Signed In At The Hospital, The First Operation Shocked The Whole Country!

Chapter 200 Shocked Jiangcheng, the strongest case in internal medicine!

“Side position.”

Qin Feng’s voice fell, and Director Sun Sheng of Yisuke immediately changed the baby’s position.

A temperature-variable blanket is placed under the body to regulate the temperature of the patient’s body and prevent hypothermic shock.

At the same time, the lower limbs include plastic cloth for heat preservation, and the upper limbs are wrapped and pressed on the side of the body, and the hand guard is used to protect the limit.

External precision urine bag for catheterization…

Radial artery puncture on the left hand and invasive monitoring, external tee to facilitate intraoperative blood draw…

Internal jugular vein and inferior vein puncture access…

Right femoral vein puncture access, invasive monitoring of lower limb veins……

The operation officially begins!

Open your chest!

Holding a high-frequency electric knife in his hand, Qin Feng reached into the right lower rib and made a long L-shaped incision.

Then cut the fat layer, muscle layer, pleura, pull open…

“The chainsaw.”

The precise and neat technique is pleasing to the eye, and in just a few minutes, the breastbone has been exposed in the field of vision.

And at this time,

In the large media conference room, Dean Zhang Tong and the directors and deputy directors of other departments sit in the first row.

Behind them, there are people sitting in darkness!

All staring attentively at the two live operations on the screen!

Although this was a combined operation, everyone knew that the real greatest pressure was on Qin Feng’s side.

Because he was responsible for the removal and transplantation of patients, and Cheng Hongwu was mainly responsible for the removal of the donors, and finally entered the 1st operating room to help Qin Feng complete the transplantation.

Director Cheng may not be clear to everyone, but Qin Feng is a big cow who has already completed liver replacement surgery!

So everyone is full of confidence while being nervous!

It’s just that the scary thing is not who has the more severe surgery, but that the operations of the two directors are broadcast live together at the same time.

This is not a comparison, and anyone who knows how to do it can see the difference.

In particular, Qin Feng completed the exposure of the breastbone in the open chest in just a few minutes, and the knife technique is almost like a painter painting.

Every time you raise and fall, the trajectory of the knife is more powerful than that of the textbook, and even has a touch of different charm.

Looking at Director Cheng, he has just cut to the fat layer, and the speed is more than twice as slow.

The gap!

Squeak~squeak~squeak~

In the operating room, Qin Feng has already sawed open the breastbone easily. After all, the baby’s bones are very soft, unlike adults who have completed calcification, which is easier to open.

“Hook, ready to open the field of vision.”

Qin Feng put down the chainsaw and whispered.

Sun Sheng, who was next to him, immediately started to get busy, helping him to build a frame and pulling his breastbone away…

“Long-handled electric knife.”

After opening his sternum, his vision widened. Qin Feng changed into an electric knife and began to drift away.

Soon, a small liver appeared in front of his eyes.

The extent of the liver disease is also visible to the naked eye, which makes one breathless.

“I started to dissect the hepatic hilum.”

Qin Feng looked at the scene in front of him, his expression still calm as water, and said in a deep voice.

This voice is not only for the doctors and nurses present, but also for the doctors who are observing and learning at this time.

This is a rare learning opportunity and experience for them, especially the internal medicine doctors and the doctors who plan to approach the hepatobiliary medicine.

This time it can be said that he tried his best to integrate all the world-class liver removal surgery experience in his mind and show it in front of everyone.

I only hope to leave a perfect removal instructional video as the last gift for internal medicine.

The voice fell,

Everyone in the media conference room held their breath instantly, staring at the screen for fear of missing a bit.

Anatomy of the first hepatic hilum…..

Anatomy of the second hepatic hilum…..

Anatomy of the third hepatic hilum…..

Soon, everyone seemed to forget the passage of time, and 30 minutes had passed since blinking…..

40 minutes……

50 minutes……

One hour……

The hepatic hilum is completely dissected!

The liver function has basically been lost, and all that is left is to cut off all the veins and arteries, and completely remove the completely exhausted liver.

“Line 1, ready to be blocked.”

Qin Feng put down the electric knife in his hand and began to cut off the arteries and veins.

Ligation of the proximal and distal hepatic artery…

Ligation of hepatic vein…

Hepatic artery is severed!

Hepatic vein is severed!

Heparin saline flushing, anti-coagulation, all arteries and veins are cut off!

“Huh~”

Seeing this, everyone almost breathed a sigh of relief, with relief and excitement on their faces, as well as shock.

Everyone took a look at the time, 2 hours!

It only took two hours from the beginning of the operation to the completion of the liver dissection!

And the whole process, there was almost no pause, the accuracy of the hands, even the distance of each broken vein was almost the same.

Almost catching up with artificial intelligence machines!

Is this a person?

Not only the observing doctors, but also the directors and deputy directors of other departments stared fiercely throughout the process.

Although it was not the first time that they were shocked, they still couldn’t help being shocked every time they saw Qin Feng’s operation.

certainly,

In fact, Qin Feng had to wait for the new donors from the surgery next door to be delivered in order to teach, and the speed had slowed down a lot.

Otherwise, the liver would have been completely removed half an hour earlier!

(Director Cheng Hongwu: I feel offended, do you think you are humorous? (ಥ﹏ಥ)……)

“Argon knife!”

