Could it be that he had seen a ghost? Professor Zhang looked around in a daze. Boss Zheng, Chief Li, and Professor Yang were focused on the surgery.
Su Yun!
This was … Only then did he see Su Yun's right hand reach into the operating area and press on the patient's diaphragm, moving quickly at a frequency of nearly two times per second.
The frequency was extremely fast. Through the diaphragm, the heart appeared to be squeezed, using external force to help the patient resume mechanical blood pumping.
How did he do it!
Professor Zhang was stunned.
It was not uncommon for a liver transplant to press the heart through the diaphragm. As an academic pioneer, although Professor Zhang did not perform liver transplants, he still knew some relevant common sense.
However, the few times he had seen the diaphragm heart compressions were all done by the surgeon. After the patient endured the blood pressure impact after the portal vein was opened, the sinus rhythm would automatically recover after three to five minutes. After that, the surgery continued.
If he could not come over, he would have to open the chest and start the heart compression under direct vision.
However, Boss Zheng's surgery continued. He carried a Zeiss microscope and sutured the blood vessels one needle at a time, as if he did not notice that the patient's heart … had stopped beating!
Professor Zhang wanted to cry when he saw this cooperation.
He really wanted to cry.
As a doctor, who did not dream of joining a team with tacit understanding? Each of them performed their own duties, trusted each other, and respected each other. There was no scheming, and all their attention was focused on the treatment.
Of course, this was just a dream.
However, he saw this scene on Boss Zheng's team.
Professor Zhang felt goosebumps all over his body, but this feeling of hot blood surging in his heart disappeared in a flash.
What kind of technique did Su Yun, the young man who was once known as the rising star of the cardiothoracic surgery department in the Imperial Capital, display!
When pressing the diaphragm, one had to have enough strength. Otherwise, the heart would not feel enough strength, and the ECG monitoring waveform would not appear as a compression waveform.
But he managed to do it without affecting the operation!
It was simply terrifying.
Professor Zhang's entire body was cold. He had never even thought of such a technique, let alone seen it.
"Epinephragm, 1mg, intravenous push," Su Yun said.
Lao He picked up an epinephragm that had already been drawn into the syringe, opened the three-way connection, and pushed it into the blood vessel.
"Again!"
"Again!"
The invasive arterial pressure monitoring systolic blood pressure slowly rose to 60mmHg under the effect of the diaphragm heart compression, epinephragm, dopamine, and other drugs.
Was this enough? Professor Zhang felt a little horrified.
He looked at Su Yun as if he was watching a horror film.
Although he was bitter and unkind,
Although he was proud of his talent,
But he was indeed capable!
Not affecting the surgery, shortening the duration of anhepatic phase, and still being able to perform cardiac compressions. Professor Zhang objectively judged that he would definitely not be able to do that.
However, the more delicate the operation, the more difficult it was. This was an axiom.
No matter how relaxed he looked, it was all an act. He had used countless amounts of strength just to look relaxed.
Su Yun could only maintain this kind of heart compression for 2 minutes and 23 seconds before it became a little strenuous.
"Boss, hurry up!" On the operating table, Su Yun rarely cursed.
"Soon. Hold on a little longer," Zheng Ren said. "With Old Fan here, he'll definitely take longer than you."
"How can that be the same!" Su Yun said angrily.
Although he was talking, whether it was cardiac compression or vascular anastomosis, none of them were delayed.
"Adrenaline, one more push."
Zheng Ren finished kissing the next blood vessel and said in a deep voice.
Two minutes and 44 seconds …
Two minutes and 52 seconds …
Three minutes and fifteen seconds …
Professor Zhang felt like a year.
However, the ones who were standing on the operating table were Chief Li and Professor Yang from the Department of Hepatobiliary and Pancreatic Surgery.
Boss Zheng's hand speed was simply too fast. It was as if he was flying.
However, although it was fast, it was fast and steady.
The left hepatic vein was given 4-0 prolene.
The anterior wall of the inferior vena cava was cut along the common trunk of the middle and right hepatic veins. The width of the superior and inferior vena cava of the donor liver was the same as that of the donor liver.
The suture was continuously everted. 6 – 0.
The suture was continuously everted. The donor and recipient portal veins were sutured.
However, Chief Li and Professor Yang were not distressed because they could not keep up with Boss Zheng's rhythm.
The two of them stood opposite Boss Zheng. Other than pulling the retractor, Chief Li could not help at all. He could only stand there foolishly.
Although the prolene thread looked a little thick under the microscope, Boss Zheng chose to perform microsuture.
Chief Li did not dare to move. He was afraid that his kind help would cause the blood vessels to tear in the end.
Other than Su Yun continuously performing cardiac compressions, the operating table was actually … very quiet.
Three minutes and 52 seconds.
"It's done," Zheng Ren said softly as he placed the hemostatic forceps and needle holder on the side of the patient's leg.
"So slow," Su Yun said disdainfully.
"…" The people in the spectator stand did not understand Su Yun's words. This old scolding was too ruthless.
If this was slow, what was fast?
"There's nothing I can do. This is all I can do." Zheng Ren seemed to be a little embarrassed. He let out a long breath and said, "When my skill level improves, it might be faster."
"…"
Everyone began to curse in their hearts.
Boss Zheng, you still want to improve your skill level. Are you preparing to break through the sky?
At this time, Su Yun's frequency gradually slowed down.
After 2 '23 ″, the electrocardiogram slowly returned to sinus rhythm. On the invasive arterial blood pressure monitor, the systolic blood pressure also returned to 90
MmHg and above.
The critical period was over.
Zheng Ren was not in a hurry at this point. Instead, he continued to use 7-0 step by step.
The donor and recipient's proper hepatic arteries were sutured end-to-end with 6-0
The posterior wall was continuous and the anterior wall was interrupted to suture the common bile duct of the donor and recipient.
Professor Zhang tried hard to recall the entire process of the previous cardiac compressions. It seemed that the boss had mentioned Old Fan.
Su Yun's technique had already amazed him. From what Boss Zheng said, Old Fan's technique seemed to be better than Su Yun's.
Was there a doctor with the surname Fan in the cardiothoracic surgery department in Imperial Capital?
There was one in Union Medical College, but he seemed to be the chief resident the year before last. There was also an associate professor with the surname Fan in Eastern Oncology Hospital, but he could only be said to be good.
"Boss Zheng, who is this Old Fan you're talking about?" Professor Zhang saw that the surgery had passed the most dangerous anhepatic period and asked in good faith.
"Old Fan?" Zheng Ren said casually and immediately stopped talking.
He was using a microscope to suture, even the trembling of his body muscles had to be controlled. Otherwise, when the blood vessel wall moved under the microscope, it would be like riding a roller coaster.
It would not affect the surgery, but it would affect his mood.
"Old Fan is the community hospital's security guard." Su Yun took his right hand out of the patient's abdominal cavity and looked up at Professor Zhang.
"…"
"…"
In the operating theater, other than the medical team … Lin Yuan in the medical team did not know about this.
A security guard was actually proficient in such advanced cardiac compressions?!
F * ck!
When Professor Zhang heard this, the sadness in his heart flowed like a river.
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