Let you take charge of the military academy, the world's number one university?

August 1.

Blue Sky Hospital.

Cardiac surgery, operating room.

The attending physician, Zhang He, is performing a heart operation.

The patient is a 64-year-old woman with end-stage coronary heart disease who has been to several hospitals.

Other hospitals give a diagnosis and treatment opinion that it cannot be operated after evaluation.

After the patient came to Lantian Hospital, the basic activity was accompanied by Hungarian pain, Hungarian stuffiness, sweating, shortness of breath and other conditions, and even the MRI was difficult to persist.

After examination, it was found that the patient's heart had a huge 5x3 cm aneurysm.

If resection + bridge surgery is done rashly, the impact on the patient's left ventricular function is very large, and the risk is very high.

At this time, the patient's symptoms became more and more serious, and there was no obvious trigger, and shortness of breath worsened, and at the same time, edema of the face and both lower limbs, and even difficulty in lying flat.

In front of her, there were only two roads left.

One is a heart transplant.

One is to implant an artificial heart.

But......

If you choose a heart transplant, you have to wait.

Tens of thousands of patients across the country are waiting for heart transplants, but no more than 1,000 patients are able to wait for a heart donor each year.

For patients with such an advanced and seriously ill condition, even a heart transplant is not a one-time event.

Issues such as rejection and infection risk after transplantation need to be carefully considered.

The attending physician, Zhang He, after a detailed evaluation and communication with the patient's family, chose to take the second path, that is, implanting an artificial heart.

His plan is to choose the "minimally invasive non-stop" surgical plan.

That is to say, the implantation of an artificial heart is performed through a small incision between the ribs in the patient's constantly beating heart without opening the Hun Cancer.

In the past cognition.

The vast majority of cardiac surgeries need to be performed with the heart stopping a beat.

At the same time, surgery also needs to cooperate with extracorporeal circulation and low temperature environment to maintain the blood supply to the organs of the whole body while minimizing the damage to the myocardium.

It can be seen that this minimally invasive non-stop surgery is extremely difficult.

During the procedure.

With the assistance of transesophageal ultrasound localization, Zhang He chose to make small incisions in the third intercostal and left fifth intercostal intercostal space of the patient's right sternal sternal area.

Choosing a small incision can avoid the destruction of the bone of the Hungarian contour, reduce the amount of bleeding of the patient, and benefit the overall recovery of the patient after surgery.

Meanwhile.

The anesthesiologist uses a bronchial closure device to cooperate with Zhang He's surgery.

Zhang He used a scalpel to peel off the 8 cm lower layer of the fifth rib on the left side of the patient, and cut the pericardium laterally.

The tip of the heart, which is still beating, is directly exposed to the shadowless light.

At the same time, the operating room assistant is performing the fork of the femoral arteriovenous tube to establish the patient's extracorporeal bypass.

After Zhang He positioned the apical outflow tract, the right intercostal incision exposed the ascending aorta to establish the inflow tract.

Subsequently, he detected a ventricular aneurysm at the apex of the heart.

Zhang He first partially resected and folded the ventricular aneurysm, and then implanted the golf ball-sized artificial heart through the ventricular aneurysm incision by punching a hole to establish an outflow tract, leading the wire from the subcutaneous tunnel and anastomosing to the extracorporeal power supply.

Artificial blood vessels connect the inflow and outflow tracts via the pericardium.

With this artificial heart running.

Part of the patient's blood is pumped into the left ventricle by a centrifugal pump at the apex of the heart, and then into the ascending aorta to relieve pressure on the left ventricle.

Time passes slowly.

Three and a half hours later.

The operation was a complete success.

The patient was taken to the cardiac surgery ICU care team.

At this moment, everyone in the operating room breathed a sigh of relief.

Everyone had a joyful smile on their faces.

During the operation, the heart is beating non-stop, and it is very difficult to implant an artificial heart without opening Hungary.

This is the first case in the domestic medical community!

Dr. Zhang He completed this difficult operation with ease, and the high level of medical skills is amazing.

See everyone's happy expressions.

While Zhang He was happy, he also had a trace of doubt in his heart.

Your family knows your own business.

Although he has excellent medical skills, it is still extremely difficult to complete this operation easily.

But recently.

Zhang He found that his theoretical ability and clinical practice ability have reached a new level.

And with the increase in the volume of surgery.

He had a feeling of incurable diseases.

As if there is no disease in the world that can stump oneself.

......

At the same time.

Blue Sky Hospital, Hungarian surgical operating room.

The attending physician Yang Zong is mainly responsible for a "mirror man" combined with radical lung cancer resection.

The so-called mirror person is the location of the heart, liver, spleen, gallbladder and other organs, which is the opposite of normal people.

Mirror people, usually do not affect health.

