Chapter 638: Am I a Pirate?
PS: I'm too busy today, send it out first, and revise it tomorrow morning, thank you!
After anesthesia, position yourself.
Director Liu and Director Li are responsible for the operation on both sides, they take the junior doctors to brush their hands, disinfect the order, except for the surgical members, there are no idle personnel in the operating room, and occasionally there are disobedient doctors who want to lurk, and they are also blasted out by the itinerant nurses.
Organ transplantation has very high requirements for the sterility of the operating room, and these two operating rooms are 100-level operating rooms, and they are also the operating rooms with the highest level of the operating room.
Yang Ping took Professor Yao to brush his hands, and did not forget to comfort the copyright owner when he brushed his hands: "Professor Yao, I am going to use your ischemic transplantation technique today, I am very grateful to you, and I will trouble you to give more guidance later, they are not very familiar with it." ”
Professor Yao nodded stiffly, they are not familiar, are you familiar? The first time you use this technique, you need to practice it many times.
While walking, if this guy is really not familiar with it, he still has to make a move, after all, his own technology, can not ruin the reputation of technology, theory is theory, practice is practice, can not be mixed.
For the first time, the new technology has come out of the southern capital, and the original creator must maintain his reputation, and there are many eyes in the audience.
"If you find that I am not doing something right or bad, you can always point it out and replace it if necessary." Yang Ping emphasized that this is a respect for the original.
Well, let's let you wave first!
Professor Yao followed the brush, and it was also the first knife for organ transplantation in South China, thinking in his heart, first look at Professor Yang's level, and it can be seen in a few steps at the beginning, but it is really not possible to stand up and rescue the table.
Yang Ping said that the operation was done by him, so Director Liu and Director Li did not dare to move, and after laying the order, they wore surgical gowns and stood by the operating table to wait.
When Yang Ping and Professor Yao put on their surgical gowns and started the preoperative check, the operation officially began.
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The surgery has not officially begun.
The screen is divided into two halves, half of which is aimed at the surgical area, which is currently just a green sterile sheet; The other half of the camera is facing the operating room, and the surgical team is taking their places.
The demonstration room of the operating room is in the non-restricted area, close to the rest area of the doctors and nurses, and it is already full of people at this time.
In addition to the eight experts from the hospital, there are also Director Zhao of the Medical Department, a deputy chief physician of the Organ Transplantation Center, and available doctors, masters, and trainees in various departments.
Professor Wang, Professor Pei, and Director Zhao sat in the first row.
There were tea and snacks on the desk in front of him, and Professor Wang was a little bored, so he grabbed some melon seeds and peanuts to eat.
Director Zhao temporarily answered the phone, said hello to the professors, went out for a while, and instructed the deputy chief physician of the organ transplant center to accompany the experts.
"I said, Yao Qingxiang is the main knife, you see, he brushed his hands on stage."
Professor Wang picked up a cup of freshly filled tea and took a sip, just now Director Zhao was next to him, it was inconvenient for him to point and point, and now Director Zhao temporarily walked away, he just happened to be free to comment.
"It's not quite right, how did Professor Yang get to the position of the chief knife, Yao Qingxiang is fiddling with the pipes of the machine, is Yao Qingxiang only responsible for the operation of the machine and the maintenance of organs without ischemia."
Professor Pei found that the position on the operating table was gradually becoming clearer.
Professor Yao is fiddling with the pipes of an extracorporeal multi-organ repair machine, which can connect organs to the organ when it is cut out of the donor, so that the organ can maintain a state of blood and oxygen supply without ischemia.
In this way, the whole process of the organ will not be ischemia, and the whole process is a heat transplant, so that the organ is always alive, the effect is best after transplantation, and the complications are minimal.
"Wouldn't it? Is he really on the stage? Sanbo Hospital is really bold, and this kind of surgery dares to mess around. Professor Wang took a closer look, and Yang Ping was indeed standing in the position of the chief knife.
The position of the operation, the chief surgeon, the first assistant, and the second assistant are all particular, and they cannot stand casually.
Therefore, as soon as the stage opens, as long as it is not a rookie team, the team's position will be very standardized, which is similar to playing basketball and football.
Professor Wang's interest was suddenly halved, and if Yao Qingxiang came to do the surgery, it would be a decent surgical demonstration.
A single kidney transplant or liver transplant, Yao Qingxiang solved it in three hours, and if the liver transplant and kidney transplant were done by him, five or six hours was normal, and the assistant did not cooperate well, and it might take a little longer.
"Handsome guy!"
Professor Wang beckoned to a doctor who was in charge of entertaining.
The Doctor immediately ran over to see what the big guy wanted.
"Where's your bathroom?" The big guy may have an upset stomach, but he has just endured it for a long time, and he wants to go to the bathroom to relax before the operation starts.
