Chapter 1012: Half open thoracotomy and half minimally invasive surgery? The goal is to be the best

Impossible!

This sentence flashed through Ding Jianrong's mind... Even with his knowledge and ability, he couldn't imagine how to deal with this patient.

Even if Huaxi received this patient, I'm afraid he could only sigh helplessly...

What's more, the time left for the elites from all over the world in the famous knife competition is only one day!

...

At this moment.

At the clinical doctor's seat, Chen Qiao touched his chin and analyzed seriously:

"Minimally invasive is definitely the only solution, but the question is how to do it!"

Jiang Mai, Yang Yuen and others nodded lightly, without refutation.

A large chest surgery can be directly ruled out, and the patient cannot tolerate it.

But if it is minimally invasive, is there a precedent for minimally invasive lung transplantation in the medical community?

Isn't this exploring a completely unfamiliar surgical field!

As we all know, medicine is an empirical discipline.

Every mature operation is based on hundreds of death cases. Without sufficient case support, how can a minimally invasive solution be found!

But Shi Lian still refused to give up.

Before participating in the famous knife competition, the teacher gave all of them special training.

One of them is a combined heart, liver and lung transplant.

As the most advanced surgery in the field of human medicine today, the incredible technology of transplanting heart, liver and lungs together can only be done by Miaoyou Clinic.

In addition, there is Xu Qiu.

It is precisely because of this that the content of Xu Qiu's special training is self-evident. Except for him, probably no one can explain organ transplantation so carefully...

And this also gave Shi Lian a glimmer of hope.

Even heart, liver and lung transplants can be successful, so is it really impossible to make a simple double lung transplant minimally invasive?

"The biggest problem is that the conventional clam-shell incision cannot be made - because the damage is too great, this operation will cut off the entire front chest, and then there is no hope.

But how can minimally invasive surgery ensure the positioning of lung transplantation?

And which places should be chosen for minimally invasive openings?"

Shi Lian muttered to himself.

Jiang Mai and others were also brainstorming at this moment.

"Intercostal muscles?" Yang Yuen suddenly said.

"No, it won't work. The intercostal muscles of a normal person are only about one centimeter. Although it is a minimally invasive operation, such a small incision will definitely not work." Jiang Mai shook his head.

Yang Yuen smiled slightly, raised his hands, and made a gesture of pulling hard.

Jiang Mai's pupils shrank, and a shocked look appeared on his face.

Shi Lian also raised his head suddenly... Although the intercostal muscles are only about one centimeter, what if they are stretched hard?

Then its gap will be further expanded!

In this way, positioning may not be a problem... With the help of the expanded intercostal muscles, theoretically they can perform lung transplants in a narrow surgical field!

"How large can the intercostal space be stretched?" Shi Lian looked at Yang Yuen.

She is not a thoracic surgeon, although she has some knowledge, but she really doesn't know such niche knowledge.

Yang Yuen pondered for a while: "No one has tested it. But I guess it's okay to stretch it ten centimeters."

Ten centimeters?

Shi Lian was stunned for a moment. She didn't expect this thing to be so ductile. It seems that there is no need to worry about the intercostal space. What limits oneself is the size of the incision.

"Let's see if it is feasible first, and then discuss the specific incision selection... If a minimally invasive incision can be made, can we remove the diseased lung and implant the donor lung?" Shi Lian pondered.

Others also thought about it.

This step is the most difficult point of minimally invasive lung transplantation. As long as the problem of lung extraction and transplantation can be solved, everything else can be compromised.

...

At this time, in the competition area where Union Hospital is located, Liu Si and others are also discussing fiercely.

As the deputy captain, Chen Qiao also actively participated in the speech.

It's just that Liu Si always has a vague hostility towards her.

The conflict between the captain and the deputy captain also makes the entire Union Hospital team seem extremely disharmonious. Although the atmosphere is not bad, it is always filled with a weird atmosphere.

However, neither side can give in.

Liu Si thinks that he was a medical genius who was once at the same level as Xu Qiu. What is Chen Qiao's identity? Xu Qiu's student dares to be on an equal footing with him.

As for Chen Qiao, her ideas were much more mature than Liu Si's, and she didn't care about these messy comparisons.

But she couldn't tolerate other people's contempt for her teacher... A guy who couldn't even see Teacher Xu Qiu's tail actually thought that she, as a closed disciple, was just so-so?

He didn't even think about his own abilities... Liu Si was afraid that he didn't even have the qualifications to be Xu Qiu's student.

Therefore, Chen Qiao couldn't make concessions. Since Liu Si thought he was superior, Chen Qiao would use his strength to let the other party understand that even if he was just Xu Qiu's student, he could make Liu Si far behind.

"There is no chance of survival after opening the chest. My suggestion is to reduce the size of the wound as much as possible." In the new round of speeches, Liu Si put forward his idea that he had considered for a long time.

Everyone looked over, waiting for a more detailed explanation.

Chen Qiao was too lazy to refute. She didn't mind recognizing a truly effective plan and planned to listen to it for the time being.

Liu Si glanced at Chen Qiao and said, "To put it simply, it is a semi-open thoracotomy and semi-minimally invasive surgery!

One side is opened with a thoracoscope, and the other side is a conventional thoracotomy.

Of course, the incision should be as small as possible! The damage should be kept to a minimum!

The operation of removing the diseased lung and implanting the new lung can be performed from the thoracotomy side, which is no different from a conventional double lung transplant.

As for other positioning, etc., it can be assisted by a thoracoscope!"

Liu Si briefly talked about this plan.

The people present began to think about it, and gradually, everyone's faces began to show joy. Many people looked at each other and saw the excitement in each other's eyes.

It's feasible!

Although it may not succeed, this plan is the one with the highest success rate so far!

Combining open chest and minimally invasive surgery may really work!

Seeing that the team members all agreed with his statement, Liu Si's expression relaxed a lot, and even his posture was completely relaxed.

At this time, Chen Qiao, who had been silent all the time, suddenly said: "It is feasible in theory, but there is actually a big problem with this plan."

"What's the problem?" Liu Si narrowed his eyes.

"Too conventional!"

"Conventional... What's the problem?" Liu Si looked a little unhappy.

Chen Qiao said: "Minimally invasive is the direction everyone is thinking about. Soon, other teams will also think of a half-open chest and half-minimally invasive plan. If it is only for lung transplantation, this plan is certainly feasible.

But don't forget, we are now in a competition!"

According to Liu Si's plan, this patient may have a chance to survive.

But he can only get a passing score.

But, what if someone came up with a better plan and got a higher score?

Union Hospital is not a messy hospital. They are not just passing the test, nor are they excellent. They must be the best in the country in every aspect!

Liu Si was silent for a while, and then said, "Is it possible to perform minimally invasive surgery? Even West China Hospital can't do this.

Do you know the examiner standing on the stage, Professor Ding Jianrong? I once studied under him. Even he didn't have any good solutions for this kind of patients. He just had to save their lives!

Do you think other hospitals have better solutions than semi-open chest and semi-minimally invasive surgery?"

However, Chen Qiao's next sentence made Liu Si's smile completely freeze.