Doctor: start with the heart

Chapter 148 The Surgery Begins - Dance on the Tip of the Knife

a week later.

nine in the morning.

In the ward of the research center.

The patient Aqiang was lying on the hospital bed, while Su Xiao and Jiang Xiaoqi were making the final preparations before the operation in the ward.

In the operating room, Zhao Xu, Sun Chang, and Xu Minghang and Lu Chen from the medical team formed a surgical team to complete the first operation of taking out the kidney, stripping off the blood vessels and nerve stents, and then transplanting the mechanical kidney. .

"Aqiang..."

Ah Zhen looked at Ah Qiang who was lying on the hospital bed, and murmured, her eyes were full of worry, but also hopeful.

"Ah Zhen, don't worry, look, this time I will be operated on by the best doctors in this hospital, and it will definitely be successful."

Ah Qiang pretended to be strong and said.

He can't show his weakness at this moment, otherwise, Ah Zhen won't be able to support herself in the first place.

Over the past few years, A-Zhen's mental state has been in a limit state. If this time his hope is shattered, he is not too concerned about his own life and death. What he cares about is whether A-Zhen can survive when he is gone. down.

"Well, the child and I are waiting for you."

Ah Zhen took Ah Qiang's hand, held it tightly, and said firmly.

"Time is up."

Su Xiao stood beside him, reminding Aqiang.

"Well, doctor, can I say a few more words, just a few words?"

Hearing Su Xiao's words, Ah Qiang knew that he was about to be sent to the operating table to determine life and death. Originally, this week, he was almost confessing his funeral. He and Ah Zhen talked a lot, but now, he still feels not enough.

"Ah."

Su Xiao nodded, now he is just preparing for the operation, and he is not in a hurry for these few minutes.

"If I can't get off the operating table, you have to take the child to live a good life."

Ah Qiang said in a harsh voice, his voice was hoarse, as if he was giving instructions, but also as a kind of farewell.

"Ah Qiang, stop talking, you will definitely come down."

Ah Zhen couldn't hear what Ah Qiang said, and when she thought that Ah Qiang might leave herself and the child like this, her heart was tightened tightly, and she felt like she couldn't breathe and suffocate.

For her, since she was with Aqiang, Aqiang was the whole of her life.

Over the years, people have always told Ah Zhen that she is stupid, but only Ah Zhen knows that it is this feeling and persistence that make her feel that she is truly alive.

Even if Ah Qiang is gone, she will bring up the child alone in the future, and when the child grows up, she will be very proud to tell the child about her love with Ah Qiang!

Ah Qiang wanted to say something more, but at this moment his heart was also tightened, and he couldn't say anything.

"Let's go, it's time."

Seeing this scene, Su Xiao also felt sore in his heart, and reminded Ah Qiang again.

"Well, Jane, I'm going."

Ah Qiang nodded and said to Ah Zhen.

"I'll wait for you to come back."

Ah Zhen wiped away her tears, held Ah Qiang's hand tightly, and said firmly.

Next, Su Xiao and Jiang Xiaoqi sent Ah Qiang to the operating room.

Soon, at the door of the operating room, Ah Qiang was taken over by the nurse in the operating room and pushed into the operating room.

Seeing Ah Qiang being pushed into the operating room, Su Xiao suddenly said quietly: "This is the first time I hope that an operation will be successful."

"Who isn't?"

Jiang Xiaoqi said lightly.

"Doctor Jiang, don't you feel a little regretful that you didn't participate in the operation this time?"

Su Xiao suddenly asked Jiang Xiaoqi who was standing next to her.

"If you don't participate this time, isn't there a next time? Didn't the team leader say it all, the people who participate in the operation and prepare for the operation are all rotated."

Jiang Xiaoqi said in a calm tone.

"You will definitely be replaced, but I'm not sure. Doctor Lu will definitely not let me replace her."

Su Xiao sighed and said.

"you think too much.."

Seeing Su Xiao sighing a little, Jiang Xiaoqi said suddenly.

"what?!"

Hearing what Jiang Xiaoqi said, Su Xiao was a little confused. She thought Jiang Xiaoqi would comfort her.

"I mean, you're thinking too much."

Jiang Xiaoqi looked at Su Xiao, and repeated word by word.

"I think too much? You don't know that Doctor Lu won't deal with me, do you? She has a good relationship with Sister Sun, and I will definitely suffer in this regard."

Maybe Su Xiao felt that the relationship between Jiang Xiaoqi, Lu Chen and Sun Chang was average, so she also spoke the truth to Jiang Xiaoqi rarely.

"Why do you keep thinking about these things? Although I was the last to come in, I know a little about many things. I think it's fair to be here. If it's not fair, based on the relationship between you and the team leader relationship, it will definitely not come in because of avoiding suspicion, isn't it?"

