Vol 3 Chapter 2258: Cannot do it

director. "
"I'm in the ward."
"Okay, I'll wait for you."
Zheng Ren hung up Director Kong's phone and immediately entered the system operating room.
Su Yun was out of stock, and went to give the lectures to Lanke's doctors, but fewer people asked why.
Entering the system operating room, Zheng Ren saw a pair of conjoined babies lying on the operating table.
Both infants had congenital heart disease, resulting in poor myocardial reserve function, and both patients had upper respiratory tract infections. The red blood on the system panel is marked with the words of heart failure (grade Ⅱ).
Zheng Ren was not in a hurry, but recalled the operation introduction he had seen before.
The one-piece baby whose chest and abdomen are combined is not the hardest. If the head is combined, it is the most troublesome.
In front of this pair of heart conjoined infants, there are more liver connected parts.
The left hemispheres of the two patients were completely overlapped and fused, the circumference was about 25cm, the biliary tract and arteriovenous system were separated, and the other digestive systems were separated. It was also found that two thick blood vessels were connected at the joint of the liver.
For Zheng Ren, the pinnacle of general surgery skills, the separation of the liver is nothing, and he does it heartily.
This was the first operation after the peak of general surgery skills, and it was a complete success.
The liver separated, stopped bleeding, and anastomosis, and the sound of the ultrasonic knife popped, and it only took more than 30 minutes to complete this operation.
After doing it, Zheng Ren felt comfortable all over.
This is the feeling, when the big pig hoof just came, it gave 3 minutes to the peak experience time.
It feels exactly the same, with no deviation at all.
Zheng Ren's hand was placed on the liver of the child, and the texture of the liver could be clearly felt through sterile gloves. How much strength should be used, how to do it clearly.
It was a kind of self-confidence. Without surgery that I couldn't do by myself, it could be done smoothly no matter how difficult it was.
Even without wearing a Zeiss microscope, Zheng Ren can complete a microanatomy. however……
After opening the chest and preparing to separate the heart, Zheng Ren finally knew where the trouble was.
The two hearts come together, distorting the deformity.
This is not the biggest trouble for Zheng Ren. In the eyes of the team of experts at the Children's Hospital of Philadelphia and Director Han of the Women's and Children's Hospital, Zheng Ren didn't feel anything.
The difficulty is that the heartbeat frequency of the two children is different, which has a great impact on the operation.
After several trials, Zheng Ren did not have a particularly good solution.
He breathed a sigh of relief. The big pig's hoof was to give an assistant function, was it prepared for this operation? It should be that this system is quite humane.
Although Zheng Ren didn't know what effect the assistant would have on the operation, he could only try it. Follow the instructions from Big Pig's Hoof and try further.
Clicking on the assistant mode, Zheng Ren found that assistants also consume surgical training time just like themselves.
And now that he belongs to the premise without receiving a reward, the surgical training time is consumed × 2.
In other words, one operation requires training time for three operations.
Zheng Ren was helpless, but he had no choice but to click on the assistant function. After clicking, Zheng Ren immediately found that there are a series of options at the back, and it seems that there are many assistants.
If the surgical training time is not enough, Zheng Ren thought to himself.
Of course he will not be so wasteful, every surgical training is quite valuable. I clicked on an assistant, and Zheng Ren saw an image of an experimental subject appearing in front of himself. The outline of his body should be undoubtedly Su Yun.
Several more operations were tried, and Zheng Ren knew in the whole process. Even with an assistant, the operation could not be completed at all.
The heart rates of the two hearts are different, one is about 160 beats per minute and the other is 130 beats per minute.
To completely distort the deformed myocardium, it is too difficult based on the heart beat.
The heart function of the child is very poor. It is necessary to disconnect the heart in the shortest time and repair it with a patch to make the operation successful and enable both children to survive.
If the operation was performed in the current way, it would not be possible to complete it. Zheng Ren had preliminary estimates after several failures.
Zheng Ren did not rush out, but carefully observed the heart parts of the two children.
The diaphragm, mediastinum, and pleura are partially connected. The two babies share the pericardium, and the large blood vessels at the bottom of the heart are completely separated without traffic. The atria are connected and share a heart muscle. The apical and proximal diaphragm muscles are connected. The two hearts have a small tubular connection with a diameter of 3 mm. The other major parts of the two hearts are membranous.
