Back in 2002 as a doctor

The femoral artery cannula was inserted through the right femoral artery under the guidance of a guide wire and advanced to perfuse the abdominal aorta.

The femoral vein bipolar drainage catheter was selected according to the weight, body surface area, and vein diameter, and inserted into the inferior vena cava and superior vena cava through the right femoral vein under the guidance of a guide wire, and the position of the venous cannula was confirmed by esophageal ultrasound monitoring.

Chu Yuntian watched every step until he was satisfied.

He also knows that thoracoscopic valve replacement surgery is rarely carried out in China, and this should be one of the few cases in Shanghai, so Chu Yuntian dare not be careless at all.

After the cardiopulmonary bypass was established, Chu Yuntian went to brush his hands, and the deputy director of the hospital's highest level of cardiology surgery personally placed the patient in a supine position, with the right chest raised by 10°-15°.

The right upper limb of the patient was placed in the functional position of the right elbow joint, the shoulder joint was extended and fixed on the operating bed, and the external defibrillation electrodes were pasted on the left front chest and right back chest wall.

After getting into position, he continued to disinfect.

"Academician Chu, your son really has the demeanor of a world-class doctor." The director of the anesthesiology department stood beside Academician Chu and praised in a warm voice.

"Hehe, it's okay, it's okay." Academician Chu couldn't close his mouth under the mask.

"It's the first time we've done the extracorporeal circulation under thoracoscopic surgery. If it wasn't for Xiao Chu's guidance, I don't know when it will be done... I don't even think it can be done." The director of the anesthesiology department said, "Xiao Chu We will see his surgical level in a while, but the extracorporeal circulation alone proves his level!"

Academician Chu's eyes narrowed, his eyebrows curved, full of joy.

Praising Chu Yuntian made him happier than praising Academician Chu.

"It's a pity, Xiao Chu will have to go back to Mayo in a while, these are all talents." The director of the anesthesiology department sighed, "I also know that going abroad is a good choice, don't you mind, I just have some regrets."

"Old Huang is still in China." Academician Chu said politely.

"Old Huang is old after all, and Dr. Liu and the others have also gone abroad. I don't know when they will come back. I guess this life is enough."

Speaking of this matter, Academician Chu didn't want to say much, and watched Chu Yuntian brush his hands and come back to put on the surgical gown.

No matter how you look at it, you feel happy.

His movements were not rushed or slow, indeed he already had the demeanor of a master.

This is an ordinary operation, unlike the last time Chu Yuntian returned to China to attend the annual meeting, there were no Huang Lao and Zhou Congwen, and there were not so many people watching the operation, so the operation should go smoothly.

Moreover, the value of this operation is extremely high. Although Academician Chu is a physician, he knows it well.

For valve replacement surgery, Chu Yuntian still needs to use laparoscopic surgery. If he can bring some people together... When Mr. Huang goes west, Chu Yuntian's reputation in the country will be extremely high.

At least there should be a place in the Southern School.

As for the Northern faction, it was Huang Lao's territory, even if Huang Lao passed away, it was still under the control of Deng Ming and others.

I hope the operation goes well, Academician Chu thought to himself.

Chu Yuntian put on a surgical gown, stood in front of the operating table, and first made an incision about 2.0-2.5 cm long in the fourth intercostal space on the right anterior axillary line as a thoracoscopic hole.

Put in the incision protective sleeve and enter the 30° thoracoscope.

Under the view of the thoracoscopic screen, the second or third intercostal incision on the medial side of the right midclavicular line is made, about 2.0-2.5 cm long, as a hole for left-handed instruments.

The movements are simple and relaxed, like Yuan Ting and Yue Zhi, and Zhener Zhener has the demeanor of a master.

"Academician Chu, Xiao Chu performed this operation." The director of the anesthesiology department praised, "If you want to say who performed the operation well, you have to ask the anesthesiologists and equipment nurses in our operating room. I have seen tens of thousands of operations. I can make a rough guess as soon as the surgeon gets started."

"Hehe, it is said that this kind of surgery is not very difficult at the Mayo Clinic." Academician Chu said reservedly.

"The technical level in China is still inferior to that in foreign countries. Academician Chu, if you have time, you should say a few more words so that Xiao Chu will come back often to show our hearts."

Academician Chu didn't speak, just smiled and focused on the operation.

Chu Yuntian immediately put in the incision protective sleeve, and the fifth incision on the outer side of the right midclavicular line was about 1.0-1.5cm long, which was used as the instrument hole for the right hand, and the incision protective sleeve was placed.

"Turn on." Chu Yuntian said.

After cardiopulmonary bypass, Chu Yuntian began to adjust the direction and focal length of the thoracoscope to expose the right diaphragmatic surface of the pericardium. Hole 1 was used for tweezers and hole 2 for an electric knife.

