Start as an Emergency Physician

"Moreover, if the lung is removed bilaterally, it means that the patient's lung transplant takes twice as long and at the same time, the surgical damage is doubled, and once a severe rejection reaction occurs, the damage to the patient is incalculable. "

"But if only a unilateral lung transplant is performed, first, the severity of severe rejection can be reduced. Transplanting only one lung is never more serious than transplanting both lungs, right? In addition, it can save a lot of time. Patients are also able to minimize pain. "

Wang Sheng and the others looked surprised.

I have already considered the post-operative problem of lung transplantation...

They were all thinking about how to successfully transplant the lungs, but Zhou Yuan never doubted that he would fail the transplant, but thought about how to minimize the pain and risk of the patient!

At this moment, they realized the gap between themselves and Zhou Yuan.

Jiang Li was silent, and after a long time, he said appreciatively: "This suggestion of yours is particularly good. I will definitely talk to Professor Chen Jingyu..."

Zhou Yuan nodded and smiled: "Actually, there is another point, this will maintain the activity of the donor lungs, and it will also be of great help to the patient's later recovery." "

"I transplanted the left lung first, and the right lung was transplanted later, and the activity was not as good as the left lung at a certain time, and after the patient recovered, the left lung was in better condition, which could compensate for the deficiency of the right lung, but if it was a double lung transplant, because the time was slow, both lungs were ready to connect in the patient's chest cavity, there was no cold saline immersion protection, and there was no blood circulation..."

By the time the lungs have completed the anastomosis of the blood vessels, the stitches of the various bronchial tubes, omentum, etc., they may have been exposed in the bare chest cavity for three or four hours. "

"My left lung, which was exposed in the chest cavity for only an hour, immediately restored blood circulation. At the same time, the right lung was still stored in cold saline for an hour, and it took more than an hour for the transplantation of the other lung, and the exposure time of each lung was only more than an hour..."

"The lungs I transplanted, even the right lung, which was in poor condition, were much better than the lungs transplanted from both lungs! Zhou Yuan said with some pride.

He is proud of it because this surgical method is almost tailor-made for Zhou Yuan!

To perform two unilateral lung transplants, both lungs must be separated precisely and completely.

After the transplant is completed, the two lungs need to be re-communicated, which requires extremely skillful suturing techniques!

The former requires excellent lung transplantation experience and technology, and the latter requires excellent basic operations, such as suturing, incision, etc., while Zhou Yuan has a master-level double lung transplantation, master-level butt suture, and a perfect compression and hemostasis method!

In Zhou Yuan's hands, the lungs can be maintained in the best condition, and it is difficult to restore the blood supply, and it is difficult to have intraoperative accidents such as blood spurting and excessive blood vessel pressure and blasting.

Coupled with the perfect level of CPR, this thing is mainly for the heart, but it also has knowledge of the lungs.

Therefore, apart from Zhou Yuan, almost no one else can do this.

Want to learn Zhou Yuan?

First of all, the blood vessels of the lungs are perfectly separated, and then the anatomical angle is found to separate the left lung and the right lung, and the blood vessels of the two lungs have to be sutured together...

A lung transplant is going to be exhausting, and you have to add additional suture work, who can withstand it!

Only Zhou Yuan's stitching is simply easy, and people who don't need to spend energy at all can come.

For example, when people stitch up, the energy points are -10, and the -10 is reduced, but Zhou Yuan...

-1.-1, yawned, +2. -1, -1, rolled his eyes, +2.

It's not a game at all...

Jiang Li obviously realized this, for fear that Zhou Yuan would mislead the others, so he hurriedly said seriously, "Have you remembered?"

"Remember, remember!"

Wang Sheng, Chen Li and others nodded like chickens pecking rice.

"Don't learn if you remember! Not everyone can do it!"

Wang Sheng nodded again and again: "I still have points in my heart, just this suture technique, my eyes have seen it, and I can't learn it if I want to!"

Zhou Yuan did not delay, and after the explanation, the connection of the right lung began.

The connection of the right lung is the same as the left lung, there is not much difference, and because the right lung is far away from the heart, it is not so complicated, so it is much easier to transplant.

It was enough to have a left lung for the dozen or so observing doctors present as a demonstration, and this time the right lung Zhou Yuan directly began to transplant at full speed.

From an outsider's point of view, Zhou Yuan had just touched a blood vessel, and the next moment the needle was pierced with stitches... I just wondered why Zhou Yuan was so fast, the stitches had already finished knotting and flew to the next blood vessel...

"it..."Wang Sheng couldn't help it.

Chen Li: "Nima's, so fast!"

Jiang Li: "(*@¥#*(!)"

"Director, what are you talking about?" Wang Sheng smiled.

Jiang Li: "I said to add a paper. "

Wang Sheng: ...

Soon, Lingling's right lung also entered Chen Jianguo's body, and only the last left lung and right lung were connected.

This surgery was slightly different from the one my mother had at the beginning.

At the beginning of the year, my mother transplanted the right lung, while Chen Jianguo transplanted the left lung.

The lungs transplanted first are generally in worse condition, and after a two-lung perfusion scan, the poorly perfused lung should be transplanted first.

There is a little story about that if there is a bunch of good apples and a bunch of bad apples, if you eat the bad apples first, the good apples will also be bad, and the last thing you eat is all bad apples, so you can simply eat the good apples first, and at least you can eat a few good ones.

The principle of lung transplantation is the opposite of what this story tells us.

Since under the same conditions, the condition of the two lungs is one good and one bad, which means that the good lung can better adapt to the storage environment, and the bad one is not adaptable.

If the transplanted lung is transplanted first, and the unfavorable lung is placed in cold saline, the condition of the lung will become very bad, and it may even cause necrosis of the lung due to resection, and finally only one lung remains.

Transplant the poorly perfused lungs first, and the good lungs can better maintain their vitality in the storage environment.

The others didn't ask, and Zhou Yuan didn't bother to explain.

Anyway, they didn't learn Zhou Yuan's surgical method...

In the eighth hour of the operation, Zhou Yuan completed the transplantation of both lungs, and the two lungs were finally connected.

Seeing that the white right lung gradually regained its blood color, and the shriveled lung lobes were full, everyone in the operating room breathed a sigh of relief, and at the same time, there was an indescribable awe for the young surgeon in front of the operating table.

This was won back by medical skills.