All the experts sat down as observers, and the doctors, graduate students, and trainee doctors of Ahnsjeong Hospital were able to squeeze out their spare time one after another.

In fact, there are often surgical demonstrations like this in Anzhen Hospital, and as doctors, graduate students, and advanced doctors in this hospital, it is reasonable not to be so active, but today, these doctors are obviously very active.

The conference room was crowded with people, there were not enough chairs, and a lot of plastic stools were moved, which was not enough, everyone stood in the back and watched.

Some people haven't eaten breakfast yet, and rush to the conference room while eating breakfast; There are also some people who rush here directly hungry, have surgery to see, and what to eat for breakfast.

These doctors are all here for Yang Ping, the great god who has published 13 CNS, and now he is demonstrating the operation, and it is the top operation in cardiac surgery - coronary artery bypass, this kind of opportunity is hard to come by.

And because of today's demonstration of surgery, several bigwigs with the group have suspended the operation, and the members of the group are naturally naked, taking the opportunity to take a day off, so they have time to observe the operation.

It is not an exaggeration to say that An Zhenxin Surgery has poured out of the nest.

Whether Yang Ping's surgery is as powerful as scientific research, and what level of surgery it is, everyone is very curious.

After all, scientific research can rely on talent, but surgery, no matter how talented it is, takes time and cases to hone it.

Just like the math teacher has a chance to watch Yau Chengtong do the math problems in the college entrance examination, he is the "emperor of mathematics", can he do the math problems in the college entrance examination?

"The operation has begun!"

A reminder from a graduate student.

The noisy conference room immediately fell silent, and everyone began to observe the operation.

However, the image on the screen is only taken by the camera in the corner of the operating room, not by the camera on the operating light.

The operation has not really started, on the screen, Professor Zhong and Professor Chu's surgery has begun to sterilize the sheet, and Yang Ping's surgical patient is still intubated, obviously, it may be that there is a little problem with anesthesia and some time is delayed.

The experts have come with a mission, and they must not relax, and they will evaluate the three professors who participated in the selection later.

"Experts, I have to go to surgery today, and Director Ming Jiantai will accompany you, forgive me, forgive me!" Professor Xu came from the operating room using the intercom system.

Director Ming Jiantai stood up to greet everyone, and today he entertained everyone on behalf of Director Xu, and he was also the host of the observation meeting.

Director Ming Jiantai is also a student of Professor Xu, a top figure in cardiac surgery in China, and the level of coronary artery bypass surgery can be ranked in the top five.

"I don't know what the situation is in the other two operating rooms, our patients are experiencing a little difficulty in anesthesia, and the tracheal intubation is not very smooth-" Professor Xu sent another message from the operating room.

No wonder the two surgeries over there have been sterilized and laid out, and there is no movement here.

The progress of the other two is about the same, the disinfection sheet and preoperative check have been completed, and the skin has been cut, so the picture has been switched to the picture of the surgical area taken by the surgical light camera.

On Yang Ping's side, the anesthesiologist is performing tracheal intubation with the help of a fibroscope.

There are three screens for observation, and the surgeries of three people are opened at the same time, which saves time, otherwise for six surgeries, everyone will have to sit until the evening, and it is obviously impossible to sit from morning to night.

Finally, the anesthesia was successful, and Director Yang Ping and Director Xu began to wash their hands.

Yang Ping's main surgery, the first one is to build eight bridges for patients.

An Zhen's doctor began to disinfect the sheets, and Director Xu took Yang Ping to wash his hands, and was entering the operating room and began to put on the surgical gown.

Yang Ping is the main director, the first assistant is Director Xu, and the rest of the assistants are also two associate professors of An Zhen.

Everyone is in place, adjust the position of the surgical light, and then the screen switches to the surgical field.

The reason why this case is difficult is that this case is a complex coronary heart disease with diffuse lesions of the distal coronary arteries, and its coronary arteries are like a handful of spider legs, very thin, and atherosclerosis, which is a hollow blood vessel that becomes solid, and there is no bridge at all.

This is the case with Academician Meng-—— diffuse lesions in the distal coronary arteries.

If this case is put elsewhere, whether it is China or a foreign country, there is basically nothing that can be done, and there is no way to build bridges, let alone build several bridges.

The reason why Director Xu chose this case to do it himself today is that he wants to warm up in advance, similar to Academician Meng, he wants to warm up in advance.

I didn't expect Yang Ping to do this case, just do it, anyway, I am on the stage, I can take it over at any time, and this case needs to use the operation created by Professor Xu himself - the end anastomosis of the graft vessel in diffuse coronary artery disease to achieve venous arterialization, this technique is indispensable, Professor Xu's new operation has accumulated hundreds of surgeries.

