Chapter 2258

"Director."

"I'm in the ward."

"OK, I'll wait for you."

Zheng Ren hung up director Kong and immediately entered the system operating room.

Su Yun's goods are not there. He went to give lectures to the doctors sent by lanko. There are few people asking why.

Entering the system operating room, Zheng Ren saw a pair of conjoined babies lying on the operating table.

Both infants were complicated with congenital heart disease, resulting in poor myocardial reserve function, and both infants were complicated with upper respiratory tract infection. The system panel is marked with blood red - cardiac insufficiency (grade II).

Zheng Ren was not in a hurry, but recalled the introduction of the operation he had seen before.

The conjoined baby with chest and abdomen is not the most difficult. If the head is combined, it is the most troublesome one.

At present, there are more connected parts of the liver of the heart conjoined infants.

The left half liver of the two children was completely overlapped and fused, with a circumference of about 25 cm. The biliary tract and arteriovenous system were separated, and other digestive systems were separated. During the separation, it was also found that two thick blood vessels with a diameter of about 0.2 cm were connected at the liver junction.

For Zheng Renlai, who can reach the peak of general foreign science and technology, separating the liver is nothing. He did it heartily.

This is the first operation after the peak of general foreign science and technology, which is completely successful.

Liver separation, hemostasis and anastomosis. In the sound of ultrasonic knife, it took only more than 30 minutes to complete this operation.

After finishing, Zheng Ren felt comfortable.

This is the feeling. When the big pig hoof just came, it gave 3 minutes to experience the peak.

It feels as like as two peas.

Zheng Ren's hand is on the child's liver and can clearly feel the texture of the liver through sterile gloves. How much power should be used and how to do it are clear in my heart.

It's a kind of self-confidence. Without the surgery that you can't do, you can complete it smoothly no matter how difficult it is.

Even without Zeiss's microscope, Zheng Ren can complete microscopic anastomosis. However

After opening his chest and preparing to separate his heart, Zheng Ren finally knew where the trouble was.

The two hearts come together, twisted and deformed.

This is not the biggest trouble for Zheng Renlai. In the eyes of the expert team of Philadelphia children's Hospital and director Han of women's and children's Hospital, Zheng Ren doesn't feel any insurmountable obstacles.

But the difficulty lies in the different heart beat frequency of the two children, which has a great impact on the operation.

After several experiments, Zheng Ren didn't have a particularly good way.

He breathed a sigh. Did the big pig hoof want to give an assistant function for this operation? It should be that the system is quite humanized.

Although Zheng Ren doesn't know what impact an assistant will have on the operation, he can only try. Follow the tips of the pig's hoof to make a further attempt.

Click the assistant mode. Zheng Ren found that the assistant should consume the same operation training time as himself.

And now they are used in advance without being rewarded, which consumes time for surgical training × 2。

In other words, one operation requires training time for three operations.

Zheng Ren was helpless, but he had no choice but to click the assistant function. After clicking, Zheng Ren immediately found that there were a series of options behind. It seems that there can be many assistants.

If only there were too much time for surgical training, Zheng Ren thought.

Of course, he won't waste so much. Every surgical training is very valuable. After selecting an assistant, Zheng Ren saw the image of an experimental body appear in front of him. There is no doubt that the figure outline should be su Yun.

He tried several more operations, and Zheng Ren had a number in his heart during the whole process. Even with an assistant, the operation can't be completed at all.

The heart rates of the two hearts are different. One is about 160 beats / min and the other is 130 beats / min.

It is too difficult to completely separate the distorted myocardium on the basis of heart beating.

The heart function of children is very poor. It is necessary to disconnect the heart in the shortest time and repair it with patches in order to make the operation successful and make both children survive.

If the operation is carried out in the existing way, it can't be completed at all. Zheng Ren made a preliminary prediction after several failures.

Zheng Ren did not hurry out, but carefully observed the hearts of the two children.

The diaphragm, mediastinum and pleura are partially connected. The two infants share the pericardium. The large blood vessels at the bottom of the heart are completely separated without communication. The atria are connected and share a piece of myocardium. The apex of the heart is connected near the diaphragm. There is a small tubular connection between the two hearts, with a diameter of 3 mm. The other parts of the two hearts are membranous connections.

Recalling the operation of conjoined infants, although this situation is not a conjoined infant with only one heart, it is also a primary conjoined infant.

The operation is much more difficult than I thought.

Flowers bloom and tie together. The name is very beautiful, but Zheng Ren has no idea what to do with the operation.

In desperation, Zheng Ren came out of the system space to meet director Kong.

Soon, director Kong walked back quickly.

"Boss Zheng, vice president yuan works on the site of respiratory medicine. He said to ask if you can have conjoined baby surgery on this side. It seems that you have a common heart. There is a patient in the women's and children's Hospital, and the surgery can't be taken down."

"I haven't done it... I'm not sure." Zheng Ren sighed and said.

Director Kong knows that this is the case. The incidence of conjoined babies is not high. It is more that the whole emperor can do 3-5 cases a year.

And it's not the heavy one.

The operation that cannot be taken down by the women's and children's hospital is estimated to be difficult to fly directly to the sky.

"Boss Zheng, if we can't do it, we can't do it hard. Just finish the Nobel Prize project well. This is the main." Director Kong whispered.

"I know, director." Zheng Ren nodded and said, "look at the patient first."

"I just called the women's and children's Hospital and said that the women's and children's hospital was serious this time." Seeing Zheng Ren's composure, director Kong felt much more secure and began to gossip.

"Oh?"

"They went to the expert team of Philadelphia children's Hospital for guidance, and also made a simulator with 3D printing and surgical navigation system for preoperative simulation surgery."

"...." Zheng renleng.

If there is a simulated operation, run in twice more. Should you and Su Yun cooperate tacitly?

Zheng Ren can't say well. If you don't try this kind of thing, who can know.

Like conjoined babies, we should not choose the person with the highest surgical level, but choose the doctor with the most familiar technical level.

In this way, the atrium of the child can be completely separated in the shortest time.

It's just the way of surgical navigation system and preoperative 3D printing to simulate children. The women's and children's hospital has really paid off.

There is no successful precedent in the world.

Is it really feasible?