However, once the disease occurs, it will bring huge obstacles to surgical treatment.

Hun laparoscopically.

The whole field is like seeing the lower lobe of the left lung in a mirror.

This puts forward extremely high requirements for the surgeon's familiarity with the lung dissection structure and spatial imagination.

The patient's heart, aortic arch and esophagus are located on the right side, the right lung has only two lobes and the lobe fissure is completely undeveloped, and the bronchial and arteriovenous blood supply is similar to the left lung of normal people, so the operation can only do retrograde resection of the lobe.

Yang Zong, the chief surgeon, led the medical team to comprehensively examine the Hungarian cavity, and he had a clear idea.

He observed carefully, dismantling and separating layer by layer.

When separated into the lower pulmonary bronchi, he found that the dorsal and basal bronchi of the lower lobe of the right lung were abnormally large, with a split layer distribution and close to the posterior pulmonary artery.

If the separation is forceful, it is very likely to cut the blood vessel wall, causing uncontrollable hemorrhage.

Yang Zong immediately made a decision, using the red urinary catheter as a cushioning and protective device, and put it on the tip of the nail cabin.

With rich surgical experience and superb surgical skills,

He successfully separated the trachea and blood vessels, and severed the tracheal structure.

Next.

Yang Zong successfully removed the patient's lung tumor and completed lymph node dissection in one go.

At this moment, everyone in the operating room was excited.

There are only 25 cases of mirror human combined lung cancer worldwide.

Of the 25 cases, only 16 received surgery.

And today's "mirror man" combined with radical lung cancer resection is the first case in China!

Such a difficult operation.

Dr. Yang Zong completed it smoothly and easily.

Its medical skills are unimaginably high!

......

The other side.

Otorhinolaryngology-Head and Neck Surgery.

In the operating room, an allogeneic laryngeal-trachea-thyroid transplant is underway.

The patient is a 65-year-old man with a recurrence of laryngeal cancer.

He was diagnosed with laryngeal cancer 9 years ago and underwent a partial laryngectomy.

Later, the laryngeal cancer recurred and expanded and required treatment with total laryngectomy. (Read violent novels, just go to Feilu Fiction Network!) ）

The patient learns that total laryngectomy will lose its vocal function, and in the future, only artificial larynx, electronic larynx, etc. can be used for simple speech.

He himself was very resistant to this.

The patient wants to remove the recurrent tumor but save the throat.

In the face of strong demands from patients.

Professor Wang Fei's team from Blue Sky Hospital put forward the scheme of "allogeneic laryngeal-trachea-thyroid transplantation" after thinking about it repeatedly.

It is different from relatively mature liver, kidney, heart and lung transplantation of large organs.

Successful cases of laryngeal transplantation worldwide are very small, and there is not much information to consult and no mature experience to draw on.

Professor Wang Fei's team, together with multidisciplinary experts from Blue Sky Hospital, jointly faced this difficult operation.

The operation was difficult.

For example, laryngeal transplant donors are scarce, and the donor blood vessels are special, involving multiple blood vessels and nerves, which cannot be fully examined before surgery.

For example, it is necessary to complete the perfusion of the donor in the shortest possible time, but there is a lack of special perfusion tools, and the perfusion solution is perfused from the arterial blood vessel with great pressure, which is easy to damage the laryngeal donor blood vessel.

For example, the larynx is a multi-tissue organ, including cartilage, mucous membranes, muscles, thyroid and other tissues, how to effectively prevent rejection.

For example, the larynx plays an important role in respiration and sputum excretion, and is a "contaminating" organ, while the bacterial profiles of the recipient and donor may be different, and infection may occur.

For example, ex vivo pruning of laryngeal donors, matching of small blood vessels, and selection of optimal return veins.

Among the many difficulties.

Every detail determines the success or failure of the operation and the life of the patient.

In this regard, Professor Wang Fei's team made extremely detailed preoperative preparations.

Inside the operating room.

Wang Fei removed the larynx, trachea, and thyroid gland of the donor and fully perfused the organ to avoid blood clotting.

His assistant performed total laryngectomy + total glandular resection + lateral neck lymph node dissection.

Next.

Dr. Wang Fei raced against time to perform allogeneic laryngeal-tracheal-thyroid transplantation.

He reconstructed the patient's 2 arteries, 4 veins with small vessel reconstruction.

He then spent 3 hours rebuilding 6 small vessels and 4 nerves, with an average of 18 minutes to reconstruct one vessel/nerve.

The entire surgical procedure.

Blue Sky Hospital dispatched 40 medical staff.

After the operation, the surgeons' hands need to be immersed in ice water under the microscope to perform delicate operations.

Doctors at the organ transplant center provide guidance on intraoperative hypothermia, vascular opening techniques and the use of anti-rejection drugs.

