Director Liu and Director Li were responsible for the surgeries on both sides respectively. They took the junior doctors to brush their hands and disinfect the drapes.
Except for the operating staff, there are no other people in the operating room. Occasionally, a disobedient doctor who wants to lurk will be kicked out by the circulating nurse.
Organ transplantation requires very high sterility in operating rooms. Both operating rooms are Class 100 operating rooms, which are also the highest-level operating rooms.
Yang Ping took Professor Yao to brush his hands. While brushing his hands, he did not forget to comfort the copyright owner: "Professor Yao, I am going to use your ischemia-free transplantation technology today. I am very grateful to you. I will bother you later."
If you give me more guidance, they won’t be familiar with it.”
Professor Yao nodded stiffly. They are not familiar with them. Are you familiar with them?
The first time you use this technique, you need to practice it many times. You have never learned from me, so how can you master it? But you are still smart and invite me to escort you. Otherwise, if you encounter any difficulties on the operating table, come to me.
It was too late to save him.
While walking and watching, if it is true that this guy is not familiar with him, he still has to take action. After all, his own technology cannot ruin the reputation of technology. Theory is theory, practice is practice, and they cannot be confused.
This is the first time that a new technology has come out of Nandu Annex. The original creator must maintain his reputation. There are many eyes in the audience watching.
The sensor-type faucet opened, and Professor Yao began to wet his arms with water and apply special hand sanitizer.
"If you find that what I did is wrong or bad, you can point it out at any time and replace it if necessary." Yang Ping emphasized again that this is respect for the original creator.
Okay, let me let you wander first!
Professor Yao followed suit. After all, he was also the first person to perform an organ transplant in South China. He thought to himself, let’s take a look at Professor Yang’s level first. Usually, you can tell in the first few steps. If it’s not possible, you can come to the rescue by yourself.
Yang Ping said that he would be the one to perform the operation, so Director Liu and Director Li did not dare to move. After laying out the drape, they stood by the operating table and waited in surgical gowns and sterile gloves.
Yang Ping and Professor Yao put on surgical gowns and gloves. Professor Yao checked the pipes connected to the machine. This machine was his invention. It can maintain the perfusion of the donor organ during the operation and keep the organ in a state of no ischemia.
Perform hot transplantation.
Even a few minutes of ischemia in a donor organ can cause damage and cause dysfunction.
Thermal transplantation without ischemia allows the organ to be separated from the donor and implanted in the recipient's body without ischemia, which is equivalent to the organ being alive throughout the process.
For example, in liver transplantation, before removing the donor organ, the doctor first connects the blood supply blood vessels of the liver to the multi-organ function repair system. While cutting off the original blood supply, the machine replaces the body's blood supply to maintain the liver's vitality.
When the liver is implanted into the recipient's body, the liver's blood vessels are connected to the recipient's blood vessels, and the recipient's blood circulation system takes over the blood supply to the liver, and finally the liver transplant is completed.
During the entire operation, the liver's blood flow will not stop, and the postoperative functions will be more intact.
With this new technology, liver function indicators are significantly better than those of traditional liver transplantation. Postoperative aspartate aminotransferase is reduced by 74.4% compared with traditional technology. The probability of primary graft non-function is reduced from 6% to 0, and early graft insufficiency is reduced from 6% to 0%.
53% dropped to 3.3%, which greatly reduced the risk of surgery. This data is very encouraging.
This world-first technology has made Professor Yao a rising star in the field of organ transplantation. He is highly regarded by Dean Su and will soon serve as the deputy dean of the First Affiliated Hospital.
Professor Yao finished counting the pipes and began to check the machine's perfusion pressure, oxygenation index, temperature and other parameter settings. This machine was his treasure, the result of more than ten years of hard work. If it were not for saving lives, he would not be willing to take it out.
But at yesterday's case discussion meeting, it was revealed how Yang Ping understood his technology and equipment so well, even better than himself, the inventor.
I don’t have time to think about this now, let’s wait and see about the surgery.
---
The operation has not officially started yet.
The huge high-definition electronic screen is divided into two halves. One half of the camera faces the surgical area, which is currently just a green sterile drape; the other half of the camera faces the operating room, where the surgical team is taking their positions.
The demonstration classroom in the operating room is in a non-restricted area, close to the rest area of doctors and nurses. At this time, it is full of people and very lively.
In addition to eight experts from other hospitals, there are also Director Zhao from the medical office, a deputy chief physician from the organ transplant center, doctors, masters, and graduate students from various departments who are available.
Within the city limits, there are more than a dozen hospitals with organ transplant qualifications. Doctors from these hospitals, whenever they are free, come to join in the fun and observe the operations.
Bidirectional transplantation, complex patients, or non-ischemia transplantation, this operation is very attractive.
