Just when everyone was amazed, Ruan Bin made a neck I-shaped incision in Liu Jitang's neck flap, and then transferred the flaps at both ends to implant the tracheal defect.

At this point, Ruan Bin can hand over the operation to the next successor!

Because the next step is to completely remove all the large veins of the upper body invaded by the tumor, completely remove all the large blood vessels including the left intracranial vein and the cancer thrombus in the right atrium, and reconstruct the patient's superior vena cava system, restore and reconstruct the patient's normal upper body large vascular system and ensure the normal return of blood from the upper body veins.

This part should be the turn of vascular surgery and cardiothoracic surgery.

"Lao Liu, it's your turn!" Dai Yaowen said to Liu Bin, director of vascular surgery.

"I'm ready!" Liu Bin replaced Ruan Bin's position as the chief surgeon just now, and then began the operation.

To be able to become the director of vascular surgery, there is naturally no need to say much about the level, I saw Liu Bin quickly cut through all the veins and large blood vessels in the upper body that were invaded by cancerous tissues, and removed them with a knife.

Only those veins that have not been invaded by cancerous tissue remain.

The removal of veins and blood vessels was completed by Liu Bin as scheduled.

However, when the cancer thrombus in the right atrium was removed, the cardiothoracic surgeon encountered a difficult problem.

The cancer plug in the right atrium cannot be sucked up, and the adhesion is too strong!

Seeing that the progress of the operation was stuck here, everyone was a little anxious.

Because cardiac thrombus removal is inherently dangerous, it is best to do it in a short period of time!

"Right atrial and vena cava cancer thrombectomy with cardiopulmonary bypass! Hurry! I'm going to catheter you aora and vena cava right now! I'm going to connect the cannula to ECMO (extracorporeal membrane oxygenation) – the internal jugular vein-femoral vein diversion system. You can immediately perform the right atrial and vena cava cancer thrombectomy under cardiopulmonary bypass!" Ruan Bin recalled his many surgical experiences in this innovative radical thyroidectomy, which mentioned a similar condition, and the effect of using this method was very good at this time!

Sure enough, Zhou Kun, the director of the Department of Cardiothoracic Surgery, was excited after hearing this, "Doctor Ruan, your method should be effective!"

He was originally a little helpless, but when Ruan Bin reminded him to use this surgical method, he secretly and quickly thought about it in his heart, and felt that the practicality was very high, and it should be able to achieve the effect they wanted!

After speaking, he also immediately began to prepare.

After seeing that Ruan Bin was intubated, he waited for the nasal temperature to drop to 18° and 95% of the blood volume in his body was introduced into oxygenation, and Ruan Bin immediately stopped perfusion. Zhou Kun hurriedly used a sharp knife to cut open the right atrium and inferior vena cava, and used thrombectomy forceps to strengthen the heart and use external force to remove the cancer embolic forceps!

A 12# balloon catheter is used to penetrate from the inferior vena cava intosion upwards to the right atrium, and the balloon is filled with water and slowly dragged to bring out the residual cancer thrombus attached to the wall. Repeat many times and rinse with plenty of saline until no more cancer clots are seen!

Then suture the ......

Rewarming, restoring spontaneous heartbeat......

"Ruan Bin, if this operation is successful, you will be the greatest hero! You have easily solved the two most difficult problems. Liu Bin couldn't help but admire.

"You're going to be famous!"

"Tsk, a resident doctor beating a group of our chief doctors really makes us can't hold our heads up. Dai Yaowen teased himself.

"Ahem...... I just tried harder. Ruan Bin smiled.

All:......

Say as if we don't work hard?

The next step is to artificially reconstruct the venous system of the upper body......

Time passed little by little, and the progress of the operation was getting further and further behind, and everyone saw that every step of the previous operation had met their expectations, and everyone was happy in their hearts.

Finally, the operation was finally completed after 10 hours.

The surgery went well, at least it looked like it was going well.

However, people do not know whether the postoperative recovery will achieve their desired results and whether it will cause serious complications.

All of this has to be seen in these two days!

"Are we now able to complete the world's first surgery for thyroid cancer from the neck to the heart?" said Dai Yaowen in disbelief.

"It should be, it seems, we are the first case in the world, right? At least there is no record in the literature at present, if we publish our surgical records, we will be the first case of literature!" Director Qian was also a little like a dream!

"Are we going to be famous, then?" said the anesthesiologist with a hint of anticipation and a hint of excitement.

"It's hard to say, anyway, our newspaper must be decided!"

"Let's go, let's go out first. ”

When a group of people walked out of the operating room, they saw Liu Jitang's parents waiting anxiously outside the door.

"Doctor, how is the operation, did the operation go well?" asked Liu Jitang's mother with a hint of apprehension.

"The surgery went smoothly and successfully! Dai Yaowen said with a smile.

"It's good to succeed, it's good to succeed, Director Dai, all the doctors and directors, thank you, thank you!" The two elders were excited and wanted to kneel down and kowtow, but they were stopped by everyone.

"The operation was successful?" At this time, everyone didn't notice that Vice President Lin was also waiting here, he was sitting on a bench in the corridor!

"Dean Lin, why are you here?" Dai Yaowen and the others were stunned.

"When I heard that you were challenging this extremely difficult operation, which is not even documented in the world, of course I was more interested. Now that the operation has been successful, hehe, it is also time for our First Affiliated Hospital of Modu to make a name for itself. Oh no, it's time for you and the First Affiliated Hospital of Modu to make a name for themselves!"

This may be the first of its kind in the world!

What a weight!

Although their First Affiliated Hospital of Modu ranks among the top 30 in China, there is still a huge gap between them and the top five hospitals in China.

What's the difference?

The difference is in the development of new surgical methods, and the difference is that there are relatively few such successful surgeries that are the first in the world!

Those top hospitals are not only developing new procedures, but also challenging various global firsts!

And doctors like the First Affiliated Hospital of the Demon Capital can only follow the tail of others and learn other people's new techniques, and they have never been able to challenge the status of other people's bosses.

No way, other people's doctors are higher than you!

Be more creative!

"By the way, when will the patient be discharged?" Vice President Lin asked with concern.

"If there are no serious complications and you recover well in the next few days, you can be discharged from the hospital in about two weeks!" replied Dai Yaowen.

"Very good, you guys write all the papers, and tomorrow I will bring someone to interview you! Publicity, get started! Our First Affiliated Hospital of Modu must be high-profile!" Vice President Lin said in high spirits.