I can see health
Chapter 438 Making History
Chapter 438 Making History
After the guide wire goes in, the next step is the entry of the electrodes.
In addition to the conventional X-ray guidance, Lu Chen put a few electrodes on the patient's body, established a three-dimensional electric field, and guided the electrode wires by scanning the movement trajectory.
This is also one of the difficulties of surgery.
In addition, the electrodes implanted in the patient's left ventricle can defibrillate and improve heart function. The wires are thicker and more difficult than the simple pacemaker wires!
Every step that followed, Lu Chen and Qin Sifeng cooperated with each other.
This is not an operation in a surgical simulation room, it is a standard method.
Real clinical surgery is completely different from simulated surgery!
Lu Chen was always paying attention to various sudden changes, such as the impact of the patient's breathing on the blood vessels, the displacement of the heart, and even the deformity of the patient's own blood vessels.
Each of the above points may affect the operator's operation.
……
Time is passing slowly.
The operation has been going on for two hours.
Ordinary electrophysiological surgery takes up to one hour, but this surgery has already exceeded double the normal time.
At this point, the wire electrode has been successfully placed in the correct position, and the pacemaker has also been placed.
However, this is just the beginning.
"How is the pacemaker function?" Qin Sifeng asked.
In this operation, the electrodes are retrograde from bottom to top to the heart cavity, and the operation is more difficult than usual.
It is difficult to put the electrodes in place, especially the left ventricular electrodes, and due to the effect of gravity after surgery, the risk of pacing disorders caused by electrode displacement is very high.
Lu Chen shook his head slightly, "The position is still not quite right, it needs to be adjusted. If it has always been like this, the pacemaker will be easily displaced, which will lead to pacing obstacles in the future!"
The patient is now living on the pacemaker. Once the pacemaker is impaired, it will be a huge blow to him!
"Then continue to adjust the position." Qin Sifeng said, "Be sure to choose the best position."
Lu Chen nodded, and with Qin Sifeng's cooperation, he kept adjusting the positions of the electrodes and pacemaker.
……
In the live broadcast room of the surgery.
Everyone's expression is not very relaxed.
But Li Yao, as Lu Chen's mentor, had a bright smile on her face right now.
He and Qin Sifeng cooperated very skillfully together, and there seemed to be nothing unfamiliar.
So much so that Li Yao almost forgot that the surgeon in front of her on the screen was her graduate student.
If he was a senior attending doctor, or the deputy chief physician, there might not be too much surprise.
Everyone admires a few words, and it may be over.
However, the identity of the performer is an unknown second-year graduate student!
This is big news!
Li Yao knew that regardless of whether today's operation was successful or not, Lu Chen had already made his mark in the field of electrophysiological surgery.
In the electrophysiology circle in Kyoto, when Lu Chen's name is mentioned, everyone knows that there is such a person.
……
The doctor next to Yu Hewei saw Lu Chen's performance at this time, and the expression on his face was also very exciting.
From arrhythmia mapping and threshold positioning, Lu Chen's operation was flawless, so that even he couldn't find any faults.
In the live broadcast room of the surgery.
When someone reminded that Lu Chen was only a student of the second year of research, the barrage exploded.
"I'll go, this person who is undergoing surgery is a second-year graduate student? This method must be at least a deputy director."
"During my second year of research, I was still playing with mud."
"I'm still in a relationship."
"His name is Lu Chen. He is from the same school as me. He is a postgraduate student in the Cardiology Department of Jinghua Second Hospital. He is a man of the hour in our college. He is the champion of the National Clinical Skills Competition..."
In the barrage, the sky has turned upside down.
At first they were discussing surgery, but now they are discussing Lu Chen.
……
"The location is good!" Qin Sifeng looked at the debugging results with satisfaction. The pacemaker was operating normally, and its defibrillation function was also good.
Lu Chen still didn't relax, his eyes were fixed on the screen on the operating table, the changes of each heartbeat of the patient.
Pacemakers are interesting, if a person's heart is beating fast enough, it will automatically recognize it and won't work.
It only starts to work when the human heartbeat is too slow.
At this time, the graphs on the ECG monitor are pacing heartbeats for several consecutive times.
"Professor Qin, let's observe for a while." Lu Chen said, "I'm afraid that the pacing function is not good. I will induce arrhythmia again later, and I need to evaluate the defibrillation function."
"That's fine." Qin Sifeng nodded.
The operation has been going on for four hours and is drawing to a close.
At this time, the closer you are to success, the more you cannot relax.
until the end of the operation.