Professor Wang, Professor Pei, and Director Zhao are sitting in the first row.
There were tea and snacks on the desk in front of him. Professor Wang was a little bored and grabbed some melon seeds and peanuts to eat.
Director Zhao answered the phone and said hello to the professors. He asked the deputy chief physician of the organ transplant center to accompany the experts.
"Let me tell you, Yao Qingxiang is the surgeon, and you see, he has taken over the stage."
Professor Wang picked up a cup of tea that had just been filled and took a sip. Director Zhao was nearby just now, so it was inconvenient for him to point.
On stage, it is a technical debate, and you can go straight to the point. Off stage, it is not a case discussion, but you still have to give others some face.
So after Director Zhao left, Professor Wang began to comment freely.
Seeing Professor Yao performing the surgery, Professor Wang's interest was immediately halved. He also wanted to see that "crazy man"'s two-hour ischemia-free transplantation.
If Yao Qingxiang was the surgeon, it would be a decent surgical demonstration.
Yao Qingxiang can handle a single kidney transplant or liver transplant in three hours without any problem. If he performs both liver and kidney transplants, five or six hours is normal. If the assistants do not cooperate well, it may take longer.
Professor Pei looked at it and felt that something was wrong with the scene. Professor Yao was on stage, but he was not standing in the position of the surgeon. The person who stood in the position of the surgeon was Yang Ping, the "madman" of Sanbo Hospital.
This chapter is not finished yet, please click on the next page to continue reading the exciting content! The positions of the surgeon, first assistant, and second assistant during surgery are all very particular, and you cannot stand randomly.
Therefore, as soon as the stage starts, as long as it is not a rookie team, the team's position will be very standardized, which is similar to playing basketball or football. Each surgical team has its own division of labor and position.
"That's not right. How did Professor Yang get to the position of the surgeon? Yao Qingxiang was fiddling with the machine pipes. Could it be that Yao Qingxiang is only responsible for operating the machine and keeping the organs free of ischemia?"
Professor Pei confirmed that he had read it correctly and said to Professor Wang.
Professor Wang didn't pay much attention to these details. He took a closer look and found that Professor Yao was adjusting the machine, and Yang Ping was standing in the position of the surgeon. Looking at the posture with his chest raised, he seemed to be at ease.
"No way? He really went on stage to perform the surgery? Sanbo Hospital is really brave, and they dare to do this kind of surgery." Professor Wang's tone was a little angry.
As a professional leader, Professor Wang has a personality problem, but his academic conscience is definitely there. He hopes that Yang Ping will take the stage to take charge, so that such an arrogant person will be self-defeating.
But when Yang Ping actually took the stage to perform the surgery, Professor Wang was very angry, thinking that the surgery was child's play, lacking respect for life, and completely unaware of the difficulty and risks of this kind of surgery.
Organ transplantation, an operation with such a high threshold, is managed so laxly. However, there are several qualified doctors supervising the operation, so this is not considered a violation.
This is a matter for Sanbo Hospital. Professor Wang was not invited to the stage, so it is not convenient for Professor Wang to say anything. However, he is also ready to save the stage. If someone needs to be insulted, he will be insulted. If he needs to save the stage himself, he will not hesitate.
.
Professor Wang rubbed his stomach. He didn't know what he had eaten in the past few days, and his stomach had been uncomfortable. He had diarrhea several times a day and had tenesmus.
"handsome guy!"
Professor Wang waved to a doctor in charge of reception.
The doctor immediately ran over to see what the boss needed.
"Where is your bathroom?" The boss had a stomachache and had been enduring it for a long time. Before the operation started, he wanted to go to the bathroom to relax.
The doctor did his duty and took the boss to the bathroom door, then waited at the door himself.
Professor Pei continued to stay and observe, waiting for the operation to officially begin.
Experts from other external hospitals are relatively quiet, and occasionally a few lower their heads for discussion.
With two big guys here, it’s hard for other experts to get the limelight.
---
After the preoperative check is completed, the operation can begin.
"Have I started?"
Yang Ping confirmed again.
"open it!"
The anesthesiologist said the operation could be started.
Director Liu also nodded. It was his first surgery with Yang Ping, and he was still a little worried.
Facing the god-like figure in Sanbo Hospital, Director Liu was still a little nervous.
Director Liu knew that he had won the Golden Knife Award as an attending physician.
Big bosses from the United States, Germany, and Japan were working as trainees under Yang Ping, and Director Liu also knew about this.
The Phase III clinical trial of spinal external fixator reached the United States, and there is nothing false about it.
Several top wealthy people followed him and donated money to fund Yang Ping's scientific research, which was known to the whole hospital.
Director Liu was sweating a little as he thought about it. Yang Ping saw something wrong with his expression: "Do you feel uncomfortable?"
