Chapter 1706

The operation continues!

After delivery, the child needs to complete the combined heart and lung transplantation as soon as possible.

After some preparation, change people to continue the operation!

"Artificial heart lung machine!"

"Prepare for surgery!"

Looking at Guo Xue, she was like a puppet, which was opened at will!

People are really scared!

What luck?!

What? Don't follow the doctor's advice!

The weakness of language becomes very vivid under the modification of the picture!

A surgeon is a person who faces disease directly.

They are well aware of the risks and accidents they need to face.

But can't flinch!

The next scene is unforgettable to anyone.

Chen Cang needs to open Guo Xue's chest, remove all her heart and lungs, and then put the healthy ones in!

It sounds very simple. It's as simple as cutting your head and sewing it up.

Chen Cang cut the sternum in the middle and pulled the sternum to both sides.

Immediately after the incision of both sides of the pleura, at this moment, the pleura adhesion is serious, like a corrupt mass of meat, which makes people sick!

Seeing this scene, all professionals began to take it seriously!

If the scene just now is for ordinary people, the next operation is for those experts!

Chen Cang should separate the adhesion before heparinization.

The time is very short. Chen Cang must do all this well.

Adhesion in the chest is the most complex.

Because there are a large number of arteries and veins, trachea, phrenic nerve, vagus nerve, recurrent laryngeal nerve

These things, once damaged, will cause many irreversible consequences!

But in such an adhesive environment, if you want to complete the operation within a period of time, how can it be so simple!

It's really a little difficult!

Sabrina, President of AATS Association, took a breath directly after seeing such a chest!

She deeply felt the pressure that Chen Cang could summon up the courage to broadcast this operation live!

He looked at Ryan and said faintly, "how sure are you of this operation?"

Ryan smiled directly: "are you kidding? Can I do such an operation?"

Ryan is not kidding. The difficulty of this operation is basically all over the head and tail.

There is no simple place!

This is the case with thoracotomy.

"Do you think this operation has a chance?" Ryan asked Sabrina.

It really silenced Sabrina!

She has tried her best to overestimate Chen Cang's surgical ability. Without any error, she can't complete the operation!

Because an operation can't be solved by Chen Cang alone. It depends on the joint efforts of the patient and the surgeon!

Even if Chen Cang doesn't make mistakes, it doesn't mean that the patient doesn't have problems!

Guo Xue's condition is very bad!

A moment later, Sabrina shook her head: "no, I don't think Guo Xue can make it!"

She said it gently, but Ryan recognized what she meant.

this moment!

AATS Association members are basically watching such an operation.

Even, it can be said that this operation is the largest and most difficult operation in cardiothoracic surgery. There is no one!

What could be more important than watching this operation?

No,

The overseas live broadcast of clove.com has been boiling.

They are already having a crazy discussion.

After all, most of the overseas concerns are experts in this field.

But there are many people in China.

Wang Tong and Chen Jing can only patiently explain:

"This operation is estimated to be difficult!" Chen Jingmei was worried. "Do you see this area stuck together? It's very dangerous. There are a large number of neurovascular airways. It's very difficult to separate in a short time!"

"Moreover, these adhesions are easy to induce infection, and postoperative... Is not optimistic!"

"Let me show you the chest structure of a normal person!"

With that, Chen Jing raised a picture from the computer.

Although everyone couldn't understand it, they were stunned when they compared it!

Is this him... Can this be operated on?

you 're right!

Chen cangneng!

He began to work skillfully.

When people saw Chen Cang's soft hands carefully starting to move away step by step.

I'm really stunned!

It's too awesome!

Adhesion is like a spider's web in the chest, even carefully and neatly differentiated!

"Awesome!"

"Shit, Professor Chen, it's too strong!"

"Yes, this technology is rare in China!"

"Domestic? You underestimate Professor Chen!"

But Chen Cang didn't lift his head. He took the scalpel and cut the happy bag vertically!

Then, after heparinization, cardiopulmonary bypass was established by heart transplantation intubation.

When we saw the heart and lungs, we immediately sighed!

The heart and lungs have done their best. Can they not fail?

Guo Xue almost exhausted all her vitality in order to get pregnant!

