Chapter 400 Bentall + Total Aortic Arch Replacement + Stent Elephant Trunk Surgery (Ultimate Improve
The three famous doctors looked at each other and smiled.
"Okay, you can go on stage, but we won't use the knife."
"This kind of surgery is not necessary. If you want us to help you, then give up this plan as soon as possible."
Several people shook their heads and said earnestly.
This kind of surgery is not only a race against death, but Death also drives a Lamborghini.
How to play?
"Preparation, multidisciplinary consultation."
Xu Qiu didn't talk nonsense. After all, surgeons have to see the results on the operating table.
…
Tick--
In the office, Xu Qiu stared at the hands of the watch.
The door kept being pushed open, and doctors rushed in one after another, quickly finding a place to sit down.
Finally, the director of the intervention center and Yang Chenxi also arrived.
"let's start."
The five minutes just ended. Xu Qiu saw that everyone had arrived and began to confirm the preoperative surgical plan.
Lu Guilan was in danger, so it was impossible to discuss it slowly as usual.
Therefore, Xu Qiu directly came to the conclusion.
"For this patient, I plan to perform Bentall + modified total aortic arch replacement + stent trunk surgery."
Bentall, or aortic root replacement.
That is, a valved artificial blood vessel is used to replace the aortic root and aortic valve, and the left and right coronary arteries need to be transplanted.
This requires the use of Linhai small blood vessels again.
Xu Qiu was a little surprised.
I thought it was just a simple modified aortic aneurysm repair or replacement, but in the end the small blood vessels in Linhai gained a sense of presence.
In the conference room, when everyone heard this series of spells combined, their expressions were extremely shocked.
"Bentall surgery and aortic arch replacement together?"
"Are you going to add a stent to the elephant trunk?"
"In this case, the operation is no less difficult than a heart transplant..."
At the conference table, Joseph narrowed his eyes, "I'm sure this combined surgery is more difficult than a heart transplant."
He may not be as good as Xu Qiu due to Creutzfeldt-Jakob disease.
However, in the field of cardiac surgery, he has not encountered an opponent in so many years.
He has performed hundreds of heart transplants.
However, facing Lu Guilan, he still felt embarrassed.
What puzzled him even more was... why the patient chose such a difficult combination of techniques when he was so dangerous.
Although the patient's recovery will be better after surgery, shouldn't he save his life first?
Or is this guy sure of succeeding in a top-notch operation that is more difficult than a heart transplant? !
"A combined technique..."
Yang Chenxi was suddenly startled and looked at Xu Qiu with doubts in her eyes.
He was very familiar with this technique.
Bentall + total aortic arch replacement + stent elephant trunk surgery was founded by Professor Sun Lizhong of Fuwai Hospital. It is also known as SUN surgery in the international community and has won the first prize for scientific and technological progress of the Daxia Medical Association.
It is aimed at the most dangerous A-type mezzanine.
Clinically, in addition to Bentall surgery, there are also Cabrol, Wheat, David, aortic valve replacement and aortoplasty, etc.
However, in terms of therapeutic effect, Professor Sun's Bentall technique has to be superior.
But correspondingly, its complexity exceeds several other techniques.
Once it is not handled properly, malignant bleeding can easily occur after surgery.
Late coronary anastomoses and distal aortic anastomoses are also prone to the formation of pseudoaneurysms.
These are not the crux of the problem.
But...
This technique has always been the unique skill of Professor Sun Lizhong of Fuwai.
How come a doctor proficient in SUN surgery suddenly appeared in Linhai City in the far south? !
Yang Chenxi stared at Xu Qiu in horror.
Academician Chen’s Chen pancreaticojejunostomy is just that.
There is also the top technique in hand surgery, double-needle intratendinous suturing, which is an original technique created by Professor Wang, the master of microsurgery for replantation of severed fingers. It is also the core technology to overcome the world-class medical problem of replantation of severed fingers.
Now there is Professor Sun’s SUN surgery...
Are you studying literature again?
Isn’t that a bit outrageous!
Xu Qiu looked indifferent.
There is a system, whether you are alive or dead, as long as it is a medical-related operation or technique, he will teach you!
"etc……"
Compared with the shock of others, Director Zheng had long been accustomed to the unscientific surgery of the first doctor. He captured something more surprising.
Director Zheng said in a deep voice: "Dr. Xu, what you just said...is modified total aortic arch replacement?"
Everyone was stunned and immediately reacted.
Replacement is replacement. When did an improved version appear?
Even Joseph has been following the old path of the first surgery more than fifty years ago. Although he is constantly improving, he has not made much improvement.
Xu Qiu snorted and said, "Yes, I improved it."
"?!"
At this moment, Joseph and others, who had little interest in participating in the operation, became curious.
Although they still believed that the operation would fail.
However, I still want to see whether this so-called reformed style deserves the word "reformed".
…
Fifty-seven minutes after Lu Guilan was admitted to the hospital, Xu Qiu and others entered the operating room.
Under the bright shadowless lamp, Lu Guilan lay quietly on the stage.
From rescue to finalizing the surgical plan and officially pushing the patient onto the operating table, it only took less than an hour, which is considered extremely fast.
Let alone other things, just this efficiency, Linyi has been ranked first-class in the world.
"Special equipment blocking bands, cardiac fiber devices, defibrillators, defibrillator pads, minimally invasive intraoperative stent systems, etc. are ready..." The hand-washing nurse reported the preparation of routine and special items.
In addition, ice caps, pressure bags, absorbable hemostatic gauze, artificial blood vessels of different models, small blood vessels in the sea, biological protein glue and mechanical valves, etc. are also required.
This operation needs to be performed under deep hypothermia and circulatory arrest, which is more difficult than heart surgery.
"The temperature in the operating room is kept constant at 25 degrees Celsius..."
"The temperature-changing blanket on the operating table is adjusted to 38 degrees Celsius..."
"The ECG monitor, rectal and nasopharyngeal temperature devices have been installed!"
"Slowly push intravenous propofol 0.1mg/kg, propofol 1.5mg/kg..."
"Adjust the machine-controlled breathing, tidal volume 8ml/kg, respiratory rate 12 times/min, I:T=1:2! Insert the catheter!"
"..."
The anesthesiologists, nurses and assistants cooperated with each other and finally made preparations for the operation.
Xu Qiu glanced at it, confirmed that the indicators were correct, and nodded: "Let's start."
Standing with the knife, Xu Qiu's eyes seemed to turn into sharp points, cold and fierce.
Swish——
The tip of the knife flashing with cold light passed under the right clavicle and made a parallel incision.
Then, dissect and free the right subclavian vein in turn.
Put on the blocking belt and keep it ready.
He raised his hand and pressed the knife tip again, entering the chest through the midclavicular incision, dissecting the free right innominate artery, left common carotid artery and subclavian artery.
Put on the blocking band...
The next step is the most important thing - opening the pericardium.
This step is naturally not a problem for Xu Qiu.
As the pericardium was exposed, the first assistant Zheng quickly inserted the right subclavian artery and right atrium into the cannula and began to establish extracorporeal circulation.
However, when the intraoperative exploration began, everyone was shocked by the scene in front of them.
