Chapter 388 The heart transplant was a complete success
Afterwards, Tanglou completed the removal of the right lung in the same manner.
"It's so pleasing to the eye."
In the observation room, Professor Liu gave a rare sigh. Hearing Professor Liu's praise, the members of the medical team of the Second Hospital of Harbin Medical University were very surprised. After all, Professor Liu is famous for having his eyes higher than his head in the hospital.
He is even more sincere about his doctors. I have never seen a doctor receive such praise from him.
After all, Professor Liu is already a top expert in the field of heart transplant surgery. He has not seen anyone who can perform better than him for many years.
After completing the removal of the left and right lungs, we began to expose the trachea from the right side of the aorta and free the trachea.
"Everyone carefully observe Dr. Tang's operation to see how he frees the trachea. Be sure to preserve the tissue around the trachea to ensure the blood supply to the trachea."
In the operating room, Tanglou completed the dissociation very quickly and calmly issued the last instruction of the second stage:
"Scalpel... cut off the trachea... remove all the recipient's heart and lungs..."
Hearing Tanglou's words, Director Dong on the side also breathed a sigh of relief, very satisfied with Tanglou's operation.
The surgeon in charge yawned and continued to shout: "Doctor Tang, let's proceed to the third stage, which is the final step, donor cardiopulmonary resection and combined transplantation!"
Tang Lou nodded, and immediately moved to the carina of the donor's trachea, using the silver scalpel to cut sharply.
"Awesome, if I were to cut off the trachea, I would at least have to trim it and trim it before moving on to the next step. Dr. Tang, with this cut, it will be clean. This control ability is too strong."
A chief physician was completely impressed by Tanglou, and his tone was full of praise.
"Yes, it is really an honor for us to be able to witness such a heart transplant. Later, when Professor Liu invites Dr. Tang to the medical team, I must ask him in person how he did such a superb job.
Skillful."
In the observation room, the members of the medical team have already agreed to join Tanglou to assist Professor Liu in the operation.
Before, everyone was still struggling with who would help, but at this moment, they no longer thought about it!
Director Chen Minjie looked a little depressed. What might have been the most important moment in his medical career was pushed away by his own hesitation.
If I had recommended myself earlier and decided to help, at this moment, everyone would at most appreciate Dr. Tang and not think of asking him to replace me.
"Take part of the tracheal secretions for bacterial culture... The second assistant sucked out the tracheal secretions..."
Tanglou continued to issue instructions calmly and clearly, clearly and accurately!
"Okay, Doctor Tang."
If it were normal, this kind of order should be issued by the chief surgeon. Even if Xiehe's second assistant received the order from Tanglou, he would confirm it with Director Dong. But at this moment, Director Dong himself has become a mascot. In addition to calling Liuliu
Six, there are no constructive suggestions.
Therefore, the second assistant followed Tanglou's instructions very obediently.
"Chief surgeon, assist me in placing the donor's right lung into the right chest cavity after passing through the right atrium and phrenic nerve, and the left lung into the left chest cavity after passing through the left phrenic nerve."
Director Dong made a soft sound and immediately cooperated with Tanglou's operations.
"4-0 polypropylene thread...surgical scissors..."
Tanglou trimmed the trachea and began to continuously sew the membranous part of the trachea.
"This hand is so good at sewing."
"Yes, it is obvious that the diameters of the tracheas cut off by the donor and the recipient are different. And suturing the membrane is very difficult."
"Smart, you see, when Dr. Tang was suturing the membrane, he kept fine-tuning the stitch length and margin. When it came to the cartilage area, he changed to an "8" suture. After suturing this section, he started continuous suturing again.
pretty!"
Three minutes later, the anastomosis is complete!
"This is really fast!"
"I really want to take off Dr. Tang's surgical gown and mask now to see who the chief physician is. His basic skills are so solid."
"Second assistant, ventilate the patient's lungs..."
Tanglou continued to issue instructions, and at this point, it had basically entered the final stage.
Director Dong also looked expectantly at Tanglou's operation. Tanglou followed the standard heart transplant method, incising the right atrium of the donor heart in an arc from the inferior vena cava upward, and using 4-0 polypropylene thread to connect the donor heart and the recipient's right atrium.
The atrial opening is continuously sutured, and finally the aorta is continuously anastomosed with 4-0 polypropylene suture.
It sounds like it's just suturing, but due to the particularity and fragility of the site, the control of strength and accuracy is very strict.
Of course, in addition to standard and precision, Tanglou's speed is unparalleled, which further reduces postoperative complications.
"Open the superior and inferior vena cava, drain the air from the heart, and open the ascending aorta!"
Ten minutes later, Tang Lou issued an exciting order.
"Sewing the pacing lead..."
"The heart rate remains around 110 beats/min!"
"Completely stop bleeding...stop extracorporeal circulation..."
When Tanglou issued the last instruction, the entire difficult heart transplant operation was declared a success!
"Awesome!"
In the observation room, the expert team from the Second Hospital of Harbin Medical University also applauded. The final time of the entire operation stayed at three hours and fifty-eight minutes!
Professor Liu was also very excited, restrained his impulse, and said into the microphone: "Director Dong, Dr. Tang, congratulations on successfully completing this difficult heart transplant operation. Our colleagues and I have benefited a lot.
"
"Originally, Director Dong invited me to guide the surgery, but this one made me ashamed. Dr. Tang's basic skills are so solid that I have never seen him in my life."
"Professor Liu is welcome."
In the operating room, after completing the operation, Director Dong felt completely relaxed and even more excited.
Too long!
"Director Dong, I have a heartfelt request. After Dr. Tang changes with you, can you have a remote communication with us? I would like to hear Dr. Tang's experience of this operation, so that we can learn from it.
Some tips."
Professor Liu made a very sincere request, and the members of the expert team behind him were also very curious as to what kind of talent Dr. Tang was under this surgical gown.
"Dr. Tang, would you like to take some time to discuss this surgery with the doctors at the Second Hospital of Harbin Medical University?"
If Director Dong had agreed directly for Tang Lou before the operation, after all, he was much higher than Tang Lou in terms of qualifications and age, and Tang Lou was like a younger brother to him.
However, after this operation, he has completely regarded Tanglou as a doctor of the same level, and he does not dare to make decisions for Tanglou without authorization, for fear that he will be annoyed. After all, the doctor's level and temperament are positively correlated to some extent.
"Can."
Of course Tanglou had no problem and agreed.
"Okay, okay, that's such an honor. Doctor Tang, Director Dong, you go to the changing room first, and we'll connect again later."
Ten minutes later, Tang Lou and Director Dong logged into the remote system again.
When they saw Tanglou's young appearance, the doctors at the Second Hospital of Harbin Medical University were all shocked.
Chapter completed!