Anyway, she's really fighting with her life.

However, do not feel that this can move the disease!

Of course not. You can never move the disease. Only doctors dare to move the disease!

you 're right!

As soon as Chen Cang shot, he knew whether there was one!

He just turned and looked at the cardiopulmonary Union in the salt water.

He did it.

He began to have his heart and lungs removed.

When the diseased heart was resected, Chen Cang only retained the ascending aorta, superior and inferior vena cava.

Then some were even retained as sutured joints.

Then, the process of removing the lung is more troublesome.

After all, the donor just now is brain dead. There is no pressure for surgery. After all, people are dead. What can you care about?

Just don't count the original heart and lungs.

However, Guo Xue is different. She still has to live.

Therefore, when removing the lung, do not damage the surrounding tissue.

But the patient's chest is not good.

The lungs are big!

Even if the lungs do not work under the cardiopulmonary machine, they also occupy a large area.

Chen Cang lifted the left pericardial margin forward and left with two vascular forceps to fully show the direction of the phrenic nerve.

As one of the most important nerves in the thoracic cavity, Chen Cang must be optimistic about the phrenic nerve.

Carefully, about 3cm behind the phrenic nerve, Chen Cang made a longitudinal incision on the pericardium, extending down to the diaphragm and up to the pulmonary artery!

Then, while the lungs don't pay attention!

Um!

Secretly remove the pericardium in front of the phrenic nerve.

The whole process fooled the people watching the operation!

Can I help him?

How did... Do this?

Even the people of AATS were blinded.

Because of Chen Cang's ingenious operation, a wide pericardial cord band retaining phrenic nerve and blood vessels was formed.

This operation instantly stunned the group of experts!

Barrage explosion!

"What's going on?" mund alpha was stunned.

Sabrina and Ryan looked at each other. They didn't know what Chen Cang did!

Ryan couldn't help writing: "how... How do I feel that he quietly cut out such tissue while his heart and lungs were not paying attention?"

you 're right!

That's how it feels.

Not to mention that Sabrina didn't notice, even all of them didn't notice what happened.

The formation of a wide pericardial cord band that retains the phrenic nerve and blood vessels can be said to be very vivid!

For a time, various remarks on the barrage began to appear!

"Not only did the heart and lungs not pay attention, but we didn't pay attention!"

"That's great!"

"Yes, I learned."

"Learned? I... didn't understand it. You learned it. Brag!"

……

Chen canggang's operation is really sharp.

Then, Chen Cang cut the left atrial posterior wall longitudinally through the oblique sinus in the center of the residual left atrial posterior wall.

Then, at the same time, lift the left atrial remnant and the connected left pulmonary vein forward and separate it from the posterior mediastinum with an electric knife!

This step is very dangerous, it is easy to damage the vagus nerve!

Therefore, Chen Cang is close to the pulmonary vein during separation, but in this way, it may damage the vein!

Therefore, this is almost a surgical means to seek survival in a crack!

After the operation, not only the vagus nerve in the rear can not be damaged, but also the blood vessels can not be damaged.

In this regard, we can only say that a sound and art expert is brave!

In this way, Chen Cang fully dissociated the hilar, ligated the bronchial artery, and then cut off the left pulmonary artery.

Finally, the left main trachea was clamped with a forceps, cut off at its distal end, and the left lung was taken out.

Throughout the process, Chen Cang noticed almost every point, every step!

No impact on the chest!

This series of operations is hard to understand.

Chen Jing said excitedly, "Professor Chen's operation is the most powerful lung resection I've ever seen. He has avoided almost every minefield. If such operations fail, I think no one in the world can save her!"

"Oh, I really look and sigh!"

Next, in everyone's eyes, Chen Cang also cut off his heart carelessly!

Take out all the heart and lungs by the same means!

At this time, everyone looked at the chest was basically empty!

Seeing this scene, everyone was stunned.

Where do those ordinary people have other ideas now? What luck?

No one wants to go more on such a road!

This is probably the cruelest operation they've ever seen!

Now, they have only one idea in their mind!

Can Guo Xue survive?

After all, it's terrible!

