Chapter 3170: and translation of chapter title
"I'll go do this right away." Feng Xu Hui immediately said.
"Don't mess around." Su Yun said, "These pieces of equipment cost over a million, Director Lin, please help ask, see if we have something suitable in our 912."
"Okay." Lin Ge responded without hesitation.
At that moment, Zhou Chun Yong noticed Lin Ge sitting honestly in the corner, like a statue. Only when Su Yun spoke did Lin Ge "come alive".
Zheng Lao Ban's team was like a brand-new tank, the tank's smooth mechanical sounds clacking beside Zhou Chun Yong's ears; the cooperation within the team was the best he had ever seen.
No scheming, no office politics, no dragging each other down, only united cooperation, united as one.
A senior official of 912 was squatting to one side waiting to handle logistics; if everyone in the hospital administration were this diligent, wouldn't the world already be harmonious? Zhou Chun Yong had this thought flash in his mind.
How could that be? Lin Ge was promoted by Zheng Lao Ban himself; this guy's intention to cling to Zheng Lao Ban's thigh is even stronger than mine.
In an instant, Zhou Chun Yong even had the idea of coming to 912 to be a Team-leading Professor. But giving up his own foundation would be unrealistic; it's just a fleeting thought.
It's just a sincere admiration for this group of doctors who are fully focused and dedicated to healing and saving lives.
"Little Feng, come here." Lin Ge called Feng Xu Hui aside to discuss equipment, while Zheng Renze focused intently on performing Shou Bing.
Zheng Ren and Su Yun separated the adhesions between the right lung and chest wall, mediastinum, and diaphragm, freeing the pulmonary arteries and veins. They pushed a Swan-Ganz Catheter into the left pulmonary artery, applied left single-lung ventilation, without opening the left pleural cavity, to facilitate ventilation.
"Ma Li Si, right lung!" Su Yun shouted.
That weird woman in a black robe seemed to glide, without touching the ground, up to Xie Yiren's face.
Her hand shone with a pallid, miserable light, making Zhou Chun Yong feel that beneath the black robe was not a living person but a living corpse. Or… could she have albinism? Zhou Chun Yong's thoughts drifted far away.
Ma Li Si opened the sterile equipment, and Xie Yiren lightly took out the 3D-printed right lung inside.
Is this a model? Or a real organ? Zhou Chun Yong was dumbfounded upon seeing it.
Because he understood, he was even more shocked. Although he had never personally seen a lung transplant surgery, he still knew the basic organs in his chest. After taking another close look, he could be certain that what Xie Yiren took out from the sterile constant-temperature box was definitely genuine lung tissue!
Could 3D printing really be this wasteful? Zhou Chun Yong had prepared himself mentally on the way here, but he never expected Zheng Lao Ban's Medical Team to be so "luxurious".
You know, at least tens of thousands nationwide are waiting for donor lungs. And with Technique Progress, now cloning Technique plus 3D printing allows donor lungs to be used for training. Technique Progress is too fast; Zhou Chun Yong feels somewhat overwhelmed.
Where the heck can I reason about this?
At this moment, Zheng Ren, Su Yun, and with Lin Yuan and Gu Xiao Ran standing on the Operating table, they respectively severed the first branch and lower branch of the pulmonary artery of the 3D-simulated person, cut the pulmonary vein at the distal end, and at the proximal opening of the upper lobe severed the main bronchus, removing the right lung.
"Boss, I think we must add extracorporeal circulation here, we can't wait." Su Yun said.
"In situations without ECMO, extracorporeal circulation is needed with cardiopulmonary oxygenation support; I think we don't need it." Zheng Ren said, "Prepare the extracorporeal circulation in advance; Director Xu has promised to provide us with an elite extracorporeal circulation team, and if needed we'll use it."
"No need to practice?"
"Not for now; let's touch base later and think about possible problems."
Zheng Ren said while beginning to anastomose the trachea.
"You've got guts, doing a lung transplant Shou Bing while also leaving this unstable factor." Su Yun and Zheng Ren cooperated, their mouths not idle.
"The probability of problems occurring is not high, but I think being careful about air embolism is most important."
"Speaking of ECMO, this thing is really good; there's an old saying that if doctors use ECMO too much they can become gods." Su Yun said, "When I first encountered it, I had an illusion—that as long as there's still a breath reaching the hospital, a person won't die."
"Indeed it's an illusion; ECMO cannot solve all problems." Zheng Ren said, "But not long ago, a patient at Zhejiang Medical Second Hospital was on ECMO waiting for a lung transplant for a full 46 days. Without ECMO, the person probably wouldn't have made it."
"Xiao Shitou is the same; without ECMO, using traditional methods the Shou Bing success rate is under 30%, even if we do it." Su Yun said matter-of-factly.
"What we need to pay attention to now is hepatic and renal dysfunction during surgery." Zheng Ren said, "No problem, we have various machines, backed by our powerful 912."
"Now you know how powerful 912 is?"
"I've always known; Shou Bing isn't a one-person job—I heard that from the first day I entered the Operating Room." Zheng Ren said while performing vascular and tracheal anastomosis under the mirror.
Because it's Surgical Training, the atmosphere isn't very tense; although it's not like other Shou Bing where one drives while performing Shou Bing, it's not tense, and Zhou Chun Yong could even see Zheng Lao Ban's relaxed demeanor.
Performing a lung transplant this relaxed, Zheng Lao Ban really is a genius, Zhou Chun Yong thought.
After one hour, the Shou Bing ended.
"Zheng Lao Ban, that fast!" Zhou Chun Yong sincerely praised.
"Surgical Training is just doing surgery, it's quick. The real operation is slower, requiring ECMO assistance, and during surgery acute hepatic or renal failure may occur. Every drug used needs research, like……"
"Go think about it yourself; I really don't understand this." Su Yun finally spoke frankly.
"Just like heparin, under normal circumstances each doctor has their own distinctive ECMO heparin anticoagulation plan, but there is a consensus: give heparin 50-70 u/kg once before intubation, then start maintenance with an initial dose of 18 u/kg/h, gradually titrating to reach the target aPTT of 50-60 seconds."
This matter had been discussed before; Su Yun said that because her boss wanted to change the heparin dosage.
He doesn't really understand why the Boss wants to do this, but the Boss's words are still quite reasonable. However, doing it this way is too meticulous, so meticulous that Su Yun feels she can hardly bear it.
"You go think about it yourself; I'll ponder the Shou Bing." Su Yun directly rejected her boss's idea of a brainstorming session.
Thinking too much about this can easily crash the brain; even Su Yun's genius brain that gets it after one look is no exception.
"Alright." Zheng Ren resignedly said, he also knew reaching 90 points was easy, but Xiao Shitou's condition doesn't allow settling for 90; it must be 100.
Adding a 10-point bonus, plus specialization, allows one to go beyond the basic success in the general sense.
End of Chapter