After Lu Chen implanted the pacemaker under the skin and put down the scalpel, he was truly relieved.
"The operation is over!" Qin Sifeng smiled and looked at the live camera.
Lu Chen thought to himself, Mr. Qin really knows how to face the camera.
So, he also stretched out his right hand, facing the live camera, and made a "yeah" gesture.
"Crack..."
This picture of Lu Chen was screenshotted by many viewers in the live broadcast room.
The protagonist of today's operation was not Qin Sifeng, but the young student beside him.
When the operation was announced to be over, everyone suddenly realized that this had made history!
This operation is the world's first percutaneous hepatic vein implantation of a pacemaker with ICD defibrillation function!
The whole process seemed to be calm on the surface, but Lu Chen, Qin Sifeng and others were already sweating on their backs.
"Congratulations, percutaneous hepatic vein puncture implantation, proficiency reached 76%!"
A difficult operation increased Lu Chen's proficiency by several percentage points!
"Congratulations, I received a thank you value of +5 from Fang Ruzhang!"
"Congratulations, I received a thank you value of +10 from Qin Sifeng!"
"Congratulations, I received a thank you value of +10 from Li Yao!"
……
Suddenly, a series of prompts from the system made Lu Chen slightly astonished.
There were hundreds of tips in total, and Lu Chen saw many familiar names among them, including his mentor Li Yao, Qin Sifeng who was present, and himself Fang Ruzhang.
Some other unknown names should be the audience in the live broadcast room of the surgery.
"They all gave me gratitude?"
Qin Sifeng's understanding is very good. As his assistant, Lu Chen's role is beyond doubt.
But how to explain Li Yao's gratitude?
Lu Chen was taken aback. Could it be that Teacher Li Yao is also watching the live broadcast?
Moreover, she also learned something from her live broadcast of surgery?
Lu Chen coughed lightly, and immediately cleared this thought from his mind.
Regardless of the reason, the operation was successfully completed and a large amount of gratitude was obtained, Lu Chen was very happy.
……
Get out of the cath lab.
Lu Chen, Qin Sifeng and others were naturally greeted with countless applause.
This case of surgery was a huge breakthrough for Lu Chen.
For the Cardiology Department of the First Affiliated Hospital of Kyoto University, it is also a moment of making history!
(End of this chapter)
After the guide wire goes in, the next step is the entry of the electrodes.
In addition to the conventional X-ray guidance, Lu Chen put a few electrodes on the patient's body, established a three-dimensional electric field, and guided the electrode wires by scanning the movement trajectory.
This is also one of the difficulties of surgery.
In addition, the electrodes implanted in the patient's left ventricle can defibrillate and improve heart function. The wires are thicker and more difficult than the simple pacemaker wires!
Every step that followed, Lu Chen and Qin Sifeng cooperated with each other.
This is not an operation in a surgical simulation room, it is a standard method.
Real clinical surgery is completely different from simulated surgery!
Lu Chen was always paying attention to various sudden changes, such as the impact of the patient's breathing on the blood vessels, the displacement of the heart, and even the deformity of the patient's own blood vessels.
Each of the above points may affect the operator's operation.
……
Time is passing slowly.
The operation has been going on for two hours.
Ordinary electrophysiological surgery takes up to one hour, but this surgery has already exceeded double the normal time.
At this point, the wire electrode has been successfully placed in the correct position, and the pacemaker has also been placed.
However, this is just the beginning.
"How is the pacemaker function?" Qin Sifeng asked.
In this operation, the electrodes are retrograde from bottom to top to the heart cavity, and the operation is more difficult than usual.
It is difficult to put the electrodes in place, especially the left ventricular electrodes, and due to the effect of gravity after surgery, the risk of pacing disorders caused by electrode displacement is very high.
Lu Chen shook his head slightly, "The position is still not quite right, it needs to be adjusted. If it has always been like this, the pacemaker will be easily displaced, which will lead to pacing obstacles in the future!"
The patient is now living on the pacemaker. Once the pacemaker is impaired, it will be a huge blow to him!
"Then continue to adjust the position." Qin Sifeng said, "Be sure to choose the best position."
Lu Chen nodded, and with Qin Sifeng's cooperation, he kept adjusting the positions of the electrodes and pacemaker.
……
In the live broadcast room of the surgery.
Everyone's expression is not very relaxed.
But Li Yao, as Lu Chen's mentor, had a bright smile on her face right now.
He and Qin Sifeng cooperated very skillfully together, and there seemed to be nothing unfamiliar.
