"No need for now, wait a moment." Zheng Ren had already cut off his right lung and put it in the pathological pelvis. At this time, Lao He was holding a report in his hand and reported, "The blood sample 10 minutes ago, total bilirubin 876μmol/L, blood gas..."

He only said that the project with problems did not involve other items, and it was simple and clear.

The liver function damage is so serious?! Dr. Charles was stunned for a moment.

The liver function is severe and the kidney function is good. If Dr. Charles himself stood on the operating table, he would definitely undergo intraoperative liver dialysis at this moment. As for the machine, what is there in Mayo Clinic? Why did he piece together a mottled dialysis machine?

Look at that machine, at least the parts of the four manufacturers are pieced together, like a beggar.

But Dr. Charles did not sarcasm or ridicule, and he was more surprised.

Dr. Zheng is like a captain who has been drifting on the sea for decades and has experienced it. With clues, he judges that a storm is coming.

Before that, he had already taken his assistants to drive the broken ship and escaped from the most storm.

It was unimaginable that Dr. Charles recalled it again, but could only sigh. If he were on the operating table, he would not have expected the symptoms of acute failure of the liver in advance.

All the unreasonable treatments before became clear, although Dr. Charles still couldn't understand how Zheng "predicted" the patient would experience acute liver failure.

Is it because of the blow of interventional surgery? Dr. Charles silently searched for the possibility in his heart.

"Heparin 40 mg plus normal saline 5000 mL pre-flushing pipeline and plasma perfusion device, the blood flow rate is 75 mL/min, and the replacement fluid speed is 25 mL/min." Zheng Ren directed in a deep voice.

Icu's doctor started operating the machine and adsorbing bilirubin.

At the same time, Zheng Ren removed the heart and lung tissue in a semi-expanded state and placed it in a pathological pelvis. He took the 3D printed lung tissue stored in Perferdex liquid handed over by Xie Yiren, and began to perform an ice bath.

Then the 3D printed lower lobe of the right lung was placed in the chest cavity and anastomosis was performed in the order of trachea-artery-atrium sleeve.

"Replenish the fluid, 500ml of normal saline." Zheng Ren said, "Dopamine, now you can give it."

Lao He immediately turned on the micro pump that had been prepared long ago, and the medicine immediately entered the body along the blood vessels.

“Adjusting ECMO flow, the average pulmonary artery pressure is less than 40 mmHg.”

"The blood flow rate of liver dialysis is accelerated, 100mL/min."

"Methylprednisolone 500mg impact."

As doctors issued one by one, the auxiliary doctors were constantly adjusting the values ​​of ECMO, liver dialysis instruments, micro pumps, and ventilators.

At the same time, Zheng Ren placed the right side of the lower lobe of the lung in the right thorax, and used 4-0 absorbable monofilament to continuously suture the bronchial membrane part, and used 4-0 Vicryl line for intermittent suture of the cartilage part.

The suture is done under a microscope, simple and simple. It seems that on-site command and surgery are running in the brain simultaneously, and do not interfere with each other.

Even though Dr. Charles has been at the peak of surgery, it has only reached the peak of his technique, and he will never pay attention to the entire process of the surgery and every detail of everyone.

It’s not that the details are useless, but that he… can’t do it.

Zheng Ren matched under a microscope. No matter how exquisite the technique was, Dr. Charles would not be surprised. He just sighed that the years passed, and while taking away youth and vitality, he also took away stability and meticulousness. What he could have done before would never be able to do now.

However, while the operation was carried out, all the details on the operating table were controlled in detail, including ventilators, micro pumps, ECMO, and liver dialysis, which was simply something that non-humans could achieve.

In amazement, Zheng Ren clamped the proximal side of the right pulmonary artery and trimmed the blood vessels as appropriate to adapt to the diameter of the pulmonary artery. Then he used 5-0 Prolene line to suture the pulmonary artery continuously.

His hands were very stable, neither fast nor slow.

Then, a pair of vascular forceps were clamped on the left atrium proximal to the pulmonary vein, removed the ligation line of the pulmonary vein stump, connected the upper and lower pulmonary veins to form an appropriately sized left atrial sleeve, and continuously sutured with the atrial sleeve on the right pulmonary vein of the 3D printed lung donor with a 4-0 Prolene line.

After the anastomosis was completed, Zheng Ren used a 3D printed omentum to cover all anastomosis mouths in turn, and performed the anastomosis patiently and meticulously.

This... the lung transplant on one side is done!

Dr. Charles took a look at the time in surprise, and the right lung ischemia time was 58 minutes!

I didn't feel anything when I watched the operation, but the moment when the cold numbers appeared in my mind, Dr. Charles knew the gap.

The lung transplant he has ever seen is the fastest one to do. No matter how fast the surgery is, the key is that the operator did not devote himself to the operation, and he was still the whole soul, controlling all medical activities, including the operation.

Is this the peak level after the peak? It has surpassed the touch that I can understand, control the whole audience without any omission.

This is the real king in the operating room!

"Shh~" Su Yun breathed a sigh of relief and looked at the monitor and the various ECMO values.

"Boss, it seems that there is no problem." Su Yun said, "Is the operation successful?"

"It's only halfway, focus." Zheng Ren glanced at the various values ​​and started to make doctor's instructions again.

"Adjusting ECMO flow, the average pulmonary artery pressure increased by 5mmHg."

"The blood flow rate of liver dialysis is accelerated, 110mL/min."

"Methylprednisolone 500mg impact."

"Dopamine and m-hydroxylamine are reduced..."

As the song of good luck came, Zheng Ren's voice of the doctor's advice became cheerful.

"The right lung is ventilated and the lungs are manually swollen." Zheng Ren said softly.

Lao He responded and began to adjust the position of the tracheal tube, changing it to a single-lung mode, and ventilating the right lung. As he began to pinch the ball, the gas entered the fresh lungs, and the lungs bulged like balloons, and the sound of beeping could be vaguely heard.

That's not noise, that's the sound of life!

"It's done, next one." Su Yun said with a little excitement.

"Don't worry, warm salt water." Zheng Ren said.

The chest cavity was filled with warm saline, and Lao He pinched the bulb to control the expansion of lung tissue. Finally, Zheng Ren strengthened the omentum at the anastomosis of the main trunk of the trachea, and then completed the unilateral surgery.

Zheng Ren then retreated the Swan-Ganz catheter to the general pulmonary artery and then placed it in the right pulmonary artery, and started the left lung transplantation.

For Dr. Charles, the operation has actually been completed.

There is a difference in the surgery process between the left lung and the right lung, but for the surgeon who has a cold ischemia time of 58 minutes on the right side, it is impossible to doubt whether he can complete the surgery.

In the operating room, under the BGM of Good Luck, the sound of various machines running sounded slightly, as if they were accompaniment for Good Luck.
Chapter completed!