616: C616 Insufficient Thoracic Space

C616 Insufficient Thoracic Space

"OK, the last flaw has been completely repaired. The repair of ventricular septal defect was completed, and the problem of tetralogy of Fallot was solved. The next step we need to do is open chest surgery. Dr. Qi, do you have anything else to add?

"My teacher said that the child's heart vessels are outside of the body and that a vascular anastomosis is needed to ensure that the child's heart is placed in sufficient positions after it is returned to the chest cavity. It is time to cut open the pulmonary artery, and be careful not to overopen the incision so that there will be no problems during the suture process. "

Of course, Chi Hong had to call her teacher for advice on such a major operation.

When Yang Xiaoquan saw the photos and videos that Chi Hong sent over, he knew that he was in trouble. However, in this situation, no one had a choice. Su Wantine directly taking Chen Qun to the main saber was already the best method.

After all, compared to Chen, other people were even more unable to complete the operation, especially when a child's Blood Oxygen descended very quickly. During the quadrigeminal surgery, Chen was the first one to perform the pulmonary artery replacement surgery, which eased the biggest problem and gave the following repair a solid physiological foundation.

The operation looked very dangerous, but it was Chen Qun who was doing it on the spot, not some long-distance operation. That long-distance operation, spinal transplantation, was the best surgery in the world, if word of it were to spread, no one would believe it. For a four-vertebra transplant that no one in the world could complete, there was actually someone who could do it remotely with a robotic arm.

This was definitely a legend of the Medical Field. Any doctor, let alone someone who had completed a long-range operation, would brag about it in their entire life even if they succeeded on the spot.

After Yang Xiaoquan received the student's call for help, he naturally knew the danger. He immediately put down what he was doing and focused on providing guidance. If it was any other Surgery Doctor who was undergoing surgery, he would have also scolded Chi Hong. This was not an operation, this was something that was going to happen.

However, even Chen Qun was extremely dangerous. It was obvious that Chen knew this, which was why he specially asked for advice. As a result, Yang Xiaoquan saw from the photos he sent back that Chen Qun was doing very well, especially when the operation was done very carefully. Yang Xiaoquan didn't leave any injuries on the child at all. Yang Xiaoquan was finally relieved and let him finish the rest of the process.

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

"Very good, Chen. First, follow the heart's migration area, cut open the skin around the heart, prepare a 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 arteries that were operated on first. "

Chen Qun calmly and forcefully looked at Zhao Xue behind him, "scalpel, Zhou Lin, prepare the tractor and open the chest cavity."

Chi Hong, who was at the side, watched attentively as Chen Qun used his steady and advantageous hand to cut through the middle of the child's sternum with the precision of a Robotic Arm.

"Teacher, now that the chest is open, what should we do next?"

"Turn your heart to the left and put it in. Be careful, it must be in the same direction as normal people. The pulmonary artery where you have the anastomosis should be struck close to the top, not down there. "

Chen Qun let Zhou Lin open the chest cavity of the patient. He held the heart with two fingers and gently inserted it into the chest cavity. But when he knew that the result would be a loss of strength, he immediately shouted.

"Elder Yang, I can't put it in. This heart is a little too big, there's not enough room in the chest to receive it. "

When Chen Qun said this, Yang Xiaoquan, who was thousands of miles away, could not help but bang his fist on the table. This was a common problem with infants with congenital anomalies.

"Let me think for a moment first. Don't continue pressuring me. Let me see what I can do to get along with you." "Oh, wait, maybe you can remove the membrane and take a look?"

"I still can't do it. There isn't enough space."

"Then you'll have to do a partial lung removal, keep enough space to put the heart in."

I knew that you would always choose this solution that had no solution. However, the result of doing this was that the operation would only be completed by 69% and the child would be affected for the rest of his life.

Chen Qun replied in his stomach. He knew that this was the best solution for traditional doctors.

"No, then his lung function will be impaired and the patient may die of respiratory failure. "Wait a minute, I seem to have thought of a more suitable method. I don't have to choose only one organ, but I can choose a volume enhancement method to treat it. I don't need to squeeze the space between the lungs, or even remove the right lobe."

"Tolerance scheme? "I remember now. Are you going to use the construction material and place it on his sternum?"

"Yes, this is the most feasible solution to the problem of not having enough space for your child. We just sent in an imported 3D printer and we printed out a piece of sternum, and it soon became our choice of hard resin as a thoracic biomimetic bone, even to solve the problem of the long printing time. "

Chen Qun told them the plan that he had verified a long time ago.

Yang Xiaoquan, who was on the other end of the phone, smiled bitterly. This brat's way of thinking was indeed different from a normal person's. He would often use reverse thinking to solve problems. As for the heart surgery, most Surgery Doctor would choose to "restore" it, trying to reduce it as much as possible.

Only Chen chose to expand his capacity.

However, it was not strange that he thought of it. He did not even need to be envious. This kind of thinking was inseparable from the advancement of technology. When they started heart surgery, there was no 3D printer. Now, they can customize a piece of surgical material to complete the operation.

To put it bluntly, it was the improvement of one's knowledge of the world, which had led to the advancement of medicine.0

Excision of a portion of the pulmonary lobe, compared to the immediate condition, would make the patient with difficulty breathing worse and eventually die of respiratory failure; and adding a bone to increase the thoracic capacity of the child. It was such a simple option that anyone would have chosen the better option.

"So what are you doing now? The child cannot stay that long! "

"Actually it's possible. 3D printers can print resin materials in at most 10 minutes. We can just wait for about 10 minutes." If it were any other doctor, I would probably only have gotten one or two of the tetralogy of Fallot last night. I have plenty of time to wait here. "

"Brat, you're right. Why didn't I think that your surgery speed would be two to three times faster than others?" Alright, let's follow your plan. "

Yang Xiaoquan was completely relieved. He hugged his head and leaned back on the sofa, trying to avoid having to rest.

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