Back in 2002 as a doctor

"are you ready?"

"I'm ready. The difficulty of the operation is not bad. I'm afraid that there may be some accidents in the second operation during the operation. Please help me take a look." Zhou Congwen said very "modestly".

Mr. Huang was noncommittal, went to change into white clothes, and first saw the patient with Zhou Congwen.

It is an unwritten rule to see the patient tirelessly before each operation, and to grasp all the changes in the patient's condition. The larger the operation, the more times the patient is seen.

Although what Zhou Congwen said was simple, both he and Mr. Huang attached great importance to this operation.

It has nothing to do with the competition, but simply because of the needs of the patient's condition.

After seeing the patient, Huang Lao said, "Zhou Congwen, follow over."

"Okay." Zhou Congwen smiled slightly.

The boss made himself adapt to the working environment of 912 in advance and endorsed himself.

Standing in the doctor's office, Zhou Congwen greeted the medical staff who came to shift with a smile on his face.

The memory of the previous life is very clear, everyone here is familiar with Zhou Congwen.

Deng Ming came in with a thermos cup in his hand. Seeing Zhou Congwen standing beside the boss, he smiled slightly, knowing what the boss meant.

The shift time is not long, and surgery is like this. If there is a lot of "wasted" time, the operation will be delayed.

The nurse on the night shift held the shift book and told all the patients who had problems yesterday. The more serious the problems, the more they talked.

After listening to the handover, Deng Ming opened the door and welcomed his boss to make a ward round.

This is already a routine in 912 cardiothoracic surgery.

After opening the door, Deng Ming saw Chu Yuntian standing at the door, he smiled, "Morning, little Chu."

Chu Yuntian scratched his head, he didn't expect the 912 shift to be handed over so quickly.

Not wearing white clothes, Chu Yuntian didn't have the nerve to follow the ward rounds, but watched with complicated eyes as Mr. Huang led the way from ward to ward.

In order not to affect Deng Ming's authority, Mr. Huang said a long time ago that he would not take rounds with him.

But Deng Ming didn't do it, and after begging for a long time, he and Huang Lao made an agreement with Huang Lao to check once a week, and Deng Ming led people to check the ward at other times.

Chu Yuntian waited quietly outside, and then went up to the stage with the nurse who came to pick up the patient in the operating room.

912 is no stranger to Chu Yuntian.

A few years have passed, and the equipment in the 912 operating room is not as simple as it was at the end of the last century.With the passage of time, the top public hospitals in China also began to gradually replace equipment, and started their own catching up.

But compared with the Mayo Clinic, there is still a big gap, and Chu Yuntian knows this very well.

The equipment here can only be said to have reached the basic standard, as for more, it cannot be said.

Soon, Huang Lao and Zhou Congwen came up.

Seeing Huang Lao and Zhou Congwen walking together, Chu Yuntian glanced carefully.

Because the needle removal operation affected him too much, to the extent that Chu Yuntian was a little brooding.

When he came to the operating room, Zhou Congwen didn't say anything to his boss, but greeted him and went straight to brush his hands.

The assistant is Deng Ming, and Zhou Congwen wisely didn't leave the work of disinfecting and laying the sheets to Director Deng.

Seeing Mr. Huang sitting in the corner of the operating room, Chu Yuntian thought for a while, then bit the bullet and moved over.

"Old Huang."

"Xiao Chu, what is the technique you are preparing for next year?" Elder Huang asked directly.

Chu Yuntian didn't say his apology, but Huang Lao took the topic to another dimension. He was stunned for a moment, and then replied, "It's also a valve replacement surgery under thoracoscopic surgery."

"Well, it's the right idea to choose thoracoscopy." Huang Lao said lightly.

"But Zhou Congwen's operation seems to be more difficult." Chu Yuntian said bitterly.

"Whether the difficulty is high... is important, but it's not important." Huang Lao Youyou said, "This operation is not training, but some patients I performed more than ten years ago need to be replaced again, and the artificial valves back then can no longer be used It's been so long."

Chu Yuntian's heart skipped a beat.

He realized one thing in a daze - Huang Lao is not just for memorizing, he has performed countless operations in his life, just for the valve replacement operation, Huang Lao has performed thousands of operations in his life.