Recalling the operation of a conjoined baby, although this situation is not a conjoined conjoined baby with only one heart, it is also considered a primary conjoined conjoined baby.
The operation is much more difficult than I thought.
Flowers are blooming, and the name is very beautiful, but what to do in the operation Zheng Ren has no idea.
Coming out of the system space, Zheng Ren went to welcome Director Kong.
Soon, Director Kong walked back quickly.
"Boss Zheng, Deputy Yuan Yuan is working on-site at the Department of Respiratory Medicine. Asking if you can perform a conjoined baby operation on this side seems to be concentric. There is a patient in the Women's and Children's Hospital, and the operation cannot be obtained.
"I haven't done it ... I'm not sure." Zheng Ren sighed and said.
Director Kong knows that this is the case. The incidence of conjoined babies is not high. The whole emperor can do 3-5 cases a year.
And it's not very heavy.
The surgery that women and children hospitals couldn't get off was estimated to be difficult to fly straight to the sky.
"Boss Zheng, we can't do it if we can't do it, just finish the Nobel Prize project, this is the main thing." Director Kong whispered.
"I know, Chief." Zheng Ren nodded and said, "Look at the patient first."
"I just called the women's and children's hospital side and said that this time the women's and children's hospital moved really." Director Kong saw Zheng Ren calm down, and he became more secure, and began to gossip.
"Oh?"
"They approached a team of experts from the Children's Hospital of Philadelphia for guidance, and they used 3D printing and a surgical navigation system to perform a simulated operation before the operation."
"..." Zheng Ren froze for a moment.
If there is a simulated operation, two more break-ins should be able to cooperate with Su Yun?
Zheng Ren also said no, who can know without trying such things.
Just like a conjoined baby, it is not to choose the person with the highest level of surgery, but to choose the most skilled doctor who is most familiar with the surgery.
In this way, the atrium of the child can be completely separated in the shortest time.
It's just a surgical navigation system, and 3D printing pre-operatively simulates the way the children are.
Heart-connected conjoined infant surgery has no precedent in the world.
Is it really feasible?
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director. "
"I'm in the ward."
"Okay, I'll wait for you."
Zheng Ren hung up Director Kong's phone and immediately entered the system operating room.
Su Yun was out of stock, and went to give the lectures to Lanke's doctors, but fewer people asked why.
Entering the system operating room, Zheng Ren saw a pair of conjoined babies lying on the operating table.
Both infants had congenital heart disease, resulting in poor myocardial reserve function, and both patients had upper respiratory tract infections. The red blood on the system panel is marked with the words of heart failure (grade Ⅱ).
Zheng Ren was not in a hurry, but recalled the operation introduction he had seen before.
The one-piece baby whose chest and abdomen are combined is not the hardest. If the head is combined, it is the most troublesome.
In front of this pair of heart conjoined infants, there are more liver connected parts.
The left hemispheres of the two patients were completely overlapped and fused, the circumference was about 25cm, the biliary tract and arteriovenous system were separated, and the other digestive systems were separated. It was also found that two thick blood vessels were connected at the joint of the liver.
For Zheng Ren, the pinnacle of general surgery skills, the separation of the liver is nothing, and he does it heartily.
This was the first operation after the peak of general surgery skills, and it was a complete success.
The liver separated, stopped bleeding, and anastomosis, and the sound of the ultrasonic knife popped, and it only took more than 30 minutes to complete this operation.
After doing it, Zheng Ren felt comfortable all over.
This is the feeling, when the big pig hoof just came, it gave 3 minutes to the peak experience time.
It feels exactly the same, with no deviation at all.
Zheng Ren's hand was placed on the liver of the child, and the texture of the liver could be clearly felt through sterile gloves. How much strength should be used, how to do it clearly.
It was a kind of self-confidence. Without surgery that I couldn't do by myself, it could be done smoothly no matter how difficult it was.
Even without wearing a Zeiss microscope, Zheng Ren can complete a microanatomy. however……
After opening the chest and preparing to separate the heart, Zheng Ren finally knew where the trouble was.
The two hearts come together, distorting the deformity.
This is not the biggest trouble for Zheng Ren. In the eyes of the team of experts at the Children's Hospital of Philadelphia and Director Han of the Women's and Children's Hospital, Zheng Ren didn't feel anything.
