But in order to prevent Xiao Chu from being the deputy director of the emergency department, Zhang Guoxing asked Wang Hui to cooperate in such a play.
If Xiao Chu stood at the position of the main knife, and there was any slight mistake, he could attack Liu Qiming, saying that Xiao Chu had a real name, but it was just an exaggeration.
He is simply not qualified to be the deputy director of the emergency department.
Thus, he achieved his goal of preventing Xiao Chu from becoming the deputy director of the emergency department.
Wang Hui was really aggrieved to let a dignified director of thoracic surgery be Xiao Chu's assistant.
But after all, this is the task given to him by the vice president Zhang Guoxing.
Feeling wronged in his heart, he didn't have to hold back.
Seeing that Xiao Chu had entered the operating room, Wang Hui reluctantly followed into the operating room.
Liu Qiming, Zhang Guoxing, Chen Bin and several surgical directors also followed into the operating room.
They had to observe the whole operation process, so as to judge whether Xiao Chu would undergo lung transplantation.
As for the other directors of internal medicine, only one or two came in as representatives.
Due to the requirements of operating room conditions, there cannot be too many directors of the remaining internal medicine.
So they can't go in, they can only go to the demonstration classroom next to the operating room and watch the big screen.
After Xiao Chu washed and disinfected his hands in the bathroom, he came to the operating room and dressed neatly.
And Wang Hui is also ready, and there is another assistant, Xiao Yu, the deputy chief physician of the Thoracic Surgery Department.
Of course Xiao Yu also knew why Xiao Chu was going to be on stage as the main knife.
This is a game between the principals, a fight between gods and gods.
As a small deputy director, he just needs to do his job well, and he can't control so much.
"Dean, the patient is under anesthesia and can start."
said the anesthesiologist.
Liu Qiming nodded at Xiao Chu.
"Let's start, Xiao Chu."
Xiao Chu stood at the position of the chief surgeon on the operating table with a normal expression, while Wang Hui glanced at Xiao Chu in shock, and came across to him.
He stood at the position of the first assistant, and that Xiao Yu stood next to Wang Hui, at the position of the second assistant.
Today's lung transplant operation is not like the operation performed in the popular medical TV series "Surgery", which requires two patients to have their chests opened at the same time.
For the lung transplant in front of me, the donor lungs have already been prepared and placed in a refrigerator.
What Xiao Chu had to do was to open Zhao Liang's chest, cut off the lungs that had lost their function, and replace them with donor lungs.
With Xiao Chu's current surgical skills, there is no pressure to perform this lung transplant operation.
Chapter 128 This is the Great God
What this patient needs is double lung transplantation, the donor lung has been soaked in cold salt water, waiting for Xiao Chu to implant it into the new owner.
Lung transplantation is divided into single-lung transplantation and double-lung transplantation. Of course, double-lung transplantation is more difficult in terms of surgical difficulty.
And this patient, because the family conditions are relatively good, so he chose the overall double lung transplantation.
This will be better for his future life.
If a single lung is transplanted, the original bad lung on the other side is not replaced. As time goes on, the new good lung will be compensated by the original bad lung, and it will gradually become a lung. Functionality is poor.
Therefore, if economic conditions permit and physical conditions are acceptable, it is best to undergo double lung transplantation.
In this way, after double lung transplantation, the patient's future life will be greatly relieved.
Xiao Chu picked up the scalpel and began to do it.
All eyes in the audience were fixed on Xiao Chu.
Xiao Chu chose the anterolateral thoracic incision on both sides + sternal transection.
The incision is made through the 4th or 5th intercostal space on both sides, from the midaxillary line to the sternal border, and then crosses the sternum.
This incision provides adequate visualization of the bilateral thorax, from the top of the pleura to the diaphragm and posterior mediastinum.
It makes it easier to dissociate the two lungs and the hilar structure.
This is also the most classic surgical incision for double lung transplantation.
In recent years, some experts have also proposed that without transection of the sternum, sufficient visual field exposure can also be obtained, and complications of sternotomy can be avoided at the same time.
Of course, this is just a premature proposal.
In addition to not having to cut the sternum, there are many other complications.
Seeing Xiao Chu attack, Wang Hui narrowed his eyes slightly.
The so-called expert will know if there is one as soon as he stretches out his hand.
Xiao Chu made an incision through the fourth and fifth ribs to transect the sternum to reveal the field of vision.
The whole operation process was as smooth and smooth as Dove, without any stagnation.
Xiao Chu's movements don't need any thinking at all, and his hands will go directly.
Every step of his movement seems to have been practiced countless times, and he has formed a strong muscle memory. He can do that step automatically with both hands without using his brain.
Originally, at the beginning of the operation, Wang Hui was still watching Xiao Chu's movements closely, trying to find the slightest flaw in his movements.
However, as the operation progressed, Wang Hui became more and more shocked.
Wang Hui and Zhang Guoxing next to each other looked at each other, and they both saw the shock in their eyes.
They all felt in their hearts that this Xiao Chu didn't seem to be boasting at all, but that he was very likely to be able to perform a lung transplant operation.
And Xiao Chu was concentrating on the operation, and he couldn't see the eyes of the audience staring at him at all.
Xiao Chu began to separate the adhesions between the right lung and the chest wall, mediastinum and diaphragm, and free the pulmonary artery and vein.
The interatrial groove is dissected to facilitate placement of the left atrial clip.