The doctor immediately dutifully took the big guy to the bathroom before returning to the classroom.
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After the preoperative check-in is completed, the surgery can begin.
"I started?"
Yang Ping confirmed again.
"Let's go!"
Director Liu nodded, the first time he operated with Yang Ping, his heart was still limited.
Yang Ping slashed the scalpel in his hand on Li Jun's right abdomen, and a beautiful arc-shaped incision was formed in the right iliac fossa, which was only five or six centimeters long, half of which was half the ten centimeters that Director Liu usually did for kidney transplantation.
The incision is not deep or shallow, a knife in place, just cut through the skin and subcutaneous, Yang Ping replaced the scalpel with an electric knife, and then cut the deep fascia of the abdomen, the bright red muscles bulged out, Yang Ping touched the muscles with his fingers slightly, cut the muscles with an electric knife, reached into the hand for a minute, pushed open the peritoneum, found the kidney located outside the peritoneum, and felt the renal arteriovenous and ureter along the kidney.
Finding the kidney on Li Jun's right side, Yang Ping helped Director Liu and the second assistant adjust the retractor, and the entire kidney and the connected blood vessels and ureters were displayed in the surgical field.
"Take the kidney! Professor Yao, please prepare the machine. ”
Yang Ping ended the first step and started the second step.
It was only a few minutes before Li Jun's kidneys were revealed, and the instrument nurse hadn't even handed over the gauze to stop the bleeding.
At the beginning of the operation, Yang Ping did not waste time at all, and said to Director Liu, who had not yet reacted: "Take the kidney!" ”
Director Liu was still an assistant to take the kidney, and Yang Ping took him to another operating room to change gloves.
Director Liu was still stunned, and after a few minutes, Yang Ping took out Qin Xiaowei's kidney and handed it to Professor Yao to put in the organ trough of the machine, connecting various pipes to maintain organ perfusion.
Yang Ping, Director Liu, Second Assistant, and Professor Yao took the living kidney and transferred it to Li Jun's side.
Yang Ping's movements were very fast, and he immediately cut off the blood vessels and ureters of Li Jun's right kidney and took out the discarded kidney.
Then Qin Xiaowei's kidney was connected, and the arteries and veins of Qin Xiaowei's kidneys were anastomosed on Li Jun's internal and external iliac arteries.
Even the baby's blood vessels can be connected, this kind of thick blood vessels are very easy, in the state of hanging hands, Yang Ping sutures the blood vessels like a precise machine, stable and fast, the needle distance margin is completely equal, very beautiful.
After the anastomosis is done, the blood vessels are opened, there is no blood leakage at the anastomosis, there is no need to supplement the needle, and the blood circulation of the kidneys is very good, and then the ureter of Qin Xiaowei's kidney is planted on the top of Li Jun's bladder, and a stent tube is placed in the ureter to form the tube of the anastomosis to prevent the narrowing of the tube.
The whole process was only half an hour, and the kidney transplant was completed!
Professor Yao was a little unable to keep up with the rhythm just now, this is his own technique, he is actually much more proficient than himself, and he has just a few details, which is much better than himself.
No way! It doesn't make sense!
Am I a pirate? He is the original.
Professor Yao was calm, as if in a dream, half an hour, it is impossible to do it by himself for less than two hours, three hours is the normal time.
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"How? Liver transplant or kidney transplant first? ”
Professor Wang came out of the bathroom, his stomach was much more comfortable, and he took a sip of tea to warm his stomach.
"How about a liver transplant first?"
Professor Pei didn't speak, and Professor Wang judged for himself.
"The kidney transplant is done!"
Professor Pei was slow to respond to Professor Wang's words.
Professor Wang looked at his watch, he had just gone to the bathroom, and he was full of calculations, how could he have completed a kidney transplant in less than half an hour.
"Lao Pei! It's not funny at all. ”
Professor Wang thought that Professor Pei was telling a joke, but obviously there was no laughing point in the joke.
Professor Pei slapped his forehead a few times, exhaled a breath of turbidity and said: "It's really done, I've been engaged in organ transplantation for 20 years, and I've never seen such a fast hand speed, you didn't see it just now, the level of anastomosis blood vessels and ureters is indeed superb, anyway, I can't do this level." ”
Anyway, Professor Pei couldn't find any good words to describe it.
Professor Wang saw that Professor Pei was a little wrong and looked depressed, so he asked the professor in Huaxi behind him: "Is the kidney transplant done?" ”
"It's done! Look, don't talk, wait for the liver transplant and you won't see the whole thing. ”
Huaxi's professor stared at the screen.
it!
Professor Wang scolded in his heart.
The dignified doctoral supervisor could only scold in his heart, staring at the screen with a pair of eyes, and he was very reluctant to stick it.