Font
Large
Medium
Small
Night
Prev Index    Favorite Next

Chapter 400 Bentall + total aortic arch replacement + stented elephant trunk (ultimately improved version)

The three famous doctors looked at each other and smiled.

"Okay, you can go on stage, but we won't use the knife."

"This kind of surgery is not necessary. If you want us to help you with the bottom line, then give up this plan as soon as possible."

The few people shook their heads and said earnestly.

This type of surgery is not only a race against Death, but also a Lamborghini.

How to play?

“Preparation, multidisciplinary consultation.”

Xu Qiu didn't talk nonsense, the surgeon finally knew what to do on the operating table.

...

Tick--

In the office, Xu Qiu stared at the pointer of the watch.

The door was constantly pushed open, and doctors rushed in quickly and quickly found a place to sit down.

Finally, the director of the intervention center and Yang Chenxi also arrived.

"Let's get started."

The five minutes just ended. When Xu Qiu saw everyone, he began to confirm the preoperative surgical plan.

Lu Guilan was in danger and could not discuss it slowly as slowly as usual.

Therefore, Xu Qiu directly came to the conclusion.

"For this patient, I plan to do Bentall modified whole aortic arch replacement stent elephant rhinoplasty."

Bentall, that is, aortic root replacement.

That is, artificial blood vessels with valves are used to replace the aortic root and aortic valve, and the left and right coronary arteries are transplanted.

This requires the use of small blood vessels in Linhai again.

Xu Qiu was a little surprised.

I thought it was just a simple modified aortic aneurysm repair or replacement, but in the end, the small blood vessels in Linhai still felt a sense of existence.

In the conference room, everyone was shocked when they heard the series of techniques combined together.

"Bentall surgery and aortic arch replacement?"

"Is there another stent elephant trunk surgery?"

"In this case, the difficulty of the surgery is no less than that of a heart transplant..."

At the conference table, Joseph narrowed his eyes, "I'm sure this joint surgery is more difficult than a heart transplant."

Ke Ya may not be as good as Xu Qiu when he is sick.

However, in the field of cardiac surgery, he has not met an opponent in so many years.

He has done hundreds of heart transplants.

However, when facing Lu Guilan, he still felt frustrated.

What puzzled him even more was that... the patients were so dangerous, why did they choose such a difficult combination of surgery?

Although the patient will recover better after the operation, shouldn’t he save his life first?

Or is this guy confident that he can get a top-notch surgery that is more difficult than a heart transplant?!

"Is it a joint technique..."

Yang Chenxi was stunned and his eyes were full of doubts when he looked at Xu Qiu.

He is so familiar with this technique.

Bentall's total aortic arch replacement stent elephant rhinoplasty was founded by Professor Sun Lizhong of Fuwai Hospital. It is also known as SUN-style surgery in the international community. It has won the first prize of scientific and technological progress of the Daxia Medical Association.

It targets the most dangerous type A mezzanine.

Clinically, in addition to Bentall surgery, there are also Cabrol, Wheat, David, aortic valve replacement and aortic arteroplasty, etc.

However, in terms of the therapeutic effect, Professor Sun's Bentall's technique must be better.

But accordingly, its complexity is more than that of several other techniques.

Once it is not handled properly, malignant bleeding is prone to occur after the operation.

The late coronary anastomosis and the distal aorta of the aorta are also prone to form pseudoaneurysms.

These are not the key to the problem.

But...

This technique has always been the unique skill of Professor Sun Lizhong of Fuwai.

How come a doctor who is proficient in SUN-style surgery suddenly appeared in Linhai City, far away in the south?!

Yang Chenxi stared at Xu Qiu in horror.

It would be fine if Academician Chen’s pancreatic intestinal anastomosis.

There is also the top surgical procedure of double-needle intra-tendon suture in the tendon, which is the original procedure of Professor Wang, the master of microsurgery in finger replantation, and is also the core technology to overcome the world-class medical problem of finger replantation.

Now there is another SUN-style surgery from Professor Sun...

Do you read bibliography again?

Isn't it a little outrageous?

Xu Qiuze looked calm.

There is a system in which he learns all the surgeries and techniques related to medicine!

"etc……"

Compared to the shock of others, Director Zheng has long been accustomed to the unscientific surgery of the first person in the hospital, and he has captured something even more surprising.

Director Zheng said in a deep voice: "Doctor Xu, what you just said...is it a modified all aortic arch replacement?"

Everyone was stunned and immediately reacted.

Replace it just replaces, when will an improvement appear?

Even Joseph has always followed the old path of the first surgery more than 50 years ago. Although it has been constantly improving, it has not been considered much improvement.

Xu Qiu said oh, saying, "Well, I improved it."

“?!”

At this moment, Joseph and others, who were interested in participating in the surgery, became curious.

Although they still think the operation will definitely fail.

However, I still want to see whether this so-called improvement is worthy of the word "improvement".

...

After 57 minutes after Lu Guilan was admitted to the hospital, Xu Qiu and others entered the operating room.

Under the bright shadowless lamp, Lu Guilan lay quietly on the stage.

From rescue to finalizing the surgical plan, it took less than an hour to officially push it into the operating table, which was considered very fast.

Not to mention anything else, just because of this efficiency, Lin Medical has ranked first in the world.

"Special instrument blocking belts, cardiac fiber instruments, defibrillators, defibrillators, minimally invasive intraoperative stent systems, etc. are ready..." The handwashing nurse reported on the preparations for routine and special items.

In addition, ice caps, pressure bags, hemostatic gauzes, different types of artificial blood vessels, sea-line small blood vessels, biological protein glues and mechanical valves, etc.

This surgery needs to be performed under deep and low temperatures and stolen circulation, which is more difficult than cardiac surgery.

"The temperature in the operation room is constant twenty-five degrees Celsius..."

"The temperature change blanket of the operating bed is adjusted to 38 degrees Celsius..."

"The electrocardiogram monitor, rectal, and nasopharyngeal temperature devices have been installed!"

"Intravenous slow vein, 0.1 mg/kg, propofol 1.5 mg/kg..."

"Adjust the machine-controlled breathing, tidal volume 8ml/kg, breathing frequency 12 times/min, I:T=1:2! Insert the urinary catheter!"

“…”

The anesthesiologist, nurse and assistant cooperated with each other and finally prepared for surgery.

Xu Qiu glanced at him, confirmed that the indicators were correct everywhere, and nodded and said, "Let's start."

Standing with a knife, Xu Qiu's eyes seemed to turn into sharp sharp light, cold and cold.

laugh--

The tip of the knife with a cold light shone through the right collarbone and made a parallel incision.

Then, dissect the right subclavian vein in sequence.

Cover the blocking belt, spare.

Raise your hand, press the tip of the knife again, enter the chest from the incision of the middle clavicle, and dissect the free right unnamed artery, the left common carotid artery and the subclavian artery respectively.

Covered belt...

Next is the top priority - open the pericardium.

This step is naturally no problem for Xu Qiu.

As the pericardial was exposed, Director Zheng Ichisuke quickly performed the right subclavian artery and right atrium cannula and began to establish extracorporeal circulation.
Chapter completed!
Prev Index    Favorite Next