Jiang Xiaoqi said calmly and confidently.

"Doctor Jiang, you?"

Su Xiao was a little confused by Jiang Xiaoqi's words.

"It can be said that this is the place with the highest level in the entire First Affiliated Hospital, and it can even be said that it is the place with the highest level in the country. In such a place, you don't think about how to improve yourself or how to keep up with other people, especially the team leader. The pace, but spend your own time thinking about these things, this is a waste of your entire opportunity to come in."

Jiang Xiaoqi said to Su Xiao seriously.

"Think about it, I'm going to show the classroom."

After a pause, Jiang Xiaoqi shook her head again, said to Su Xiao, and then walked towards the demonstration classroom.

Only Su Xiao was left standing there with a confused look on his face.

operating room.

The anesthesiologist has given Aqiang an anesthesia. At this moment, Aqiang has fallen into a deep coma and is lying on the operating table, ready for a life-and-death operation.

And Zhao Xu, with his hands in rubber gloves, was carefully touching a small boxy box and kept looking at it.

"This is a mechanical kidney? It doesn't look like a kidney, but a water filter."

Lu Chen, who was standing beside him, also looked curiously at the small dark green box in Zhao Xu's hand.

This small box looks like the filter element of a popular water purifier on the market.

"Functionally speaking, the kidney is a filter. Isn't it normal that the mechanical kidney looks like a filter?"

Zhao Xu said lightly.

"That's true."

When Lu Chen thought about it, it seemed to be true.

The function of the kidneys is to excrete waste and toxins from the body, while also regulating blood pressure and the balance of the internal environment of the human body.

However, just such a palm-sized thing can replace the function of the kidneys?

Lu Chen is still a little puzzled, it really is such a black technology, it seems too advanced.

"This is driven by blood pressure. Because of the material, the validity period is only three months. At the Institute of Biology, Academician Li Bo'an will lead the team to remotely watch the entire replacement operation at the Institute."

Zhao Xu looked at Lu Chen, seemed to sense her doubts, and said slowly.

As for Sun Chang and Xu Minghang, when they heard Zhao Xu's words, they also felt the pressure instantly, and their expressions immediately became dignified.

In the demonstration classroom, elites from various departments of the First Affiliated Hospital, including the dean and other leaders, were observing the operation in real time at the moment. In the Institute of Biology, Chinese Academy of Sciences, Academician Li Boan led a team to watch the operation.

It can be said that the standard of this operation is very high.

Of course, this is also related to the fact that this operation is the first mechanical kidney replacement.

"Relax, it's fine as usual surgery. This operation, in terms of operation, is a normal kidney replacement, which is not difficult. It's just that the patient is too weak, so we have to observe the patient at any time during the operation. various vital signs."

Zhao Xu said to Sun Chang and the others again.

In the current medical field, kidney transplantation is already a routine operation, so the difficulty of the operation is not particularly high.

The risk of this operation is that the patient is an advanced uremia patient, and his life is already at the end of his life. Now that such a large-scale operation is being performed, it will put a huge pressure on the patient's circulatory system.

"understood."

The three of Sun Chang nodded. When Zhao Xu said this, the tension in the hearts of the three eased a little.

On the other side, inside the classroom.

The dean stood beside the director Wang Ming, and said slowly: "Old Wang, this is another groundbreaking operation, and this place is about to become the forefront of the national medical field."

"I think it already is."

Wang Ming said seriously.

"Yes, whether it's high paraplegia, advanced glioblastoma, or this time, patients with advanced uremia, these are all problems that cannot be solved now. But here, they have all been solved miraculously, Lao Wang, I When I went to hold the dean’s annual meeting, the deans from other places, including the sponsor, asked me the most questions about the center and Xiao Zhao.”

The dean said with pride.

"Then it seems that you, the director of the research center, are going to step aside."

Wang Ming also said with a smile.

"This is a matter of process. After all, Xiao Zhao's qualifications are still young, so there is no way he can directly become the director. However, after this operation, I think Xiao Zhao's qualifications are enough. At that time, I will formally report to the Ministry. Apply for resignation and let Xiao Zhao become a regular directly."

The dean said with a smile.

"Will it be too soon?"

Although it was a good thing that Zhao Xu became the director of the research center earlier, Wang Ming felt that it was a bit too soon.

"Do extraordinary things in extraordinary times, Lao Wang. The world is no longer our era. You can take it step by step. Step by step, step by step, I still count on Xiao Zhao to develop the research center well, and then lead The entire First Attached Hospital has reached a new height."

The dean said slowly.

He is very far-sighted and open-minded, otherwise, he would not have been the dean of the attached hospital for so many years.

