Chapter 2255 Can't Do It
"director."
"I'm in the ward."
"Okay, I'll wait for you."
Zheng Ren hung up Director Kong's call, and immediately entered the operating room of the system.
That bastard Su Yun was away, and went to give lectures to the doctors sent by Lan Ke, but few people asked why.
Entering the operating room of the system, Zheng Ren saw a pair of conjoined twins lying on the operating table.
Both infants were complicated with congenital heart disease, resulting in poor myocardial reserve function, and both were complicated with upper respiratory tract infection. On the system panel, there is a bloody red mark - the words "cardiac insufficiency (level II)".
Zheng Ren was not in a hurry, but recalled the surgery introduction he had seen before.
Conjoined twins with chest and abdomen combined are not the most difficult, but those with combined head are the most troublesome kind.
In front of this pair of heart conjoined twins, there are more connected parts of the liver.
The left hemihemis of the two children completely overlapped and fused, with a circumference of about 25 cm. The biliary tract and arteriovenous system were separated, and the other digestive systems were separated. During the separation, two large blood vessels with a diameter of about 0.2 cm were found to be connected at the junction of the liver.
For Zheng Ren, who was at the peak of his general surgery skills, the part of separating the liver was nothing, and he did it heartily.
This was the first operation after the peak period of general surgery skills, and it was a complete success.
Liver separation, hemostasis, anastomosis, and the sound of the ultrasonic scalpel, the operation was completed in just over 30 minutes.
After finishing, Zheng Ren felt comfortable all over.
This is the feeling. When the big pig's hoof first came, he gave 3 minutes of peak experience time.
It feels exactly the same, there is no deviation at all.
Zheng Ren put his hand on the patient's liver, and he could clearly feel the texture of the liver through the sterile gloves. How much strength should be used and how to do it is clear in my mind.
That is a kind of self-confidence, there is no surgery that I can't do, no matter how difficult it is, I can complete it smoothly.
Even without a Zeiss microscope, Zheng Ren can complete the microscopic anastomosis. However……
After opening the chest cavity and preparing to separate the heart, Zheng Ren finally knew where the trouble was.
The two hearts came together, twisted and deformed.
This is not the biggest trouble for Zheng Ren. Zheng Ren didn't think much of the insurmountable obstacles in the eyes of the expert team of the Children's Hospital of Philadelphia and Director Han of the Women's and Children's Hospital.
The only difficulty lies in the fact that the heart rate of the two children is different, which has a great impact on the operation.
After several experiments, Zheng Ren didn't find a particularly good solution.
He heaved a sigh of relief. Big pig's hooves are going to give an assistant function, is it for this operation? It should be, this system is quite humane.
Although Zheng Ren didn't know how having an assistant would affect the operation, he could only give it a try. Follow the tips of the big pig's hooves to make further attempts.
After clicking on the assistant mode, Zheng Ren found that the assistant had to spend the same amount of surgical training time as himself.
And now I use it in advance without receiving rewards, and the operation training time consumption × 2.
In other words, one operation requires the training time of three operations.
Zheng Ren felt helpless, but he had no choice but to click on the assistant function. After clicking, Zheng Ren immediately discovered that there are a series of options behind, and it seems that there can be multiple assistants.
It would be great if there was more time for surgery training than could be used up, Zheng Ren thought to himself.
Of course he wouldn't waste that much, every surgical training is quite precious. After clicking on an assistant, Zheng Ren saw the image of an experimental subject appearing in front of him. The outline of the figure should undoubtedly be that of Su Yun.
After trying a few more surgeries, Zheng Ren had a good idea of the whole process. Even with an assistant, the operation could not be completed at all.
The heart rate of the two hearts is different, one is about 160 beats per minute, and the other is 130 beats per minute.
It is too difficult to completely separate the distorted and deformed myocardium on the basis of the beating of the heart.
The child's heart function is very poor, and the heart needs to be severed in the shortest time and repaired with patches to make the operation successful and both children survive.
If the operation is carried out according to the existing method, there is no way to complete it. This point Zheng Ren had a preliminary prediction after several failures.
Zheng Ren didn't go out in a hurry, but carefully observed the heart parts of the two children.
The diaphragm, mediastinum, and pleura are partly connected, and the two infants share the pericardium, and the great blood vessels at the bottom of the heart are completely separated without communication. The atria are connected and share a single heart muscle. The apex of the heart is connected near the diaphragm, the two hearts have a small tubular connection with a diameter of 3 mm, and the rest of the two hearts are mostly membranous.
Recalling the operation of conjoined twins, although this situation is not considered a conjoined conjoined twin with only one heart, it can also be regarded as a primary conjoined conjoined twin.
The surgery was much more difficult than I imagined.
The flowers bloomed side by side, and the name was very beautiful, but Zheng Ren didn't know how to do the operation.
Reluctantly coming out of the system space, Zheng Ren went to meet Director Kong.
Soon, Director Kong walked back quickly.
"Boss Zheng, Vice President Yuan is working on-site in the Department of Respiratory Medicine. I asked you if you can perform conjoined twins surgery. It seems to be a common heart. There is a patient in the Women's and Children's Hospital who cannot be operated on."
"I haven't done it... I'm not sure." Zheng Ren said with a sigh.
Director Kong knew that this was the case. The occurrence rate of conjoined twins was not high in the first place, and 3-5 cases a year in the entire imperial capital were considered too many.
And it's not that heavy.
The surgery that the Women's and Children's Hospital can't handle is estimated to be so difficult that it will fly straight into the sky.
"Boss Zheng, if we can't do it, we won't force it. Just finish the Nobel Prize project well. This is the main thing." Director Kong whispered.
"I know, Director." Zheng Ren nodded and said, "Let's look at the patient's condition first."
"I just called the Women's and Children's Hospital and said that this time the Women's and Children's Hospital is serious about it." Seeing Zheng Ren's calmness, Director Kong felt much more at ease, and began to gossip.
"oh?"
"They found an expert team from the Children's Hospital of Philadelphia for guidance, and also used 3D printing and a surgical navigation system to make a simulator for preoperative simulation surgery."
"..." Zheng Ren froze for a moment.
If there is a simulated operation, I should have a tacit understanding with Su Yun after two more break-ins?
Zheng Ren couldn't say well either, if he didn't try this kind of thing, who would know.
Just like conjoined twins, it is not to choose the person with the highest surgical level, but to choose the most skilled and most familiar doctor to operate together.
Only in this way can the atrium of the child be completely separated in the shortest possible time.
That side actually used the surgical navigation system and preoperative 3D printing to simulate children for training. The Women and Children's Hospital really spent a lot of money.
Heart-connected conjoined twins surgery has no successful precedent in the world.
Is it really feasible?