He chose the lower end of the sternum and the reflexion of the diaphragm muscle as the starting point to cut the pericardium longitudinally along the 1-2 cm behind the sternum, go up to the pericardial reflexion at the distal end of the ascending aorta, and then cut the pericardium transversely and backward at the pericardial diaphragm to entrance to the inferior vena cava.

Chu Yuntian's operation is very delicate, and he has been paying attention to avoiding damage to the phrenic nerve and other blood vessels and nerves.

Insert the tweezers into the posterior hole, and then enter the needle holder and suture two puller threads at the free posterior edge of the pericardium to lead out.

The few holes were used by Chu Yuntian to the fullest, and the cardiothoracic surgeon was delighted to see them.

"It is said that Xiao Chu made a big mistake when he learned it years ago. I think his level is very high." One person whispered in a low voice, "This thoracoscopy is the best I have ever seen."

"Keep down, Academician Chu is here."

"I know what's going on. It was a misdiagnosis. Even Mr. Huang and Mr. Li from the Imperial Hospital didn't say Zichou Yinmao, just said it's not beautiful. Tell me, can Xiao Chu be blamed for this?"

Whoever is in the operating room is naturally one of our own.

Moreover, after Chu Yuntian came back, he didn't show Professor Mayo's presence at all. He even taught the extracorporeal circulation by hand, so everyone was naturally willing to say a few words for him.

Besides, Chu Yuntian's operation was really good. Although no one had ever seen a valve replacement under a thoracoscopic procedure, he was very stable, and he knew what he knew when he saw it.

They are all anesthesiologists and nurses in the anesthesia room. In the words of the director, he has seen countless surgeons perform operations, and he can tell if there are any when he stretches out his hand.

Xiao Chu, not bad!

Chapter 1108 Little Chu, not bad

Chu Yuntian adjusted the direction of the incline of the thoracoscope to expose the inferior vena cava, clamped and lifted the inter-atrial groove below the entrance of the right inferior pulmonary vein with a camera, and separated the left atrium and pericardial reflex to the oblique sinus.

Then he asked for a renal pedicle forceps. The tip of the renal pedicle forceps moved backward along the pericardial diaphragm until it touched the spine, then changed direction to slide to the right, entered the oblique sinus, and exited the separated pericardial reflex opening. Bring out.

"Look at others, Mayo's level is still high."

"I never thought that extracorporeal circulation can be done with laparoscopy. I told Lao Li next door yesterday that he didn't believe it at all."

"There is a gap in level. This is another dimension of operation. Let's just study hard."

Academician Chu heard that the doctors in his own hospital gradually no one talked about the previous annual meeting, and they were all impressed by Chu Yuntian's technical level, and he was very happy.

Adjust the direction of the incline of the thoracoscope. Chu Yuntian paid attention to exposing the place where the right upper pulmonary vein enters the atrium. Use tweezers and a needle holder to sew a purse on the anterior wall of the right upper pulmonary vein. After the purse is drawn out, the resistance tube is inserted into the left atrial drainage tube and inserted through the right upper pulmonary vein. To the left atrium, adjust the thoracoscopic field of view to the root of the ascending aorta.

He then sutured the purse bag at the root of the ascending aorta with a double-ended needle with a spacer.

12'22", extracorporeal circulation was established.

"Awesome, this operation is done, and the establishment of extracorporeal circulation with laparoscopy is faster than the establishment of extracorporeal circulation through thoracotomy."

"Of course, he's the Mayo boy."

"Not to mention anything else, just this move is enough. What a pity, it would be great if it could be recorded."

Chu Yuntian didn't seem to hear other people's whispered comments, and concentrated on the operation.

Immediately, the heart stopped beating, and extracorporeal circulation was completely switched off.

Regardless of the effect of the operation, the way of establishing extracorporeal circulation alone is shocking.

Chu Yuntian performed extracorporeal circulation with a thoracoscope, which was countless times faster than his own cardiologist.

This is a level of crushing, no surprise, everyone admits it.

Gradually, the operating room became quieter, and even the whispers at the beginning were much less.

The feeling of crushing at the technical level was so strong that everyone was shocked by Chu Yuntian's surgery. Even Academician Chu gradually became serious after witnessing it with his own eyes.

After the heart stopped beating, Chu Yuntian changed the angle, adjusted it to his satisfaction, and handed it over to the assistant, telling him to be careful.

Then, the right atrium and atrial septum were incised under the thoracoscopic view, and the angle of the thoracoscope was adjusted to expose the internal structure of the left atrium and the mitral valve.

Investigate the size of the left atrium, whether there is thrombus in the left atrial appendage, and the anterior and posterior mitral valve lesions. Cut the anterior valve at 2 mm from the valve annulus. According to the condition of valve disease, it is judged whether to keep the posterior valve.

The gasket suture interrupted mattress suture method is used, starting from the 3 o'clock position and suturing in a counterclockwise direction for one week, and the leading sutures are fixed on the thread clamp in sequence.

