Different surgeries, performed by different doctors, vary greatly, let alone a major surgery such as lung tumors.
In some hospitals, patients can live longer after the surgery, but in other hospitals, not long after the patients return home, the disease process accelerates, and not long after, the disease worsens and the person dies.
All tumor surgeries have the same general idea.
The first is to remove the organs contaminated by the tumor, the second is to reconstruct the removed parts of the organs, and the third is to clean up the surrounding lymph nodes.
These things are easy to say, but if you want to achieve the ultimate, it is extremely difficult.
Regarding the clarity of vision requirements, Zhao Yuan has been extremely meticulous.
You can tell a doctor's level from his field of vision. Many doctors perform operations and bleed everywhere, and the blood flows into rivers.
Zhao Yuan has been controlling the bleeding.
He believed that the patient's bleeding was actually part of the surgical error.
Reducing bleeding means reducing mistakes.
Qin Yi watched Zhao Yuan's operation from the side and couldn't help but sigh in her heart. Zhao Yuan's avoidance of blood vessels had reached an incredible level.
It is inevitable that non-standard blood vessels will be encountered during surgery, and Zhao Yuan will complete adjustments in a short period of time and formulate corresponding surgical measures.
"It's so clean. There are no unnecessary movements under the hands. This is the level of Yangtze River Scholars, one of the top three in the country."
The surgery was being broadcast live in the conference room of the Naval Hospital, and key doctors from the Department of Thoracic and Cardiac Surgery were all witnessing how Zhao Yuan from Tianhua Hospital performed the surgery.
Before the operation started, everyone was talking a lot. Although they knew that Zhao Yuan was very skilled, the patient's examination report showed that it would be very difficult to complete the operation.
"His surgery has become a whole of its own, and it feels like he has established a sect."
"He pushed the operation forward from beginning to end. He never hesitated or looked back at the operation, which shows that he was very confident in his operation."
"Mr. Qin's surgery is completely different from Professor Zhao's style of surgery. Mr. Qin's surgery is famous for its delicacy and meticulousness, but Zhao Yuan's technique gives people a sense of openness and indomitable momentum."
The surgery continues.
The conference room grew quiet.
At the beginning, everyone would comment on Zhao Yuan's operations, but as Zhao Yuan continued to perform exquisite operations.
Everyone was shocked by Zhao Yuan's strength.
To put it bluntly, evaluating others should at least be based on equivalent levels.
Zhao Yuan's level is completely superior to everyone.
Everyone is afraid that if they say something wrong, they will be ridiculed.
The operation unknowingly entered the first difficult point, tumor removal.
During resection, the lungs must be removed and part of their function must be lost.
"Is he planning to have an autologous lung transplant?"
"What a surprise!"
The previous steps are similar, but when you enter this link, something different appears.
Zhao Yuan told Wu Haitong yesterday that the tumor invaded the left middle pulmonary artery and middle bronchus, and the tumor could not be completely removed using ordinary double-sleeve anastomosis. At the same time, the patient's lung function was poor and he could not tolerate left pneumonectomy.
So Zhao Yuan decided to undergo a complicated autologous lung transplant surgery.
Autologous lung transplantation is a difficult and radical resection method for lung cancer that is different from allogeneic lung transplantation.
Currently, there are very few such surgeries in the country.
Diseased lung tissue is removed outside the body while maximizing lung function preservation.
Usually the lower lobe of the left or right lung is transplanted to the upper lobe of the left or right chest.
This surgical method can fully and completely remove the tumor while maximizing the preservation of lung tissue and lung function, allowing the patient to have sufficient lung function reserve after surgery to receive subsequent treatment to improve the surgical resection rate, treatment tolerance and treatment Effect.
The patient first underwent a special left pneumonectomy;
The resected left lung was transferred to extracorporeal cryogenic lung protection solution, and then the upper lobe of the patient's left lung was performed in vitro.
Radical and complete resection of the lung tumor, and antegrade and retrograde lavage of the lower lobe of the left lung with hypothermic lung protection solution.
After the left upper lobe was resected, the left middle pulmonary artery was reconstructed with a pericardial patch, and the left basal and dorsal bronchus were reconstructed with the third carina. Then, the reconstructed left lower lobe gyrus was implanted into the left chest cavity. Autologous lung transplantation, the third carina was anastomosed to the proximal end of the left main bronchus;
After reconstruction, the middle pulmonary artery was anastomosed to the proximal end of the main left pulmonary artery;
Finally, the proximal anastomosis of the left inferior pulmonary vein and the left superior pulmonary vein was performed.
Zhao Yuan is like a veteran doctor who has experienced many battles, and his ability to control surgery is at its peak.
After almost five to six years or more of medical education, every student harbors a desire for surgery.
Because surgical treatment methods are closer to the psychological needs of modern people: immediate results.
It doesn’t take much time to verify whether the operation is feasible, whether it can be done, and whether the patient will survive.
But most medical students will be daunted. ..
Because it is so difficult to become a qualified surgeon.
In fact, there is only one precise standard for surgeons.
Zhao Yuan's operation was precise and executed so accurately that the meeting room of the Naval Hospital exploded.
"It must have been a blind cut just now, right?"
"It's a blind cut!"
"Oh, this stitching is also very beautiful."
"As expected, he is one of the top three talents in the country."
"If you are not careful, you will be confused by his age and appearance."
"Can you bring him to our naval hospital?"
"You are thinking too much. Tianhua will never let him go."
Many surgeries are performed intracavitally, and many details cannot be seen clearly due to obstruction.
However, after Zhao Yuan completed the suturing of the autologous transplant, everyone could see the operation.
It is gentle and effortless, and the steaming organs and tissues are sutured and reconstructed without any sloppiness.
The key is that Zhao Yuan thought long term. After the operation, he took into account the shrinkage of the wound and the expansion of the organs to ensure that nothing went wrong.
Unconsciously, Zhao Yuan entered the final stage: lymphadenectomy.
The lymph is as big as a beige sesame seed.
It contains blood and hormone factors.
When the human body has a disease, the lymph nodes will swell and secrete immune factors.
For example, children are particularly sick when they get sick. A small pimple will appear at the base of the ear.
If the lymph nodes are not completely removed during cancer surgery, it means that the surgery will fail.
Lymph is generally distributed in dangerous places, so be extremely careful when cleaning.
More importantly, time waits for no one, and it is extremely difficult to clean lymph nodes in a short time!
The less time, the shorter the exposure, and the lower the chance of infection and injury.
However, the process of lymph node removal is really hard to say.
Sometimes a spot as big as a sesame seed is not cleaned, which may lead to failure of the operation in the future.
General cleaning involves separation, taking off the various coats covering the lymph, and removing it bit by bit.
The structures of lymphatic vessels and veins are similar, layer by layer. It is very troublesome to separate them, so it takes a lot of time.
Zhao Yuan was fully involved.
In the eyes of everyone, Zhao Yuan seemed to have become a man who wanted to fight with God.
When the arteries were beating, every time Zhao Yuan waved the curette, many people's eyelids would twitch.
Especially the experts from the naval hospital in the conference room, their eyes were as wide as bells!
They understand the difficulty all too well.
Because after Zhao Yuan showed off his "blind cutting" skills, he is now showing off his "blind scraping" skills!