So the second valve replacement operation may be a big problem for me, but it is a trivial matter for Mr. Huang.

As long as Mr. Huang screened among his own patients, it was enough to support Zhou Congwen to master it proficiently.

Chu Yuntian was envious.

Because of envy, Chu Yuntian missed the more important meaning of Huang's old saying.

"Besides, the patients themselves were basically very old when they underwent surgery. After more than ten years, the age problem became the biggest problem. Fortunately, I have been studying thoracoscopy for these years, and this has a better solution."

What Huang Lao said was different from what Chu Yuntian was thinking.

Hearing what Huang Lao said, Chu Yuntian felt a little strange.

If it was someone else, Chu Yuntian would definitely think that he was talking about benevolence, righteousness and morality here, so he would definitely retort.

But as Huang Lao...

"Xiao Chu, is there a lot of second valve replacement operations on Mayo's side?" Huang Lao asked.

"Not much." Chu Yuntian replied, "Old Huang, although it's impolite for me to ask this question as my opponent next year, I still ask one more question. Don't be angry."

"Oh, what about the surgery competition?" Mr. Huang smiled lightly, and said clearly, "This operation will not participate in the competition."

"!!!" Chu Yuntian burst into exclamation marks from Huang Lao's words.

Not playing?

The heart kept beating under the thoracoscopic surgery for a second valve replacement operation, such a difficult operation did not participate in the competition!

Is Huang always fooling himself? !

"Didn't I just say that I happened to meet an old patient, so I stayed with Zhou Congwen to try to do it. If the cooperation is not good, I have to go on stage." Huang Lao said, "Now some patients in China need a second treatment. Valve replacement surgery, but not many are sure to do it.”

"I'm also accumulating experience. After all, the second valve replacement surgery in the past was performed through open chest surgery, and only a small amount of valve replacement surgery was performed by thoracoscopic surgery."

"However, thoracoscopy is a good thing. Although it has some limitations, it is really easy to use. The trauma is small, and older patients are quite concerned about this damage."

Chu Yuntian listened to Huang Lao's "chattering", and his heart was tense. He asked blankly, "Huang Lao, what is Zhou Congwen's technique next year?"

Chapter 1115 Carrying on the past and building on the future is not enough

"It should be an interventional valve replacement with less damage." Mr. Huang did not hide anything, and replied directly, "It is too troublesome to use interventional surgery for the second valve replacement, and there are many problems involved. After all, the local anatomy has been affected. destroy.

How to do it, I haven't figured it out yet.Ask Zhou Congwen, he didn't think about it either. "

As he spoke, Huang Lao paused for a moment.

"Since you haven't thought about it, just wait and don't worry."

Chu Yuntian was so surprised that even the mask flew up.

In an instant, the energy conversion speed of the mitochondria in his body quickly increased, directly reaching the peak.

What empowers humans?money?status?

No, it's actually mitochondria.

Under the influence of mitochondria, Chu Yuntian quickly entered a state of stress. He asked in a trembling voice, "Old Huang, can interventional surgery really replace the valve?"

"It doesn't work now, it's short of equipment and consumables." Mr. Huang also said regretfully, "I'm already doing it, and I don't know if it can be done well before next year."

Chu Yuntian's heart suddenly relaxed, but he immediately became nervous.

What Huang Lao said is very simple, from a strategic point of view, just click and stop.

But Chu Yuntian knew that if interventional surgery could be used to replace the valve...it would be a blow to cardiothoracic surgery, and Zhou Congwen, who was number one in the world, made an appointment in advance again.

The only question is whether it counts as surgery.

There's a lot to say here, but Chu Yuntian doesn't think there will be any problems in the debate.

Mr. Huang didn't go to this year's World Cardiothoracic Surgery Competition, but he will definitely go next year if there are no accidents.

With Huang Lao here, who can say anything.

Moreover, it is a high-end interventional valve replacement surgery. Even if the most critical people stand up, they cannot deny that this surgery has great guiding significance for clinical practice.

An inexplicable depression enveloped Chu Yuntian's heart.

"Xiao Chu."

"Old Huang, what's the matter?" Chu Yuntian restrained the restlessness in his heart, and replied respectfully.

"It doesn't matter whether it will work or not, don't worry about it for now." Huang Lao said lightly, "If it's done, you can come back anytime if you want to see what's going on. You're welcome."