Such an operation can almost be said to change a person's chest.

And next, the most important thing is that it's time!

That's cardiopulmonary transplantation.

Wang Tong explained: "cardiopulmonary transplantation requires precise and seamless suture of trachea and blood vessels!"

"Maybe many people think it's very simple, but it's a transplant. It comes from different tissues. If you want to fit, you need a high level of suture."

"It can be said that cardiopulmonary transplantation is one of the most difficult operations at present.

Or we have no intuitive concept of this difficulty!

Let me give you some figures:

Since its success in the United States in the 1980s, the operation has been carried out in no more than 3000 cases all over the world, and the success rate is less than 1000. In China, the success rate is less than 100 cases!

All over the world, there is no success in cardiopulmonary transplantation for gestational pulmonary hypertension! "

Hearing Wang Tong's introduction, all the people watching the live broadcast were stunned.

What is not a success?

Guo Xue's family members are also watching the live broadcast of the operation!

After they saw Academician Wang Tong's explanation, everyone was silent!

Now, the child is saved!

But does Guo Xue have a chance to survive?

Li Xuefeng and his family are obviously nervous and uneasy.

At this time, almost everyone has no expectations for such an operation!

you 're right!

Professor Chen has achieved his best.

He has made surgery an art.

He tried to do everything well.

But

Perhaps what Professor Chen faces is still failure.

For a time, everyone looked at Chen Cang, who was seriously operated on, and unexpectedly felt distressed at the same time!

What is the purpose of such a professor Chen who knows his failure but goes there resolutely?

The next operation, every step is very difficult!

Are dangerous.

But Chen Cang has forgotten the success and failure of the operation.

In his eyes, there are only four words: go all out!

Meng Xi was moved.

At this moment, she finally realized how difficult the operation was!

Some things can't be described by words at all.

However, Chen Cang did not give up.

Overseas, all AATS members who watched the operation were silent.

The barrage is clean!

No one seems to be watching.

But on the contrary, they are very serious and seem to be treated with an attitude of worship and learning.

This moment!

It seems that everyone understands Chen Cang's deep meaning.

Doctors will try to treat patients.

But not every patient can be saved.

Even if it was a genius who operated on him!

However, treatment is ultimately a matter for two people.

We also need to consider the patient's own situation, self reaction and accidents!

Cut off the upper part of the tracheal carina. After Chen Cang carefully trimmed it, he took some tracheal secretions and gave them to Meng Xi: "take them for bacterial culture."

After that, suck up the secretions in the trachea.

Then the lungs and heart are placed in the chest.

And cleverly avoid those key blood vessels and nerves.

Trim the recipient trachea!

Sew!

The size of trachea orifice at both ends is inconsistent?

This is a small problem in Chen Cang's hands!

Time goes by!

Finally, Chen Cang has finished suturing the airway and is waiting for lung ventilation!

At this time, everyone is nervous!

Can you succeed?

At this time, Chen Cang couldn't help worrying!

At this moment, I don't know how many people are waiting in front of the camera to watch this operation.

Looking forward to

Whether it can succeed!

Professor Chen has tried his best.

He has done the operation perfectly!

However, surgery is not equal to recovery. No matter how good surgery is, it can not guarantee the perfect recovery of patients.

Gradually!

Smooth ventilation!

After seeing this scene, everyone cheered!

Did you succeed?

This stranger who has nothing to do with them, is she going to be saved?

fucking great!

Professor Chen is awesome!

There was jubilation in the operating room!

Across the river and across the ocean, everyone was excited.

Lung ventilation is complete!

Chen Cang is also greatly encouraged!

Go on, there's still a heart that hasn't been processed!

come on.

Then, Chen Cang began to sew the heart opening with 4-0 polypropylene thread!

He needs to anastomose the aorta!

Then, one after another, he began to open the superior and inferior vena cava, exhaust all the gas in the heart, and open the ascending aorta!

You need to recover your heartbeat!

At this moment, Chen Cang began to tremble!

If you can succeed, you have to wait for the heart to beat again!

this moment!

All the spectators who watched the operation couldn't help standing up.

They feel that they may have to witness history first.

This may be the first successful patient in history!

