Preparations were made for this surgery, and although everything was planned, everyone was nervous when it came to actually starting the surgery.

Jia Xiuzhang glanced at Zhao Yuan, "You come to have a pneumonectomy"

Jia Xiuzhang planned to increase the amount of tasks for Zhao Yuan.

At the beginning, he just asked Zhao Yuan to assist, and he would do the important work himself.

But after some things, Jia Xiuzhang has a full understanding of Zhao Yuan and more trust.

He wanted to test Zhao Yuan's level more deeply.

After all, a surgeon who can do pulmonary artery dissection surgery is not difficult to do a pneumonectomy.

Pneumonectomy only requires the removal of lung organs and external blood vessels, while pulmonary artery dissection surgery requires the use of means to repair the internal lesions, which is not a level of difficulty.

Zhao Yuan nodded, "Yes!" ”

Without any hesitation, neatly and categorically.

Jia Xiuzhang and the anesthesiologist instructed, "Inject midiazepam, etomidate, sufentanil, atracurium cisbesylate, ......"

The anesthesiologist is the chief physician of the anesthesiology department of the Municipal People's Hospital, and he did not hesitate in the face of Jia Xiuzhang's instructions.

The dosage of the drug is a conclusion that Jia Xiuzhang has reached through countless actual battles.

In this difficult operation, the surgeon needs to be familiar with the dosage of anesthesia.

Zhao Yuan secretly observed every detail, and it was a rare experience to be able to operate with the "half-step academician".

Although Jia Xiuzhang is kind to people in private, he is completely different in the operating room, and he is not smiling.

The atmosphere was extremely dreary.

The anesthesiologist initiates the drug, relaxes the muscles, intubates the endotrachea, links the ventilator, and ventilates the instruments......

Endotracheal tube is the left double-lumen bronchial tube.

Zhao Yuan has been paying attention to the values of the ventilator, and each value is Jia Xiuzhang's valuable experience, or a private cheat.

Zhao Yuan was also thinking in his heart, if he dealt with it himself, he would choose what to do, and even began to speculate in advance about the next step.

Confirm with Jia Xiuzhang's ideas one by one, and analyze which method is more appropriate.

"Intravenous infusion of propofol, vecurbromide, intermittent intravenous sufentanil."

Zhao Yuan and Jia Xiuzhang have the same ideas, but there are some deviations in the dosage.

Although it is only a difference of 0.02mg, it also shows that the style of the two is different.

Zhao Yuan's dosage will be more than Jia Xiuzhang's.

The main reason is that Zhao Yuan was born in the emergency department, and Jia Xiuzhang was born in the heart.

One radical, one conservative.

Onset of anesthesia.

Zhao Yuan and Chen Xie glanced at each other, and the two began to cooperate in the operation of ECMO.

With the artificial lungs in place and the patient's condition stable, the first key point is coming.

Lung transplantation, to put it simply, is to remove the damaged lung organs of the patient, and then install a new lung organ, the human lung is divided into the left lung and the right lung, sometimes only one lung needs to be transplanted, sometimes two lungs are transplanted together, when both lungs are to be transplanted, a pneumonectomy is performed.

Zhao Yuan studied the equipment, including the electric knife and the suction device, and then glanced at Bai Lu.

Bai Xiaohu pressed iodophor gauze on his hand.

Zhao was disinfecting and immediately began to cut open.

Jia Xiuzhang's eyes gathered, revealing a thoughtful look.

Zhao Yuan's cutting method is very classic and familiar.

He cuts through the anterolateral aspect of the chest on both sides, through the fourth intercostal space, and then into the sternal margin at the midaxillary line, transversely cutting the sternum.

The advantage of this incision is that it is fully exposed, making it easy to free the whole lung.

In recent years, small incisions have been advocated in surgery, but Zhao Yuan used a large incision this time.

The main reason is that, in addition to total lung resection, he also has to solve the problem of thoracic aortic aneurysm in one go.

