After successfully opening the surgical field of view, Qin Feng looked at the necrotic part of the right lung.
Slightly regretful~
If the teacher could have come to the hospital earlier, perhaps it would not have come to this point.
The lungs are one of the most important organs in the human body, although removing them is not fatal.
But even if it recovers, it will definitely cause some inconvenience and difficulties in future life.
Such as not being able to do some strenuous exercise, even running is very difficult.
It also requires uninterrupted medication to control body functions and fight infection complications.
Not only that,
The most important organs of the human body, including the heart and brain, need oxygen to provide sufficient blood oxygen.
After lobectomy, the patient's heart and lung function will be damaged to a certain extent, and various complications such as pulmonary infection, atelectasis, arrhythmia, and delayed air leakage may occur after the operation.
Coupled with Mr. Chen's age, it is more difficult to recover passively after surgery or actively train.
This is why most elderly patients cannot live for three years, and the functions of body organs will rapidly decline.
Finally end life...
"Okay, let's start to remove the lung necrosis."
Qin Feng straightened his waist, looked at Chen Yuanfang and nodded.
Immediately, he looked at the equipment nurse next to him and stretched out his hand.
The instrument nurse also understood, opened a box in the instrument tray and took out a separate scalpel from it.
And when this scalpel appeared in front of them, for some reason, it made several people a little bit puzzled.
Especially Chen Yuanfang, just when she was concentrating on looking at the scalpel, she suddenly felt a icy chill rise from behind her!
Her heart seemed to be pressed against a sharp knife, and even her heartbeat weakened a lot.
"Qin Feng, this knife..."
She quickly retracted her gaze, took two deep breaths, and looked at Qin Feng in shock.
"This knife is specially customized by me from abroad according to my own surgical method, so it is quite special."
When Qin Feng heard this, he simply explained with a faint smile,
"The main reason is that the materials are different, so it looks a bit bluffing, hehehe~"
"Specially customized?"
Hearing this, Su Cheng, including Chen Yuanfang, and the nurses all looked at each other with surprise in their eyes.
Even if there are doctors who can go to the operating table in all the hospitals in Jiangcheng City, I have never heard of anyone who can customize their own personal scalpel.
Director Qin, this should be the only one!
Most importantly, non-operating room instruments can enter the operating room and be used directly in surgery.
This needs to be approved by the person in charge!
Because once something happened and it got out, the hospital would have to face the responsibility!
So being able to bring private surgical instruments into the operating room and use them already shows Qin Feng's identity and strength.
Of course, this is not the first time.
The last time it was used was a long time ago, but Qin Feng admitted that it was an illegal operation because he remembered it temporarily.
So since that time, he hastened to ask the dean to file the scalpel with the Jiangcheng Health Bureau.
Therefore, this is the first time that the scalpel has officially appeared in surgery!
And its appearance also represents one thing.
No matter from the administrative side or the requirements of the hospital, it has been admitted that Qin Feng's surgical skills completely surpassed all the doctors in Jiangcheng City!
Because this is the only personal device in Jiangcheng that can be used in formal surgery!
Its owner's name is Qin Feng!
Start to dissociate.
Qin Feng began to separate the nodular lung, exposing the necrotic upper lobe of the lung.
Excision is then made along the necrotic portion.
The lung incision gradually expanded with the blade, and ruptured alveoli appeared in front of his eyes.
The alveoli in the necrotic part of Chen Yanwen could obviously be found to be milky white, not healthy hemodialysis, and completely lost its physiological functions.
And as the blade wandered, there was no obstacle at all, not even a setback or a stop.
Such precision and speed shocked Chen Yuanfang completely!
The shock in the surgery video was much smaller than the shock in front of the scene.
The moment Qin Feng held the scalpel, his whole state changed dramatically.
Even with his current level of precision, the blessing of a scalpel even made him feel empty.
It seems that the lungs in front of him are like a blank sheet of paper in his eyes, allowing himself to draw.
This feeling is really good!
"Give me the tweezers."
Soon, in about ten minutes, Qin Feng put down the scalpel.
Snapped!
He stretched out his hand along the incision, stroked upwards to the hilar blood vessels in the upper lobe, and held tweezers in one hand to free the apical branch and anterior branch of the pulmonary artery.
"No. 3 ligature."