The difficulty is that the heartbeat frequency of the two children is different, which has a great impact on the operation.
After several trials, Zheng Ren did not have a particularly good solution.
He breathed a sigh of relief. The big pig's hoof was to give an assistant function, was it prepared for this operation? It should be that this system is quite humane.
Although Zheng Ren didn't know what effect the assistant would have on the operation, he could only try it. Follow the instructions from Big Pig's Hoof and try further.
Clicking on the assistant mode, Zheng Ren found that assistants also consume surgical training time just like themselves.
And now that he belongs to the premise without receiving a reward, the surgical training time is consumed × 2.
In other words, one operation requires training time for three operations.
Zheng Ren was helpless, but he had no choice but to click on the assistant function. After clicking, Zheng Ren immediately found that there are a series of options at the back, and it seems that there are many assistants.
If the surgical training time is not enough, Zheng Ren thought to himself.
Of course he will not be so wasteful, every surgical training is quite valuable. I clicked on an assistant, and Zheng Ren saw an image of an experimental subject appearing in front of himself. The outline of his body should be undoubtedly Su Yun.
Several more operations were tried, and Zheng Ren knew in the whole process. Even with an assistant, the operation could not be completed at all.
The heart rates of the two hearts are different, one is about 160 beats per minute and the other is 130 beats per minute.
To completely distort the deformed myocardium, it is too difficult based on the heart beat.
The heart function of the child is very poor. It is necessary to disconnect the heart in the shortest time and repair it with a patch to make the operation successful and enable both children to survive.
If the operation was performed in the current way, it would not be possible to complete it. Zheng Ren had preliminary estimates after several failures.
Zheng Ren did not rush out, but carefully observed the heart parts of the two children.
The diaphragm, mediastinum, and pleura are partially connected. The two babies share the pericardium, and the large blood vessels at the bottom of the heart are completely separated without traffic. The atria are connected and share a heart muscle. The apical and proximal diaphragm muscles are connected. The two hearts have a small tubular connection with a diameter of 3 mm. The other major parts of the two hearts are membranous.
Recalling the operation of a conjoined baby, although this situation is not a conjoined conjoined baby with only one heart, it is also considered a primary conjoined conjoined baby.
The operation is much more difficult than I thought.
Flowers are blooming, and the name is very beautiful, but what to do in the operation Zheng Ren has no idea.
Coming out of the system space, Zheng Ren went to welcome Director Kong.
Soon, Director Kong walked back quickly.
"Boss Zheng, Deputy Yuan Yuan is working on-site at the Department of Respiratory Medicine. Asking if you can perform a conjoined baby operation on this side seems to be concentric. There is a patient in the Women's and Children's Hospital, and the operation cannot be obtained.
"I haven't done it ... I'm not sure." Zheng Ren sighed ~ EbookFREE.me ~ said.
Director Kong knows that this is the case. The incidence of conjoined babies is not high. The whole emperor can do 3-5 cases a year.
And it's not very heavy.
The surgery that women and children hospitals couldn't get off was estimated to be difficult to fly straight to the sky.
"Boss Zheng, we can't do it if we can't do it, just finish the Nobel Prize project, this is the main thing." Director Kong whispered.
"I know, Chief." Zheng Ren nodded and said, "Look at the patient first."
"I just called the women's and children's hospital side and said that this time the women's and children's hospital moved really." Director Kong saw Zheng Ren calm down, and he became more secure, and began to gossip.
"Oh?"
"They approached a team of experts from the Children's Hospital of Philadelphia for guidance, and they used 3D printing and a surgical navigation system to perform a simulated operation before the operation."
"..." Zheng Ren froze for a moment.
If there is a simulated operation, two more break-ins should be able to cooperate with Su Yun?
Zheng Ren also said no, who can know without trying such things.
Just like a conjoined baby, it is not to choose the person with the highest level of surgery, but to choose the most skilled doctor who is most familiar with the surgery.
In this way, the atrium of the child can be completely separated in the shortest time.
It's just a surgical navigation system, and 3D printing pre-operatively simulates the way the children are.
Heart-connected conjoined infant surgery has no precedent in the world.
Is it really feasible?
Sogou reading URL:
Tips: press [Enter] to return to the directory, press (left key on the keyboard ←) to return to the previous chapter and press (right key on the keyboard →) to enter the next chapter