Anesthesiologists keep an eye on the monitor to protect the patient.

With the superb surgical skills of the team members and the close cooperation of the otolaryngology-head and neck surgery, organ transplant center, anesthesia and nursing teams, the time of donor laryngeal ischemia is compressed as much as possible, which greatly ensures the success rate of donor laryngeal-tracheal-thyroid transplantation.

It took a full 9 hours later.

The operation went smoothly and everyone breathed a sigh of relief.

Of course, a successful operation is just the beginning.

Next, they must provide the most professional care to patients, so that patients can "regain their voices".

......

Meanwhile.

Blue Sky Hospital, Blue Sky Military Hospital First Hospital, Blue Sky Military Hospital Second Hospital, Blue Sky Military Hospital Third Hospital, Blue Sky Military Hospital Fourth Hospital, all departments in the operating room, there is good news.

The success of one difficult operation after another filled the five hospitals with laughter.

After Zhou Yun learned about it.

Feel happy for the patients from the bottom of my heart.

When the Blue Sky Hospital was established, it had the top medical team and high-end equipment and equipment.

Coupled with the blessing of doubling the halo of medical technology.

Therefore, the medical level and technical ability of medical staff have been doubled.

Over time.

They will have stronger medical skills and nursing capabilities, helping Blue Sky Hospital become the world's top hospital.

......

After completing one difficult operation after another at the Blue Sky Hospital.

The Propaganda Department of Blue Sky Military University, the News and Publicity Department of Blue Sky Hospital, Blue Sky Media, Blue Sky Short Video and other media constantly update the hospital dynamics on the Internet.

"The first case in the country! Blue Sky Hospital completed "mirror man" combined with radical lung cancer resection! 》

"The first case in the country! Blue Sky Hospital completed allogeneic laryngeal-tracheal-thyroid transplantation! 》

"The first case in the country! Blue Sky Hospital completes robot-assisted transbronchoscopic lung nodule biopsy! 》

"The first case in the country! Blue Sky Hospital completed the artificial heart implantation surgery without stopping the heart! 》

......

"The first case in the country! Blue Sky Military Hospital First Hospital completed EAS auditory implant surgery! 》

"The first case in the country! Blue Sky Military Hospital First Hospital completed robotic total knee artificial joint replacement surgery! 》

"The first case in the country! Blue Sky Military Hospital Second Hospital completed autologous deep vein reconstruction abdominal aortic surgery! 》

"The first case in the country! Blue Sky Military Hospital Second Hospital completed a new transcatheter aortic valve system implantation! 》

......

"The first case in the country! Blue Sky Military Hospital Third Hospital completed twin children's heart transplant surgery! 》

"The first case in the country! Blue Sky Military Hospital completed AIM cochlear implant electrode implant surgery! 》

"The first case in the country! The fourth hospital of Blue Sky Military Hospital completed the renal artery sympathetic nerve radiofrequency elimination (Nuoli's) fusion! 》

"The first case in the country! Blue Sky Military Hospital IV Hospital completed SUNA fork nerve microvascular decompression! 》

......

Hundreds of first-of-its-kind surgeries in the nation.

Let the five blue sky enterprises sensationalize the domestic medical community.

Many of these difficult surgeries performed by Blue Sky companies use surgical robots.

At this stage, robotic surgery is known as the third generation of surgical revolution and is the crown jewel of clinical medical diagnosis and treatment tools.

Each surgical robot integrates clinical medicine, biomechanics, mechanics, materials science, computer science, microelectronics, mechatronics and many other disciplines.

In the eyes of the medical community.

The hardware facilities of the Blue Sky Hospital are already the top in the country.

Cooperate with the country's top medical team.

This can create domestic medical precedents again and again.

......

On the Internet.

Netizens are also talking about Blue Sky Hospital.

"Oh my God! Blue Sky Hospital is too good! Create many domestic firsts! "

"The top medical equipment and top medical team of the Blue Sky Department Hospital are simply powerful to the point of explosion!"

"Hundreds of surgeries create the first case in China?! The medical skill level of the Blue Sky Department Hospital is incredibly high! "

"Have you noticed? Every department of the Blue Sky Department Hospital is very good, pay tribute to these medical staff! "

"Although the Blue Sky Hospitals are all private hospitals, their current surgical level is no less than that of the top hospitals in the country!"

"At this stage, top universities have top medical schools and hospitals. After the rise of the Blue Sky Hospital, the overall strength of Blue Sky Military University can go up to another level! "

"That's right! The advantages of medical disciplines are obvious, and it is a way to quickly increase the comprehensive strength of universities. Moreover, medicine is one of the easiest disciplines to publish papers in top international journals, which can help universities enter the international stage in a short time! "。