After the suturing is completed, the prosthetic valve is sutured at equal intervals in the same order, and the prosthetic valve is pushed into the mitral valve position along the suture.

Here, Chu Yuntian repeatedly checked whether the sutures were parallel, whether there were twisted threads, and whether there were flaps or flap angles. After confirming that there was no abnormality, the two ends of the same suture were pulled out sequentially with fine nerve hooks, and the knotter was tied one by one. Knot cut the thread.

The operation was going on step by step. Academician Chu was serious, but his face was shining brighter and brighter. He was happier than the day he was elected as an academician of the Academy of Engineering.

The son's operation was performed very steadily, quite steadily, and besides being stable, it was also performed very quickly.

What is level?

that's!

Chu Yuntian stumbled in this year's World Cardiothoracic Surgery Competition, and finally let Zhou Congwen get No.1. Academician Chu was very unconvinced.

In his heart, his son is the best, not that Zhou Congwen.

Seeing that Chu Yuntian's surgery was performed quickly and well, delicate and yet bold and bold, it was indeed blocked by a school of masters, Academician Chu was even more delighted.

"Academician Chu, Xiao Chu's operation is really good." The director of the anesthesiology department praised, "Director Ding, who has a heart, is already dumbfounded just by holding the mirror."

"No way, Director Ding is watching the operation, don't talk nonsense." Academician Chu said with a smile.

"Whether it's anatomical structure or suture, they are all meticulous. This is the world's first-class level." The director of the anesthesiology department continued to praise, "This is a mitral valve operation, which normally takes at least 3 hours. Look at it now How long did it take?"

"It doesn't mean anything if the operation is done quickly." Academician Chu said with a smile.

"Fast, it means that the patient's injury is small, and it is still a thoracoscopic operation. Academician Chu, I don't agree with your words." The director of the anesthesiology department joked, "We doctors must be objective. You said this, but You can't just be modest just because Xiao Chu is your son."

"Hahaha." Academician Chu laughed in a low voice.

Indeed, seeing Chu Yuntian's surgery is good, and it is a surgery that has not been carried out in China, and its technical level is world-leading. It would be a lie to say that he is not happy.

In fact, what academician Chu wanted more was for Huang Lao to stand by his side and give Chu Yuntian some comments.

But that's all delusional.

This time Chu Yuntian didn't know what stimulated him, so he flew back for surgery, and seemed to be going to see Huang Lao.

Back then, he was very high-spirited and dismissed the old comrades in the country.

Now that his son has really grown up, Academician Chu is very pleased.

He didn't want Chu Yuntian to go back to the country like last year, and take part in the annual meeting with the idea of ​​horse riding joint venture.

Although I, as a father, had to support him no matter what, it was not good to do so.

It's good to be sensible, and the operation is better, Academician Chu is very relieved.

Chu Yuntian's surgery was performed quickly and steadily, exceeding everyone's expectations. In less than 3 hours, the surgery came to a successful conclusion.

"Thanks for your hard work."

After the operation, academician Chu walked up to Chu Yuntian with a smile and said.

"Dad, look at what you said." Chu Yuntian smiled, "The operation is not difficult, it's very routine, just do it normally."

"Xiao Chu, you performed this operation. If Huang Lao sees it, he will be full of praise."

The director of the anesthesiology department said habitually.

When Huang Lao was mentioned, Chu Yuntian was taken aback.

He thought of the cooperation between Huang Lao and Zhou Congwen in the Mayo Clinic.

That's called surgery, well, this one for me is simply too routine, Chu Yuntian thought.

Ever since seeing Huang Lao and Zhou Congwen's cooperative operation, Chu Yuntian knew what is beyond the sky, and his arrogance was suppressed, he was easy-going and humble.

"I dare not think about Huang Lao's operation, I dare not think about it." Chu Yuntian immediately said sincerely, "I really admire the old man's operation. This little operation will not fall into Huang Lao's eyes."

The director of the anesthesiology department was stunned.

He had heard about the matter between Chu Yuntian and Huang Lao, and just now he had slipped his tongue, but he didn't expect Xiao Chu to have such an attitude towards Huang Lao.

Chapter 1109 Leave it to Academician Chu

after one day.

Chu Yuntian held a file bag and stood in front of Huang Lao's office door of 912 and knocked on the door.

"Dong Dong Dong~"

"Please come in."

Chu Yuntian pushed the door open and went in. The first thing he saw was Huang Lao sitting on the chair with his eyes half-closed, as if he was dozing off.

With a second glance, he saw Zhou Congwen sitting opposite Huang Lao, wagging his fingers and talking about something.

"The last category is cancer, which includes skin squamous cell carcinoma, angiosarcoma, lymphoma, leukemia skin involvement, and skin metastasis of tumors in other parts."

"But since academician Chu is hospitalized for examination, a single tumor will not fail to be detected, so this category can basically be ruled out. I believe in the level of Modu, and academician Chu." Zhou Congwen said flatly.

Chu Yuntian was startled.