Back in 2002 as a doctor

Although general chest is not Chu Yuntian's strong point, heart is.

But he is not the kind of weak person who finds reasons and excuses for himself.

If it's wrong, it's wrong, if you lose, you lose, if you lose, you fail, Chu Yuntian has the confidence to win back as quickly as possible!

Back at the Mayo Clinic, Chu Yuntian devoted himself to studying, and even in order to return to the top, he did not hesitate to participate in the World Series that he had always despised.

The surgical competition does not adopt the live broadcast method, but the surgeon freely selects the patients in the local hospital to perform the operation, and post the video to the review team after the operation, and the most powerful experts in this field in the world will select a certain operation method to perform. best doctor.

Many doctors do not approve of this kind of competition. After all, medical treatment has nothing to do with competition, so what if it is the number one in the world?Surgery is not the Olympics.

But now Chu Yuntian needs to prove himself.

He knew very well that his self-confidence had been severely hit in the imperial capital, and he could even dream of that hideous figure from the back and that unimaginable operation many times in his dreams.

Chu Yuntian also knew that he was playing tricks, but this was no ordinary opportunism, and he had to rely on strong strength.

No. [-] in the world, how can it be so simple.

Moreover, there was always a huge mountain in front of Chu Yuntian.

The back of Zhou Congwen, who was undergoing surgery in a surgical gown, was like a mountain in Chu Yuntian's heart, which could not be overcome.

This is a heart demon, and Chu Yuntian is very aware of this in order to continue to grow if he overcomes himself.

Therefore, he did not hesitate to "decline his status" to participate in the World Surgery Competition.

The anesthetist gives a thumbs up.

"It's no wonder you've had so many surgeries recently, but Chu, your surgeries are already quite advanced, and it doesn't make any sense to do more surgeries, don't you think so?"

"Although my operation level is very high, but I do more, there will always be a little change between each operation." Chu Yuntian squinted his eyes.

As far as his level is concerned... In domestic terms, it is called making a huge step forward. It is not so easy to make progress. The higher the level, the harder it is to make progress.

Without thousands of surgeries, it would be impossible for Chu Yunfei to make any progress at his current level.

This is still a talented person. Many people only stay at the level of "can do". As for whether there will be any accidents or whether there will be serious complications after the operation, it is hard to say.And doing better surgery, reaching the next level, is something they can't even imagine.

Chu Yuntian completed five difficult heart bypass operations in one day, and the isolation suit on his body was already wet with sweat, leaving behind white salt particles, which was very dazzling.

Today, it seems that the harvest is full.

If you don't believe it, you will still lose to that young doctor this time!Chu Yuntian had firm thoughts in his heart.

I am the pride of heaven!

……

……

912, in Huang Lao's office.

"Boss, what do you want from me?" Deng Ming entered the office wearing an isolation suit and a dark green long-sleeved operating room suit.

"The organizing committee sent me a letter." Huang Lao Youyou said.

"Surgery contest?" Deng Ming asked.

"Well, mid-March." Huang Lao said.

Deng Ming was a little taken aback. His boss only started to participate in the World Surgery Competition after he retired.It's not because of poor technology that I have been delaying the competition, but because the boss thinks it is unnecessary when I am at work.

After retiring, the boss has nothing to do, and has to do 1-2 surgeries every day to ensure his condition, so he has participated in many competitions in a row.

I have won all the honors I can get, how can the boss...

Thoughts flashed, and a light and shadow appeared in Deng Ming's heart.

"Boss, do you mean to let Zhou Congwen go?" Deng Ming asked.

Huang Lao smiled and said, "Do you want to?"

"What technique?"

"H."

"I'm fine." Deng Ming said, "I just don't know if Zhou Congwen is free, it's hard to make time."

"It's very simple to find him for surgery and then fly back." Huang Lao said lightly.

"One?!"

"I believe in Zhou Congwen, it doesn't matter which one of you is the one who performs the surgery."

