"Side lying position."
After Qin Feng finished speaking, Director Sun Sheng, the first assistant, immediately changed the baby's position.
A temperature-changing blanket is placed under the body to regulate the temperature of the patient's body and prevent hypothermia shock.
At the same time, the lower limbs are covered with plastic sheets to keep warm, and the upper limbs are wrapped and pressed to the side of the body, and the hand guards are used to protect the limit.
External precision urine bag, used for catheterization...
Radial artery puncture in the left hand and invasive monitoring, external tee connection is convenient for blood drawing during operation...
Internal jugular vein and inferior vein puncture access...
Right femoral vein puncture access, invasive monitoring of lower extremity veins...
The operation has officially begun!
Open the chest!
Qin Feng held the high-frequency electric knife in his hand, penetrated into the lower rib on the right side, and made a long L-shaped incision.
Then cut the fat layer, muscle layer, pleura, pull apart...
"Chainsaw."
The precise and neat technique is pleasing to the eye. In just a few minutes, the breastbone has been exposed to the view.
At this time,
In the large media conference room, Dean Zhang Tong and the directors and deputy directors of other departments sat in the first row.
Behind them was a dark crowd full of people!
They all stared intently at the two surgical live broadcasts on the screen!
Although this is a joint operation, everyone knows that the real greatest pressure is still on Qin Feng's side.
Because he was responsible for the removal and transplantation of patients, while Cheng Hongwu was mainly responsible for the removal of donors, and finally entered the No. 1 operating room to help Qin Feng complete the transplantation.
Director Cheng may not be clear to everyone, but Qin Feng is a master who has already completed liver replacement surgery!
So everyone is full of confidence while being nervous!
However, the frightening thing is not who has the better surgery, but that the operations of the two directors are live broadcasted simultaneously.
Even if this is not a comparison, as long as a knowledgeable person can see the gap.
In particular, Qin Feng completed the sternum exposure of the chest part in just a few minutes, and the knife technique was like a painter painting.
Every time it is raised and lowered, the trajectory of the knife is better than the textbook, and even has a different charm.
Looking at Director Cheng, he had just cut to the fat layer, and the speed was more than twice as slow.
The gap!
In the operating room, Qin Feng has already easily sawed the sternum. After all, the baby's bones are very soft, unlike adults, which have been calcified, so it is easier to open.
"Hook, prepare to open the field of view."
Qin Feng put down the chainsaw and said in a low voice.
Sun Sheng next to him immediately got busy, helping him build the frame and pulling the sternum apart...
"Long-handled electric knife."
After the sternum was opened and the field of vision was broadened, Qin Feng switched to the electric knife and began to dissociate.
Soon, a small liver appeared in front of his eyes.
And the degree of lesions in this liver is also visible to the naked eye, which makes people gasp.
"I started dissecting the hilum."
Qin Feng looked at the scene in front of him, his expression was still as calm as water, and he said in a deep voice.
This voice is not only for the doctors and nurses present, but also for all the doctors who are observing and studying at this time.
For them, this is a rare learning opportunity and experience, especially for internal medicine doctors and doctors who are going to approach hepatobiliary medicine.
This time, it can be said that he tried his best to integrate all the world-class experience in liver removal surgery in his mind and show it to everyone.
He only hoped to leave a perfect extirpation teaching video as a final gift to the internal medicine department.
After the voice fell, everyone in the media conference room held their breath and stared at the screen for fear of missing something.
Anatomy of the first porta hepatis.....
Anatomy of the second porta hepatis....
Anatomy of the third porta hepatis....
Soon, everyone seems to have forgotten the passage of time, and 30 minutes have passed in the blink of an eye...
40 minutes...
50 minutes...
One hour...
The hilum of the liver has been dissected completely!
The liver function has basically been lost, and all that remains is to cut off all veins and arteries, and completely remove the completely failed liver.
"Line 1, ready to block."
Qin Feng put down the electric knife in his hand and began to cut off the arteries and veins.
Ligation of proximal and distal hepatic arteries...
Hepatic vein ligation...
Hepatic artery severed!
The hepatic vein is severed!
Flush with heparin saline, anticoagulant, all arteries and veins are cut off!
"Huh~"
Seeing this, everyone almost breathed a sigh of relief, their faces were full of relief, excitement, and shock.
Everyone glanced at the time, 2 hours!
It only took two hours from the beginning of the operation to the completion of the liver separation!
Moreover, there was almost no pause in the whole process, the precision of the hands, and even the distance between each severed vein was almost the same.
It's almost as good as artificial intelligence machines!
This is a person?
Not only the observing doctors, but even the directors and deputy directors of other departments stared fiercely the whole time.
Although it was not the first time they were shocked, every time they saw Qin Feng's operation, they still couldn't help being shocked.
Of course, in order to teach, Qin Feng has to wait for the new donor from the operation next door to arrive, and the speed has slowed down a lot.
Otherwise, the liver would have been completely removed half an hour earlier!
