglou's detailed explanation, Director Huang and Deputy Director Qian looked at each other. Both of them were shocked. This Tanglou was really open-minded and had unconstrained ideas. By combining two unrelated operations, The combination produced unexpected effects.

It directly and fundamentally solves the biggest defect of conventional surgery.

At this time, Tang Lou added the last point: "Semi-Mustard surgery is simpler than traditional Mustard surgery, especially for diseases with complex cardiac anatomy, which greatly improves the success rate of surgery and reduces postoperative complications."

Director Huang got up and walked to the small whiteboard, and carefully looked at the diagram of Tang Lou. After Tang Lou's explanation, he looked at it again, and it was another world. To become the director of Zijingang, of course, the understanding is very high. I quickly figured out the mystery, and the more I understood, the more I admired the ingenuity of this technique.

Director Huang clapped his hands: "It's done!"

"Tang Lou, how did you come up with this technique? Dean Tang learned it?"

Director Huang asked very excitedly.

"Oh, I happened to be studying orthodontic surgery recently, so I thought of such a "one and a half ventricle" orthodontic surgery as soon as I had a flash of inspiration."

Anyway, now, the entire Zijingang Medical College knows that he is that kind of talented doctor, and Tang Lou is no longer humble.

"It's my own creation again."

Deputy Director Qian and Chief Zhong Zhizhi looked at Tang Lou and didn't know what to say.

Sure enough, people are different.

"Tang Lou, how did your brain grow? It's too strong, okay, just follow this plan for surgery."

Director Huang put his hands on Tanglou's shoulders and was very excited. This was the first surgical procedure in the country. It was another huge leap forward in the treatment of corrective transposition of the great arteries. Director Huang had already thought about the potential of the surgery video once it was released. What a sensation, what a long face!

"Chief Zhong, you go to arrange the signing of the patient before the operation. Deputy Director Qian and I will perform this brand new operation. Remember to record the whole process and upload it directly to the medical forum after completion."

Director Huang directly issued an order. Although this operation was thought up by Tang Lou, it was improved by a combination of centralized and conventional techniques, so Director Huang was able to handle it. It was not for the sake of merit. Director Huang was afraid that Tang Lou would be too young to overturn his car. , so this difficult and responsible surgical pressure is still borne by him.

After all, Tang Lou is now the treasure of the entire department, and there can be no accidents.

"Director Huang, it's actually me"

Of course Tang Lou wanted to be the chief surgeon, but was ruthlessly rejected by Director Huang.

"Director Huang, you're crossing the river and tearing down the bridge!"

Tang Lou wants to cry but has no tears.

Three hours later, when Tanglou was bored studying cases in the office, Director Huang and the others returned to the office talking and laughing.

The operation was very successful, and the video material of the operation was also uploaded to the medical forum by Chief Zhong in the first place.

Seeing the contented three people, Tang Lou was so hungry.

"Hey, it really is an annoyance to be too good!"

On the second day, when Tang Lou was still in front of the salted fish, Professor Liu arrived at Zijingang Medical College with Professor Yang Guoshu and his party.

(End of this chapter)