Chapter 989: Start a Sect!
Different surgeries are performed by different doctors, and there are many differences, not to mention major surgeries such as lung tumors.
In some hospitals, after the operation, the patient can live a little longer, but in some hospitals, not long after the patient goes home, the course of the disease accelerates, and it does not take long for it to deteriorate, and the person is directly gone.
For all tumor surgeries, the general idea is similar.
The first is to remove the organ contaminated by the tumor, the second is to reconstruct the part of the organ that has been removed, and the third is to dissect the surrounding lymph.
These things are easy to say, and every one of them is extremely difficult to achieve.
For the clarity of the field of vision, Zhao Yuan has been outrageously meticulous.
Looking at the level of a doctor, you can see one or two from the field of vision, many doctors do an operation, bleeding everywhere, and the blood flows like a river.
Zhao Yuan has been controlling his bleeding.
He believes that the bleeding of the patient was actually part of the surgical error.
Less bleeding is less mistakes.
Qin Yi watched Zhao Yuan's operation from the side, and couldn't help but sigh in his heart, Zhao Yuan's avoidance of blood vessels had reached an unbelievable realm.
It is inevitable that non-standard blood vessels will be encountered during surgery, and Zhao Yuan will complete the adjustment in a very short time to form corresponding surgical measures.
"It's too clean, there is no superfluous movement under the hands, this is the level of Changjiang Scholars, the top three in the country."
The conference room of the Navy Hospital was broadcasting the operation live, and the backbone doctors of the Department of Thoracic and Cardiac Surgery were witnessing how Zhao Yuan from Tianhua Hospital performed the operation.
Before the operation began, everyone was talking about it, although they knew that Zhao Yuan's level was very high, but the patient's examination report showed that it would be very difficult to make this operation.
"His surgery has come into its own, and it feels like a sect starter."
"He was moving forward with the operation from start to finish, and he never hesitated or looked back at Fang Cai's operation, which shows that he is very confident in his operation."
"Qin Lao's surgery is completely different from Professor Zhao's surgical style. Qin Lao's surgery is known for its delicacy and meticulousness, but Zhao Yuan's technique gives people a momentum of opening and closing, and moving forward."
The operation continued to move forward.
The conference room fell silent.
At the beginning, everyone commented on Zhao Yuan's operation, but Zhao Yuan continued to come up with exquisite operations.
Everyone was shocked by Zhao Yuan's strength.
To say something unpleasant, to evaluate others, at least on the basis of a comparable level.
Zhao Yuan's level is completely above everyone.
Everyone is afraid that if they say something wrong, it will cause ridicule.
The operation unconsciously entered the first difficulty, tumor removal.
When the lung organ is removed, part of the function is lost.
"He's going to have an autologous lung transplant?"
"It's amazing!"
The previous steps are all similar, but when you enter this link, there are different places.
Zhao Yuan communicated with Wu Hai yesterday that the tumor invaded the left middle pulmonary artery and middle bronchus, and the tumor could not be completely removed by ordinary double-sleeve anastomosis, and at the same time, the patient's lung function was poor and he could not tolerate left pneumonectomy.
So Zhao Yuan decided to undergo a complex autologous lung transplant.
Autologous lung transplantation is a difficult and radical resection of lung cancer that is different from allogeneic lung transplantation.
At present, there are very few such surgeries in China.
Diseased lung tissue is removed in vitro while maximizing lung function.
Usually the left or right lower lobe of the lung is transplanted to the upper lobe of the left or right thoracic cavity.
This surgical method can fully and completely remove the tumor while preserving lung tissue and lung function to the greatest extent, so that patients have enough lung function reserve to receive follow-up treatment after surgery, so as to improve the surgical resection rate, treatment tolerance and treatment effect.
The patient was first subjected to a special left pneumonectomy;
The resected left lung is transferred to an extracorporeal cryogenic lung protective solution and then performed extravitroly on the patient's left upper lobe
Radical and complete resection of the lung tumor was performed, and the left lower lobe of the lung was subjected to anterograde and retrograde lavage with cryogenic lung protective solution.
After the resection of the left upper lobe, the left middle pulmonary artery was reconstructed with pericardial patch, and the third carina was reconstructed from the left basilar bronchus and dorsal bronchus, and then the constructed left lower lobe was implanted into the left thoracic cavity for autologous lung transplantation, and the third carina was anastomosed with the proximal end of the left main bronchus.
After reconstruction, the middle pulmonary artery is anastomosed with the proximal end of the left pulmonary artery trunk;
Finally, the left lower pulmonary vein is anastomosed with the proximal end of the left upper pulmonary vein.
Zhao Yuan is like an experienced old doctor, and his ability to control surgery is at its peak.
After almost five or six years of medical education, every student has a yearning for surgery in their hearts.
Because the surgical treatment is closer to the psychological needs of modern people: immediate.
Whether the surgery works or not, whether it can be done or not, whether it is alive or not, does not need too much time to verify.
However, most medical students will be intimidated.
Because it's so hard to become a qualified surgeon.
In fact, the standard of a surgeon is only one precision.
Zhao Yuan's operation was precise and accurate, and the conference room of the Navy Hospital had already exploded.
"I must have just been blind cut, right?"
"It's a blind cut!"
"Well, it's beautifully stitched, too."
"Sure enough, he is one of the top three cattle in the country."
"If you're not careful, you'll be fooled by his age and appearance."
"Can you get him to our naval hospital?"
"You're thinking too much. Tianhua will never let people go."
Many of the surgeries are performed endocavinally, and many of the details are obscured so that they cannot be seen clearly.
However, when Zhao Yuan finished the sutures of the autologous transplant, everyone could see the operation.
Gently with ease, steaming organs and tissues, sutured, reconstructed, not at all muddy and watery.
The key is that Zhao Yuan thinks long-term, after the operation, the wound shrinks and the organ expands, he takes it into account to ensure that nothing goes wrong.
Unconsciously, Zhao Yuan entered the last stage: lymphatic dissection.
The lymph is the size of a beige sesame seed.
Blood and hormone factors are stored inside.
When the human body has a disease, the lymph will swell and secrete immune factors.
For example, if a child is sick, a small pimple will appear at the base of the ear.
Cancer surgery is a failure if the lymphatic dissection is not clean, which means that the operation has failed.
Lymph is generally distributed in dangerous places, so you should be extremely cautious when cleaning it.
What's more, time waits for no one, and it is especially difficult to clean the lymph in a short time!
The less time and the shorter the exposure, the less chance of infection and injury.
However, the process of dissecting lymph nodes, it is really difficult to say how long it will take.
Sometimes a sesame seed is not cleaned, and the surgery may fail in the future.
In general, the cleaning is to separate, take off the various coats covering the lymph, and remove them little by little.
The structure of lymphatic vessels and veins is similar, layer by layer, and it is particularly troublesome to separate, so it takes a lot of time.
Zhao Yuan was completely immersed in it.
In the eyes of everyone, Zhao Yuan seemed to have become a person who wanted to wrestle with God.
When the arteries were beating, every time Zhao Yuan waved the curette, many people's eyelids would jump.
Especially the experts from the naval hospital in the conference room, their eyes were as wide as copper bells!
They know all too well how difficult it can be.
Because after Zhao Yuan showed off his "blind cut", he is now showing "blind scraping"!