Auto chess in the operating room

Chapter 384 Showing the Surgical Plan at Xiehe Hospital
"Then let's look at the condition of the receptor now?"

After all, Tanglou was new here, so he asked very politely.

Originally, Dr. Qin wanted Tang Lou to show timidity when facing the donor and the recipient, but he did not expect to shoot himself in the foot, so he simply stopped letting Tang Lou see the patient, and said directly: "Doctor Tang, I see It's almost time, so let's go to Director Dong's office and wait together."

"That's fine too."

Tang Lou's tone was slightly disappointed.

Seeing Tang Lou's expression, Dr. Qin became even more depressed. These are no contestants.How could such a young doctor have such a high standard? The most important thing is that he is very handsome.

In his cognition, Union Medical College Hospital is not without young Yushu Linfeng doctors, but when these doctors' skills catch up to the director level, either their heads will be bald, or their stomachs will be protruding.

There is no one like Tang Lou, who is handsome, black, and good at work!
Soon Doctor Qin invited Tang Lou to Director Dong's office. Along the way, many nurses' eyes lit up when they saw Tang Lou.

However, it is a bit strange that Dr. Qin had such a handsome little follower.

After waiting in Director Dong's office for a while, Director Dong arrived late.

After seeing Tang Lou, Director Dong came over directly and was very polite: "Dr. Tang, welcome to our Union Hospital. Last time, Academician Zhong was still saying that he would wait for you to finish the exam and come back as soon as possible to exchange and study. Unexpectedly, he just happened to catch up. I have undergone a difficult heart transplant. This time, I hope you will cooperate with me just like you cooperated with Academician Zhong last time."

Director Dong cut straight to the point. After listening, Dr. Qin's eyes widened and he looked at Tang Lou in surprise. This guy even cooperated with Academician Zhong's surgery.

Regarding Director Dong's arrangement, Tang Lou naturally had no objection. Anyway, pre-operative preparation is pre-operative preparation, and it doesn't count.

During the operation, it is not unheard of to grab shifts and seize power.

Seeing Tang Lou's humility, Director Dong was very satisfied: "Doctor Qin, please go and invite all the doctors from the cooperating departments. We will hold a consultation in a while, and at the same time announce that Dr. Tang will cooperate with me."

"Hey." Doctor Qin responded and ran out quickly.

"Doctor Tang, what do you think of this consultation?"

Director Dong looked at the Tanglou, and he also had a little idea of ​​comparison. In addition, it was also a preview for the consultation later.

After all, if Tang Lou was asked to come over to help him, if Tang Lou lost the chain in consultation and surgery, he would be the one to bear the responsibility and bear the blame in the end, so he had to be cautious.

Regarding Director Dong's question, Tang Lou didn't even think about it, and said in a very relaxed and general way: "After a consultation, combined with the latest information of the patient, I suggest to conduct demonstration and discussion from the following three aspects: First, Donor heart and lung resection, the second is recipient heart and lung resection, and the third is donor heart and lung resection and combined transplantation.”

Hearing the macroscopic and comprehensive understanding, Director Dong was also a little unexpected, and also became interested: "Tell me specifically?"

Tang Lou nodded lightly, then explained to Director Dong in detail.

"Okay, okay, Dr. Tang, your understanding of heart transplantation is comparable to that of the top professors in China. What you said was mentioned by Professor Liu from the Second Hospital of Harbin Medical University before. What you said is exactly the same, of course, what surprised me even more is your improved operation optimized for the patient's condition."

After hearing Tanglou's idea, Director Dong already had confidence in his heart, and he became more and more confident that Tanglou would cooperate with his surgery.

After all, he had seen Duo Tang Lou's basic skills with his own eyes. What Tang Lou lacked now was his understanding of heart transplantation, and being able to explain the operation plan so deeply was enough to prove that Tang Lou specialized in this operation. Coupled with his own years of experience in heart transplantation, it is enough to deal with accidents during the operation.

"Then let's go to the consultation."

Director Dong got up and said to Tang Lou admiringly.

Soon, Director Dong brought Tang Lou to the consultation room. In the consultation room, experts from other departments had already attended.

Of course they had already heard that Professor Liu from the Second Hospital of Harbin Medical University rejected this difficult operation because of something, and Director Dong had no choice but to invite another foreign aid to assist him in the operation.

However, after seeing Tang Lou for the first time, all the doctors were a little confused for a long time.

"Such a little doctor, isn't Director Dong joking?"

Regarding the questioning thoughts of doctors in various departments in the consultation room, Director Dong cut it straight to the point: "This is Tanglou, Dr. Tang, who I invited from Hangzhou Zijingang Hospital. He has cooperated with Academician Zhong to complete a This highly difficult heart transplant has demonstrated top-notch basic skills. Therefore, this time, I invite Dr. Tang to assist me again with this heart transplant. Welcome everyone!"

Hearing Director Dong's words, there were intermittent applause and more scrutinizing eyes in the consultation room.

Regarding this, Tang Lou didn't care at all. After all, he came here for the operation, not to make friends. As for the questioning eyes, it was just so-called. Anyway, when the operation started, these guys' knees would be shattered.

"Director Dong, let's start discussing the surgical plan."

Tang Lou said very directly, after all, he will be charged for flying knives for a while, and every word he says must be deducted from heart transplantation, and it must be dry goods.

You can't be like those online novel authors, where one sentence can fill a chapter, and one plot can fill a week.

"Okay, then Doctor Tang tell me what you think?"

Director Dong also said encouragingly, and he also understood that if Tang Lou wanted to gain the approval of these doctors, he could only speak with his real skills.

"Then let's start with donor heart and lung collection."

Tang Lou motioned Dr. Qin to scroll to the corresponding slide, and began to explain: "The donor heart and lungs are taken out as a whole. The preoperative preparation and most operations are basically the same as those of the same orthotopic heart transplantation. The chest was exposed and the pericardium was widely incised to the pulmonary veins on both sides, the ascending aorta, innominate artery, and superior vena cava were freed, cuffed separately, and the azygos vein was ligated."

Hearing Tang Lou's operation plan, these doctors all nodded silently.

"Free the trachea to the 5cm above the carina, and the front of the trachea near the carina should be less separated, so as not to damage the collateral blood supply from the coronary artery. Intravenous injection of heparin 3mg/kg, and prostaglandin E120ng/(kg·min), In order to eliminate the reaction of pulmonary blood vessels to cold perfusion fluid. Ligate and cut off the superior vena cava at a high position, close to the diaphragm, clamp the inferior vena cava with a blood vessel clamp, and cut it off at the upper side of the clamp. Block the main artery after cardiac arrest. Artery, aortic root perfusion cold crystalloid cardioplegia 500 ~ 1000ml"

Hearing Tang Lou's in-depth plan, these doctors were a little unbelievable: "Doctor Tang, why does your plan feel a little familiar and a little strange?"

On the side, Director Dong took a sip of tea, and said in his heart: "After a while, Doctor Tang will come up with an improved operation, and you will know what talent is."

Sure enough, 1 minute later, Tang Lou mentioned the optimized and improved operation: "Use French No. 14 suction tube to perfuse the main pulmonary artery with 4°C modified collin lung protection solution"

"Dr. Tang, let me interrupt. What is modified Collin lung protection solution?"

(End of this chapter)