"..." Chu Yuntian was speechless.

"Doctor, surgery, simple, don't think too much."

"Yes, Mr. Huang." Chu Yuntian replied softly.

At this time the anesthesia had been completed, Zhou Congwen turned around and made a gesture, and Mr. Huang nodded slightly.

Chu Yuntian put all his selfish thoughts aside and watched the operation seriously.

The non-stop beating of the heart does not mean that there is no need for extracorporeal circulation. Immediately after the anesthesia was completed, Director Zou of the Department of Anesthesiology began to puncture the right jugular vein for the patient. At the same time, Zhou Congwen completed the puncture and catheterization of the right femoral artery and vein.

The establishment of extracorporeal circulation is the first step, which is very different from the extracorporeal circulation of sternum splitting.

Chu Yuntian also noticed that on the anesthesia side, Director Zou of the anesthesiology department performed the operation himself, and he was careful all the way. It seems that even 912 rarely performs similar operations.

If he had done too much and was skilled enough, Director Zou would definitely not do it.

The steps to establish extracorporeal circulation are very clear. Zhou Congwen's technique... This step doesn't show anything, even if Zhou Congwen did it a little faster, it doesn't make any sense.

As long as it is stable, the extracorporeal circulation is established steadily, and the operation begins steadily.

Soon, the extracorporeal circulation was established, and Director Zou of the anesthesiology department did not leave, keeping an eye on the patient's vital signs.

Director Zou did not perform left one-lung ventilation until he saw that the patient's vital signs were intact and extracorporeal circulation started at room temperature.

Zhou Congwen and Deng Ming laid out the surgical sheet, and began to make an incision on the patient's right chest wall in an orderly manner, poked it in, and the thoracoscopic lens entered the right chest cavity.

Chu Yuntian became nervous for no reason.

Although he wasn't the one who performed the surgery, and this isn't even his own hospital, but Chu Yuntian knows very well whether the surgery is difficult or not, and he can know right away.

When Chu Yuntian was about to take a look, Huang Lao stood up, walked behind Zhou Congwen with his hands behind his back.

Zhou Congwen glanced back, squinted his eyes, and then said to the anesthesiologist, "Please bring a high stool to the boss."

Chu Yuntian was taken aback. Although Zhou Congwen wasn't talking to him, he realized that this was what he wanted to do.

But when Zhou Congwen's voice fell, the caring President Fang moved the high stool and squatted on the ground, ready to put the stool under Huang Lao's feet, "Huang Lao, you always lift your feet."

Mr. Huang stood on a high stool, a little taller than Zhou Congwen, and had a better view.

Chu Yuntian didn't get such a good treatment, so he could only look at the TV screen from a different angle.

Zhou Congwen operated the long scissors and had already cut the heart bag. He cooperated with Deng Ming in a tacit understanding, and it could not be seen that they were from the two hospitals.

On this point, Chu Yuntian never wanted to understand what was going on.

Even if Zhou Congwen's level is high, he can't just find someone to come up with him. The operation is so smooth.

But the surprise was the surprise, Chu Yuntian put this matter aside and looked at his heart seriously.

There was a surgical scar on the wall of the patient's right atrium, which was left by Mr. Huang's operation on the patient more than ten years ago.

This scar means that the local anatomical structure below will change. Whether the specific surgeon can adapt to the situation depends on the level of each individual.

Even Huang Lao is not sure about this matter, that's why he is standing here.

Once the operation did not go well, Huang Laohui would come on stage immediately and replace Zhou Congwen or Deng Ming.

Zhou Congwen obviously didn't observe the heart too much. He pierced the wall of the right atrium with a sharp knife, and then cut it with scissors against the scar left by the previous operation.

It would be difficult to sew in this position, but Zhou Congwen's movements were very steady, and he didn't seem to care about the suture after the valve replacement was completed.

Chu Yuntian's eyes gradually narrowed.

The local adhesion was heavy, and he made a judgment immediately.

The surgical steps are basically similar. The pericardium and right atrium wall are cut to expose the tricuspid valve.

However, Chu Yuntian saw that Zhou Congwen's scissors were struggling a bit, and that was because of the great resistance to cutting the local scar tissue.