Looking at Chen Cang's eyes, several people around him couldn't help but fear!
Somehow, they saw the desire from Chen Cang's eyes!
Can't wait for the result of holding needle forceps, the operation continues!
After Li Baoshan blocked the descending aorta, the artificial large vessel replacement officially began.
Wu Tongfu learned to be "clever" this time. He quickly held both ends in his hands.
On Chen Cang's side, it is a direct and rapid suture!
This time, Chen Cang almost instantly threw himself into it and entered the state!
Sewing is a little more skilled than just now. At the same time, many unnecessary operations should be reduced as much as possible. In this way, it may increase a lot of time!
Chen Cang suddenly found that this skill may not make rapid progress for others, but for himself, it seems to be tailored for himself.
Who can do without some habitual operation?
Chen Cang naturally has!
But these skills are just very useful for yourself.
Chen Cang, who needed to complete the anastomosis in 20 minutes, took less than 10 minutes!
Just complete the six ports and several forks that need to be matched!
Several people on one side were stunned!
Wu Tongfu was confused again.
He's fast again... Fast again!
you 're right!
Chen Cang is more skillful than the treatment just now, and the natural suture speed is also improved.
Then came the most difficult part, trimming the intercostal artery opening and peripheral adventitia, and anastomosing end-to-side with a branch of the artificial blood vessel!
The allowable blocking time of this process is within 40 minutes!
When Chen Cang did it for the first time, it was just finished!
Now most of the people who can complete this operation in China are concentrated in about 35 minutes.
The peak time of Xiao Zhehai, the first person in macrovascular surgery, is 18 minutes.
Every minute is a fight for the patient's life!
After the end blocking forceps were moved above the abdominal trunk, Chen Cang held the hemostatic forceps tightly in his hand.
"Timing!"
Each step of this operation needs to be timed. Of course, the purpose of timing is not to challenge anything, but to remind the doctor in time that the time is limited and do not exceed the specified time.
However, they found that the purpose of timing for Chen Cang at this moment is not to remind, but to tell them all: look, Chen forced Wang faster than before!
The operation began. Chen Cang began to repair the intercostal artery!
When trimming the intercostal artery, we need to be careful not to damage the intercostal nerve. There are often patients who damage the intercostal nerve and even induce acute myocardial infarction.
The nervous system is probably the most elusive system in the human body.
It seems to understand very well. In fact, sometimes, it often leads to the failure of the whole operation because of carelessness.
Chen Cang, who has perfect surgery, knows this well and can't save time in this place.
On the contrary, he handled it very seriously!
As for anastomosis, Chen Cang is also ready. At this time, 5 minutes have passed. If the anastomosis of intercostal artery can be completed in 13 minutes, Chen Cang can surpass Xiao Zhehai!
At this moment, Wu Tongfu couldn't help glancing at time.
Chen Cang also began to match!
The branch of the artificial vessel needs to be anastomosed with the intercostal artery quickly.
Chen Cang was calm at this moment.
In fact, surgery is not to blindly pursue time, but if it can be completed quickly on the premise of ensuring the quality of surgery, it is a good thing for patients!
Even because of these small things, it can better improve the survival rate of patients.
The match officially begins!
Chen Cang was very calm, but Wu Tongfu, Xu Ziming, Li Baoshan and others around him were not calm.
There's even no way to calm down!
Because today, they want to witness history.
you 're right!
They may have to witness the anastomosis of intercostal artery segment in great vessel anastomosis beyond academician Xiao Zhehai!
First, finish!
The second
Time at this moment has no meaning for Chen Cang.
To tell the truth, Chen Cang first felt what is called [my needle holder]!
This is a state!
Although it is said that the combination of man and sword is a little pulling, Chen Cang is really the combination of man and sword at this time!
In Chen Cang's opinion, anastomosis is no longer a burden, or even an enjoyment. Needle holder and needle body have become part of Chen Cang's right hand!
The operation is fast!
When Chen Cang vomited a mouthful of turbid gas, the intercostal artery anastomosis was successful.
At this moment, after Wu Tongfu looked at the time, he couldn't help getting excited!
15 minutes!
Chen Cang completed the anastomosis of intercostal artery segment within 15 minutes.
He surpassed Xiao Zhehai.
At this moment, Wu Tongfu couldn't help getting excited, and so did Xu Ziming.
But Chen Cang was very calm. He took a look at the time and didn't care.
Because as long as the patient is not rescued successfully, any time in his opinion is meaningless.
The ultimate purpose of the operation is to save the patient.
Not for the record!
Chen Cang never cared about the time.
Because in his opinion, he just went all out!
Autologous blood has been continuously transfused back. At this moment, the patient has completed 1200 ml of autologous blood transfusion.
The nasopharynx temperature is always maintained between 35.3 ~ 35.8 ℃. At this moment, the patient's condition is very stable!
Secondly, under the renal artery, the abdominal aorta wall of the celiac trunk artery, superior mesenteric artery and the opening of the right renal artery was free and anastomosed end-to-end with the distal end of the artificial vessel, the left renal artery was anastomosed end-to-end with a branch of the artificial vessel, and the left accessory renal artery was anastomosed end-to-side with the artificial vessel of the right common iliac artery.
The whole work is tedious and exciting!
When the aortic arch replacement was completed, Chen Cang successfully repaired the ascending aorta in the pericardium again.
At this point, it means that the operation will be completely over!
Finally!
After vascular anastomosis, protamine neutralized heparin.
The whole operation time was finally set at 89 minutes.
Less than a movie time!
But for everyone present, it was easy to see an epic masterpiece!
They witnessed history with their own eyes!
History created by a young man.
At the age of 28, he completed the operation of a vascular surgery pyramid.
It may be unprecedented, or there may be no future.
How many vascular anastomoses, 1700 ml of autologous blood transfusion, 3900 ml of crystal solution, 14 U of plasma, 2 g of human fibrinogen, and 2500 ml of urine
All this is the witness of this operation!
Looking at the patient's vital signs, everyone couldn't help laughing.
With this operation, Chen Cang established his position as the king of thoracoabdominal artery surgery!
This battle!
For the beginning of legend!
……
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PS: I asked for monthly tickets at the end of the month. Today I received more than 8000. Thank you very much, but we still need to work hard. Thank you again and ask for monthly tickets.