Therefore, in this case, Professor Xu did not think about letting Yang Ping complete it at all.

"In this case, there are diffuse lesions in the distal coronary artery, and ordinary methods are not possible at all, so let's do it." Director Xu proposed to exchange places with Yang Ping.

Yang Ping said lightly: "I know - block the blood flow of the heart vein, let it connect to the graft, so that the direction of blood flow is reversed, oxygen-rich arterial blood flows through the capillaries, and supplies blood to the myocardial cells, because the venous wall is thin, so we have to control the blood flow into the graft through surgery -——"

Professor Xu was stunned: "Have you done it?" ”

"Otherwise, how dare I stand on the stage, the operating room is serious and sacred, I understand! Professor Xu, how can I not master the world's leading technique like you, let me try it. Yang Ping is confident.

Okay, you try, let it go, Professor Xu will keep an eye on it.

The itinerant nurse was going to wear a head-mounted microscope for everyone, but Yang Ping said that there was no need to wear a microscope:

"Prepare the thoracoscopy and supporting instruments!"

Yang Ping turned his head to look at the audience, and the thoracoscopy under the stage was not ready.

"Do it with a thoracoscopy?" The itinerant nurse looked at Professor Xu in surprise to confirm if it was true.

Professor Xu also looked confused: "Thoracoscopy? ”

Ordinary coronary artery bypass grafting can be done with a thoracoscopy, but in this case, the bridging blood vessels also need to be anastomosed with the veins, the venous tube wall is thin, the heart beats violently, and the thoracoscopic instrument arm is very long, which is not easy to control, and it is impossible to carry out this delicate operation, and once it is mistaken, the blood vessel will be torn.

Besides, if you keep jumping off the heart bypass, you need to fix the heart with a fixator, otherwise it is very difficult to find a blood vessel anastomosis on the heart that beats too much, and the fixator cannot be put in with a thoracoscopy, so it is unlikely.

"Professor Yang? With a thoracoscopy? Professor Xu couldn't believe it.

Yang Ping said firmly: "Yes, under thoracoscopic surgery, isn't it written on the informed consent for surgery?" I've also told my patients. ”

The informed consent for surgery is written, but it is only for the sake of careful consideration, and all the procedures are written down.

"Hurry up and prepare, don't waste time." Yang Ping ordered the itinerant nurse.

Professor Xu didn't stop it, the itinerant nurse had to do it, Professor Xu didn't stop it, because he was on the stage, and he wanted to see what Yang Ping did, after all, he was also the master of 13 CNS, so he shouldn't be nonsense.

And just now Yang Ping himself said - the operating room is serious and sacred.

The thoracoscopy is ready, the various pipelines are connected, and the preoperative check is completed.

Yang Ping made a small hole in the patient's chest, inserted a lens and instruments, and the operation officially began.

The operation starts with the microscopic removal of the internal mammary artery, and the movement of the microscopic instruments is very fast, so fast that the doctors, including Professor Xu, have never seen such a fast thoracoscopic surgery, which is much faster than the thoracotomy of the coronary artery bypass master.

The internal mammary artery is extremely thin and brittle, with a diameter of only about 2 mm, and it is necessary to prevent damage when taking blood vessels, so even if thoracotomy surgery is generally slow, slow can achieve stability and precision, which is determined by the limits of the human body.

However, in Yang Ping's eyes, a two-millimeter blood vessel is considered a thick blood vessel, and the baby's severed finger is replanted, which is called a small blood vessel.

Director Xu was frightened by the sudden fast movement, and he just wanted to remind Yang Ping to slow down - this was heart surgery.

As a result, the internal mammary artery has been taken out and handed over to Professor Xu.

Because the operation was done with a thoracoscopy, and the other two assistants helped to hold the mirror, Professor Xu had nothing to do.

Professor Xu put the removed internal mammary artery on wet gauze and carefully examined it, and the quality was very, very high, so Professor Xu was relieved.

For a short time when Professor Xu examined the internal mammary artery, a radial artery has been sent to Professor Xu, because this patient is more special, the number of bypasses is relatively large, and the internal mammary artery alone is obviously not enough, and another blood vessel must be taken as a bridging vessel, such as the saphenous vein, but the patient has severe varicose veins, so the radial artery is taken.

After taking the graft vessels, the next step is to cut the heart pack, find the target on the beating heart - the coronary arteries are extremely branched, and then perform vascular anastomosis, in this case the coronary arteries have been atherosclerotic and difficult to bridge, so the heart veins must also be found.

The microscopic instrument is like a slender and flexible hand that quickly cuts through the heart pack and finds the target blood vessel.

Next up is the most difficult operation – thoracoscopic anastomosis of blood vessels on a beating heart.

