Chapter 2202: 2126 Old Fan, he's the security guard at the community hospital (Happy Birthday Yun Ge'er, extra×2)
2126 Old Fan, he's the security guard at the community hospital (Happy Birthday Yun Ge'er, extra×2)
Could he be seeing things? Professor Zhang looked around dazedly, while Boss Zheng, Director Li, and Professor Yang were fully focused on the surgery.
Su Yun!
This…… only then did he see Su Yun's right hand reach into the operative area, pressing on the patient's diaphragm, moving rapidly at nearly twice per second.
The frequency was extremely high; through the diaphragm, it produced a squeezing waveform on the heart, externally assisting the patient in restoring mechanical blood pumping.
How did he manage that!
Professor Zhang was stunned.
Liver transplants with diaphragmatic cardiac compression are not uncommon. As an academic pioneer, although Professor Zhang doesn't perform liver transplant surgery, he still knows some related basics.
However, the few times he had witnessed diaphragmatic cardiac compression, the surgeon performed it manually. After the patient survived the portal vein opening blood pressure surge, the sinus rhythm would recover on its own in 3–5 minutes, after which the surgery would continue.
If they couldn't get through it, they'd have to open the chest and begin manual cardiac compression under direct vision.
Yet on Boss Zheng's side the surgery continued; he was suturing the vessels with a Zeiss microscope, stitch by stitch, as if he hadn't even noticed that the patient's heart had… damn well stopped beating!
This coordination made Professor Zhang want to cry.
He really wanted to cry.
As a doctor, who wouldn't dream of joining a well‑coordinated team where everyone does their job, trusts each other, and respects one another—no scheming, all focus on treatment.
Of course, that's just a dream.
Yet he witnessed this scene in Boss Zheng's team.
Professor Zhang felt goosebumps all over, but this surge of passionate feeling flashed and vanished instantly.
Su Yun, the young man once hailed as tomorrow's star of the capital's cardiothoracic surgery, displayed what kind of technique!
When compressing the diaphragm, the force must be sufficient; otherwise the heart won't feel enough force, and the ECG monitor won't show a squeezing waveform.
Yet he managed to do this without interfering with the surgery!
It's simply terrifying.
Professor Zhang felt icy cold all over; such a method—he hadn't even imagined it, let alone seen it.
"Epinephrine, 1 mg, IV push." Su Yun said.
On Lao He's side, he picked up a syringe already filled with epinephrine, opened the three‑way stopcock, and injected it into the blood vessel.
"Again!"
"Again!"
Under the effects of diaphragmatic cardiac compression and drugs such as epinephrine and dopamine, the monitored arterial systolic pressure in the presence of an arterial line gradually rose to 60 mmHg.
Is this enough? Professor Zhang felt a bit horrified.
He stared at Su Yun as if watching a horror film,
although he is sharp‑tongued and sarcastic,
although he is proud of his talent and looks down on others,
but the guy truly has skill!
Without affecting the surgery, shortening the anhepatic phase, and still being able to do cardiac compression, Professor Zhang objectively judged that he definitely could not do that.
But the more delicate the operation, the more strenuous it is—that's an axiom.
No matter how easy it looks, it's a façade; countless efforts are made just to appear effortless.
Su Yun could only sustain this cardiac compression for 2 minutes and 23 seconds before he began to strain.
"Boss, hurry the fuck up!" On the operating table, Su Yun rarely swore like that.
"Almost there, hold on a bit longer." Zheng Ren said, "Old Fan is here; he'll definitely last longer than you."
"How can that be the same!" Su Yun snapped angrily.
Although he was talking, neither the cardiac compression nor the vascular anastomosis was delayed in the slightest.
"Give another dose of epinephrine."
Having finished anastomosing the next blood vessel, Zheng Ren said in a low voice.
2 minutes 44 seconds……
2 minutes 52 seconds……
3 minutes 15 seconds……
Professor Zhang felt each day drag like a year.
But even more painful than his was Director Li and Professor Yang of the hepatobiliary surgery standing on the operating table.
Boss Zheng's hand speed was insanely fast, as if he were flying.
But fast is fast, yet it was both fast and steady.
The left hepatic vein was closed with a 4‑0 prolene suture; on the anterior wall of the inferior vena cava, along the common trunk of the middle and right hepatic veins, an incision was made matching the width of the donor hepatic supra‑ and infra‑hepatic veins, then continuously sutured with an everting 4‑0 prolene stitch. The recipient portal vein was continuously sutured with an everting 6‑0 prolene stitch.
But Director Li and Professor Yang weren't troubled because they couldn't keep up with Boss Zheng's pace.
The two stood opposite Boss Zheng; Director Li, aside from holding the retractor, could do nothing to help and just stood there foolishly.
Although the prolene suture looked somewhat thick under the microscope, Boss Zheng deliberately chose microsuturing.
Director Li didn't dare move, fearing that his well‑meaning help would end up tearing the vessel.
Apart from Su Yun continuously performing cardiac compression, the operating table was… surprisingly quiet.
3 minutes 52 seconds.
"All right." Zheng Ren placed the hemostatic forceps and needle holder beside the patient's leg and said softly.
"Really slow." Su Yun said contemptuously.
"……" The people on the observation platform utterly failed to understand Su Yun's words—was that old jab too harsh?
If this is still slow, then what on earth would be fast?
"No way, I can only do this much." Zheng Ren also seemed a bit embarrassed, let out a breath, and said: "When my skill level improves a bit, it might be faster."
……
Everyone started cursing silently in their hearts.
Zheng Lao Ban, you old-timer still thinking about improving your skill level—are you preparing to break through the heavens?
At this moment, Su Yun's frequency also gradually slowed down.
After 2′23″, the electrocardiogram gradually returned to normal sinus rhythm; on the invasive arterial blood pressure monitor, the systolic pressure also rose back above 90 mmHg.
The dangerous period has passed.
Having reached this point, Zheng Ren was no longer in a hurry, but proceeded step by step, continuously suturing the recipient liver's proper hepatic artery with 7-0 Prolene thread, and using 6-0 PDS thread for a continuous posterior wall and interrupted anterior wall suture of the recipient's common bile duct.
Professor Zhang tried to recall the entire process of the previous cardiac compressions, as if the boss had mentioned Lao Fan.
Su Yun's technique had already amazed him. And from what Zheng Lao Ban meant, Lao Fan's technique seemed even above Su Yun's.
Does the cardiothoracic surgery department in the capital, or rather the thoracic surgery department, have a doctor surnamed Fan?
Xiehe has one, but it seemed that until the year before last it was still the inpatient chief. East Tumor also has an associate professor surnamed Fan, but one can only say his level is decent; one can't say there's anything truly amazing about him.
"Which Lao Fan are you talking about, Zheng Lao Ban?" Professor Zhang, seeing that the surgery had already passed the most dangerous anhepatic phase, asked in a trusting tone.
"Lao Fan?" Zheng Ren said offhandedly, and then there was no further comment.
He was suturing under the microscope, having to control even the trembling of his body's muscles; otherwise, the blood vessel walls would move under the microscope, like riding a roller coaster.
It wouldn't affect the surgery, but it would affect the mood.
"Lao Fan is the security guard at the community hospital." Su Yun pulled her right hand out of the patient's abdominal cavity, lifted her head, and glanced at Professor Zhang.
……
……
In the operating room, besides the medical team members…… Lin Yuan of the medical team also didn't know about this.
A security guard actually masters such an advanced cardiac compression technique?!
Damn it!
After hearing that, Professor Zhang's heart filled with sorrow that surged like a river.
End of Chapter