Deng Ming looked at the boss's face and smiled, "It's better for him to come. Young people need a lot of honor to bless their way forward. I'm already at this age, so I should treat my junior brother as a senior brother."

Huang Lao didn't say anything, picked up his mobile phone and called Zhou Congwen.

"Zhou Congwen, it's me."

The phone was connected, Huang Lao said.

"Boss, miss me? I'm having surgery here. If there's nothing wrong, I'll call you from the stage?" Zhou Congwen's hearty voice came.

"Let me just say that there will be a World Surgery Competition in mid-March this year, and the cardiothoracic surgery procedure is heart bypass." Huang Lao said, "I have the invitation letter in my hand. Do you want to go?"

"It depends on what the boss wants." Zhou Congwen said very easily, "If you want me to go, I will perform an operation, record and broadcast it and mail it over, it's very simple."

"If you cooperate with Deng Ming, who will be the magician..."

"Boss, Director Deng may not be able to do the surgery I'm going to do...hahaha."

Deng Ming was very annoyed.

He is the chief director of 912, and this kid Zhou Congwen actually said that he can't take the lead with him.

"Huh?" Huang Lao didn't take Zhou Congwen's words as a joke, he frowned slightly, and asked in a deep voice, "What kind of spell do you want?"

"Since it's a heart bypass surgery, let's do a minimally invasive heart bypass surgery."

"..."

"..."

Huang Lao and Deng Ming were silent at the same time.

Does heart bypass surgery have to be minimally invasive? !

Is what Zhou Congwen said true? !

……

……

Note: Competitions do exist, er, to be more precise, domestic competitions do exist.Video recording method~ not live broadcast.

Chapter 0749 one-stop surgery!

"Just kidding." Zhou Congwen laughed, "What kind of surgery is Director Deng going to do?"

Holding the thermos cup, Deng Ming really didn't know how to evaluate his little junior brother.

"Can you do minimally invasive coronary artery bypass surgery?" Elder Huang asked leisurely.

"It can be done." Zhou Congwen said with certainty, "Boss, speaking of minimally invasive coronary artery bypass surgery, I have something to report to you."

"Oh?" Huang Lao suddenly became interested. Although he was separated by the phone and thousands of miles away, it seemed that Zhou Congwen was right in front of him. He looked at the phone, "Don't say it, let me think about it."

"One-stop?" Huang Lao frowned and said to himself.

"..." Deng Ming's hand tightened, and the hand and the thermos cup creaked and creaked.

Heart bypass surgery is still a ceiling operation for prefecture-level hospitals. Even for large public hospitals at the provincial capital level, heart bypass surgery is still a ceiling operation.

In the large hospitals in the imperial capital and the devil's capital, there are more people who can perform heart bypass surgery, but it is far from being able to say that an individual can do it.

But the boss has already set his sights on a spell from another plane...

The so-called one-stop service generally refers to patients with relatively serious lesions—three-vessel lesions.Moreover, the patient is very old and cannot bear large surgical trauma, so a similar operation must be performed under minimally invasive procedures.

However, minimally invasive surgery also has its own problems, that is, the selection of the surgical field and blood vessels.

High-level doctors perform stent surgery on unopened coronary vessels within a few months after restoring a part of the patient's heart blood supply. This is clinically called split-station surgery.

And the boss said that it will be a one-stop service, which means that the stent will be directly removed during the operation to solve the problem at one time.

"No, the one-stop shop is actually not very necessary." Huang Lao said immediately.

Deng Ming was a little relieved, but when he thought about it carefully, what the boss said was not that it could not be done, but that it was not necessary.

Just in case Zhou Congwen opens his mouth, I can do it.

"The boss is wise, one-stop surgery can be done, but it has no promotional significance, and the time is too long, the risk to patients is too high, so it is not recommended." Zhou Congwen said.

"..."

Deng Ming sighed deeply.

His little junior brother's all-inclusive words made him a little crazy.