After receiving the ligature, the pulmonary artery was ligated in sections, the distal end and the proximal end were blocked and incised respectively.
This is the most important step, because after the necrotic lung is resected, the remaining lung needs to be anastomosed, and arterial anastomosis is very important.
Swish Swish Swish~
After cutting, open the upper half of the horizontal fissure and the oblique fissure, and then find the deep surface where the left and right lung fissures meet.
Then the distal and proximal branches of the upper lobe artery were ligated and blocked, and cut open.
The upper lobe bronchus was freed, and the traction line was sutured on the vessel wall...
The whole process lasted almost three hours!
This is also the most difficult part of lung necrosis resection!
Although open surgery can flip the lungs for confirmation, Qin Feng still tries to minimize unnecessary flipping of the lung lobes.
This requires the chief surgeon to have a deep and detailed understanding of the anatomy of the lungs, and be able to detect accidents during the dissection in time to avoid accidental injuries.
When cutting the upper lobe, it is also necessary to identify the middle lobe vein and protect the vein branch.
"Bipolar coagulation."
Qin Feng used bipolar coagulation to assist blunt dissection of the vein, and then separated the upper and middle branch veins again with a cutting occluder, leaving only the lingual vein.
"Cut the bronchi!"
A dazzling ligation and separation made everyone bewildered and surprised.
His little experience can't keep up with Qin Feng's speed at all, he just feels that all of them are slow knowledge points!
The final step of bronchiectomy was successful, and resection of the necrotic upper lobe of the right lung was started.
"Scalpel."
With the knife in hand, the necrotic lungs were free and cut off!
Bang!
"Phew~ Alright, let's start douching."
With the crisp sound of the scalpel falling into the plate, Qin Feng finally breathed a sigh of relief.
At the same time, Chen Yuanfang and Su Cheng who were beside them also let out a deep breath, their faces full of lingering shock.
When Chen Yuanfang heard what he said, she quickly ordered the nurses to start large-volume lung lavage.
After half an hour, the original blood color appeared in the lungs, and it was considered complete.
…
It has been 5 hours since the operation started.
The lung resection and lavage are over, and the operation is basically over.
Next came the stitching.
"Suture No. 4."
While Chen Yuanfang was douching, Qin Feng also took a good rest, and then began to suture.
Anastomosis of bronchus, upper lobe artery, middle lobe vein...
Suture lung surface, lymphatic tissue...
Two hands are flying quickly over the lungs of the patient's chest, constantly replacing different sutures to reconnect blood vessels and organs.
At this point, the speed in his hand is even faster!
Chen Yuanfang was dazzled by the sight, and her shocked expression was only stronger than before.
Such a fast sewing speed is simply crazy!
"Su Cheng, come and close his chest."
After all the lungs were stitched up, Qin Feng looked at Su Chengdao who was at the side.
"I?"
Hearing his words, Su Cheng didn't react consciously, and then his eyes lit up, and he nodded immediately,
"Okay, Director Qin!"
Qin Feng stepped aside and gave him the chief knife position.
Reposition the sternum, scapula, suture muscle, fat layer, etc...
You know, this difficulty is really not small!
After all, this open lung surgery involved more than a dozen muscles being incised, and the requirements for suturing were also very high.
Su Cheng stitched carefully bit by bit, and the speed was indeed more than ten times slower than Qin Feng's.
7 hours...
The surgery is finally over!
Qin Feng glanced at the detector, and finally showed a gratified smile on his face.
In such an open resection of lung necrosis that reached the fourth-grade standard, there was no abnormal physiological index or shock within 7 hours before and after.
Really satisfying!
The lung tissue removed this time accounted for about 15%, and almost all the world's top surgical methods in his mind were applied to preserve most of the lung function as much as possible.
If the living environment will not be affected again, the survival life of 5-10 years is no problem at all.
This is delightfully good news!
The rest depends on the postoperative recovery, and try to avoid adhesions and other situations.
"Okay, let's end it."
Qin Feng glanced at the crowd and smiled lightly.
As soon as the words fell, there was a burst of applause.
Chen Yuanfang also looked at Qin Feng with a smile, not only admiring and satisfied, but also delighted.
She actually has such a powerful son-in-law!
If it goes well, maybe he will have a place in the world medical circle in the future!
[Ding! Congratulations to the host for completing a level 4 operation. ]
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