Chapter 1707 Surgery Failed? The Operation Was Successful? (Seeking a Monthly Ticket)
Surgery continues!
After the child is delivered, the heart-lung transplant operation needs to be completed as soon as possible.
After some preparations, another person was replaced to continue the operation!
"Artificial heart-lung machine!"
"Prepare for surgery!"
Seeing Guo Xue being dismantled at will like a puppet!
People are really scared!
What fluke? !
Why don't you follow the doctor's advice!
The paleness of the language becomes very vivid under the modification of the picture!
A surgeon is a person who faces the disease directly.
They are well aware of the risks and surprises they need to face.
But you can't back down!
The next scene is one that no one can forget.
Chen Cang needs to open Guo Xue's chest, remove all her heart and lungs, and put the healthy ones in!
It sounds very simple, as simple as cutting off the head and sewing it back on.
Chen Cang made an incision in the middle of the sternum and stretched the sternum to both sides.
Immediately afterwards, the pleura on both sides was cut. At this moment, the pleura was seriously adhered, like a rotting mass of meat, making people sick!
Seeing this scene, all professionals started to get serious!
If we just talk about the scene just now, it is for ordinary people, and the following surgery is for those experts!
Chen Cang wanted to separate the adhesions before heparinization.
The time is short, Chen Cang must do all this well.
Adhesions within the chest are the most complex.
Because there are a large number of arteries and veins, trachea, phrenic nerve, vagus nerve, recurrent laryngeal nerve...
These things, once damaged, will cause many irreversible consequences!
But in such an environment of adhesions, it is not so simple to complete the operation within a short period of time!
It's really a bit difficult!
After seeing such a chest cavity, Sabrina, the president of the AATS Association, took a deep breath!
She deeply felt the pressure that Chen Cang faced when he was able to muster up the courage to broadcast this operation live!
He looked at Ren, and said lightly: "How sure are you of this operation?"
Ren smiled directly: "Are you kidding me, is this kind of surgery something I can do?"
Ren was not joking. The difficulty of this operation can basically be said to be all over the head and tail.
There is no such thing as an easy place!
This is what happens when you open your chest.
"Do you think this surgery has a chance?" Ren asked Sabrina.
This really silenced Sabrina!
She had tried her best to overestimate Chen Cang's surgical ability, and she couldn't complete the operation without any errors!
Because a surgery cannot be solved by Chen Cang alone, it depends on the joint efforts of the patient and the surgeon!
Even if Chen Cang doesn't make mistakes, it doesn't mean the patients don't have problems!
Guo Xue's situation is very bad!
After a while, Sabrina shook her head: "No, I don't think Guo Xue can make it through!"
She was very euphemistic, but Ren heard what she meant.
This moment!
Basically all the members of the AATS Association are watching such an operation.
It can even be said that this operation is the largest and most difficult operation in cardiothoracic surgery, bar none!
What could be more important than watching this operation?
No!
Dingxiang.com's overseas live broadcast is already boiling.
They are already discussing frantically.
After all, most of the overseas attention is experts in this field.
But there are many ordinary people in the country.
Wang Tong and Chen Jing could only patiently explain:
"This operation is probably going to be difficult!" Chen Jing frowned, "Have you seen this area that is stuck together? It is very dangerous here, there are a lot of neurovascular airways, and it is difficult to separate them in a short time." Big!"
"Moreover, these adhesions can easily induce infection, so after surgery...it's not optimistic!"
"Let me show you the chest structure of a normal person!"
After speaking, Chen Jing called up a photo from the computer.
Although everyone couldn't understand it, they were stunned when they compared it!
He... Can this be operated on?
That's right!
Chen Cang can!
I saw him start to skillfully separate the work.
When everyone saw Chen Cang's soft hands carefully starting to move away step by step, bit by bit.
Really stunned!
so amazing!
The adhesions in the chest cavity, which were like spider webs, were carefully and neatly separated!
"Awesome!"
"Damn it, Professor Chen is too strong!"
"Yes, this technology is rare in China!"
"Domestic? You underestimate Professor Chen!"
Chen Cang didn't even raise his head, took the scalpel, and cut the heart bag longitudinally!
Subsequently, after heparinization, extracorporeal circulation was established according to the heart transplantation catheterization method.
When everyone saw the heart and lungs, they immediately sighed with emotion!
This heart and lungs have been exhausted, can this not fail?
