Chapter 1498: with translation of chapter title
Boss, after Jing Fangtian saw the pulmonary artery valve tumor, what did he say? Su Yun asked while changing clothes.
He didn't say much; I think he didn't understand. Zheng Ren said: Ordinary people find it hard to know how rare pulmonary artery valve tumor is.
The incidence of cardiac valve tumor is too low; I'm also doing it for the first time. Su Yun laughed, "You said when it's ultra-low temperature, I think grilling skewers tonight might be spoiled."
Hmm, the surgery went smoother than imagined. Zheng Ren said.
Indeed, that's the case.
Surgery isn't done by one person.
Feng Xu Hui was changing clothes on the side, feeling somewhat troubled. Zheng Lao Ban's surgical procedures are using more and more consumables; now even heart surgery under extracorporeal circulation has begun.
Such a huge machine, countless parts, wanting to have a spare set of everything is nearly impossible.
Xiao Feng, what are you thinking? Su Yun saw Feng Xu Hui not speaking and asked.
Will extracorporeal circulation surgeries be done frequently from now on? Yun Ge'er. Feng Xu Hui asked.
Very rare, don't even think about it. Su Yun obviously understood Feng Xu Hui's thought, he directly said: Extracorporeal circulation machines are now only routinely maintained in large tertiary hospitals. Even smaller hospitals that have bought them probably can't use them.
About right. Does Hai Cheng have an extracorporeal circulation machine? Su Yun.
Yes, at first the cardiothoracic department invited professors from Di Du to do over ten coronary artery bypass graft surgeries. Later, interventional circulation procedures were launched, and that group of internal medicine doctors went crazy doing interventional procedures, squeezing cardiothoracic almost to death. Su Yun laughed.
Can't really say it's squeezing. Zheng Ren laughed.
How could it not be. Su Yun's butt is obviously askew, "At first, doctors doing circulation who performed interventional procedures would go to cardiothoracic surgery for backup. Because they were inexperienced and the threshold for interventional procedures was high, a slight mistake could rupture the coronary artery."
Cardiac tamponade, big brother! Su Yun said, his tone slightly changing.
It's clear that he, coming from thoracic surgery, especially skilled in cardiothoracic surgery, holds considerable prejudice against interventional medicine doctors.
Especially for patients with severe coronary artery blockage and insufficient vascular elasticity, when something goes wrong they need emergency thoracotomy for bypass surgery. Su Yun said: Later they became more and more proficient, their eyes rolled up to the sky.
... Zheng Ren suddenly recalled something, his expression becoming extremely weird.
Su Yun saw Zheng Ren's constipated expression, frowned, and asked: "What are you thinking?"
I recall that when you first wanted to join the Medical Team, you said you were transferred from ICU to the Emergency Department because of a gynecological interventional hemostasis procedure. Zheng Ren recalled the situation at that time.
Back then I thought it was strange that you would do interventional procedures; after watching one, I felt I could try cardiac interventional procedures. Afterwards... Su Yun recalled the course of events, family matters being one aspect, technical matters another.
Through a twist of fate, it became what it is today.
Actually became an assistant, and I still gladly accept it—damn it! Su Yun cursed in his heart.
But the surgery for cardiac tumor, our boss handled it easily, without seeing much difficulty.
Fortunately we met early; if we were to meet now, I'd guess I'd have to shamelessly cling on like Lao He.
With the boss's surgical skill, pretending not to notice is impossible.
Yun Ge'er, will all surgical treatments in the future have to be carried out through interventional means? Feng Xu Hui pondered for a long time and asked.
Maybe, the specific procedures still need to be explored step by step. What new procedures will appear later is hard to say. Su Yun said: Just like Zhao Yunlong is pondering doing an elephant-nose procedure with laparoscopy; ten years ago, everyone doing this type of surgery would cut as large an incision as possible.
Huh? Feng Xu Hui stared for a moment.
Su Yun gestured with his hand a large opening, indicating that was the surgical incision at the time.
If the incision is too small, the operating field is insufficient, making the operation especially exhausting. When suturing blood vessels, if a problem arises, the person dies directly.
The speed of technological progress is still a bit slow. Zheng Ren said.
You think everyone is like you? Boss, consider interventional treatment of type A aortic arch replacement surgery? Su Yun said with a squinting smile.
We need relevant stents, after all there are branches of large blood vessels like the carotid artery, and each person is different. Zheng Ren said: Xiao Feng, ask your technical department if they can 3D print and produce that kind of patient-customized stent.
... Feng Xu Hui was stunned.
Feng Xu Hui knows the difficulty of it.
Unlike Orthopedics Department's custom-made items—orthopedic surgeries are all outpatient, with a one-month production time; delivering them and then operating is not late.
But a type A aortic arch dissection could claim a life in just a few minutes.
Even waiting 24 hours feels long, let alone waiting a month.
Okay. Feng Xu Hui felt that Longwind Micro-creation's technical level was holding back Zheng Lao Ban's surgery, his mood slightly dim.
Don't listen to him. Su Yun patted Feng Xu Hui's shoulder and smiled: That's quite an ideal situation, and once achieved, cardiothoracic surgeons could go begging.
Doctor Su, your words are a bit excessive. Lao He laughed.
Sigh, pointing at lung transplants, how many can be done in a year? The hospital nationwide performing the most lung transplants is in Wuxi, and there the vast majority of surgeries are not lung segmentectomies?
You can learn interventional surgery by watching the surgery livestream at Xinglin Yuan. Zheng Ren said.
Interventional surgery consumes guidewires.
In the future we can operate with a robotic arm. Zheng Ren obviously had full preparation, smiling and said: How's the progress on the robotic arm matter on Ning Shu's side?
It's your own family's affair, you're asking me? Su Yun retorted.
Zheng Ren felt a little embarrassed, hurriedly changing clothes.
Zheng Lao Ban, I didn't expect your cardiothoracic surgery to be this good. Lin Ge said with a chuckle.
Not bad, mainly the team is well-matched. Lao He, Su Yun, Zhao Yunlong... Yi Ren is also here. Otherwise, swapping in another batch, like me at Xilin Town People's Hospital, I could finish it in about ten hours. Zheng Ren said.
Hearing those words, Su Yun felt it was a kind of mockery.
His meaning is, even if I and Zhao Yunlong aren't there, just randomly swapping in a few weaklings, the surgery could still be done!
I've also been diligent lately, secretly practicing many surgeries, so why can't I catch up to him?
Su Yun felt a bit down.
Looks like I still need to work harder.
After changing clothes, Feng Xu Hui waited at the operating room door for Liu Xiao Jie and Xie Yiren. Liu Xiao Jie stayed behind to help Xie Yiren tidy up the instruments, saying that would make things faster.
Zheng Ren and Su Yun went straight to the ICU.
After a glance, the patient's postoperative vital signs were stable, but the surgery was major; to get out of the danger zone, at least another 2-3 days are needed.
Zheng Ren believed the level of the 912 ICU, here there's no need to have Su Yun keep watch.
Thinking back to Hai Cheng, after the surgery Su Yun always had to stay up late, as if it were a dream.
End of Chapter