Push the Swan-Ganz catheter into the left pulmonary artery and apply left one-lung ventilation (the left pleural cavity may not be opened first to facilitate ventilation).
The first branch and descending branch of the recipient's pulmonary artery were cut off, and the pulmonary vein was cut off at the distal end.
Proximal to the opening of the upper lobe, the main bronchus was severed and the right lung was removed.
Xiao Chu's entire process of removing his right lung was like flowing water, which was simply pleasing to the eye.
It's as if what he's doing isn't an operation at all, but a work of art for everyone.
Such a major operation, in Xiao Chu's hands, is as simple as appendicitis operation.
There is no difficulty, no pressure.
The patient's right lung has been removed, and the donor lung will be anastomosed next.
And Xiao Chu only took 10 minutes to remove the patient's bad right lung.
In the eyes of Wang Hui, Zhang Guoxing and others, this has exceeded their expected speed.
Although the lung transplant operation was less than half done, judging from Xiao Chu's silky opening, Zhang Guoxing felt in his heart that he had done something wrong.
Zhang Guoxing felt in his heart that it might be a wrong decision to let Xiao Chu perform this lung transplant operation.
Although he wanted to prevent Xiao Chu from becoming the deputy director of the emergency department, judging from the skills Xiao Chu has shown so far, he is likely to build a bridge for Xiao Chu to become famous in the Provincial People's Hospital.
For Xiao Chu, it is likely that he did something good with bad intentions.
Although Zhang Guoxing regretted it in his heart, the operation had not been completed after all, and no one could say what the condition of the patient was.
He had no choice but to bite the bullet and watch Xiao Chu's surgery performance.
For everyone at the scene, Xiao Chu's current operation is equivalent to a gorgeous performance for everyone.
It is also equivalent to giving everyone a class, a wonderful textbook-style surgery.
And director Liu Qiming looked at Xiao Chu's unblinking operation, his eyes became brighter and brighter.
He felt that he valued Xiao Chu, which was absolutely the right choice.
The promotion of Xiao Chu to be the deputy director of the emergency department was the right choice.
Everyone present saw Xiao Chu's superb operation.
They are all secretly shocked by his medical skills, and each has his own ghosts.
And Xiao Chu treated all this like no one else, just continued with his surgery.
He just took out the patient's right bad lung in the shortest time possible.
Now the donor lung needs to be transplanted in. This is also the most technical part of this operation.
The first thing Xiao Chu had to do was to anastomose the bronchi.
Seeing that Xiao Chu had achieved the most technical step, Wang Hui also gathered his mind and fully cooperated with Xiao Chu's operation steps.
Because Xiao Chu was extremely skillful, he cut out the patient's bad lung much faster than him.
This made Wang Hui feel a sense of frustration.
I was careless, I missed it!
Because from the point of view of Xiao Chu's technique, he will definitely complete the whole lung transplant operation completely independently.
Although Xiao Chu is currently performing the anastomosis of the donor lungs, Wang Hui already believes in his heart that Xiao Chu can definitely do it perfectly and beautifully.
This is a recognition of the strong.
Xiao Chu's cooperation with Wang Hui was no longer as perfunctory as it was at the beginning, so he looked at him in surprise.
I didn't think too much about it, and the operation continued.
The right donor lung was placed in the patient's right chest first, and the bronchial membranous part was sutured continuously with 4-0 absorbable monofilament.
The cartilage was sutured with 4-OVicry suture.
The process of anastomosis of the bronchus, Xiao Chu's speed was very fast, and it took only ten minutes to complete the entire anastomosis process.
This fast bronchial anastomosis surprised Wang Hui even more.
Although the operation is still not finished, it is only nearly halfway done.
But Wang Hui has been convinced and sure that Xiao Chu will definitely do lung transplantation, and he will definitely do it better than him.
Because of the next operation, even if Wang Hui didn't need to watch it, he knew that Xiao Chu would definitely be able to complete it.
When he thought that Xiao Chu's medical skills were far superior to his own, Wang Hui broke out in a cold sweat for no reason.
Chapter 129
Xiao Chu is so young now, only in his 20s, to be able to perform a lung transplant as the chief surgeon, which shows that he has a bright future.
Originally Liu Qiming wanted to promote Xiao Chu, but now if Xiao Chu can complete this operation perfectly.
Liu Qiming might not only let Xiao Chu become the deputy director of the emergency department for the time being, but also very likely to transfer him to the thoracic surgery department in the future.
Thinking of this possibility, Wang Hui felt a little apprehensive.
After all, as the director of the Thoracic Surgery Department, he is definitely a knife in the entire Thoracic Surgery Department, but now Xiao Chu has far surpassed him.
If Xiao Chu were to be transferred to the Department of Thoracic Surgery in the future, then the doctors under Wang Hui's surgical skills would be even higher than his director's.
Then his status will be greatly affected, which Wang Hui is very unwilling to see.
To be honest, the current Wang Hui is very much looking forward to Xiao Chu making a little misoperation during the operation.
It's better to cause a major medical accident, then Xiao Chu won't threaten her status.
However, during the operation, Xiao Chu was as stable as Mount Tai, and it was impossible for the slightest mistake to occur.
This made Wang Hui's dream shattered.
And as the first assistant of this operation, if he played tricks secretly, it would also cause great danger to the patient.
But as soon as this idea popped up in Wang Hui's mind, it was quickly suppressed.
Because he dare not do it.
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