In order to get pregnant, Guo Xue almost exhausted all her vitality!
Anyway, she was really fighting with her life.
However, don't think that this can move the disease!
Of course not, you will never be able to touch the serious illness, only doctors dare to touch the serious illness!
That's right!
As soon as Chen Cang made a move, he knew if there was one!
He just turned and glanced at the cardiopulmonary joint in the salt water.
He did it well.
He started by having his heart and lungs removed.
When the diseased heart was resected, Chen Cang only kept the ascending aorta, superior and inferior vena cava.
And then even keep some, as a seamed joint.
Then, the next process of removing the lungs is more troublesome.
The donor just now is brain-dead after all, so there is no pressure to perform the operation. After all, everyone is dead, so why should you care?
As long as the original heart and lungs are not included.
However, Guo Xue is different, she still has to live.
Therefore, when the lungs are removed, the surrounding tissues must not be damaged.
However, the condition of the patient's chest is not good.
Lungs are huge!
Even if the lungs are not working under the heart-lung machine now, it still occupies a large area.
Chen Cang used two vascular forceps to lift the left pericardial cutting edge forward and to the left, fully showing the direction of the phrenic nerve.
As one of the most important nerves in the thoracic cavity, Chen Cang must be optimistic about the phrenic nerve.
Carefully, about 3cm behind the phrenic nerve, Chen Cang made a longitudinal incision on the pericardium, extending downward to the diaphragm and upward to the pulmonary artery!
Then, while the lungs are not paying attention!
Um!
Surreptitiously, the pericardium in front of the phrenic nerve was removed.
The whole process stunned the people watching the surgery!
Me?
how did you do that?
Even the people at AATS were dumbfounded.
Because of Chen Cang's ingenious operation, a wide pericardial cord with preserved phrenic nerve and blood vessels was formed.
This operation instantly stunned the group of experts!
Barrage explosion!
"What's going on here?" Mond Alpha was confused.
Sabrina and Ren looked at each other, neither knowing what Chen Cang did!
Ren couldn't help but wrote: "Why...how do I feel that he quietly cut out such a tissue while taking advantage of the heart and lungs without paying attention?"
That's right!
That's how it feels.
Not to mention that Sabrina didn't pay attention, even all of them didn't notice what happened at all.
And this wide pericardial cord that preserves the phrenic nerve and blood vessels can be said to be very expressive!
All of a sudden, various comments began to appear on the barrage!
"It's not just that the heart and lungs don't pay attention, we didn't notice it!"
"so amazing!"
"Yes, I learned."
"Have you learned it? I... didn't even understand it, but you actually learned it, bragging!"
...
Chen Cang's operation just now was really sharp.
Immediately afterwards, Chen Cang cut the left atrium posterior wall longitudinally through the oblique sinus in the center of the residual left atrium posterior wall.
Then, at the same time, the left atrium remnant and the left pulmonary vein connected to it were lifted forward, and separated from the posterior mediastinum with an electric knife!
This step is very dangerous, it is easy to damage the vagus nerve!
Therefore, Chen Cang was close to the pulmonary vein when separating, but in this way, the vein may be damaged!
Therefore, this is almost a surgical method for survival in a narrow gap!
After the operation is done, not only the vagus nerve in the rear will not be damaged, but also the blood vessels will not be damaged.
In this regard, everyone can only say that the master of art is bold!
In this way, Chen Cang fully freed the hilum, ligated the bronchial artery, and then freed and cut off the left pulmonary artery.
Finally, the left main trachea was clamped with a clamp, cut off at its distal end, and the left lung was removed.
During the whole process, Chen Cang noticed almost every point, every step!
Did not cause any impact on the chest cavity!
Everyone who watched this series of operations didn't know what was going on.
Chen Jing said excitedly: "Professor Chen's operation is the most powerful lung resection I have ever seen. He almost avoided every minefield. If such an operation fails, I think no one in the world can save it." her!"
"Hey, I'm really overjoyed!"
Next, in the eyes of everyone, Chen Cang also inadvertently removed his heart "while his heart was not paying attention"!
Use the same method to take out all the heart and lungs!
At this time, everyone saw that the chest cavity was basically emptied!
Seeing this scene, everyone was dumbfounded.
Where do those ordinary people have other ideas now, what luck?
No one wants to take an extra trip on this road!
This may be the cruelest operation they have ever seen!
