Chapter 616

"OK, the last defect has been completely fixed. The repair of ventricular septal defect was completed and the problem of tetralogy of Fallot was completely solved. The next step is to have a thoracotomy. Dr. Qi, do you have anything else to add

"My teacher said that the child's heart and blood vessels grow outside, and we need to do a vascular anastomosis and vascular transplantation to ensure that the child's heart has enough space after it is put back into the chest. Now it's time to open the pulmonary artery. Be careful. Don't make the incision too large, so that there won't be any problems when suturing

Qi Hong for such a major operation, of course, to call his teacher for advice.

As soon as Yang Koizumi saw the photos and videos sent by Qi Hong, he knew that he was full of frustrations. But in this case, there is no choice for anyone. It's the best way for Su wanting to pull Chen Qun directly.

After all, compared with Xiao Chen, other people can't complete the operation, especially the child's blood oxygen drops very fast. It should be that there is something wrong with the lung or the pulmonary artery. In the operation of tetralogy, Xiao Chen was the first to perform the patch operation of pulmonary artery, which alleviated the biggest frontal problem and provided a solid physiological basis for the following repair.

This operation seems very dangerous, but after all, it is Chen Qun's on-site operation, not remote operation. The remote operation of spinal transplantation is the top surgical operation in the world. If it is said, I'm afraid no one can believe it. A four spine transplant that no one in the world can complete, someone can do it remotely with a robotic arm.

This is absolutely a legend in the medical field. Any doctor, not to mention that the remote operation is completed, even if it is successful on the spot, it is enough to boast for a lifetime.

After Yang Xiaoquan got the call for help from the students, he naturally knew that it was dangerous. He immediately put down what he was doing and gave full guidance. If other surgeons were in operation, he would scold Qi Hong. It's not an operation, it's going to happen.

But even Chen Qun is very dangerous. Xiao Chen obviously knew this, so he went out of his way to ask for advice. Results from the photos Yang Xiaoquan sent back, he saw that Chen Qun had completed the operation very well, especially the operation was done carefully, leaving little trauma to the child. Yang Xiaoquan was completely relieved to let him continue to complete the following process.

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

"Good, Xiao Chen. First, cut the skin around the heart along the transitional zone of the heart, prepare the tractor, open the child's chest, and prepare to put the heart back. Be careful not to touch any of the child's blood vessels, especially the pulmonary artery that was operated on first. "

Chen Qun calmly and forcefully took a look at Zhao Xue at the back, "scalpel, Zhou Lin, prepare the tractor, open the chest."

Qi Hong is looking at Chen Qun attentively. With a stable and favorable palm, he directly cuts the child's middle sternum, which is as accurate as a mechanical arm.

"Teacher, my chest is open. What should I do next?"

"Rotate the heart to the left and put it in. Note that it must be in the same direction as a normal person. Don't reverse it. The pulmonary artery you have to anastomose is close to the top, not the bottom

Chen Qun asked Zhou Lin to open the patient's chest, hold the heart with two fingers, and gently plug it toward the chest. But as soon as he knew the result, he hardly exerted himself, so he immediately began to shout.

"Mr. Yang, I can't put it in. The heart is a little too big, there's not enough space in the chest to take it in

As soon as Chen Qun said this, Yang Xiaoquan, thousands of miles away, could not help knocking his fist on the table. This is the common problem of all infants with congenital abnormalities. There are always problems that you can't prevent.

"Let me think about it first. Don't continue to force me. Let me see if I can get along with you? Oh, wait a minute. Maybe you can take the diaphragm off and have a look? "

"Still not. There's not enough space."

"Then you have to do a partial pneumonectomy, leave enough space for the heart to go in."

I knew that you would always choose the method that has no method, but the consequence of doing so is that only 69% of the operation can be completed, and the child will have an impact all his life.

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

"No, his lung function will be damaged, and the patient may die of respiratory failure. Wait a minute. I seem to have come up with a more appropriate method. Instead of selecting only one organ, I can choose the volume increasing scheme for treatment. I don't need to squeeze the lung space or even remove the right lobe. "

"Capacity increase plan? I remember. Are you going to use construction materials to inlay his sternum? "

"Yes, this is the most feasible solution to solve the problem that children don't have enough space. We just sent an imported 3D printer to print a sternum. Soon, we chose hard resin as the bionic bone of the chest, which can even solve the problem of long printing time. "Chen Qun said that he had already verified the successful scheme.

At the other end of the phone, Yang Koizumi's mouth became bitter, and he lost his smile. This boy's way of thinking is really different from that of normal people. Most of the time, he will come back and use reverse thinking to solve problems. For heart surgery, most surgeons choose "original reduction" and try to do subtraction.

Only Xiao Chen has chosen to expand the capacity.

But it's not strange to think of it, and you don't even need to envy it. This way of thinking is actually inseparable from the progress of technology. When they started heart surgery, there was no 3D printer. Now, they can immediately customize a piece of surgical material to complete the operation.

To put it bluntly, it is also the progress of vision knowledge that leads to the progress of medicine.

Compared with the immediate situation, partial lobectomy made the patient with dyspnea worse, and finally died of respiratory failure; And add a bone, increase the child's chest capacity, such a simple choice, anyone will choose a better plan.

"What are you doing now? Children can't stay that long! "

"Actually, it's OK. It only takes more than ten minutes for 3D printers to print resin materials. We'll just wait for ten minutes. If you change to another doctor, maybe only one or two of tetralogy of Fallot were diagnosed last night. I have enough time to wait here. "

"You're so right. I didn't expect that your operation was two or three times faster than others. Well, follow your plan. "

Yang Xiaoquan completely put down his heart, put his head in his arms, leaned on the sofa and began to avoid recuperation.