After receiving the call, Qiao Jinzhu and Li Shuancheng hurried to the department.
This guy who was celebrating the New Year was called over by a phone call. Everyone had grievances.
What's more, they are not an emergency department.
When a specialist department is called back from vacation, it is usually a big problem.
During the phone call, Guo Baohua didn't say much. He only said that it was urgent and asked them to come back quickly. The two of them were in a hurry.
"Go to the operating room first and talk as we go."
Liu Beijiang looked at the time and walked to the operating room with two people.
The two of them have been delayed for about forty minutes since they came here.
"Operating room?"
Qiao Jinzhu asked: "Old Liu, what kind of surgery can't you do alone?"
"H."
Liu Beijiang slowly spit out four words.
"cough!"
Li Shuancheng coughed and almost choked: "What kind of surgery?"
"H."
Liu Beijiang said again.
"Has Professor Fang finally extended his claws into our field of cardiothoracic surgery?" The expression on Qiao Jinzhu's face was quite exciting.
"good."
Liu Beijiang said: "Professor Fang is in charge of the first heart bypass surgery in the country. The first heart bypass surgery in the country that you have been waiting for has finally happened to you."
Li Shuancheng: "..."
"I was prepared, but I didn't expect this day to come so quickly. Why did Director Jiang go to the United States?"
Qiao Jinzhu smiled bitterly.
Didn't Director Jiang go abroad to study in order to complete a breakthrough in cardiothoracic surgery as soon as possible?
It's good that their director, Mr. Jiang, hasn't come back yet, but Fang Le's claws have already reached in. From the beginning, it was Wang Zha, who performed the first cardiac bypass in the country.
If liver transplant surgery is the ceiling in the extrahepatic field, then cardiac bypass surgery is also a difficult point in extracardiac surgery at this time, second only to heart transplantation.
The world's first heart bypass surgery was in the 1960s. It started late in China, starting in 1995. Fang Le actually can't remember exactly when and which year the first heart bypass surgery in China was, but it was definitely after 1995.
, it might be 1996, it might be 1997.
Anyway, this is the first time.
"Director Xiao..."
Xiao Conglin is on duty at the Department of Hepatobiliary Surgery today.
Xiao Conglin was on the phone in the office. It was Chinese New Year, and Director Xiao also wished some people New Year greetings. An attending doctor rushed into Xiao Conglin's office.
"Director Xiao."
Xiao Conglin put down the phone and stood up: "What's wrong?"
Looking at the fussy appearance of the attending doctor, Xiao Conglin always felt that he had seen her before.
When this happens, 80% of the time it is related to Professor Fang.
"Fang...Professor Fang."
The attending doctor was still out of breath.
"Tell me slowly, what kind of surgery is Professor Fang going to do again?"
Xiao Conglin asked.
The attending doctor nodded: "The first...the first case in the country..."
Hearing this, Xiao Conglin suddenly became excited. Is this the first of its kind in the country?
Professor Fang, can you please slow down this? Why is this the first of its kind in the country?
"The first total isolated liver resection in the country?"
Xiao Conglin thought in her mind that based on the extent of the extrahepatic side, Fang Le would most likely do the country's first total isolated liver tumor resection.
After all, I have done half-detachment. In terms of difficulty, full detachment is actually not much more difficult than semi-detachment.
"The country's first heart bypass surgery."
The attending doctor just finished speaking.
He ran all the way here after getting the news, and he was indeed out of breath, but it wasn't intentional.
"H?"
Xiao Conglin took a deep breath and said, "Is this going to change the situation unexpectedly?"
"A patient came to the emergency department with acute myocardial infarction..."
The attending doctor said: "Professor Fang made a temporary decision to perform heart bypass surgery, and preparations have already begun on the extracardiac side."
"Okay, I get it."
Xiao Conglin was stunned for a long time, then waved and walked out of the office.
Jiang Hai Lei, Jiang Hai Lei.
While walking, Xiao Conglin sighed. Jiang Hailei had gone abroad, so he still hadn't escaped. I wonder if Jiang Hailei would suddenly faint like Pang Jianye of Wuzhou Provincial People's Hospital after hearing about this.
fall?
"Director Xiao!"
Before Xiao Conglin reached the operating area, she met Wang Jiangping from the general surgery department.
"Director Wang, what is this?"
"I heard that Professor Fang is going to have a heart bypass. Come and have a look."
Wang Jiangping said with a smile.
"Heart bypass."
Xiao Conglin didn't know whether she should be happy or happy.
Previously, Xiao Conglin was a joke among all department directors in the entire hospital.
The dignified department director became an affiliated department of the emergency department. He followed Fang Le all day long and even flattered Han Shengxue.
As Fang Le completed more and more first cases, the jokes became less frequent, and Director Xiao was still uncomfortable.
Now, Jiang Hailei has followed in his footsteps, and the cardiothoracic surgery department has become the second affiliated department of the emergency department after the hepatobiliary surgery department.
Maybe neurosurgery, general surgery in the future...
Who can say for sure about this kind of thing?