After the disconnection is complete, only the last step is left.

Qin Feng began to process the last liver bed, completely resected and sutured the ligaments.

An intact failed liver was slowly taken out of the body and placed in the dish.

Successful in vitro!

…….

And at this time,

Director Cheng Hongwu has also opened up all the surgical vision for the donor extraction operation next door.

A healthy liver of the baby’s mother appeared in her sight, preparing to cut the liver.

As for the specific location of the liver removal, after repeated discussions on the difficulty and time of the angiography and the operation, the liver location for the removal of the donor was finally determined.

Cheng Hongwu also performed liver imaging in the past two days, repeating the operation demonstration over and over again in his mind.

So, at the moment the liver appeared, he saw where he wanted to be removed.

“Knife.”

When the scalpel falls into the palm, one hand gently lifts the liver, and the blade enters the chest cavity.

Hand up and down!

Without the slightest hesitation, the landing point is precise and the speed is fast.

In a short period of time, a fresh left outer lobe of the liver was excised from the liver.

Then put it into the incubator that has been prepared, disinfect and close…

After a few minutes,

The box was sent by the nurse to Qin Feng’s No. 1 operating room.

Next, Director Cheng Hongwu was relieved a lot, and he took a long sigh of relief, began to suture the liver, reset and close the chest, and completed the mother’s donor operation.

Then go to Qin Feng’s side and stand by at any time.

Now, the pressure was on Qin Feng’s shoulders.

……

“Director Qin, the donor has arrived.”

In operating room No. 1, the nurse puts the incubator on the table and turns it on.

Qin Feng glanced and nodded, then glanced at each other with Director Sun Sheng.

The final third operation can begin!

【Living Donor Liver Transplantation】

Qin Feng slowly held out the liver, and began to anastomose the posterior vena cava of the donor liver and the posterior vena cava of the recipient.

now,

Whether it is in the operating room or in the media conference room, everyone’s hearts are hanging up.

This is the most critical operation. The success of the transplant determines the life and death of the child!

“Drip 4 degrees Celsius balance solution, 500ml, into the intravenous tube, pay attention to air embolism.”

Qin Feng picked up the needle-holding forceps and arranged for the nurse to instill infusion while stitching.

At this moment, he couldn’t help slowing down.

Because of the baby’s light weight and thin blood vessels, the requirements and difficulty of sutures are much higher.

certainly,

Qin Feng’s pupils have changed, and blood vessels that are difficult to suture with the naked eye are very clear in his eyes.

But there can be no relaxation at all, seriously! meticulous!

In his hands is a life!

There must not be any carelessness!

The doctor’s relaxation of himself is the cruelest to life!

In this step, Qin Feng has achieved perfect stitches with every stitch, even the stitching distance and density of the stitches on the blood vessels are exactly the same.

Under the magnification of the microscope, everyone couldn’t help but tremble all over, with goose bumps coming out!

30 minutes……

60 minutes……

90 minutes……

In this step, it took him a full 1 and a half hours to complete the initial stitching.

And then, the portal vein and portal vein anastomosis, hepatic artery and hepatic artery butt joint anastomosis.

Heparin saline rinses, cools the donor surface, sutures the vein…

Wash with heparin saline, rewarm the surface of the donor, suture the artery…

The last step is the connection of the common bile duct!

A full five hours have passed, and all the doctors and nurses in the operating room have begun to wear out, and their legs are stiff and numb.

But no one dared to move a bit and stayed firmly in their place!

In the media conference room, apart from going to the bathroom and the department to deal with the situation, almost no one has moved, watching Qin Feng’s operation all the way.

Perhaps it was God’s blessing, or perhaps it was the selfless love of the parents. During the suture process of the donor transplantation, there were no signs of fluctuations and no complications.

Qin Feng’s operation went smoothly this time, and it made him particularly comfortable.

The new donor liver is all connected!

Finally, look for the bleeding port, electrocoagulation to stop the bleeding, and flush the chest cavity.

Close up…

At this time, the director of brain surgery, who was already ready, also started to fix and suture the bone flap that Qin Feng had previously removed.

As Qin Feng sutured the muscle layer, fat layer, and final epidermis, Sun Sheng took up the scissors and cut the suture.

The operation is all over!

Successfully completed!

“Huh~”

“Oh!”

“Awesome!!”

“Director Qin!!!”

……

In the next second, the entire media conference room boiled!

All the doctors couldn’t help their excitement, they all bounced from their chairs and shouted!

Even Zhang Tong’s face was covered with congestion, his eyes were a little moist, and he stood up.

The deafening cheers behind him almost overturned the roof of the conference room, and everyone shouted in unison.

“Director Qin! Director Qin! Director Qin!”

This is an epoch-making peak operation in the Department of Hepatobiliary Medicine, Jiangcheng First Hospital!

It will also be the first step for the rise of Hepatobiliary Medicine in the First Hospital of the City!

It means a lot!

Before Qin Feng left the operating room, the news of the successful operation seemed to have grown wings, and the whole Jiangcheng Hospital knew in a blink of an eye.

Everyone was really shocked!

Unexpectedly, the City No. 1 Hospital really accomplished this feat!

This operation will be recorded in the history of Jiangcheng medical circles. It is by far the strongest case of Jiangcheng internal medicine!

none of them!