"Well, let's see this operation."

Wang Ming nodded. Since the dean had thought it all over, he felt that it was all right.

Look back to the operating room.

The preoperative preparations for this meeting have been made, and the anesthesiologist said to Zhao Xu, "Dr. Zhao, the patient's vital signs are normal, and the operation can begin."

"Well, let's start the operation."

Zhao Xu nodded.

"Scalpel No. [-]."

Zhao Xu said to the equipment nurse.

"Ok."

The equipment nurse nodded and handed the scalpel handle to Zhao Xu.

Zhao Xu took the scalpel and said to Xu Minghang who was standing beside him, "This time, we will make a small arc-shaped incision in the lower right abdomen."

"Ok."

Xu Minghang nodded, ready to cooperate with Zhao Xu's operation.

On the other side, Sun Chang took Lu Chen, and upon hearing Zhao Xu's words, he asked Zhao Xu with some doubts: "With such a small incision, will the surgical field of view be too small?"

The small arc-shaped incision in the right lower abdomen mentioned by Zhao Xu is to reduce the length of the incision on the basis of the normal kidney transplantation incision. In this way, the physical damage to the patient is minimal, but the surgical field of view is relatively smaller.

"It can only be overcome. The patient will have another transplant operation later. If the incision is too large this time, the next surgical incision will cause scar tissue and delay healing."

Zhao Xu said slowly.

"okay, I get it."

Sun Chang nodded. Although the incision was smaller than expected and the difficulty was a bit higher, isn't this the time to show his level?

Next, Zhao Xu took Xu Minghang, and Sun Chang took Lu Chen. They made incisions on both sides at the same time, and quickly opened the abdominal cavity, exposing the kidneys on both sides.

As soon as the kidneys on both sides were exposed, several people in the operating room gasped.

The normal human kidneys are paired lenticular-shaped organs, reddish-brown, located in shallow fossa on either side of the retroperitoneal spine.

However, the kidneys that were presented in front of several people in the operating room had already turned black and purple. This kind of wink showed that the function of the kidneys had failed, and a large area of ​​kidney cells had been necrotic.

"Clamp the artery and begin the removal."

Zhao Xu took a deep breath and said slowly.

Following Zhao Xu's order, both sides began to remove the kidneys at the same time.

At this moment, crazy beeps sounded in the operating room!

At this moment, Zhao Xu clamped the renal artery and was about to remove the kidney. When he heard the sound of beeps, he suddenly looked up at the life monitor.

He saw that the monitor was already glowing red!
"Doctor Zhao, the patient's heart rate and blood pressure are dropping sharply!"

The anesthesiologist said to Zhao Xu hurriedly.

"A unit of epinephrine administered intravenously."

Zhao Xu remained calm in the face of danger, and calmly said to the anesthesiologist.

Soon, the anesthesiologist injected a unit of epinephrine intravenously, the rapid beeping alarm sound disappeared quickly, and the red on the life monitor also turned green.

Although the patient's vital signs were temporarily stabilized, several of them all looked solemn.

The renal artery has just been clamped, and before the removal, let alone the transplantation of a mechanical kidney, the patient's vital signs are already in critical condition. Can this operation continue?

Xu Minghang, Sun Chang and Lu Chen all looked at Zhao Xu at this moment, waiting for his decision.

All three of them understood that this decision was not easy to make.

If the operation continues and the patient cannot survive the operation table, the consequences are beyond anyone's imagination.

And stop now, although it is impossible to operate, but because of the poor physical condition of the patient, this is also normal.

Sun Chang gave Zhao Xu a worried look.

"Doctor Zhao?"

Lu Chen reminded Zhao Xu.

"Continue, extirpation and transplantation are performed at the same time, shortening the operation time."

Zhao Xu thought for a moment, then said in a deep voice.

The operation cannot be stopped. If it is stopped now, the patient will no longer be able to undergo surgery in the future. Although there are still a few months to go, it is almost equivalent to announcing the patient's death in advance.

This is the only chance, don't give up!

"This.."

Hearing Zhao Xu's words, Lu Chen, Sun Chang and Xu Minghang hesitated at the same time.

Generally speaking, the kidney has always been to remove the autologous kidney first, and then transplant it.

If transplantation and removal are carried out at the same time, the operation time is indeed shortened, but this also means that the suture of blood vessels must be completed in a very short period of time. The operation that was originally done in half an hour is now almost cut in half. The difficulty has doubled!
"You do other operations, I will suture the blood vessels, let's start."

Zhao Xu said in a deep voice.

"it is good."

Seeing Zhao Xu's calm and confident appearance, Sun Chang, Lu Chen and Xu Minghang seemed to be infected by this confidence, and nodded together.

(End of this chapter)