Chapter 66: Another Miracle
After the reaction, the entire operating room was in chaos in an instant.
The previous operation alone was already a rare difficulty in the world, and the surgical plan proposed by Xia Xingran now was undoubtedly doubly difficult.
"Xiao Ran, your heart is good. But you also have to take into account the actual physical condition of the patient, you have to do at least 10 hours this time, but according to the patient's current cardiopulmonary condition, 4 hours of cardiopulmonary bypass is the limit."
Zhong Lin was the first to express his refusal. As an old man who has been practicing medicine for 30 years, he is an out-and-out securityist.
"Yes, yes, Doctor Xia, otherwise let's do one first, and we'll do the rest next time." You've increased the difficulty so much this time, and even if you're okay, we won't be able to keep up."
The assistant doctor of the tool man on the other side wrinkled his eyebrows tightly, and his face wrinkled into a bitter melon.
"Dr. Xia, the hospital's blood bank has always been tight, and we managed to get 1,000 ml of blood easily. In case something happens to you during this operation, the blood bank won't be able to connect."
Chen Lan counted the surgical tools and raised objections.
"And that's Director Shen's mother, Doctor Xia, think about it. If something happens and it affects us, how will you compensate?"
The doctor, who had already seen Xia Xingran's displeasure, leaned against the wall, his eyebrows and eyes were contemptuous, and he began to shake people's hearts.
His words were like a floodgate opening to the flood, and the hearts of the people who were so easily united were instantly put to waste.
Bai Moyan looked at the colleagues who were gradually thinking of retreating, and looked at Xia Xingran in the center of the storm with interest.
Xia Xingran felt countless pairs of eyes unceremoniously sweeping on her. She nodded her head in response, did not speak much, did not be afraid, calmly responded to everyone's eyes, her elegant and white face was generous, and there was a firmness of pine and bamboo in her eyes.
She felt a powerful force supporting her, and her heart was filled with fearless passion. Look at the book
It was the courage given to her by the more than 300 people in the welfare home who were waiting to be fed and waiting for dialysis to save her life. Even though she is terrified in her heart, with this courage she can be stable and self-reliant.
"I was able to control the operation time to 4 hours, and the amount of bleeding was less than 1000ml, and I was able to complete this surgery."
Xia Xingran raised her chin, still looking bright and gentle, only a little firmness in her eyes.
There was an uproar in the operating room, and everyone looked suspicious.
"This is the operation report, and the surgeon will fill in my name. As long as you cooperate with me to the best of your ability, I will be the first to be responsible for anything that happens. It has nothing to do with any of you."
What shocked everyone was not only Xia Xingran's medical skills, but also the aura she exuded. Such a powerful aura actually appeared in a fledgling little girl.
Bai Moyan lowered his head and let out a few chuckles, then looked at everyone, "I will also sign my name behind Doctor Xia, so can you start with confidence?"
Xia Xingran smiled gratefully at Bai Moyan, and his heart was warm. No matter when and where, as long as he is by his side, he will never be alone.
With Bai Moyan's blessing and Xia Xingran's assurance, everyone had to bite the bullet, and the operation was finally continued.
Xia Xingran first drained the blood of the inferior vena cava into the superior vena cava, blocked the superior and inferior hepatic vena cava and the inferior hepatic vena cava, and severed the left hepatic vein.
"Brother Mo Yan, hemostats." Bai Moyan nodded and quickly put hemostats on both veins.
"Cold perfume." Chen Lan handed it over immediately. Xia Xingran immediately perfused the left portal vein, and the faster the time, the more the quality of the left liver could be guaranteed.
Then Xia Xingran began to dissect the inferior vena cava after the liver and removed the right half of the liver along with the cancer thrombus.
Chen Lan immediately took the surgical tray to catch the huge right liver that had been removed, and ordered the other nurses to send it out for examination immediately.
"Artificial blood vessels." Between one delivery and one delivery, Xia Xingran had already entered the next link, and the speed was so fast that Chen Lan, who had experienced thousands of surgeries, was a little caught off guard.
After getting the artificial blood vessel
, Xia Xingran began to use it to replace the posterior inferior vena cava, and then rebuild blood flow in the portal vein and left hepatic vein.
Xia Xingran's hands moved quickly, but every step was never sloppy. As we all know, the faster the surgery, the less wear and tear it causes.
This is the most difficult step in the surgery, where the artificial blood vessel is sutured together with the still beating portal vein.
