Auto chess in the operating room

Chapter 387 This doctor, the medical team of Harbin Medical University wants it
Tang Lou performed a median sternal split incision on the recipient again, and pulled the sternum to both sides.

In the observation room, Professor Liu's mentality has also changed. He completely regarded Tang Lou's operation as a demonstration operation, and explained directly:
"Pay attention to Dr. Tang's operation. If you encounter pleural adhesions after incision of both sides of the pleura, remember to separate the adhesions before heparinization. Pay attention to Dr. Tang's operation, cut the pericardium longitudinally, heparinize and transplant the heart Intubation established extracorporeal circulation."

"Afterwards, the removal of the diseased heart is one of the core difficulties of the whole operation. I have concluded that the removal of the diseased heart can be divided into three steps, so that the complexity of the overall resection operation can be avoided."

Professor Liu is indeed an expert in this field. Not long after his words fell, Tang Lou started to operate verbatim.

First of all, Tang Lou only kept the ascending aorta, superior and inferior vena cava, and 4 pulmonary veins during heart resection, and then decisively cut off the posterior wall of the left atrium.

Seeing Tang Lou's decisiveness and speed, the doctor in the observation room also felt his scalp numb. This doctor Tang was too courageous.

"This Doctor Tang is really confident, I admire him."

"That's right. An ordinary doctor would have to confirm this kind of operation before daring to perform the operation."

"Steady and ruthless, even Professor Liu can't do this."

Dr. Chen also sighed in his heart, this Dr. Tang is really too strong.

"vascular clamp"

In the operating room, Tanglou had completely taken over the leading role in the operation. Director Dong beside him could only nod his head and give a few approving glances at the right time.

The tool man is the real hammer!

Tang Lou picked up two vascular forceps and lifted the left pericardial incision forward and left to fully display the direction of the phrenic nerve. Then he made a longitudinal incision on the pericardium 2cm behind the phrenic nerve.

Seeing this, there was an exclamation in the observation room, especially those chief physicians who had participated in many heart transplants: "Doctor Tang, is this distance okay? Under normal circumstances, 3cm is already the limit. And This incision is also much smaller than the conventional incision. Under normal circumstances, it extends at least down to the diaphragm and up to the pulmonary artery. Is this a mistake?"

Professor Liu also frowned slightly, a little incomprehensible, such a small incision, can really provide enough vision?

In the operating room, Director Dong's expression also changed. Tang Lou's operation was too fast, and he was too stable before. He came suddenly, but he didn't react.

I brought it up with a heart. After all, the success of a surgery depends not on the upper limit of the operation, but on the lower limit of the operation. Even if some operations are excellent, if there is a mistake in one place, all previous efforts will be wasted.

"Too bad, Director Dong's expression has changed."

In the observation room, Dr. Chen was always observing what was going on in the operating room, and began to sweat for this reckless Dr. Tang.

"If it stops, it may be too late to re-enlarge the incision."

Professor Liu also expressed his suggestions through the microphone, after all, he has dealt with too many emergencies.

In the operating room, Director Dong agreed with his own experience and tried his best to control his tone: "Doctor Tang, it's okay to make a small mistake. Let's take it easy and re-enlarge the incision. Don't be rash."

"No, it's enough."

It was Tang Lou's indifferent words that answered Director Dong, and then he took the scalpel from the equipment nurse and began the pericardiectomy in front of the phrenic nerve under the almost blind vision.

"Doctor Tang, you!"

Before Director Dong could finish speaking, Tang Lou had successfully completed the pericardium resection, while perfectly preserving the phrenic nerve and the wide pericardial cord of blood vessels.

"Electric knife"

Tang Lou issued an order, which echoed coldly in the operating room.

In the observation room, Professor Liu and the others held their breaths. In fact, Dr. Tang's operation was too frightening.

Director Dong was even more stuck, and wanted to take over the control of Tang Lou, but the operation of Tang Lou was already halfway through, and changing people at this time would cause even greater hidden dangers.

"Doctor Tang, keep your hands steady, keep your hands steady."

Director Dong's tone was begging for mercy.

Tang Lou ignored it, and still concentrated on performing extreme operations. In the center of the residual left atrium posterior wall, he cut the left atrium posterior wall longitudinally through the oblique sinus, and lifted the residual left atrium and the connected left pulmonary vein forward. , use electrosurgery to separate it from the posterior mediastinal tissue. During separation, it is close to the pulmonary vein and perfectly avoids the vagus nerve.

"Damn, what did I see that I can still do this?"

In the observation room, several chief physicians couldn't believe their eyes, and then recalled the prelude to Tang Lou's almost blind practice:
"Smart, if you operate this way, in addition to increasing the speed, it will also reduce many postoperative complications."

In the operating room, Director Dong saw it more intuitively. His heart beat a few times before he said in disbelief, "Doctor Tang, this seems to be different from the operation plan you designed before, right?"

"Oh, during the operation, I found that the patient's condition was worse than before, so I adopted a more difficult operation with minimal damage."

Tang Lou said lightly, after all, surgery is such a thing, in addition to the plan in advance, it is also very common to adapt to changes during surgery. Of course, the requirements for a doctor's on-the-spot judgment and decision-making are very high.

"alright."

Director Dong silently agreed, at his age, it was rare for him to experience the thrill of a roller coaster.

In the observation room, interested people also noticed Director Dong's words that the plan for this operation was actually designed by Dr. Tang.

In the operating room, Tang Lou did not stop what he was doing. He pulled out the left lung to the right through the pleural incision, fully freed the hilum, ligated the bronchial artery, and then freed and severed the left pulmonary artery.

"I really kneel down to Dr. Tang. If I keep doing this, I feel like this five-hour operation can be completed in less than four hours."

"With this operation and this speed, I really think Dr. Tang is the best candidate for Ye Jian's surgery."

A chief physician who was optimistic about Tang Lou before made this suggestion again.

Professor Liu, who was still considering it at first, agreed with this idea at this moment. His eyes looking at Tanglou were full of expectation. His medical team wanted this doctor.

"It's just, how can I persuade Dr. Tang to join our team? It seems that I can only communicate with Dr. Tang after the operation is over."

When Professor Liu was thinking about how to invite Tanglou, Director Chen on the side certainly smelled Professor Liu's intention, and he felt sour in his heart.However, he also had to admit that Dr. Tang's skills were far superior to his.

Looking at how relaxed Director Dong is now, you can see how satisfying Dr. Tang's assistant is. Dr. Chen even feels that in this case, the position of the chief surgeon is just as good as a dog.

"Clamp"

Tang Lou again issued an order to skillfully use the clamp to clamp the left main trachea and cut off the distal end.

The left lung was successfully removed!
(End of this chapter)