Chief. "
"I'm in the ward."
"Okay, I'll wait for you."
Zheng Ren hung up Department Chief Kong's call and immediately entered the System's operating theater.
Su Yun was not there. He had gone to give a lecture to the doctors from Lanke, so there were fewer people who asked why.
Entering the System's operating theater, Zheng Ren saw a pair of conjoined babies lying on the operating table.
Both babies had congenital heart disease, resulting in poor myocardial reserve function. Both of them had upper respiratory tract infections. The System's panel was marked with the words' Cardiac Insufficiency (Level II) 'in red.
Zheng Ren was not in a hurry. Instead, he recalled the surgery introduction he had read before.
The thoracic and abdominal conjoined babies were not the most difficult. If the head was united, it would be the most troublesome.
The liver of the conjoined babies with hearts in front of him was more connected.
The left lobe of the two children completely overlapped and fused.
The other digestive systems were separated. During the separation, two thick blood vessels with a diameter of about 0.2 cm were also found in the liver junction.
They were connected.
For Zheng Ren, who was at the peak of his general surgery skills, separating the liver was nothing. He did it to his heart's content.
This was the first surgery after his general surgery skills reached the peak. It was a complete success.
Liver separation, bleeding control, and anastomosis. With the sound of the ultrasonic knife, it only took him more than 30 minutes to complete this part of the surgery.
After it was done, Zheng Ren felt comfortable all over.
It was this feeling. When the System first came, it gave him a peak experience of three minutes.
It felt exactly the same. There was no deviation at all.
Zheng Ren's hand was placed on the child's liver. Through the sterile gloves, he could clearly feel the texture of the liver. He knew exactly how much strength he should use and what he should do.
It was a kind of confidence. There was no surgery that he could not do. No matter how difficult it was, he could complete it smoothly.
Even without wearing a Zeiss microscope, Zheng Ren could complete the microscopic anastomosis. However …
After opening the chest and preparing to separate the heart, Zheng Ren finally knew where the trouble was.
The two hearts gathered together and were twisted and deformed.
This was not the biggest trouble for Zheng Ren. In the eyes of the expert team from Philadelphia Children's Hospital and Chief Han of the Women's and Children's Hospital, it was an insurmountable obstacle. Zheng Ren did not think much of it.
However, the difficulty lay in the different heartbeat frequencies of the two children, which had a great impact on the surgery.
After trying a few times, Zheng Ren did not have a particularly good way.
He let out a long breath. Did the System want to give him an assistant function in preparation for this surgery? That should be the case. The system was quite humane in this aspect.
Although he did not know how having an assistant would affect the surgery, he could only give it a try. He followed the System's instructions and made further attempts.
He clicked on the assistant mode and found that the assistant needed to spend the same amount of time on surgical training as him.
Moreover, he had used it in advance without receiving any rewards. Surgery training time consumed x2.
In other words, one surgery required three surgeries' worth of training time.
Zheng Ren was a little helpless, but he had no choice. He could only click on the assistant function. After selecting it, Zheng Ren immediately found a series of options at the back. It seemed that he could also have multiple assistants.
'It would be great if I had so much training time that I can't finish it,' Zheng Ren thought.
Of course, he would not be so wasteful. Every surgical training session was quite precious. He clicked on an assistant and immediately saw the image of a test subject appear in front of him. The silhouette was undoubtedly Su Yun.
After trying a few more surgeries, he had a general idea of the entire process. Even with an assistant, the surgery could not be completed.
The heart rate of the two hearts was different. One was about 160 beats per minute, while the other was 130 beats per minute.
It was too difficult to completely separate the distorted and deformed heart muscle, and it had to be based on the beating of the heart.
The child's heart function was very poor. The severed heart had to be repaired with a patch in the shortest time possible so that the surgery could be successful and both children could survive.
If the surgery was carried out according to the current method, there was no way to complete it. Zheng Ren had a preliminary estimate of this after failing a few times.
Zheng Ren was not in a hurry to go out. Instead, he carefully observed the hearts of the two children.
The diaphragm, mediastinum, and pleura were partially connected. The two babies shared a common heart bag. The large blood vessels at the bottom of the heart were completely separated and did not communicate. The atrium was connected and shared a piece of heart muscle. The apex of the heart was connected to the diaphragm muscle. There was a small tubular connection between the two hearts.
Most of the other parts of the two hearts were connected by membranes.
Thinking back to the surgery of conjoined twins, although this situation was not considered a conjoined twin with only one heart, it was still considered a basic conjoined twin.
The difficulty of the surgery was much higher than he had imagined.
The name was beautiful, but Zheng Ren had no idea how to perform the surgery.
Helplessly, Zheng Ren came out of the System space and went to meet Department Chief Kong.
Soon, Department Chief Kong walked back quickly.
"Boss Zheng, Deputy Director Yuan is working on the spot in the Department of Respiratory Medicine. He said that he wanted to ask if you can perform the surgery on conjoined twins. It seems that they have a common heart. There is a patient at the Women's and Children's Hospital who can't perform the surgery. "
"I've never done it before … I'm not confident," Zheng Ren said with a sigh.
Department Chief Kong knew that this was the case. The rate of conjoined twins was not high to begin with. In the entire Imperial Capital, it was considered more than three to five cases a year.
Moreover, it was not a very serious case.
The surgery that the Women's and Children's Hospital could not perform was probably as difficult as flying to the sky.
"Boss Zheng, if you can't do it, don't force yourself. Just finish the Nobel Prize project well. This is the main thing," Department Chief Kong whispered.
"I know, Chief." Zheng Ren nodded and said, "Let's take a look at the patient's condition first."
"I just called the Women's and Children's Hospital. They said that this time, the Women's and Children's Hospital is serious." Department Chief Kong saw that Zheng Ren was calm and felt much more at ease. He began to gossip.
"Oh?"
"They found an expert team from Philadelphia Children's Hospital for guidance. They also used 3D printing and surgical navigation systems to make a simulation for the preoperative surgery."
"…" Zheng Ren was stunned for a moment.
If there was a simulated surgery, he and Su Yun should be able to cooperate well after two more run-ins.
Zheng Ren was also not sure. Who would know if they did not try this kind of thing?
Just like conjoined twins, they did not have to choose the person with the highest surgical skill. Instead, they had to choose a doctor who had the highest technical level and was the most familiar with the surgery.
This way, they could completely separate the atrium of the child in the shortest time possible.
However, the surgical navigation system and the preoperative 3D printing method of simulating the child, the Women's and Children's Hospital had really put in a lot of effort.
There was no precedent in the world for the surgery of conjoined twins connected to the heart.
Was it really possible?
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