At the same time, some department directors who were not on duty today also received calls and learned that Fang Le was preparing to perform the country's first heart bypass surgery. Some of them abandoned the guests they were entertaining, and some were visiting relatives, so they all left.
Rush to the hospital.
As the news spread from Xijing Hospital, doctors from Tangdu Hospital, Fourth Hospital, Central Hospital, Provincial People's Hospital and other hospitals also learned about the incident and rushed to Xijing Hospital.
When Han Jiangong got the news, he was stunned and couldn't believe it for a long time.
After coming back to his senses, Director Han hurried to the hospital, calling Lei Zhenping as he walked.
"Principal Lei, Fang Le is in the hospital preparing to perform the country's first heart bypass surgery. Well, yes, I'll be there right away."
For a time, the whole hospital and even the entire Xijing City medical circle began to spread the news, especially in the fields of hepatobiliary and cardiothoracic surgery.
In the operating room, Fang Le was making brief preoperative arrangements for the doctors involved in the operation.
"We are all doctors in cardiothoracic surgery. Over the past year, cardiothoracic surgery has been making breakthroughs in cardiac bypass. I won't go into the basics."
Fang Le opened the slide on the side and said: "Let's look at the patient's condition first. Simply put, cardiac bypass is to replace the original blocked coronary artery with a new artery, crossing the original blocked part, allowing blood to flow, just like
It builds a bridge, so it is also called the heart building a bridge."
"The main difficulty of heart bypass surgery is that during the operation, the heart will stop beating for a period of time. During this process, the patient's heart is in a low temperature state. At this time, various organs in the body will also be under great pressure.
.....”
"The patient's condition is like this..."
In the operating room, Fang Le introduced it to everyone.
Han Shengxue, Xiao Conglin and others arrived one after another and stood nearby to listen.
Because this operation was an emergency operation, there was not much preparation time, so there was no time to hold a preoperative analysis meeting. Fang Le talked about the most critical operating points.
"Director Liu will be in charge of removing the great saphenous vein..."
For cardiac bypass, the arteries used for bypass are harvested from the patient's own body. Generally, the great saphenous vein, internal mammary artery, right gastroepiploic artery, radial artery, inferior epigastric artery, and great saphenous vein have valve closures that can block blood flow.
, its distal end is anastomotic to the ascending aorta, and its proximal end is anastomotic to the coronary artery, which is the most common choice for early heart bypass surgery.
However, great saphenous vein bypass grafting is more likely to cause intimal hyperplasia, which may cause blockage of the bridge within 3 months in severe cases. Most saphenous vein grafts will experience varying degrees of blockage 5 years after surgery.
With the development of heart bypass technology and the emergence of various drugs, such as the use of calcium channel blockers to prevent vasospasm and postoperative anticoagulation therapy, the patency rate of the radial artery has been greatly improved in subsequent heart bypass surgeries.
The selection rate of the radial artery during surgery is also relatively improved.
However, at this time, Fang Le could not solve some problems of vasospasm and postoperative anticoagulation. Moreover, it was the first emergency surgery and the time was short, so Fang Le chose the great saphenous vein.
"Okay Professor Fang."
Liu Beijiang responded hurriedly.
This procedure is a critical part in heart bypass surgery. Liu Beijiang did not expect that Fang Le would give this procedure to him.
Fang Le had no choice. Jiang Hailei was not here, and Fang Le didn't know the specific level of the doctors in the cardiothoracic surgery department, so he could only give priority to a few deputy directors.
Although a doctor's professional title may not necessarily accurately represent his or her level, relatively speaking, doctors with high professional titles are more likely to have higher standards than doctors with lower professional titles.
"The operation is divided into two groups, one group is thoracotomy, and the other group is to intercept the great saphenous vein..."
Fang Le said, and then said to Liu Beijiang: "Director Liu, you are familiar with the people in the department, you can make arrangements."
"good!"
Liu Beijiang suddenly became excited.
When Jiang Hailei left, he asked Qiao Jinzhu to act as the department director, not Liu Beijiang. But now that Fang Le is talking, Qiao Jinzhu can only listen.
This was the benefit of him getting to know Fang Le in advance before he was on duty today.
After all, Fang Le was not familiar with Qiao Jinzhu and Li Shuancheng.
"Anesthesiologists and nurses should also pay attention. Cooperation during heart bypass surgery is very important. Anesthesiologists must pay attention to the patient's condition at all times..."
When Han Jiangong arrived, Fang Le's arrangements were nearing completion.
"Okay, let's prepare for the last fifteen minutes and then start the operation."
After Fang Le finished speaking, everyone else went to prepare.
"Xiao Fang."
Han Jiangong stepped forward.
"Dean Han."
"Are you sure about it?" Han Jiangong asked.
Fang Le is in great condition now. He is the signature of Xijing Hospital. Han Jiangong was both excited and worried all the way.
Another first case is great, but the patient and Fang Le are also very important.
The patient's safety and Fang Le's reputation are now all tied up in this operation. If something goes wrong...
"About seventy percent."
Fang Le thought for a while and said.
"Be sure to pay attention."
Han Jiangong warned that if the operation was not about to begin, he would really want to talk to Fang Le again. This chapter has been completed!