Unprecedented success!

excitement!

Excited!

Even Chen Cang is so!

In the operating room, everyone stared at Chen Cang.

Waiting for his final order.

Let the heart beat again!

At this time, Chen Cang took a deep breath. For the first time... He felt his hands trembling slightly!

He's nervous!

Seeing Chen Cang's hand shaking, the whole people familiar with Chen Cang were stunned!

This... May be the first time Professor Chen is nervous!?

"Isoproterenol!" Chen Cang said faintly.

"Maintain heart rate for 110 min!"

Heartbeat!

Jump!

Finally!

When everyone looked at the release of the cardiopulmonary machine, the patient's cardiopulmonary began its first exercise!

They are completely excited!

Everyone's face is filled with excitement and excitement.

Professor Chen did it.

Unprecedented success!

Such an operation, Chen Cang has achieved an operation that no one in the world can complete!

Tension and uneasiness rippled in Chen Cang's heart.

He knew it was temporary.

Because the system didn't inform him at all, the operation was successful!

Chen Cang took a deep breath.

He did his best.

That's all he can do.

At this time, everyone found that Chen Cang was already wet.

Such an operation took all Chen Cang's strength.

He's exhausted.

For a long time

long time!

Chen Cang said to Meng Xi, "close your chest."

Meng Xi nodded.

At this moment, she realized what kind of pressure Chen Cang was carrying.

Whether this operation is successful or not, Chen Cang has warned the world.

Life is not a fluke.

Someone is fighting for you!

……

……

After the operation, Guo Xue woke up!

After the news spread, the whole world was boiling.

Professor Chen, once again completed everyone's impossible!

This winter, the first snow fell in the sun.

In the first week after operation, Guo Xue held the child and burst into tears.

She saw it!

This belongs to her and her husband's child.

This photo is popular on the Internet.

The child was named "Li Yang".

Everyone is lamenting the success of the operation.

But Chen Cang knows

The operation still failed.

Perhaps it should not be his own failure, but the patient's body, which can't support such an operation.

Half a month after operation.

The patient developed rejection.

The reaction was very serious. Guo Xue began to cough violently, had fever, had difficulty breathing, and had severe hypoxemia.

After that, the patient's condition became more and more serious.

X-ray findings were unclear perihilar boundary and diffuse focal pulmonary infiltration, combined with pleural effusion.

For the first operation completed in the world, many people at home and abroad hope to rescue it.

Facing the prayers of family members!

Chen Cang just said faintly: "prepare... Future events!"

Rejection did not want Guo Xue's disease.

But on February 9, the 27th of the twelfth lunar month, Guo Xue left the world because of infection!

She... Didn't escape her fate after all.

However, when Guo Xue left, she left with a smile.

No matter how ill she was, the woman's wish had been fulfilled.

On this day, Chen Cang made an announcement to the world:

"Every mother is great, but remember, miracles rarely happen. Believe in science and follow the doctor's advice. Maybe one day, we will have a better way to solve the problems we can't solve now!

Trust me, trust the doctor, don't kidnap the doctor in the name of love.

Because we are already trying to move forward! "

"The new year is coming. I wish you all good health."

After the news was sent out, everyone didn't blame Chen Cang. They clearly experienced it and were praising Chen Cang.

Praise the doctor!

Doctors and patients, as they should be, trust each other!

isn't it?

[Ding! The doctor's benevolence task is triggered. Your operation has saved the hearts of millions of patients and improved the understanding of doctors and patients. Hereby you get a super reward: color transfer props (Neurology)]

Chen Cang was stunned!

Originally thought, what reward can there be if the operation fails?

Unexpectedly

Unexpectedly, it triggered the doctor's benevolence and obtained colorful transfer props!

……

……

PS: I didn't do anything today. I wrote nearly 15000 words in front of the computer all day and finished the story.

Wrote the hearts of the people, wrote the willfulness, and also wrote the cow force of Professor Chen!

The veteran thinks he is satisfied.

I hope you like it.

Like to help vote for it. Thank you! The end of the month, please support!

Finally, thank you for the 50000 reward of "the strongest and fattest in Peking University". Thank you, brother.

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