I can see health

Chapter 435 The Surprise Brought by Lu Chen

"Mr. Xiao, can I participate in the competition?"

In the catheterization room, Lu Chen stared blankly at Xiao Shikang at the side.

Xiao Shikang nodded slightly, and said with a smile: "Of course, you are now a part of our cath lab, and this can also be regarded as an important indicator of your second-stage assessment."

Just now, Lu Chen was worried that because of his status, he would not have the opportunity to participate in this competition.

After all, he is an outsider.

After receiving Xiao Shikang's affirmative answer, Lu Chen breathed a sigh of relief.

He is bound to get this chance of surgery.

Get up from where you fall!

However, it is not an easy task to "rob" this opportunity from a top electrophysiological interventional doctor.

Lu Chen's biggest advantage is his own system virtual space.

Because the patient's condition is critical, the evaluation will be carried out the day after tomorrow.

In just two days, Lu Chen needs to practice this operation!
"Mr. Xiao, I'll take two days off." Lu Chen said.

"Okay, no problem!" Xiao Shikang said, he had seen that Lu Chen was exhausted from surgery every day, and wanted him to rest and adjust.

For things like work, you still have to relax in order to ensure efficiency.

……

Back at the hotel, Lu Chen put aside his distracting thoughts and immediately started the virtual training in the system space.

Percutaneous hepatic vein puncture implantation, which was rarely involved in Lu Chen before.

Not only Lu Chen, other cardiologists are also unfamiliar with this technology.

However, this also became a small advantage for Lu Chen.

This time, it was a "real gun" training, and the opponent was an experienced surgeon.

After all, facing the top interventional surgery doctors in Kyoto, Lu Chen is not absolutely sure of winning, and he must firmly control any advantage.

After entering the virtual space of the system, Lu Chen set up a surgical channel for "puncture through the hepatic vein".

The path from the hepatic vein to the pericardium is much longer than that from the subclavian vein to the pericardium!
The route of the subclavian vein only needs to go through a curved arc.

The path through the hepatic vein has to pass through three bends.

The difficulty of this is not even a little bit.

As soon as Lu Chen started, he noticed the difficulty of the three corners.

Every step he takes is more precise, and the guide wire is implanted in the corresponding position.

Once there is an error, it is a slight loss, a thousand miles away!

After two hours of training in the system simulation space, he initially mastered the whole process of hepatic vein puncture.

"Congratulations, the proficiency of percutaneous hepatic vein puncture implantation has reached 30%."

However, this 30% proficiency is still not enough!
To stand out from the crowd of doctors, Lu Chen thinks that at least 60% proficiency is required!

Fortunately, in the next two days, he has enough time to improve the proficiency of his skills.

……

In the blink of an eye, two days passed.

The evaluation of "percutaneous hepatic vein puncture implantation" has finally begun.

At nine o'clock in the morning, all participating doctors came to the electrophysiological surgery simulation room of Kyoto University.

This time, including Lu Chen, a total of eight people participated in the competition.

These people are all the backbone of the Cardiology Department of the First Affiliated Hospital of Kyoto University.

If these doctors were placed in a lower-level hospital, they would all be at the level of department directors!
"The surgery competition begins!"

With Qin Sifeng's voice coming from the simulated operating room, the evaluation officially began.

Eight people, divided into two groups of four.

Lu Chen was assigned to the second group.

He sat outside the cath room, quietly watching the operation in the cath room.

Fang Ruzhang sat beside him.

Fang Ruzhang did not participate in this competition. He thought that the time for interventional surgery was not yet reached. After all, he did not even pass the first stage of the electrophysiology training class!

"Lu Chen, have you had this kind of surgery before?" Fang Ruzhang asked in a low voice.

In his current surgical career, he has never done this unconventional puncture implantation route.

"I've seen it a few times." Lu Chen paused.

"Ah?" Fang Ruzhang was taken aback, "I've only seen it a few times, and you dare to go up?"

Fang Ruzhang couldn't help giving Lu Chen a thumbs up, "You are so awesome!"

Lu Chen smiled slightly and didn't explain much.

Taking advantage of this time, he continued to train in the system virtual space.

After two days of simulation training day and night, the proficiency of "transhepatic vein puncture and implantation" has been raised to 67% by Lu Chen!

This kind of proficiency improvement speed is already extremely terrifying!

However, in order to be safe, Lu Chen tried to increase his proficiency to over 70%.

70% proficiency is almost the same as the proficiency of a deputy chief doctor.

……

In the catheterization room, the doctors from the first group have already started work.

There are four main points of difficulty in this surgery:
First, the path of implantation via hepatic vein puncture is long.

Second, the path of transhepatic vein implantation has three curved arcs.

Third, the entire operation is a backhand operation.

Fourth, the implanted pacemaker not only has a specific pacing function, but also needs to have ICD (defibrillation) and other functions!
Qin Sifeng looked back and forth at the progress of the four simulated operating rooms.

He is also clueless.

The number of times everyone has performed this kind of operation is very small. It can be said that there have been few cases in all over the years.

Now it can only be said that it is picking the best out of the dwarfs.

An hour later, the first group of simulated surgery was completed!
It's the turn of the second group.

Lu Chen took two deep breaths and walked into the simulated operating room.

Put on the lead coat, then put on the surgical gown, and the next step is disinfection and puncture.

Although it is a simulated operation, none of these necessary steps can be missed!
Lu Chen stood in front of the stage. After anesthesia, he picked up the puncture needle and began to puncture under the guidance of the ultrasound machine.

On the screen of the ultrasound machine, the hepatic veins have been displayed.

Lu Chen gently inserted the puncture needle in his hand and entered the right hepatic vein.

The first step was completed smoothly under the guidance of ultrasound.

Immediately afterwards, Lu Chen inserted the guide wire.

This step is the difficulty of the operation!

Lu Chen stared at the screen tightly, and moved his hands gently, flicking, twisting, and picking.

The guide wire is slowly advanced forward from the right hepatic vein.

Whenever resistance was encountered, Lu Chen adjusted the angle of the puncture and tried to enter from other directions.

Lu Chen's puncture process this time is completely different from other electrophysiological surgeries.

There were three bends, and he didn't dare to speed up easily, so he could only move forward bit by bit.

Fortunately, these two days of training have achieved remarkable results.

The proficiency reached about 70%. Although the speed was slow, Lu Chen still completed the piercing process.

He will successfully insert the guide wire into the right atrium through the hepatic vein and inferior vena cava.

……

catheter outside.

Qin Sifeng watched the performance of the doctors, and finally fixed his eyes on Lu Chen.

"He...has he finished?"

When Lu Chen successfully implanted the electrodes, it meant that he broke through the first three difficulties of the operation!

"This..." Qin Sifeng glanced at the other surgery simulation rooms. Many doctors were still performing the guide wire operation, but Lu Chen had already started the pacemaker threshold mapping.

This really shocked Qin Sifeng as well.

Afterwards, Qin Sifeng shook his head slightly: "It seems that there is no need to compete anymore."

Seeing Lu Chen's performance, Qin Sifeng almost already recognized him in his heart.

It never occurred to him that there was a doctor present who could complete all the puncture and implantation steps.

After all, it is the selection of surgical assistants, as long as they can complete most of them.

Unexpectedly, Lu Chen gave him a big surprise!

(End of this chapter)