The boss said it could be done, but it was not necessary. Zhou Congwen refined what the boss said and made it clearer.

Alas, at that time, I thought that I had accepted a capable junior, and that as a senior, I would take on the responsibility of being a teacher and lead Zhou Congwen to grow up.

But I didn't expect this little junior brother to be like a godsend. He knows all kinds of operations and can win any operation.

Deng Ming looked at his boss helplessly.

"The difficulty of arterial grafting for elderly people with limited function will increase sharply. And even if you can take the left and right internal mammary arteries, it is still not enough for three-vessel lesions.

If the patient is old, it is better if the radial artery can be immobilized or not. "

"Yes, so what I'm thinking is to use the great saphenous vein to build a third bridge. Because the patency time after the bridge is limited, the drug-eluting stent is directly placed, so that the patient's survival time after surgery will be longer."

Huang Lao paused, his bent fingers kept tapping on the table.

After a full minute, he continued, "Find time to come to 1, or if your side is busy and there are patients, let Deng Mingfei go there."

"Okay, boss." Zhou Congwen said with a smile, "Are you here?"

Speaking of this, Elder Huang's expression darkened slightly.

"I can't go." Huang Lao sighed, "You guys do it first, and if you have any questions, come to me."

Zhou Congwen responded, chatted a few more words, asked Mr. Huang about his health and hung up the phone.

After hanging up the phone, Deng Ming couldn't wait to ask, "Boss, minimally invasive? Can you do it?"

Coronary artery bypass surgery has a history of half a century, and minimally invasive surgery has been studied a long time ago, but it was abandoned for various reasons.

In 1967, before the technology of extracorporeal circulation was mature, Dr. Kolessov of the former Soviet Union successfully performed a bypass operation between LIMA and LAD through the left anterolateral thoracotomy incision.

Since then, many scholars have made efforts to promote this technique, but it has not been popularized in the end.

With the maturity of cardiopulmonary bypass technology, minimally invasive coronary artery bypass surgery has been abandoned.

Deng Ming speculated that there were several reasons why this technique was abandoned at that time.

The first is that it is more difficult to obtain the left internal thoracic artery under the small incision than the conventional thoracotomy, and it takes a long time to master it. Indications limit its clinical application.

"Are you thinking that minimally invasive coronary artery bypass surgery is an abandoned procedure?" Elder Huang glanced at Deng Ming and asked calmly.

Deng Ming knew that his boss knew him very well, so he was not surprised why the boss knew what was going on in his mind, so he nodded.

"Is technology developing?" Elder Huang smiled, "As surgical instruments become more and more readily available, minimally invasive techniques are also improving, and recently they have been used to try."

"..." Deng Ming looked at his boss, silent.

Even at the age of [-], the boss's eyes are not stagnant, but always looking at the forefront of technology.

"Ten years ago, Dr. Benetti and Dr. Calafiore used a small left anterior chest incision to anastomose the internal mammary artery directly with the left anterior descending artery while the heart was beating off-pump."

"Is there any progress now?" Deng Ming asked with a frown.

"The progress is very slow, and we still can't overcome the previous difficulties." Huang Laodao, "For example, if you want to have bypass surgery for three lesions, you can only use veins if the arteries are not enough. However, the occlusion rate after bypass surgery of the great saphenous vein is too high. Not sure about it."

"Then..." Deng Ming's hand holding the thermos was tighter. He looked at his boss and vaguely guessed, "Boss, have you found a solution?"

"I can't tell, I'm still thinking about it." Huang Lao was obviously distressed, and his deformed fingers tapped lightly on the table, "If there is a way to change the field of surgery and have the function of magnification, all difficulties will be solved."

Deng Ming scratched his head.

My boss must be dreaming, if there is such a good thing... Anyway, Deng Ming dare not think about it.

"Let's not think about this, the machine will always improve, and similar operations can still be performed under the current technical conditions." Huang Lao said.