(Director Cheng Hongwu: I feel offended, do you think you are very humorous?...)
"Argon Knife!"
After the separation is completed, there is only one last step left.
Qin Feng began to treat the last liver bed, completely resected it, and sutured the ligament.
A complete failed liver was slowly taken out of the body and placed on a plate.
Isolation success!
…
At this time, director Cheng Hongwu had already opened up all the surgical vision for the donor extraction operation next door.
A healthy liver of the baby's mother appeared in sight, ready to cut the liver.
As for the specific location of the liver to be removed, the location of the donor's liver was finally determined after repeated discussions in terms of the difficulty and time of the angiography and surgery.
Cheng Hongwu also had an imaging of the liver in the past two days, repeating the operation demonstration over and over again in his mind.
Therefore, the moment the liver appeared, he saw where he wanted to remove it.
"Scalpel."
When the scalpel fell into the palm, one hand gently lifted the liver, and the blade entered the chest cavity.
Hands up and down!
Without the slightest hesitation, the landing point was precise and the speed was fast.
In a short time, a fresh left outer lobe of the liver was cut away from the liver body.
Then put it into the incubator that has been prepared, disinfect, close...
After a few minutes,
The box was sent to Qin Feng's No. 1 operating room by the nurse.
Next, Director Cheng Hongwu felt a lot more relaxed, heaved a long sigh of relief, and began to suture the liver, reset and close the chest, and completed the mother's donor operation.
Then go to Qin Feng's side and be on standby at any time.
Now, the pressure is on Qin Feng's shoulders.
…
"Director Qin, the donor has arrived."
In operating room No. 1, the nurse put the incubator on the table and opened it.
Qin Feng took a look and nodded, then exchanged glances with Director Sun Sheng.
The final third operation can begin!
[Living Donor Liver Transplantation]
Qin Feng slowly took out the liver, and began to anastomose the posterior vena cava of the donor liver with the recipient's posterior vena cava.
At this moment, no matter in the operating room or the media conference room, everyone's hearts were suspended.
This is the most critical operation, the success of the transplant determines the life and death of the child!
"Intravenous tube drops 4 degrees Celsius equilibrium solution, 500ml, pay attention to air embolism."
Qin Feng picked up the needle-holding forceps and arranged for the nurse to administer the infusion while suturing.
At this moment, he also slowed down.
Because the baby is light in weight and has thin blood vessels, the requirements and difficulty for suturing are also much higher.
Of course, Qin Feng's pupils have changed, and the blood vessels that are difficult to suture with the naked eye are very clear in his eyes.
But he can't relax in the slightest, seriously! meticulous!
In his hands is a life!
There must be no carelessness!
A doctor's slack on himself is the greatest cruelty to life!
In this step, Qin Feng made every stitch perfect, even the distance and density of the stitches on the blood vessels were exactly the same.
Under the magnification of the microscope, everyone couldn't help but tremble all over, with goosebumps popping out!
30 minutes...
60 minutes...
90 minutes...
For this step, it took him a full one and a half hours to complete the initial suture.
And then, the portal vein and portal vein butt anastomosis, hepatic artery and hepatic artery butt anastomosis.
Heparinized saline flushing, cooling of the donor surface, suturing of the vein...
Heparinized saline flushing, rewarming of the donor surface, suturing of the artery.....
The last step, common bile duct connection!
A full 5 hours had passed, and all the doctors and nurses in the operating room were exhausted, and their legs were stiff and numb.
But no one dared to make a move, and stuck to their positions!
In the media conference room, except for going to the bathroom and dealing with the situation in the department, almost no one moved, watching Qin Feng's operation the whole time.
Perhaps it was God's blessing, or maybe it was the selfless love of the parents. During the suturing process of the donor transplantation, there were no fluctuations in signs or complications.
Qin Feng's surgery went very smoothly this time, which made him feel extra comfortable.
All the new donor livers have been connected!
Finally, look for the bleeding port, electrocoagulate to stop the bleeding, and flush the chest cavity.
Shut up...
At this time, the director of the brain surgery department, who had already been prepared, also started to fix and sew back the bone flap that Qin Feng had removed earlier.
After Qin Feng sutured the muscle layer, the fat layer, and the final epidermis, Sun Sheng picked up the scissors and cut the sutures.
The operation is all over!
Well done!
"Huh~"
"Oh!"
"Awesome!"
"Director Qin!!!"
…
In the next second, the entire media conference room was boiling!
All the doctors couldn't bear the excitement in their hearts, and they all jumped up from their chairs and shouted!
Even Zhang Tong's face was covered with red, and his eyes were a little moist, and he stood up.
The deafening cheers behind them nearly toppled the roof of the meeting room, and everyone shouted in unison.
"Director Qin! Director Qin! Director Qin!"
This is a peak operation of special significance in the Department of Hepatobiliary Medicine of Jiangcheng First Hospital!
It will also be the first step in the rise of the Hepatobiliary Medicine Department of First Hospital!
It means a lot!