Of course, Jia Xiuzhang remained skeptical about whether the patient had a thoracic aortic aneurysm.

The conclusion drawn by a physical examination alone, coupled with experience, is clearly untenable.

Zhao Yuan opened his chest in a very short time.

The situation inside also comes into view.

The patient's lungs are apparently different from normal lungs and appear dark black.

Zhao Yuan groped around the cavity for a while, and then began to puncture.

With the catheter entering, soon the thoracic aorta appears on the screen.

Jia Xiuzhang's eyes became solemn, as a doctor who had trained in thoracic and cardiac surgery, he knew what the picture in front of him meant.

Just like the concerns raised by Zhao Yuan during the preoperative communication.

The patient has a thoracic aortic aneurysm.

In normal times, this type of aneurysm can be left untreated.

However, the patient is now receiving a lung transplant, and the aneurysm will become a very dangerous bomb during the later treatment process.

Despite the ninety percent probability, this bomb will not explode.

In the event of an explosion, the patient will be put in a passive position.

Jia Xiuzhang exhaled lightly, "Doctor Zhao's judgment is correct. Sure enough, he is a top expert in this area. ”

Zhao Yuan glanced at Jia Xiuzhang and asked, "Do you want to defuse the bomb!"

Jia Xiuzhang nodded, "According to your thoughts!" ”

With Jia Xiuzhang's permission, Zhao Yuan began to use interventional methods to perform thoracic aortic aneurysm surgery.

The difficulty of the surgery skyrocketed in an instant.

The piercing siren sounded, causing everyone's spirits to be highly focused.

Although the intervention method does not cause much damage to the patient, the patient's condition is special at the moment, and a slight change may cause a chain reaction.

In particular, the treatment of thoracic aorta lesions can easily cause cardiac arrest.

Just when everyone thought that the operation might fail, Zhao Yuan suddenly breathed a sigh of relief, "The stent implantation is complete." ”

Subsequently, Zhao Yuan carefully cut the mediastinal pleura along the root of the lung, and then used blunt separation to expose all the blood vessels of the hilum of the lung.

"Get out of the way!"

Zhao Yuan reminded Chen Xie and Hu Yang softly.

The two manipulated the instruments to expose the anterior edge of the hilum.

Without the slightest pause, Zhao Yuan quickly separated the superior pulmonary vein, followed by ligation, and then cut off the upper and middle veins.

Chen Xie's eyes showed a look of surprise.

It is hard to imagine that Zhao Yuan completed the right total lung resection so quickly.

This is a classic, standard surgery.

There is no deliberate pursuit of speed, but it is obviously beyond Chen Xie's usual level.

Because there are no mistakes or blemishes, no blood vessels are touched, and no remedial action is required, so the procedure is smooth and silky.

Of course, the instrumental nurse has a lot to do.

Although she participated in organ transplantation for the first time, she had a tacit understanding with Zhao Yuan.

Zhao Yuan looked at him, and Bai Lu knew what he needed.

The most commendable thing is the jutsuno, the "roll" is so beautiful.

Subsequently, Zhao Yuan put the completely cut out bad lung in the physiological basin.

Jia Xiuzhang paid attention to the time, the operation was carried out here, and it was less than fifty minutes.

He actually had two surgeries.

This also includes endovascular isolation of thoracic aortic aneurysm!

Although Zhao Yuan is young, he is too steady.

He is like a truck driver who has been driving for decades, does not need to navigate, knows how to avoid traffic jams, and delivers goods to their destination in the shortest time and with the least amount of fuel.

Jia Xiuzhang pondered, if he were to be himself, I am afraid that he would most likely avoid the problem of thoracic aortic aneurysm.

The key is that he can't figure out why Zhao Yuan has this judgment.

Maybe it's talent!

No wonder his junior brother Jiang Qiang has been emphasizing to himself that Zhao Yuan's style is very similar to that of his master.

The same was true when Academician Jiang was doing surgery back then!

He often shows incredible preoperative prediction and exquisite on-stage techniques.

Some people died, but not completely......