Chapter 402 Behind this wall is a new era of cardiac surgery!

"Trigger random mission: Improved SUN-style surgery!"

"Task description: SUN surgery is a surgical procedure developed by Professor Sun Lizhong based on the morphological characteristics of aortic disease in my country and is suitable for the treatment of complex aortic dissection and extensive aortic lesions involving the aortic arch and descending arch. Here Based on this, please make rational improvements.”

"Task requirement: improvement greater than 20%."

"Mission progress: 43%!"

…

After looking at the system panel, Xu Qiu was overjoyed.

Performing an ordinary surgery will not trigger any random tasks.

Unexpectedly, improving the SUN-style surgery would yield unexpected rewards.

Today, the Bentall technique has been improved.

After the modified total aortic arch replacement is completed, the total improvement ratio will be greater than 20%.

20%.

For a surgery that has been quite perfected and has been used clinically for more than 20 years, it is already a ground-breaking innovation.

"Rationalization and improvement..."

Xu Qiu thought and unconsciously made a sound.

At the same time, he began a modified replacement.

There are three steps in total.

The first is the reconstruction of the three major branches of the aortic arch.

In fact, it is the treatment of the ascending aorta root.

The final step is aortic arch reconstruction.

As time went by, the expressions of Joseph and others became more and more exaggerated, and in the end they even became a little numb.

"Is this what you call reasonable improvement?!"

Let’s talk about the basics of surgery!

The disadvantages of SUN surgery are actually quite obvious.

The difficulty of the technique is too high!

Moreover, among them, Bentall surgery and total aortic arch replacement have serious damage and many sequelae.

However, Xu Qiu's improvement this time directly took the shortcoming of "too difficult" to the extreme.

Extremely difficult!

For example, extracorporeal circulation.

Xu Qiu pioneered the use of femoral artery diversion, directly connecting the femoral artery to the extracorporeal circulation pathway, and supplying blood to the right innominate artery and left common carotid artery through extracorporeal circulation.

Doing so can greatly reduce the load placed on the body by deep hypothermia.

That's not all.

In conventional SUN surgery, it is difficult to find the subclavian artery, which is hidden in the depths. Even if it is found, it is easy to damage the recurrent laryngeal nerve and so on due to the adjacent anatomical structure.

Therefore, an additional incision is usually made in the middle and lateral third of the left subclavian bone.

But Xu Qiu didn't do this.

He started from the original incision abruptly, and used an extremely harsh operating angle to anastomose the 8mm artificial blood vessel and the left subclavian artery end-to-end, and then pulled it through the second intercostal space to the mediastinum, perfectly avoiding nerve damage. Miraculously, Completed the reconstruction of the three major branches of the bow...

This step alone has increased the complexity and risk of the operation to an unimaginable level, making it very difficult.

Fortunately, the subsequent stent-trunk surgery was consistent with my impression, and no more "rational improvements" were made.

Simply use a 3/0 prolene suture to continuously suture the entire circumference, and the four-bifurcated artificial blood vessel will be tightly anastomosed to the descending aorta with the stent elephant trunk.

The operation reached its seventh hour and finally came to an end.

Everyone present did not dare to breathe, and looked at the scene in front of them in surprise and shock.

Gulu.

Joseph swallowed.

He wants to learn...

Whether it is modified Bentall surgery or modified aortic arch replacement, these are brand-new technologies that even the Cleveland Clinic, the temple of cardiac surgery, has never mastered.

The improved version, although the difficulty has been raised to a level that is uncontrollable by ordinary doctors.

Not suitable for widespread clinical application.

But, are these experts in cardiac surgery afraid of the difficulty?

The fear is that there is no way to improve!

It was an infinitely high and infinitely dark wall in front of them. On the other side of the wall was the cardiac surgery technology of the next era.

Although the improvements made by Xu Qiu are far from enough to cross the wall, they have at least dug a few points deeper into the wall. This distance is the limit that Joseph and the others have been pursuing all their lives.

It belongs to a new level in the medical field and cardiac surgery.

…

As the operation came to an end, Xu Qiu completed the anastomosis of all blood vessels. After fully exhausting and opening the aortic clamp, the heart was restarted with electric shock.

"Nasal temperature 37.5 degrees Celsius."

"The rectal temperature is 35 degrees Celsius."

"Start weaning off cardiopulmonary bypass."

Under Xu Qiu's command, everyone in the operating room worked together to gradually rewarm the patient.

"Inspection completed."

Yang Chenxi took out a piece of white and clean gauze from the chest cavity. There was only a little residual blood in the wall on it. "There is no active bleeding."

"Um."

Xu Qiu nodded and handed over the suturing work to his subordinates.

When the operation was finally completed, it was already past one in the morning.

"Xu Qiu..."

In the operating channel, Joseph thought for a long time and suddenly called Xu Qiu.

Xu Qiu didn't even look back, "If there's anything else, we'll talk about it tomorrow."

These famous doctors have bad tempers and arrogant attitudes. They can just let them dry out.

With the technologies he showed, and the obsession with technology by Joseph and others, I'm not afraid that they don't want to learn, but I'm afraid that they think it's too easy to obtain.

Linhai's small blood vessel replacement, total laryngectomy, heart repair and other improvements, Xu Qiu did not hide anything and shared it for free.

However, this modified SUN-style surgery is already Xu Qiu's treasure in the heart surgery department.

Joseph and others want to learn easily without paying anything. There is no such good thing in the world.

At the beginning, Xu Qiu spent several months just to improve the total aortic arch replacement in the simulated operating room.

During this period, there were many scores below A, and he had to bear the full energy and physical consumption brought by the operation.

He even took risks and caused the death of the simulated patient, and received an F-level score.

The punishment for F-level is three times the energy consumption...

During those days, Xu Qiu's face was extremely pale, and the meals sent by the nurses had more supplements.

In short, in order to improve the Bentall procedure and aortic arch replacement, Xu Qiu suffered a lot, and naturally he could not teach Joseph and others casually.

"Let's go, special postoperative care, call me in time if there is any situation"

Xu Qiu said, waved his hand and went back to the office.

After a difficult operation, he was exhausted and his stomach was empty.

Xu Qiu looked at the time.

Tomorrow, Linhai Small Blood Vessels will undergo the final review before listing.

The time is ripe, and it is time to start the battle for "Liver Peace".

Thinking of this, Xu Qiu called Academician Chen.

"Want to have a midnight snack?"

"???"

Academician Chen was still in the laboratory at this time, and he was very upset when he heard this: "I'm in Tiandu."

"Oh."

After hanging up, Xu Qiu called Gao Pei'an again.