So much so that Li Yao almost forgot that the surgeon in front of her on the screen was her graduate student.
If he was a senior attending doctor, or the deputy chief physician, there might not be too much surprise.
Everyone admires a few words, and it may be over.
However, the identity of the performer is an unknown second-year graduate student!
This is big news!
Li Yao knew that regardless of whether today's operation was successful or not, Lu Chen had already made his mark in the field of electrophysiological surgery.
In the electrophysiology circle in Kyoto, when Lu Chen's name is mentioned, everyone knows that there is such a person.
……
The doctor next to Yu Hewei saw Lu Chen's performance at this time, and the expression on his face was also very exciting.
From arrhythmia mapping and threshold positioning, Lu Chen's operation was flawless, so that even he couldn't find any faults.
In the live broadcast room of the surgery.
When someone reminded that Lu Chen was only a student of the second year of research, the barrage exploded.
"I'll go, this person who is undergoing surgery is a second-year graduate student? This method must be at least a deputy director."
"During my second year of research, I was still playing with mud."
"I'm still in a relationship."
"His name is Lu Chen. He is from the same school as me. He is a postgraduate student in the Cardiology Department of Jinghua Second Hospital. He is a man of the hour in our college. He is the champion of the National Clinical Skills Competition..."
In the barrage, the sky has turned upside down.
At first they were discussing surgery, but now they are discussing Lu Chen.
……
"The location is good!" Qin Sifeng looked at the debugging results with satisfaction. The pacemaker was operating normally, and its defibrillation function was also good.
Lu Chen still didn't relax, his eyes were fixed on the screen on the operating table, the changes of each heartbeat of the patient.
Pacemakers are interesting, if a person's heart is beating fast enough, it will automatically recognize it and won't work.
It only starts to work when the human heartbeat is too slow.
At this time, the graphs on the ECG monitor are pacing heartbeats for several consecutive times.
"Professor Qin, let's observe for a while." Lu Chen said, "I'm afraid that the pacing function is not good. I will induce arrhythmia again later, and I need to evaluate the defibrillation function."
"That's fine." Qin Sifeng nodded.
The operation has been going on for four hours and is drawing to a close.
At this time, the closer you are to success, the more you cannot relax.
until the end of the operation.
After Lu Chen implanted the pacemaker under the skin and put down the scalpel, he was truly relieved.
"The operation is over!" Qin Sifeng smiled and looked at the live camera.
Lu Chen thought to himself, Mr. Qin really knows how to face the camera.
So, he also stretched out his right hand, facing the live camera, and made a "yeah" gesture.
"Crack..."
This picture of Lu Chen was screenshotted by many viewers in the live broadcast room.
The protagonist of today's operation was not Qin Sifeng, but the young student beside him.
When the operation was announced to be over, everyone suddenly realized that this had made history!
This operation is the world's first percutaneous hepatic vein implantation of a pacemaker with ICD defibrillation function!
The whole process seemed to be calm on the surface, but Lu Chen, Qin Sifeng and others were already sweating on their backs.
"Congratulations, percutaneous hepatic vein puncture implantation, proficiency reached 76%!"
A difficult operation increased Lu Chen's proficiency by several percentage points!
"Congratulations, I received a thank you value of +5 from Fang Ruzhang!"
"Congratulations, I received a thank you value of +10 from Qin Sifeng!"
"Congratulations, I received a thank you value of +10 from Li Yao!"
……
Suddenly, a series of prompts from the system made Lu Chen slightly astonished.
There were hundreds of tips in total, and Lu Chen saw many familiar names among them, including his mentor Li Yao, Qin Sifeng who was present, and himself Fang Ruzhang.
Some other unknown names should be the audience in the live broadcast room of the surgery.
"They all gave me gratitude?"
Qin Sifeng's understanding is very good. As his assistant, Lu Chen's role is beyond doubt.
But how to explain Li Yao's gratitude?
Lu Chen was taken aback. Could it be that Teacher Li Yao is also watching the live broadcast?
Moreover, she also learned something from her live broadcast of surgery?
Lu Chen coughed lightly, and immediately cleared this thought from his mind.
Regardless of the reason, the operation was successfully completed and a large amount of gratitude was obtained, Lu Chen was very happy.
……
Get out of the cath lab.
Lu Chen, Qin Sifeng and others were naturally greeted with countless applause.
This case of surgery was a huge breakthrough for Lu Chen.
For the Cardiology Department of the First Affiliated Hospital of Kyoto University, it is also a moment of making history!
(End of this chapter)
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