Start From Emergency Doctor

Chapter 411

“Furthermore, if it is bilateral lung removal, it means that the patient has also spent twice the time during the lung transplantation, and at the same time, it has also suffered double the surgical damage. Once a severe rejection reaction occurs, the patient’s injury is It’s incalculable.”

“But if only one-sided lung transplantation is performed, first of all, the degree of severe rejection can be reduced. It is impossible to transplant only one lung to be more severe than the rejection of the lungs on both sides of the transplant? In addition, it can save a lot of time. Patients also Can reduce pain as much as possible.”

Wang Sheng and others looked surprised.

Actually, I have already considered the postoperative problems of lung transplantation…

They were thinking about how to successfully transplant the lungs, but Zhou Yuan never doubted that he would fail the transplantation at all. Instead, he thought about how to minimize the patient’s pain and reduce the risk!

At this moment, they realized the gap between themselves and Zhou Yuan.

Jiang Li was silent, and said admiringly after a long time: “Your suggestion is very good. I will definitely talk to Professor Chen Jingyu…”

Zhou Yuan nodded and smiled: “In fact, there is one more point. This will maintain the vitality of the donor lung, and it will also be of great help to the patient’s later recovery.”

26　”I first transplanted the left lung, and then the right lung was transplanted. The activity was not as good as the left lung for a certain period of time. After the patient recovered, the left lung was in better condition, which could compensate for the deficiency of the right lung. Slowly, both lungs are ready to be connected in the patient’s chest cavity. There is no cold saline immersion protection, and blood circulation is not connected…”

“By the time the two lungs have completed the anastomosis of the blood vessels and the sutures of the various bronchi, omentum, etc., they may have been exposed in the bare chest cavity for three or four hours.”

“And my left lung was exposed to the thoracic cavity for only one hour, and the blood circulation was immediately restored. At the same time, during this hour, the right lung was still stored in cold saline, and it took more than an hour to perform the other side. For lung transplantation, the exposure time of the two lungs is only more than one hour…”

“Compared with simultaneous lung transplantation on both sides, the lungs I transplanted, even the poorer right lung, are in much better condition than the lungs transplanted from both sides! Three or four hours of exposure is not comparable to one hour. “Zhou Yuan said with some pride.

He is proud because this surgical method is almost tailor-made for Zhou Yuan!

To perform two unilateral lung transplants, the two lungs must first be separated accurately and completely.

After the transplantation is completed, the two lungs need to be communicated again, which requires extremely skilled suture technology!

The former requires excellent lung transplantation experience and technology, and the latter requires excellent basic operations, such as suture, incision, etc., while Zhou Yuan has a master-level double lung transplantation, a master-level butt-suturing operation, and a perfection. Level of compression hemostasis!

The lungs in Zhou Yuan’s hands can be maintained in the best condition, and the blood supply is restored, and it is difficult to cause intraoperative accidents such as blood ejection and excessive blood vessel pressure burst.

Coupled with perfect cardiopulmonary resuscitation, this thing mainly deals with the heart, but it also has knowledge of the lungs.

Therefore, apart from Zhou Yuan, almost no one else can do this.

Want to learn Zhou Yuan?

First, the blood vessels in the lungs are perfectly separated, and then find an anatomical angle, and separate the left and right lungs. After that, the blood vessels in the two lungs have to be sutured…

A lung transplantation operation is exhausting, and additional suture work is required. Who can stand it!(Read more @ wuxiax.com)

Only Zhou Yuan’s stitching is easy to come by, and people who don’t need to waste energy can come.

For example, when people stitch together, their energy points are reduced by -10, -10, and Zhou Yuan…

-1.-1, yawned, +2. -1, -1, rolled his eyes, +2.

This is not a game at all…

Jiang Li was obviously aware of this, and for fear that Zhou Yuan would mislead others, he said quickly and seriously; “Have you remembered?”

“Remember, remember!”

Wang Sheng, Chen Li and others nodded like a chicken pecking at the rice.

“Don’t learn if you remember! Not everyone can do it!”

Wang Sheng nodded again and again: “I still know something in my heart. I can see this suture technique with my eyes, and I can’t learn it if I want to learn it!”

Zhou Yuan did not delay. After the explanation, he started connecting his right lung.

The connection of the right lung is the same as the left lung, there is not much difference, and because the right lung is far away from the heart, it is not so complicated, so transplantation is a lot easier.

It is enough to have a left lung as a demonstration for more than a dozen observing doctors present. This time, Zhou Yuan, the right lung, directly began transplantation at full speed.

From the perspective of an outsider, Zhou Yuan had just touched a blood vessel, and the needle was tied with the suture the next moment…just wondering why Zhou Yuan was so fast, the suture had been knotted, and it flew to the next blood vessel. …

“Fuck…” Wang Sheng couldn’t help it.

Chen Li: “Nima’s, so fast!”

Jiang Li: “(*@￥#*(!”

“Director, what are you talking about?” Wang Sheng smiled.

Jiang Li: “I said add a paper.”

Wang Sheng:…

Soon, Lingling’s right lung also entered Chen Jianguo’s body, only the last left and right lungs were connected.

The operation this time was slightly different from that of the first mother.

In the beginning, the mother transplanted the right lung first, while Chen Jianguo was the left lung.

The lungs that are transplanted first are generally in worse condition. After using the two lung perfusion scan, the lung with the poorer perfusion should be transplanted first.

There is a small story about that if there are a bunch of good apples and a bunch of bad apples, if you eat the bad apples first, the good apples will be spoiled, and the ones you eat will be bad apples. So simply eat good apples first, or at least Can eat a few good ones.

The principles of lung transplantation are just the opposite of what this story tells.

Since under the same conditions, the condition of the two lungs is good and the other is bad, which means that the good lung can better adapt to the storage environment, and vice versa.

If a good lung is transplanted first, and the unfavorable lung is placed in cold saline, the condition of this lung will become very bad in the end, and it may even cause necrosis of this side of the lung due to resection, and finally only one side of the lung remains.

The poorly perfused lung is transplanted first, and the good lung can better maintain its vitality in the storage environment.

Others did not ask, and Zhou Yuan was too lazy to explain.

They can’t learn Zhou Yuan’s surgery anyway…

At the eighth hour of the operation, Zhou Yuan completed the transplantation of both lungs, and the lungs on both sides finally penetrated.

Watching the white right lung gradually recover its blood color, and the shriveled lung lobes filled up, everyone in the operating room breathed a sigh of relief. At the same time, they felt an indescribable awe of the young surgeon in front of the operating table.

This is won back with medical skills. .