Knight Story: Learning medicine can’t save the world!

Chapter 109 is a little trouble…….!!

“The patient’s aortic dissection artery tumor is close to ten centimeters in diameter,… Severe vascular malformations worsened, and aortic regurgitation and high blood pressure, now if not directly operated, there is only one way to die! ”

Lin Yu said, but Shizuka Juchuan said anxiously.

“But I haven’t had such a bad surgery!”

“Even this aortic dissection tumor is the first case in the hospital’s history!”

“Top up!”

Lin Yu said firmly, turning his head to look at the little nurse beside him.

“Is the operating room ready?”

The little nurse nodded immediately.

“The five-thao operating room has been vacated and all the instruments are ready!”

Lin Yu nodded.

“Grab the handle, push it!”

After speaking, Yu said to Shizuka Kumagawa.

“Let’s start preparing for the operation immediately, don’t think too much, I will go and ask for the signature of the patient’s family now.”

Aortic dissection tumor resection surgery is an extremely complex operation, even if Lin Yu has mastered the aortic dissection artery tumor resection, but the huge workload can not be completed alone.

Lin Yu immediately prepared to consult with the patient’s daughter, and asked Shizuka Jukawa to prepare mentally.

Coming to the waiting room, the patient’s daughter was already crying red eyes, and as soon as she saw Lin Yu, she immediately ran over!

Lin Yu gave a general description of the patient’s situation.

The daughter didn’t think much about it, if the operation was not performed immediately, her father’s life would be in danger!

“Doctor, I believe you!”

After the girl said this, she immediately signed.

Lin Yu was silent for a moment, stared at the informed consent form, and hurried to the operating room.

In the operating room, everything is ready.

When Lin Yu came, he also found two figures.

It was Nijido Red Maru and Hideki Takano.

After coming to the hospital, Nijido Hongmaru has been studying with Hideki Takano.

When Hideki Takano heard about this urgent situation, without saying a word, he took the Erjido Red Pill to put down his work and came to help!

The atmosphere in the operating room was somewhat silent.

Takano Hideki looked at Lin Yu seriously.

“Lin Sang, are you sure?”

Lin Yu did not nod or shake his head.

“Now the situation is urgent, I can’t wait for other doctors, if the surgery is not performed immediately, the patient’s condition will be very dangerous, and I have learned about this aortic dissection tumor!”

“Trust me!”

Takano Hideki also understood the current situation, so he nodded.

“Good! In this operation, you will be the main surgeon, me and Shizuka Jukawa, the second-order doctor will fully cooperate with you! ”

“Thank you!”

Lin Yu thanked him and picked up the scalpel.

“Set time, 10:39 a.m.!”

“Chief surgeon: Shizuka Kumagawa

Kazusuke: Hideki Takano

Second assistant: Lin Yu

Sansuke: Nijido Red Pill”

“The operation begins!”

“Is the trunk ready?”

“Instrument nurse, the full name of the crack preparation is the support elephant trunk technique!”

The elephant trunk technique is a surgical method for the treatment of extensive aortic pathology, that is, artificial blood vessels are inserted into the descending thoracic artery to replace human blood vessels for blood transfusion, and this artificial blood transfusion is called elephant trunk.

In general, the true lumen of aortic dissection is often very narrow and difficult to fit an artificial blood vessel.

Moreover, the soft elephant nose tube will interfere with the blood supply of the branch arteries, and when replacing the aortic arch, the supporting artificial blood vessel is often selected, that is, the full support elephant trunk technology in the mouth of Shizuka Jukawa!

Lin Yu quickly broke the patient’s chest cavity, made an incision in the middle of the sternum, incised the aortic arch proximal to the left subclavian artery, and with the assistance of Shizuka Jukawa, a stent blood vessel about 10 cm long and about 26 mm in diameter was inserted into the true lumen of the descending artery.

Next is the stage that Lin Yu is best at.

He picked up the needle-holding lead, built the proximal end of the artificial blood vessel, and after anastomosing with the residual descending aorta blood vessels, G reconstructed the anastomosis of the head, brachial plexus and proximal aorta on the artificial blood vessels!

This series of quick operations, watching Jukawa Shizuka, Hideki Takano and others marveled one after another.

After the suture is completed, the trunk that reduces the risk of surgery is officially built!

“Liyuexi, Jingtui!”

“Liyuexi, Jing Tui is finished!”

“Xianlin, Jingtui!”

“Xianlin, Jing Tui is finished!”

“Fentanyl, push still!”

“Fentanyl, push still!”

“Prepare to rescue medicine!”

“Dopamine, dopamine, norepinephrine, nitroglycerin!”

“Open venous access and link tees and blood transfusions, ready for intraoperative blood transfusions!”

“Ready!”

Lin Yu nodded and picked up the scalpel again.

This time it’s a large-scale regular middle opener!

After the middle of the sternum was split, the patient’s body showed heparinization, and without Lin Yu’s reminder, Shizuka Jukawa immediately started right subclavian intubation and right atrial intubation, successfully establishing extracorporeal bypass.

At this moment, a series of doctors who had just been notified, including President Fufeng, came to the intensive care unit next to the operating room, and the situation inside could be completely observed through the glass.

Because the surgery has already begun, they can’t go in.

When some doctors saw that it was Lin Yu, a fledgling new doctor, who was in charge, they couldn’t help but speak.

“Can I give it to him?”

“Such a difficult operation! Even we don’t dare to get started easily! ”

“It’s just!”

“Why don’t you wait until we get to the operation?!”

Listening to the voices of those directors or deputy directors in his ears, Dean Fukuoka couldn’t help frowning, and said directly.

“Shut up!”

“Look quietly.”

“Trust our colleagues!”

As the dean’s stern voice fell, all the doctors closed their mouths.

Dean Fufeng looked at Lin Yu’s operation, and he was also shocked in his heart.

Although in the entire city hospital, only he had been exposed to such a bad aortic dissection tumor surgery, but he looked at Lin Yu’s skillful technique, and actually felt that there was no mistake, if he changed himself, he would be like this!

Regardless of the situation outside, Lin Yu continued to operate.

“Cool down!”

At that moment when the patient’s temperature reached 28 degrees Celsius, Lin Yu quickly blocked the distal end of the ascending aorta.

“Vascular forceps!”

Hideki Takano hurried to help block the blood vessels.

Lin Yu cut the ascending aorta and began to carefully explore the location of the aneurysm.

“A bit of a hassle”