Director Liu shook his head: "It's okay, I'm just a little excited."
It's okay. Yang Ping took the scalpel and the operation began.
Yang Ping used the scalpel in his hand to cut Li Jun's right side of the abdomen, and a beautiful arc-shaped incision was formed in the right iliac fossa. The length was only five or six centimeters, which was half shorter than the ten centimeters that Director Liu usually used for kidney transplants.
.
The incision was neither deep nor shallow. It was in place with one knife and had just cut through the skin and subcutaneous tissue. The second assistant and the third assistant immediately pulled the hook and pulled the skin away.
Yang Ping changed the scalpel to an electric knife, and then cut open the deep fascia of the abdomen. The bright red muscles bulged out. Yang Ping touched the muscles with his fingers, and used the electric knife to cut the muscles. He stretched his hand in and pushed open the peritoneum.
, found the kidney located outside the peritoneum, and felt the renal artery, vein and ureter along the kidney.
After finding Li Jun's right kidney, Yang Ping helped Director Liu and the second assistant adjust the retractor so that the entire kidney and connected blood vessels and ureters were displayed in the surgical field.
"Remove the kidney! Professor Yao, please prepare the machine."
Yang Ping finished the first step and started the second step.
It had only been a few minutes before Li Jun's kidney was exposed, and the medical nurse hadn't even handed over the gauze to stop the bleeding.
At the beginning of the operation, Yang Ping wasted no time at all and said to Director Liu who had not yet reacted: "Take the kidney!"
Director Liu was still the assistant when removing the kidney, and Yang Ping took him to another operating room to change gloves.
Director Liu was still confused. After a few minutes, Yang Ping found Qin Xiaowei's kidney. He first connected it to Professor Yao's machine, then took it out and gave it to Professor Yao to put in the organ slot of the machine to maintain the perfusion of the organ.
Yang Ping, Director Liu, second assistant, and Professor Yao transferred the living kidney to Li Jun.
Yang Ping moved very quickly and immediately cut off the blood vessels and ureter of Li Jun's right kidney and took out the abandoned kidney.
Then connect Qin Xiaowei's kidney, and anastomose the arteries and veins of Qin Xiaowei's kidney to Li Jun's internal iliac and external iliac arteries and veins.
Even the blood vessels of babies can be connected. Such thick blood vessels are very easy to sew. With his hands in the air, Yang Ping sutures the blood vessels like a precise machine. It is stable and fast, and the stitches and margins are exactly equal. It is very beautiful.
After the blood vessels were anastomosed, the blood vessels were opened. There was no blood leakage at the anastomosis, and there was no need to fill the needle. The blood supply to the kidneys was very good. Then the ureter of Qin Xiaowei's kidney was planted on the top of Li Jun's bladder, and a stent was placed inside the ureter for anastomosis.
The pipe at the mouth is shaped to prevent the pipe from narrowing.
The whole process only took half an hour, and the kidney transplant was completed!
Professor Yao was still a little unable to keep up with the rhythm just now. This is his own skill. He is actually much more proficient than him, and he has just handled several details that are much better than him.
Impossible! It makes no sense!
Am I a pirate? He is the original creator.
Professor Yao calmed down, as if he was in a dream. It takes half an hour. It is impossible to do it by himself in less than two hours. Three hours is normal time.
---
"What about? Liver transplant first or kidney transplant first?"
Professor Wang came out of the bathroom. His stomach felt much better. He took a sip of tea to warm his stomach.
"What about liver transplantation first?"
Professor Pei said nothing, and Professor Wang made his own judgment.
"The kidney transplant is done!"
Professor Pei reacted slowly and responded to Professor Wang's words.
Professor Wang looked at his watch and saw that he had just gone to the bathroom. He had calculated that in less than half an hour, how could he complete the kidney transplant?
"Lao Pei! It's not funny at all."
Professor Wang thought Professor Pei was telling a joke, but it was obvious that the joke was not funny.
Professor Pei hit his forehead a few times, exhaled a breath and said: "It's really done. I have been doing organ transplants for 20 years, and I have never seen anyone with such a fast hand. You didn't see it just now, the level of the anastomosis of blood vessels and ureter."
It’s really superb, but I can’t achieve this level anyway.”
Professor Pei couldn't find any good words to describe it anyway.
Professor Wang saw that Professor Pei was a bit confused and lost his mind, so he asked the professor from West China behind him: "Has the kidney transplant been completed?"
"It's done! Look, don't talk. We won't be able to see the complete liver transplant later."
The professor from West China stared at the screen.
Damn it!
Professor Wang cursed in his mind.
The dignified PhD supervisor could only curse curse words in his heart, staring at the screen and reluctant to post them.
