Chapter 3176

"Not needed for now, wait a moment." Zheng Ren had already removed the right lung and placed it in the pathology basin. At this moment, Lao He held the report and said, "The blood sample from 10 minutes ago, total bilirubin 876 mmol/L, blood gases..."

He only mentioned the problematic items, not involving others, simple and clear.

Such severe liver damage?! Charles was stunned for a moment.

Liver function damage is severe, kidney function is fine; if Charles himself were standing on the operating table, he would certainly need to perform intraoperative hepatic dialysis. As for the machine, the Mayo Clinic lacks nothing, so why cobble together a patchwork dialysis machine.

Looking at that machine, at least four manufacturers' parts are pieced together, like a beggar.

But Charles did not mock or sneer; he was mostly surprised.

Doctor Zheng was like a ship captain who had drifted at sea for decades, experienced; from a few clues he judged that a storm was coming.

And before that, he had already brought his assistants to drive this broken ship away from the area with the biggest waves.

Truly unimaginable, Charles thought it over again but could only sigh. If it were him on the operating table, he would not have anticipated the liver showing acute failure.

All the previous unreasonable measures also became clear, although Charles still couldn't understand how Zheng had "predicted" the patient would develop acute liver failure.

Could it be because of the blow from the interventional procedure? Charles silently searched for possibilities.

"Heparin 40mg plus saline 5000ml pre-flush tubing and plasma perfusion device, blood flow rate 75ml/min, replacement fluid rate 25ml/min." Zheng Ren commanded in a low voice.

ICU doctors began operating the machine, performing bilirubin adsorption.

At the same time, Zheng Ren excised a bloc of cardiopulmonary tissue under semi-inflated lung condition, placed it in the pathology basin. Received the 3D-printed lung tissue preserved in Perferdex fluid handed over by Xie Yiren, and began an ice bath.

Then placed the 3D-printed right lower lobe into the thoracic cavity, performing anastomosis in the order of trachea-artery-atrial cuff.

"Administer fluids, 500ml saline." Zheng Ren said, "Dopamine, can be given now."

Lao He immediately opened the prepared micro-infusion pump, and the drug immediately entered the body via the Blood Vessel.

"Adjust ECMO flow, mean pulmonary artery pressure below 40mmHg."

"Liver dialysis blood flow rate increased, 100ml/min."

"Methylprednisolone 500mg bolus."

Orders were issued one after another, and the assisting doctors continuously adjusted the values of ECMO, liver dialysis equipment, micro-infusion pump, and ventilator.

At the same time, Zheng Ren placed the right donor lung lower lobe into the right chest, using 4-0 absorbable monofilament suture for continuous suturing of the bronchial membranous part, and the cartilaginous part with 4-0 Vicryl suture for interrupted suturing.

The suturing was completed under the Microscope, simple and swift. It seemed that on-site command and Shou Bing were operating simultaneously in the brain, without interfering with each other.

Even if Charles had once stood at the pinnacle of surgical Shou Bing, that was only a technical peak, and he would absolutely not pay attention to every detail of the entire Shou Bing process and of everyone involved.

It's not that details are useless, but rather he……could not do it.

Zheng Ren performed the anastomosis under the Microscope; no matter how exquisite his technique, Charles would not be surprised. He would only lament the passage of time, which took away youthful vigor as well as Stability and finesse—what he once could do, he absolutely cannot do now.

Yet, while performing Shou Bing, he simultaneously controlled every detail on the Operating table, including the ventilator, micro-infusion pump, ECMO, and liver dialysis—this is practically beyond human capability.

In Charles's astonishment, Zheng Ren clamped the right pulmonary artery near the heart, appropriately trimmed the Blood Vessel to match the diameter of the donor pulmonary artery, then performed continuous suturing of the pulmonary artery with 5-0 Prolene suture.

His hand was very steady, neither hurried nor slow.

Then, a vascular clamp was placed on the left atrium near the pulmonary vein, the residual pulmonary vein stump ligature was removed, the upper and lower pulmonary vein openings were connected to form an appropriately sized left atrial cuff, which was continuously sutured with 4-0 Prolene suture to the atrial cuff of the right pulmonary vein of the 3D-printed lung graft.

After completing the anastomoses, Zheng Ren used the 3D-printed omentum to sequentially cover all anastomotic sites, performing the suturing patiently and meticulously.

This……the unilateral lung transplant is done!

Charles glanced at the time in astonishment; the right lung's cold ischemia time was 58 Minute.

Watching the Shou Bing, one didn't feel anything, but when the cold numbers flashed in the mind, Charles knew where the gap lay.

Among the lung transplant Shou Bing he had seen, this was the fastest case. Not to mention how fast the Shou Bing was performed; the key is that the operator did not wholeheartedly devote himself to the Shou Bing—he remained the soul of the entire operation, controlling all medical activities including the Shou Bing.

Is this the peak-after-peak level? It has surpassed the tactile sense he could comprehend, controlling the whole scene without a single omission.

This is truly the king of the Operating Room!

"Hiss~" Su Yun exhaled, glanced at the monitor and ECMO's various readings.

"Boss, it seems there's no problem." Su Yun said, "Was the Shou Bing successful?"

"Only halfway, focus." Zheng Ren glanced at the various readings and began issuing orders again.

"Adjust ECMO flow, mean pulmonary artery pressure increased by 5mmHg."

"Liver dialysis blood flow rate increased, 110ml/min."

"Methylprednisolone 500mg bolus."

"Dopamine and hydroxylamine infusion rates decreased……"

In the melody of Good Luck Come, Zheng Ren's voice issuing orders became cheerful.

"Ventilate the right lung, manually inflate the lung." Zheng Ren said softly.

Lao He responded, began adjusting the position of the tracheal tubing, switching to single-lung mode, ventilating the right lung. As he started squeezing the bulb, gas entered the fresh lung, the lung expanded like a balloon, and faintly one could hear the beeping sounds.

That is not Noise, it is the symphony of life!

"It's done, next." Su Yun said with slight excitement.

"No rush, warm saline." Zheng Ren said.

The thoracic cavity was filled with warm saline; Lao He squeezed the bulb to control lung tissue expansion; finally Zheng Ren reinforced the omentum at the tracheal main trunk anastomosis site, thus completing the unilateral Shou Bing.

Thereafter Zheng Ren withdrew the Swan-Ganz Catheter to the main pulmonary artery, then placed it into the right pulmonary artery, beginning the left lung transplant.

For Charles, the Shou Bing was actually already finished.

The procedures for left and right lungs differ, but for the operator whose right lung cold ischemia time was 58 Minute, there is no way to doubt whether he could complete the Shou Bing.

In the Operating Room, with Good Luck Come's BGM, the sounds of various machines operating softly resonated, as if providing accompaniment for Good Luck Come.

Bright and clean.