Mr. Gu didn't say anything, changed his clothes and entered the operating room with Zheng Ren and others.
Zhao Wenhua was waiting in the operating room early. The nurses in the operating room were busy. Xie Yi was shuttled back and forth, preparing sterile bags and sterilized things for the operation, dancing like a butterfly.
"Boss, I'm going to do the disinfection." Professor Rudolf Wagner wanted to go directly to the operating room.
But Su Yun pulled him back and said, "Fugui, please rest for a while while the boss and I go."
"Brother Yun, this is an interventional surgery." Professor Rudolf Wagner was a little aggrieved, but he seemed to have some psychological shadow on Su Yun, so he could only whisper in a low voice.
"You are in Germany, so you have plenty of opportunities." Su Yun was not polite, pulled the professor back, and went directly to wash and disinfect his hands, "Just rest and watch, it's none of your business."
The professor felt even more aggrieved, but did not dare to argue. He looked at Zheng Ren and wanted to say something, but in the end he held back.
When several people entered the operation room, Zhao Wenhua suddenly saw Mr. Gu. He was startled for a moment, and then "understood" that this was the foreign aid that Boss Zheng had brought in. This must be the case.
After interventional surgery, the thoracic department performed resection.
What's the big deal? I've already seen through these tricks! Zhao Wenhua felt proud.
"Mr. Gu, you are here." Zhao Wenhua bowed slightly and said politely.
"Well, let's see Xiao Zheng undergo surgery for pulmonary sequestration."
As he spoke, Mr. Gu sat down on the chair in the operating room and faced the operating table. This is the best place to watch interventional surgeries, and Mr. Gu does his part.
Zhao Wenhua snickered in his heart. Although Gu Lao was already old, he still performed one operation a day. Except when he felt uncomfortable, he never neglected it.
With Mr. Gu here, there will definitely be no problem with the surgery.
Just cut out a lung lobe, a minor operation.
How does it feel to be seen through by yourself? Zhao Wenhua looked through the leaded glass at Zheng Ren, who was watching a movie with his arms folded inside, and thought proudly in his heart.
It's all just tricks, how could I fall for it
Soon, disinfection was completed, sterile drape was laid, and the operation began.
Zheng Ren chose the femoral artery and vein dual access to puncture and insert the puncture kit.
Looking at the busy people inside, Mr. Gu said: "The double puncture technique is rare."
Professor Rudolf Wagner was still feeling aggrieved, looking at the operation inside with reluctance.
Feng Xuhui stood in a corner, with Liu Xiaojie beside him. Neither of them was as eye-catching as two large trolley cases.
Yanag Zewei was very surprised. It was really rare for surgery to intubate the femoral artery and vein at the same time for angiography.
And he had only seen this technique in journals and magazines, but he had never performed it himself.
No wonder Professor Rudolf is so aggrieved,
No wonder Dr. Su is rushing to perform surgery.
It turned out to be such a rare technique.
Zhao Wenhua's eyes widened when he saw it.
If you want to prove pulmonary sequestration, it is enough to puncture the femoral vein.
Boss Zheng not only punctured the femoral vein, but also punctured the artery. What was he doing
Could it be that…
Does he really want to use interventional surgery to treat pulmonary sequestration? !
What Boss Zheng said turned out to be true!
Zhao Wenhua was so surprised that he couldn't speak. He silently looked at the image on the screen, his hands were numb.
Double piercing... Boss Zheng actually did this!
At this time, he never thought that this was a "frame" and he was the victim.
The guidewire is advanced, and then the angiography catheter is passed to the thoracic aorta, and arteriography is performed with the non-ionic contrast agent ioversol.
It shows an abnormally thickened blood supply artery on the right wall of the lower segment of the thoracic aorta, about 1 cm in diameter, running toward the basal segment of the right lower lung.
The left lower pulmonary artery can be seen after branching, and merges to form an abnormal return vein of about 1.2 cm in thickness, which flows into the right atrium.
Pulmonary angiography performed through right femoral vein cannulation showed that the pulmonary artery in the basal segment of the left lower lung was absent.
Once the surgery reaches this point, it is already confirmed that the patient has pulmonary sequestration.
It’s time to extubate, Zhao Wenhua thought to himself. The tube will definitely be extubated and then surgery will be performed.
However, he was disappointed.
The image on the screen showed that Boss Zheng was operating the guide wire and performing super selection.
"Mr. Gu, aren't you going to have surgery?" Zhao Wenhua asked.
"Operation? What for?" Mr. Gu stared at the screen intently, "I can't wear lead clothes with my body."
"Pulmonary sequestration requires surgical removal!" Zhao Wenhua said anxiously.
"Don't you even study?!" Mr. Gu glanced at him and immediately turned his attention to the screen. "Last year, two French doctors studying pulmonary sequestration performed interventional surgery on three patients, and they recovered well after the operation. , A 7-day review of the chest CT showed solid changes in the tissue at the lesion, and no hemoptysis symptoms occurred during the postoperative follow-up for more than 6 months."
“…”
"It's no wonder you don't study pulmonary sequestration." After all, Mr. Gu was kind. Seeing that Zhao Wenhua was silent, he knew that he had no research on this disease, so he gave Zhao Wenhua a step forward, "Xiao Zhao, in the future, interventional surgeries will become more and more popular." More and more, it is not enough just to perform interventional embolization surgery for liver cancer."
Zhao Wenhua looked at the screen blankly. The super-selection was successful in one go. Boss Zheng had super-selected the catheter to the blood supply artery.
Super selection is not difficult, and you can succeed in one go.
But should we be cautious about this kind of surgery, which is rare in the world? And... does he really want to embolize the focus of pulmonary sequestration? !
Zhao Wenhua watched helplessly as the catheter inserted a blood vessel occluder with a diameter of 12 to 14 mm, and released the occluder in the main blood supply artery. The angiography confirmed that the abnormal blood supply artery was embolized satisfactorily.
Subsequently, a femoral vein angiogram was performed, and it was found that the draining vein had disappeared.
11′23″, the operation is over.
"It turns out it's that simple." Professor Rudolf Wagner murmured.
"Fang Lin, are you looking good?" Mr. Gu turned his head and looked at Fang Lin and asked.
"Yeah." Fang Lin kept nodding like a little rooster pecking at rice.
"Next time you encounter a similar patient, remember to seek consultation from the interventional department." Mr. Gu said: "Don't always think about cutting out the lung lobes. The current surgical trend only has the word minimally invasive. Which surgical method is less invasive should be chosen. What kind of magic?"
"Mr. Gu, you are right." Zheng Ren came out of the operating room, took off his mask, and said with a gentle, honest smile.
"Come on, tell me if there is any explanation for the occluder." Mr. Gu stood up and walked out.
Zheng Ren followed behind, explaining in a low voice how to use the occluder.
Zhao Wenhua looked at the screen stupidly, and he still hasn't calmed down until now.
It’s different from the script I imagined.
"Professor Zhao!" Su Yun's voice came from inside.
"ah?"
"Come to apply pressure to stop the bleeding. You won't point at me and send the patient back. Who are you? Do you have any thoughts in your heart?" Su Yun's voice was filled with infinite contempt.
Zhao Wenhua felt bitter in his heart. His attitude was completely different from when he was rushing to have surgery!
The employees face forward and the employees face backward, who are they