It is very difficult to anastomosis blood vessels on a beating heart under the microscope, because there is no fixed heart, the heart beats very strongly, and the blood vessels that need to be anastomosed are also up and down with the heartbeat.

The anastomosis pursues stability, that is, the blood vessels are required not to move, and the movements of the hands are also stable, which contradicts the beating of the heart, and this contradiction is doubled under the microscope.

Therefore, at this time, the hands or instruments of the surgeon can not be moved, but must move with the rhythm of the blood vessel movement, and maintain dynamic stability during the movement, so that the blood vessels can be anastomosed well.

The first shot starts, the second shot, the third shot-——

The microscopic instrument is still so fast and silky, and the tip of the needle almost steps on the rhythm of the heartbeat, moving with the moving blood vessels, so as to truly remain relatively static with the blood vessels.

In this relative stillness, one blood vessel after another is anastomosed, both the needle distance and the margin are perfect, and each needle is in place at one time, without any needle test action, and there is no repeated or ineffective operation.

Professor Xu simply put his hands in the protective bag on his chest and stood aside to look at the display screen of the thoracoscopy.

I have been doing coronary artery bypass for 20 years, and today is an eye-opener, coronary artery bypass can still do this, and the doctor's needle tip can actually step on the patient's heartbeat to complete the operation.

For Professor Xu, the shock of the operation is much stronger than the 13 papers.

Because coronary artery bypass is Professor Xu's strength, he is the first in Asia, there are heavens outside the sky, and there are people outside the people, Director Xu really feels the connotation of this sentence.

Professor Xu wondered why Yang Ping's microscope movement was so fast, and then how he could step on the patient's heartbeat so that the needle tip and heartbeat remained relatively still.

Professor Xu himself admits that even if there is more surgical accumulation, he can take this kind of case with a thoracoscopy, but he will never be able to do it so quickly and silkily.

How many surgeries does it take to hone this?

But Yang Ping is so young, how can he accumulate a large number of surgeries.

Is this talent?

It seems that the gap in talent is difficult to narrow with hard work.

Professor Xu stood motionless in front of the screen, immersed in this genius operation.

——

At this time, the conference room was already in a commotion, because everyone was crowded with each other, and those in the back wanted to squeeze to the front to see, so the meeting was a bit chaotic.

Eight blood vessels are anastomosed under thoracoscopy, or arterial venousization, and the operation is so fast and silky on a beating heart.

Again, the shock was stronger than in 13 papers.

This is a face-to-face shock, just like watching a war movie, no matter how the sensory stimulation brought by real 3D to the audience, how can there be a strong shock brought by the bloody scenes of the real battlefield.

Professor Xin Weicong took a breath, he just saw Yang Ping moving so fast, and he was worried that something would happen, his heartbeat was almost in his throat, and now that the operation was about to end, he breathed a sigh of relief.

He said, "No problem! No problem!

Yang Ping's operation ended quickly, and he immediately took over the next patient in another operating room, also with a thoracoscopy.

After Yang Ping's second operation was completed, Professor Zhong and Professor Chu's surgery was still anastomostomosis.

Professor Xin was thinking that now it is not a matter of preparing the chief surgery, but whether the main knife operated by the old academician should be directly handed over to Yang Ping.

"I'm not engaged in cardiac surgery, what level do you think Professor Yang belongs to?"

Professor Zhou Min is an internist and doesn't know much about surgery, so it's just a fun thing to watch, but from the cheers of everyone at the venue just now, Director Zhou knows that this operation must be a cow, and he doesn't know how much it is bullish.

Professor Xin said bluntly: "The level is higher than Professor Xu—"

"His level of aortic dissection surgery is higher than yours, and his coronary artery bypass surgery is higher than Professor Xu's? Aren't you number one in the world? Isn't Lao Xu the first in Asia? Why are you two firsts -—— now?"

Zhou Minmin was excited for a while, and found that this was inappropriate, and the last two words "stop cooking" were not said.

"Our first place is not fake, but it was because we didn't meet Professor Yang, who is the top of the list of surgical specialties, and the first to kill."

Professor Xin was not embarrassed in the slightest, and said confidently.

PS: Regarding coronary artery bypass surgery, Professor Gu Chengxiong from Anzhen Hospital is the first person in Asia! The new technology of "end anastomosis of graft vessels for diffuse coronary artery disease" pioneered by Professor Gu is the world's leading technology for many patients with complex coronary heart disease. THE PROCEDURE HAS ALSO BEEN INCLUDED IN THE EUROPEAN BOOK "ARTERY BYPASS" IN CARDIOVASCULAR SURGERY, WHICH IS AVAILABLE TO CARDIAC SURGEONS AROUND THE WORLD.

Also: Some details in the first few chapters have been mishandled and have been slightly modified, thank you!

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