Yang Ping used the tip of the knife to cut into the heart.
The tip of the knife ignores adhesion, just like it has eyes, always wandering in the safe gap.
These so-called safety gaps cannot be distinguished with the naked eye due to the existence of adhesions.
Therefore, Li Ze would be very puzzled as to how Yang Ping could predict where the real safety gap is.
"Focus!"
Yang Ping saw that Li Zehui's hand movements were slow for a moment, and knew that he was distracted, so he immediately reminded him seriously.
Any negligence in this kind of surgery can easily lead to big mistakes.
Yang Ping's voice was a bit loud, and Li Zehui blushed. He couldn't allow him to think about these problems. The tip of the knife was already moving rapidly, so he immediately concentrated on assisting Yang Ping.
The outline of this dextrocardia, an upside-down dextrocardia, was separated bit by bit under the tip of the knife. Then, the aorta, pulmonary artery, superior vena cava, and pulmonary veins were quickly separated, and everything was clearly separated.
Show it before your eyes.
Li Zehui thought that it would take a long time to reveal the heart from adhesions, at least two or three hours.
But Yang Ping completed the reveal in just ten minutes.
This is dextrocardia with adhesions everywhere, and it’s upside down.
With this kind of deformed anatomy, any doctor who hesitates would be like crossing a river by feeling for stones.
---
In the conference room of the heart center, the doctors observing the operation thought that the moment they opened the chest cavity that the step of separating and exposing the heart and great blood vessels could not be completed in less than three hours.
Dodge thinks so too.
However, the boldness of Yang Ping's knife tip quickly exceeded their imagination. They once thought that blood vessels or nerves would be damaged during the separation process, but the entire heart and great blood vessels were clearly exposed, and no unexpected bleeding was seen during the operation. p>
In just ten minutes, Yang Ping completed the reveal.
What should have been a crisis-ridden scene turned out to be calm in Yang Ping's hands.
"Brother, can this Chinese doctor really do heart surgery?"
A layman sees the fun, an expert sees the fame.
Odorelli only saw this step and felt ashamed.
"Well, I just know how to do it."
In fact, Dodge's thoughts were similar to Odorelli's. He had just followed the rhythm of the operation, and every time he thought about what he would do if it were him, but every time he didn't understand anything. The tip of the knife in the video had penetrated deeply.<
/p>
As far as this step is concerned, Dodge also admits that it is not as good as others.
No wonder Li Ze is so persistent and must ask him to be the surgeon.
Dodge seems to have a clearer head now.
But he was not willing to admit defeat yet, so he comforted himself: the operation had just begun, and it didn't show how good it was.
Arrogant people will always find various reasons to convince themselves.
---
"I want to take a good look at this heart?"
Marshall was extremely excited.
This is a heart whose left and right sides are upside down. It is now lying on the right side of the chest, beating warmly.
Yang Ping stopped what he was doing and asked him to take a closer look.
As a doctor, Marshall may only encounter this case in his life.
"Can I touch it?"
Marshall asked cautiously.
Yang Ping pointed to the heart and said: "Please! Be gentle and don't use force like squeezing a ball."
After getting permission, Marshall's hands trembled with excitement. He stretched out his sterile-gloved fingers and gently poked the beating heart, and then gently held it with his palms.
The surface we see now should be at the back, and the distribution of blood vessels is also misplaced from the normal front and rear.
He squeezed it gently and could feel the rubber ball-like thing under his hand - the tumor.
Severe tetralogy - straddle aorta, ventricular septal defect, pulmonary artery stenosis, right ventricular hypertrophy, all concentrated on this diseased heart.
"Marshall, is that enough?" Li Ze would urge, he also wanted to touch this heart.
"Wait!"
Marshall has no intention of stopping anytime soon.
Yang Ping simply stopped and rested for a while to let them experience enough. Anyway, the heart was not separated from the body yet, so he was not in a hurry.
About five minutes later.
Li Zehui took his hand out of his chest: "You can continue."
Now, Yang Ping will start to cut off the large blood vessels connected to the heart, and then take out the heart completely.
Yang Ping ordered to connect the heart-lung machine, drain the blood from the heart, and inject cardioplegia solution into the heart from the coronary arteries. Soon, the heart stopped beating under the induction of the cardioplegia solution.
"Anesthesiologist! Perfusionist! I want to remove this heart now."