Now, there is only one thought in their minds!
Can this Guo Xue survive?
After all, it's too scary!
Such an operation can almost be said to have changed a person's chest.
And then, the most important thing is that things are here!
That is combined heart and lung transplantation.
Wang Tong explained: "Heart and lung transplantation requires precise and seamless suturing of the trachea and blood vessels!"
"Perhaps many people think it is very simple, but this is a transplant, which comes from different tissues. To fit together, a high level of suturing is required,"
"It can be said that combined heart-lung transplantation is one of the most difficult surgeries at present.
Or everyone has no intuitive concept of this difficulty!
Let me tell you a few numbers:
Since its success in the United States in the 1980s, no more than 3,000 cases of this surgery have been performed in the world, and the success rate is less than 1,000. In my country, the success rate is less than 100 cases!
In the whole world, there is no successful case of combined heart and lung transplantation for pulmonary arterial hypertension during pregnancy! "
Hearing Wang Tong's introduction, all the people watching the live broadcast were stunned.
What does it mean to have no success?
Guo Xue's family members are also watching the live broadcast of the operation!
After they saw Academician Wang Tong's explanation, everyone fell silent!
Now, the child is saved!
But does Guo Xue have a chance to survive?
Li Xuefeng and his family were obviously nervous and uneasy.
At this time, almost everyone no longer had any expectations for such an operation!
That's right!
Professor Chen has done his best.
He has performed surgery as an art.
He tries to get everything right.
But……
Maybe what Professor Chen is facing is still failure.
For a moment, everyone looked at Chen Cang, who was serious about the operation, and felt distressed at the same time!
Such a Professor Chen, who knew he had failed but resolutely went there, what was he doing for it?
The next surgery, every step is very difficult!
Both are dangerous.
But Chen Cang has forgotten the success and failure of the operation.
In his eyes, there are only four words: go all out!
Seeing this, Meng Xi was a little moved.
At this moment, she finally realized how difficult the operation was!
Some things cannot be described in words at all.
However, Chen Cang did not give up.
Overseas, all AATS members watching the surgery, they fell silent.
The bullet screen is very clean!
It seems like no one is watching.
But on the contrary, they are very serious, and seem to treat it with an attitude of worship and learning.
this moment!
It seemed that everyone understood Chen Cang's deep meaning.
Doctors work hard to treat patients.
But not every patient can be saved.
Even if the person who operated on him was a genius!
However, healing is ultimately a matter between two people.
It is also necessary to consider the patient's own condition, self-reaction, and accident!
The top of the tracheal carina was cut off, Chen Cang carefully trimmed it neatly, and then took part of the secretions in the trachea and handed it to Meng Xi: "Take it for bacterial culture."
After speaking, suck up the secretions in the trachea.
The lungs and heart are then placed in the chest cavity.
And cleverly avoid those key blood vessels and nerves.
Trim the recipient trachea!
Stitch!
Is the size of the trachea at both ends inconsistent?
This is simply a small problem in Chen Cang's hands!
Time passed by every minute and every second!
Finally, Chen Cang has finished suturing the airway, and is about to wait for the lungs to be ventilated!
At this time, everyone became tense!
Can it work?
At this time, Chen Cang couldn't help feeling anxious!
At this moment, countless people in front of the camera were eagerly waiting to watch this operation.
Look forward to……
Can it be successful!
Professor Chen has done his best.
He has done the surgery perfectly!
However, surgery does not mean recovery, and no matter how good the surgery is, it cannot guarantee a perfect recovery for the patient.
gradually!
Well ventilated!
After seeing this scene, everyone burst into cheers!
Did you make it?
This stranger who has nothing to do with them, is she going to be saved?
Awesome!
Professor Chen is awesome!
The operating room was full of joy!
All over the country, on the other side of the ocean, everyone was excited.
Lung ventilation is complete!
Chen Cang was also greatly encouraged in his heart!
Continue, the heart has not been processed yet!
come on!
Immediately afterwards, Chen Cang began to suture the opening of the heart with 4-0 polypropylene thread!
He needs to have the aorta stapled!
Then, one after another, he began to open the superior and inferior vena cava, exhaust the gas in the heart, and open the ascending aorta!
Need to recover my heartbeat!
At this moment, Chen Cang began to tremble!
Whether it is successful or not, we have to wait for cardiac repulsation!
This moment!
