The Surgeon’s Studio

Chapter 3021: 2965 Extravagant surgical training (Part 1)

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"I'll get it right away," Feng Xuhui said immediately.

"Stop messing around." Su Yun said, "These devices cost millions. Lin Chu, please help me ask and see if our 912 has suitable ones."

"Okay." Lin Ge responded without hesitation.

Only then did Zhou Chunyong see Ringer sitting obediently in the corner, like a sculpture. It wasn't until Su Yun spoke that Lin Ge came to life.

Boss Zheng's team is like the latest tank. The smooth mechanical sound of the tank is ringing in Zhou Chunyong's ears. The cooperation between the entire team is the best he has ever seen.

There is no conspiracy, no office culture, no holding each other back, just concerted efforts and united efforts.

A real person in charge of 912 is squatting aside, waiting for logistical supplies. If everyone in all hospitals and agencies were so diligent, wouldn't the world have been harmonious a long time ago? Such an idea flashed in Zhou Chunyong's mind.

How is that possible? Ringer was helped up by Boss Zheng. This guy wanted to hug Boss Zheng's thigh more strongly than he did.

For a moment, Zhou Chunyong had the idea of coming to 912 as a team leader. But it is unrealistic to give up one's own foundation, just think about it.

I just really envy this group of doctors who are dedicated to treating illnesses and saving lives.

"Xiao Feng, come here." Lin Ge called Feng Xuhui away to discuss the equipment, while Zheng Ren concentrated on the operation.

Zheng Ren and Su Yun separated the adhesions between the right lung and the chest wall, mediastinum and diaphragm, and freed the pulmonary arteries and veins. The Swan-Ganz catheter was pushed into the left pulmonary artery, and left one-lung ventilation was applied without opening the left pleural cavity to facilitate ventilation.

"Marys, right lung!" Su Yun shouted.

The strange woman in black robe "floated" in front of the Xie people as if her toes were not touching the ground.

Her white hands shone miserably, making Zhou Chunyong feel that what was shrouded under the black robe was not a living person, but a living dead. Or... does she have albinism? Zhou Chunyong's mind was far away.

Maris opened the sterile equipment, and Xie quickly took out the 3D-printed right lung inside.

Is this a model? Or real organs? Zhou Chunyong was dumbfounded after seeing it.

Because I understood, I was even more shocked. Although he has never seen a lung transplant operation with his own eyes, Zhou Chunyong still understands the most basic organs. After another careful look, he was sure that what the Xie people took out from the sterile incubator must be real lung tissue!

Can 3D printing be so wasteful? Zhou Chunyong had done some psychological preparation for himself on the way here, but he didn't expect that Boss Zheng's medical team would be so "luxurious".

You know, there are at least tens of thousands of people across the country waiting for donor lungs. With the advancement of science and technology, now with cloning technology and 3D printing, donor lungs can be used for training. Technology is advancing so fast that Zhou Chunyong feels overwhelmed.

How the hell is this reasonable

At this time, Zheng Ren and Su Yunzai, who were standing on the operating table, cooperated with Lin Yuan and Gu Xiaoran to cut off the first branch and descending branch of the pulmonary artery of the 3D manikin respectively, and cut off the pulmonary vein at the distal end. The main bronchus is cut proximal to the opening of the upper lobe and the right lung is removed.

"Boss, I think extracorporeal circulation must be added for this. We can't wait." Su Yundao said.

"If ECMO is not required, extracorporeal circulation and cardiopulmonary oxygenation support are required. I don't think it is necessary." Zheng Ren said, "Extracorporeal circulation is prepared first. Director Xu promised to allocate us an elite extracorporeal circulation team. If it doesn't work, we will use it when the time comes. "

"Don't you need to practice?"

"No need for now. Let's touch it later and think about possible problems."

Zheng Ren said as he began to anastomose the trachea.

"You're so big-hearted. You're doing a lung transplant while still leaving this kind of unstable factor." Su Yun and Zheng Ren cooperated and kept talking.

"The probability of something going wrong is low, but I think the most important thing is to be careful about air embolism."

"ECMO is really good. There is a saying from the earliest times that doctors can become gods if they use ECMO too much." Su Yundao said, "When I first got into contact with it, I had an illusion in my heart - as long as I still have breath to go to the hospital, People can’t die.”

"It is indeed an illusion. ECMO cannot solve all problems." Zheng Rendao, "But a while ago, a patient in the Second Hospital of Zhejiang Medical University was on ECMO and waited for a lung transplant for 46 days. Without ECMO, people would probably not be able to survive. ”

"The same goes for Xiao Shitou. Without ECMO, the success rate of surgery using traditional methods is less than 30%, even if we do it," Su Yun said matter-of-factly.

"What we need to pay more attention to now is liver and kidney failure during the operation." Zheng Ren said, "It's okay. There are all kinds of machines, backed by our powerful 912."

"Do you now know how powerful 912 is?"

"I have always known that surgery is not a one-person job. I heard this sentence from the first day I entered the operating room." Zheng Ren said while performing anastomosis of blood vessels and trachea under the microscope.

Because it was surgical training, the atmosphere was not too tense. Although it was not performed while driving like other surgeries, it was not tense. Zhou Chunyong could even see Boss Zheng relaxing.

Being so relaxed during a lung transplant, Boss Zheng is really a genius, Zhou Chunyong thought to himself.

One hour later, the operation was over.

"Boss Zheng, it's so fast!" Zhou Chunyong praised sincerely.

"Surgical training is just about performing surgical operations, which is very fast. It takes a long time to actually perform on stage. It requires ECMO assistance, and acute liver failure and kidney failure may occur during the operation. Every medication must be studied, just like... "

"You can think about it yourself when you go back. I don't understand this matter." Su Yun finally told the truth this time.

"Just like heparin, generally every doctor has his or her own unique anticoagulation regimen for heparin in ECMO, but there is a consensus that heparin should be given at a time of 50-70u/kg before intubation, and then 18u/kg The initial dose of /h is maintained initially, and the titration is gradually adjusted to achieve the target aPTT of 50-60 seconds.”

This matter has been discussed before. The reason why Su Yun said that was because his boss wanted to change the amount of heparin.

He didn't quite understand why the boss did this, but what the boss said still made sense. It's just that this was too meticulous, so detailed that Su Yun felt it was unbearable.

"You go back and think for yourself while I consider the surgery." Su Yun directly rejected his boss's idea of brainstorming.

If you think about this kind of thing too much, your brain will easily shut down, even Su Yun's genius brain can know how to read it once.

"Okay." Zheng Ren was helpless. He also knew that it was easy to achieve 90 points. But Xiao Shitou’s situation does not allow him to achieve 90 points, he must achieve 100 points.

With the addition of a 10-point bonus and specialization, we can achieve another level of success on the basis of general success.