After alerting the anesthesiologist and perfusionist, Yang Ping cut off the aorta above the origin of the coronary artery, and then cut off the superior vena cava, pulmonary artery, and pulmonary vein without hesitation.
The heart is separated from the baby's circulatory tube and becomes an independent unit.
At this time, Yang Ping carefully took out the heart and held it in his hand.
The instrument nurse handed over a metal tray, which was already filled with sterile ice cubes.
Yang Ping placed the heart into the metal plate, and then personally carried the metal plate to the prepared sterile workbench.
He now wants to complete a series of operations on this isolated heart on this workbench.
Li Ze will move to the workbench to assist Yang Ping.
Marshall left an empty chest to guard, and the space left by his heart seemed empty.
This feels weird, a person whose heart has been ripped out.
The artificial heart-lung machine simulates the function of the heart and lungs, promotes blood circulation throughout the body, and maintains the life of the baby.
First, the tumor in the left ventricle must be removed. Although the tumor is in the left ventricle, the myocardium of the left ventricle cannot be directly cut to expose the tumor.
The function of the left ventricle is to pump blood. When pumping blood, the myocardium contracts strongly. If the ventricle is cut and the incision is closed with sutures, it will be completely unable to adapt to the strong contraction. There is a risk of the incision splitting when pumping blood.<
/p>
The scars in the ventricle will also reduce the heart's endurance in the future. It is entirely possible that during a certain strenuous exercise, the heart will crack at the scar location due to rapid and rapid contraction.
Therefore, to remove this kind of tumor, it is best to operate the knife on the atrium, and the real master will try to dig out the tumor from the gap in the aorta.
This preserves the intact left ventricular myocardium, allowing the heart to function better and be more adaptable.
"Arthroscopic instruments for wrist and interphalangeal joints! Endoscopic instruments for pediatric otolaryngology! Pediatric thoracoscopic and laparoscopic instruments!"
A series of instruments were opened in sterile packaging, and each set of instruments occupied a sterile table. The operating table was surrounded by various instruments.
If Yang Ping hadn't had in-depth communication with the entire team in advance, they would have no idea what these various instruments were used for.
In fact, there are so many instruments, but Yang Ping can only use them.
But he must rely on these equipment bags, each bag may have one or two pieces, to get the equipment he needs.
---
What is this for?
Dodge couldn't understand what Yang Ping was going to do next. He actually asked the circulating nurse to prepare so many endoscopic systems. Did he want to use these mirrors to see the tumors inside and prepare for planning surgical incisions?
He is indeed a creative guy!
Yang Ping chose a suitable lens and inserted it through the fracture of the aorta, which connects to the left ventricle. From here, the tumor can be seen.
"Fix the heart!"
Yang Ping needed someone to fix his heart, so Li Ze would fix it with both hands. Yang Ping held a camera in one hand and an instrument in the other to start peeling off the tumor.
"He actually performed endoscopic surgery on an isolated heart. Didn't he cut open the heart and use endoscopy to solve tumors and deformities?"
Dodge's guess was right.
Yang Ping's madness is far from being as simple as performing such a complicated operation on an isolated heart.
He wants to use minimally invasive methods to remove the tumor.
Impossible!
Dodge denies his own judgment.
No one can do it!
However, the equipment in the video is clearly used to separate tumors, and in a small space, the equipment is almost used to its limit.
The tumor was separated bit by bit.
Dodge covered his mouth: "He really wants to use an endoscope to remove the tumor? How is that possible?"
"He took the first step to success? Man, this guy is full of novel ideas?"
Odorelli saw that Yang Ping was really isolating tumors, not just looking at them with a lens.
The rubber ball tumor is hidden deep in the left ventricle and blocks the outflow channel of the aorta.
The narrow space makes this kind of endoscopic surgery very difficult and almost impossible to complete. Every instrument must work to its limit to be successful.
"Marshall, stop staring at the chest and come here to help fix the heart."
Li Zehui now has to free up his hands to help Yang Ping hold the camera.
Marshall immediately came over to help. After all, his heart was soft and it was not easy to fix it. He worked hard to find the right force.
And Li Zehui now specializes in fixing the camera.
This frees up Yang Ping's two hands to operate the equipment.
Sometimes they are arthroscopic instruments, sometimes they are endoscopic instruments of otolaryngology, and sometimes they are thoracoscopic and laparoscopic instruments.
Various instruments move in and out of the aortic fracture and cooperate with each other to separate the tumor bit by bit.