All the audience watching the operation couldn't help standing up.
They feel that they may be about to witness the first in history.
This may be the first successful patient in history!
Unprecedented success!
excited!
Excited!
Even Chen Cang is the same!
In the operating room, everyone stared at Chen Cang.
Wait for his final order.
Get your heart back beating!
At this time, Chen Cang took a deep breath, and for the first time...he felt his hands trembling slightly!
He is nervous!
Seeing Chen Cang's hands shaking, everyone who was familiar with Chen Cang was stunned!
This... may be the first time Professor Chen is nervous! ?
"Isoproterenol!" Chen Cang said lightly.
"Maintain a heart rate of 110 beats/min!"
Heartbeat!
jump!
Finally jumped!
When everyone looked at the heart-lung machine off, the patient's heart and lungs began to exercise for the first time!
They are totally excited!
Everyone's face was filled with excitement and excitement.
Professor Chen did it.
Unprecedented success!
For such an operation, Chen Cang did a surgery that no one in this world could complete!
Tension and uneasiness rippling in Chen Cang's heart.
He knew it was temporary.
Because the system did not notify him at all, the operation was successful!
Chen Cang took a deep breath.
He did his best.
It was all he could do.
At this time, everyone realized that Chen Cang was already soaked through.
Such an operation took all of Chen Cang's energy.
Let him be exhausted.
a long time……
a long time!
Chen Cang said to Meng Xi, "Close your chest."
Meng Xi nodded.
At this moment, she realized what kind of pressure Chen Cang was carrying.
Whether this operation is successful or not, Chen Cang has already warned the world.
Life is not a fluke.
Someone is fighting for your life!
...
...
After the operation, Guo Xue woke up!
After the news spread, the whole world was boiling.
Professor Chen, once again accomplished the impossible for everyone!
This winter, the first snow fell in Ammonium.
In the first week after the operation, Guo Xue held the baby and burst into tears.
She saw it!
This belongs to her and her husband's child.
The photo went viral on the Internet.
This child was named "Li Anyang".
Everyone is lamenting the success of the operation.
But Chen Cang knew...
The operation still failed.
Perhaps it should not be his own failure, but the patient's body, which cannot sustain such an operation.
Half a month after surgery.
The patient experienced rejection.
The reaction was very serious. Guo Xue started to cough violently, had a fever, and had difficulty breathing. The examination revealed severe hypoxemia.
Afterwards, the patient's condition continued to worsen.
The X-ray findings were unclear boundaries around the hilum and diffuse focal pulmonary infiltration, combined with pleural effusion.
For the first completed operation in the world, many people from home and abroad came here, hoping for rescue.
Facing family members' prayers!
Chen Cang just said lightly: "Get ready... for the funeral!"
Rejection did not cause Guo Xue's illness.
But on February 9th, the twenty-seventh day of the twelfth lunar month, Guo Xue passed away due to infection!
She...has not escaped her fate after all.
However, when Guo Xue left, she left with a smile.
No matter how the illness tortured this woman, her wish was fulfilled.
On this day, Chen Cang issued an announcement to the world:
"Every mother is great, but remember, miracles rarely happen, believe in science, follow the doctor's advice, maybe one day, we will have a better way to solve the problems that cannot be solved now!
Trust me, trust the doctor, don't kidnap the doctor in the name of love anymore.
Because we are already working hard to move forward! "
"The new year is coming, I wish you all good health."
After the news was sent out, no one blamed Chen Cang. They clearly experienced this incident, and they all praised Chen Cang.
Thumbs up for the doctor!
Doctors and patients, as it should be, trust each other!
isn't it?
【Ding! The doctor's benevolence mission is triggered. Your operation has saved the hearts of thousands of patients and enhanced the understanding between doctors and patients. Hereby you will get a super reward: colorful job transfer props (Neurology Department)】
Chen Cang was stunned for a moment!
I originally thought that if the operation failed, what reward would there be?
did not expect……
Unexpectedly, the benevolence of the doctor was triggered, and the colorful job transfer props were obtained!
...
...
ps: I didn’t do anything today, just in front of the computer, I wrote nearly 15,000 words all day, and finished this story.
It expresses people's hearts, self-willedness, and Professor Chen's awesomeness!
The veteran thought he was satisfied.
Hope you like it.
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Finally, I would like to thank "Beida Zhuang is the fattest" for the 50,000 reward, thank you brother.
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