Big Doctor Live Room

Chapter 616 Insufficient chest space
"OK, the last defect has been completely repaired. The repair of the ventricular septal defect has been completed, and the problem of tetralogy of Fallot has been completely resolved. The next step we need is a thoracotomy. Dr. Qi, do you have anything else to add, Mr. Yang How to say?"

"My teacher said that the child's heart vessels are growing outside, and a vascular anastomosis is needed to perform blood vessel transplantation to ensure that the child's heart has enough space after it is placed back into the chest cavity. Now the pulmonary artery should be cut. Be careful not to cut too much. Large, so as not to cause problems during stitching."

For such a major operation, Qi Hong of course had to call her teacher for advice.

When Yang Xiaoquan saw the photos and videos sent by Qi Hong, he knew that what happened to him was not enough.But in this case, there is no choice for anyone.It was already the best way for Su Wanting to directly grab Chen Qun to be the main knife.

After all, other people were less able to complete this operation than Xiao Chen, especially since the child's blood oxygen dropped rapidly, which should be due to a problem with the lungs or the pulmonary artery.In the tetralogy operation, Xiao Chen was the first to perform the patch surgery of the pulmonary artery, which alleviated the largest problem and provided a solid physiological foundation for the following repairs.

This operation looks very dangerous, but after all, it was Chen Qun who performed the operation on the spot, not the remote operation performed thousands of miles away. The remote operation of the spine transplant is the top surgical operation in the world. If it is said, no one can do it believe.A four-vertebral transplant that no one in the world can complete, someone can use a robotic arm to complete it remotely.

This is definitely a legend in the medical world. Even if any doctor does not say that the remote operation is completed, even if the operation is successful on the spot, it is enough to brag for a lifetime.

After Yang Xiaoquan received the distress call from the student, he naturally knew the danger, so he immediately put down what he was doing and gave his best guidance.If other surgeons were operating, he would have scolded Qi Hong, saying that this is not an operation, something will happen.

But even Chen Qun is very dangerous.And Xiao Chen obviously knew this, so he humbly asked for advice.As a result, Yang Xiaoquan saw from the photos sent back that Chen Qun had completed the operation very well, especially the operation was done with great care, leaving almost no trauma to the child.Only then did Yang Xiaoquan feel relieved and let him continue to complete the next process.

A few minutes later, Chen Qun completed the vascular anastomosis, and Yang Xiaoquan's voice rang from the phone.

"Very good, Xiao Chen, first you go along the transition zone of the heart, cut the skin around the heart, prepare the retractor, open the child's chest cavity, and prepare to put the heart back. Be careful not to touch any of the child's blood vessels , especially the pulmonary artery that underwent surgery first.”

Chen Qun calmly and forcefully glanced at Zhao Xue behind him, "Scalpel, Zhou Lin prepares the retractor to open the chest cavity."

Qi Hong watched intently from the side as Chen Qun cut the child's middle sternum with a steady and favorable palm, as precise as a mechanical arm.

"Teacher, the chest cavity is opened, what should I do next?"

"Turn the heart to the left and put it in. Be careful, it must be in the same direction as a normal person, and don't reverse it. The pulmonary artery for your anastomosis should be close to the top, not the bottom."

Chen Qun asked Zhou Lin to stretch the patient's chest, hold the heart with two fingers, and gently stuff it toward the chest.But if he had known that he had hardly exerted any force, he would have yelled immediately.

"Old Yang, I can't put it in. This heart is too big, there is not enough space in the chest cavity to accept it."

As soon as Chen Qun said this, Yang Xiaoquan, who was thousands of miles away, couldn't help but slammed his fist on the table. This is the common problem of all babies with congenital abnormalities, and there are always problems that make you suddenly unexpected.

"Let me think about it first. Don't continue to press hard. Let me see if I can get along with you. Oh, wait, maybe you can remove the diaphragm?"

"It still doesn't work, there's not enough space."

"Then you'd have to do a partial lung resection and leave enough room to put the heart in."

I knew that you would definitely choose this hopeless method, but as a result of doing so, the operation can only complete 60.00% nine, and the child will be affected for the rest of his life.

Chen Qun answered in his stomach, knowing that this was the best solution for traditional old doctors.

"No, then his lung function will be damaged, and the patient may die of respiratory failure. Wait, I seem to think of a more suitable method. Instead of choosing just one organ, you can choose a volume augmentation plan for treatment. There is no need to squeeze the lung space or even remove the right lobe."

"The expansion plan? I remembered, are you going to use construction materials to inlay it on his sternum?"

"Yes, this is the most feasible solution. It can solve the problem of children not having enough space. We just sent an imported 3D printer to print a piece of breastbone, and soon, we chose hard resin as the bionic bone of the chest cavity. It can even solve the problem of long printing time."

Chen Qun spoke of a plan that he had already proven successful.

Yang Xiaoquan's mouth became bitter on the other end of the phone, and he couldn't help laughing.This kid's way of thinking is indeed different from that of normal people. He will often do the opposite and use reverse thinking to solve problems.For heart surgery, most surgeons choose "original restoration" and try to do subtraction.

Only Xiao Chen chose to expand the capacity.

But it's not surprising to think of it, and you don't even need to be envious or anything.This way of thinking is actually inseparable from the progress of technology.When they started doing heart surgery, where were the 3D printers.Now, they can immediately customize a piece of surgical material to complete the operation.

To put it bluntly, it is actually the advancement of vision knowledge that has led to the advancement of medicine.

Compared with the current situation, removing a part of the lung lobe will make the patient who has difficulty breathing worse, and finally die of respiratory failure; and adding a bone to increase the child's chest cavity capacity, such a simple choice, anyone will choose a better solution.

"Then what are you doing now? The child can't stay that long!"

"Actually, it's possible. The 3D printer can print the resin material for more than ten minutes at most. Let's just wait for more than ten minutes. If it is another doctor, maybe only one of the Tetralogy of Fallot patients was diagnosed last night. Two, I have plenty of time here to wait."

"You kid is so right. Why didn't I expect that your surgery is two or three times faster than others. Well, I will follow your plan."

Yang Xiaoquan was completely relieved, hugged his head with both hands, leaned on the sofa, and began to avoid raising his body.

(End of this chapter)