Everyone held their breath and didn't dare to move, for fear of disturbing Xia Xingran and causing the operation to fail.
With the help of Bai Moyan and Zhong Lin respectively, Xia Xingran used lateral anastomosis to suture the blood vessels. This is an advanced version of microvascular suture, which is mostly used in portal cava shunts to ensure a strong anastomosis.
Most of the doctors present had never expected to see such an advanced suture method here, so they couldn't help but lean in front of the screen together.
"Not only does she dare to use it, she can use it, but she also sews it so perfectly. What a daring artist."
Everyone looked at Xia Xingran, who was holding a needle and thread on the portal vein with a diameter of only 0.7 cm, operating freely like a butterfly. It was as if it was not a thrilling operation, but a beautiful art exhibition.
After the stitches were finished, Xia Xingran glanced at it and said, "It doesn't seem to be bleeding much." Bai Moyan and Zhong Lin nodded, "Well, no."
After taking a breath, Xia Xingran took a breath and said, "Then let's take a look." After speaking, Bai Moyan and Zhong Lin slowly loosened the sidewall pliers, and the blood vessels instantly rose.
There was an instantaneous suppressed cheer in the operating room.
"Start supplying blood." Xia Xingran didn't have time to be happy, he didn't dare to relax at all, and stared closely at the changes in blood vessels after blood supply.
After discovering that the blood flow was smooth, the anastomosis was not narrow, and there was no blood leakage, Xia Xingran's hanging heart finally let go. This means that the main part of the surgery has been successfully completed.
At 12:24, in less than four hours, the amount of bleeding was only 600 ml. This marks that the surgical team led by Xia Xingran has once again created a new medical miracle from many aspects!
Bai Moyan bumped Xia Xingran with his elbow, and his tone seemed a little anxious: "You take a break, I'll just stitch the next abdomen."
Xia Xingran relaxed at this time, and he already felt a sense of danger. He nodded gratefully to Bai Moyan, dragged his tired body out of the operating room, and waited for Director Shen outside to report the situation.
"This surgery is almost done. The tumor, cancer thrombus and right liver were removed smoothly and you can see it just after it was taken out. The artificial blood vessel and the portal vein were successfully anastomosed, and the blood flowed smoothly. I'll come out and talk to you, save you from worrying."
Director Shen clenched Xia Xingran's hands with tears in his eyes, and said in a loud voice, "It's been hard work. Thank you so much, Dr. Xia." He kept bowing while talking.
Xia Xingran suddenly felt that the exhaustion all over his body was swept away, everything was worth it, and he hurriedly helped Director Shen up.
After re-entering the operating room, Bai Moyan had already completed the operation.
Everyone was pointing to the anastomotic blood vessels flowing under the perspective on the screen and were amazed: "How good this blood vessel is sutured." While talking, they took out their mobile phones to take pictures.
Xia Xingran couldn't suppress the joy in his heart anymore, he tiptoed and hugged Bai Moyan, and suddenly turned into a small crying bag, crying and crying on his shoulder: "Brother Moyan, I didn't insult my father's reputation, I did it, I really did it!"
In order to show the hospital's outstanding medical skills, Bai Zhengqian once again posted the video of the operation on the hospital's official website and extranet, of course, this time with the consent of the patient and his family.
Thousands of miles away, located in Beishi, the senior management of Huaguo's health system is sitting in front of the computer, rubbing his chin, and watching Xia Xingran's operation intently.
Looking at it, a meaningful smile gradually appeared on his face.
After settling Director Shen's mother, Xia Xingran lay on his back in the lounge, beating his limbs and back.
"It's really beautiful in front of people, and people will suffer later." I stood still for more than three hours, and my mind was highly concentrated, and it was impossible to say that I was not tired.
Just as she was drowsy, she heard the rapid 120 horn from downstairs in the emergency room.
She instinctively opened her eyes immediately, and was about to get up, thinking that she was now resting, and there were doctors in the emergency department, and she couldn't choke and offend people, so she simply closed her eyes and continued to sleep.
After a few minutes, I heard a burst of messy footsteps, and the person who came breathlessly held on to the door and shouted to Xia Xingran, "Doctor Xia, Doctor Xia, there is a patient in the emergency room, and he is here to find you by name!"
Xia Xingran immediately sat up and asked, "What's your name?"
"Feng Nan!" The little nurse said eagerly.