MTL - Doctor’s Life Simulator-Chapter 348 Invitation from the 2nd Hospital of Harbin Medical University, an operation recorded in history

Doctor's Life Simulator Chapter 348: Invitation from the Second Hospital of Harbin Medical University, an operation recorded in history

Qin Lang raised his head and smiled slightly: "Per liter of gSO46mmol, 65ml of 50% glucose solution is the so-called improved solution. As for the perfusion volume, the perfusion volume is controlled at 60ml/kg, the perfusion pressure is 20mmHg, and the perfusion time lasts for more than 5 minutes."

In addition to the formula, Qin Lang directly stated the improved formula that was infused:

"Ventilation with low tidal volumes during lung perfusion puts the lungs in a semi-attenuated state so that the perfusate is evenly distributed. Modified fluids can have better prognosis and fewer complications compared to traditional perfusion fluids, while also avoiding ventricle swell."

After listening to Qin Lang's introduction, all the doctors nodded and recorded it. They really didn't know such details before.

Next, Qin Lang naturally elaborated on the plan of the donor's heart and lungs and the plan of the recipient's cardiopulmonary resection.

Soon, during the consultation, it was decided to perform a heart transplant based on the surgical plan proposed by Qin Lang.

In Harbin, the capital of Long Province, thousands of miles away, in the second hospital of Harbin Medical University, the second general consultation of Ye Jian's second heart transplant was also held.

Professor Liu and Dean Zhang co-chaired. Professor Liu's chief physician, Chen Minjie, also had the highest voice this time, and cooperated with Professor Liu's assistant candidate, and took the lead in reporting the completed work:

"Professor Liu, President Zhang, yesterday afternoon, Ye Jian was transferred to the ICU after medical treatment. In the evening, his physical condition has improved..."

Listening to Director Chen's report, both Professor Liu and Director Zhang nodded, indicating to continue.

"After a day and a night of preparation, with the cooperation of the pharmaceutical company and brother units, this morning, blood warming equipment, a special intraoperative defibrillator, and esophageal ultrasound equipment have been transferred..."

Physician Chen looked at the equipment and drug list in his hand, and reported it carefully. After he said what had been prepared, he continued to supplement the preparation time for the remaining drugs: "Special blood protein drugs will arrive at the hospital by tomorrow at the latest, and immune rejection drugs can be prepared before the evening. complete."

Due to Ye Jian's special situation, in order to be foolproof, Professor Liu and the expert team specially designed special medical equipment for this second heart transplant.

After Director Chen, the Department of Anesthesiology, ICU, Radiology, and Nephrology also expressed their opinions and preoperative preparations.

After listening to everyone's report, Professor Liu made a summary: "After this second consultation, the whole process of the second heart transplant operation has been basically demonstrated. Various special equipment and special drugs are also under preparation. In addition to the hardware, the last issue is the selection of the chief surgeon, Ichisuke and other cooperating physicians for this operation."

Hearing Professor Liu's words, the doctors present wanted to be selected, but they did not want to be selected.

After all, Ye Jian's second heart transplant was another high-level challenge and milestone in the history of Chinese medicine.

The chances of being able to carry out a second heart transplant operation are extremely low. Most of the second heart transplant operations are performed on patients who have undergone heart transplantation for more than ten years. At present, there are very few patients in China who can survive for more than ten years after heart transplantation. .

There are not many international precedents to follow, so for the doctors present, including Professor Liu, the medical treatment available for this operation is almost zero.

Under the premise that no medical information can be found, Ye Jian's second heart transplant operation is unprecedentedly difficult. At the same time, if the operation can be successful, it will be helpful for promoting the evaluation of heart transplant operations, overcoming the worldwide problems of organ transplantation, progress in transplantation technology, The progress of medical science and technology in many aspects such as pathology, pharmacology, and basic medical research is of great significance.

The physicians present are of course well aware that success is naturally a success, but the probability of failure is higher. Of course, they are not afraid of failure, but worried that due to their poor skills, the entire operation will be dragged down, due to their own mistakes. As a result, the efforts of Professor Liu and all the medical teams have been in vain.

Dean Zhang and Professor Liu are waiting quietly. They naturally hope that someone will come forward and take the initiative to take this responsibility.

To be honest, Professor Liu didn't have a 100% favorite candidate in his heart. He had to pick the big one out of the scumbags, and then Director Chen was barely able to participate.

Chen Minjie lowered his head at the moment, a little confused. To be honest, this is a once-in-a-lifetime opportunity for him, but he is really clueless about the second heart transplant operation, especially the surgical plan designed by Professor Liu. The difficulty of operation is too high.

Since it is a second operation, the main surgeon and the first assistant must complete the full set of operations within five hours. Such a short operation requires a high degree of concentration and concentration.

As for Chen Minjie's basic skills, he can still do it well, but if it is fast and good, he is almost meaningless.

"Do you want to recommend yourself?"

Chen Minjie couldn't make a decision for a while.

In the consultation room, it fell into silence for a while, and the quietness was a bit scary.

For this, Professor Liu and Dean Zhang were a little disappointed, especially Professor Liu gave Chen Minjie a meaningful look and lowered his head and didn't know what to think.

It's like in the school, when the teacher asks questions, each student turns into a quail.

Professor Liu gave a wry smile, but he didn't blame them. It was because this operation was too difficult and there was no precedent to follow. After all, no one could perform the first operation without incident.

Looking at his watch, Professor Liu directly broke the silence:

"Okay, about the candidates for this operation, I will discuss with President Zhang later, and I will inform you of the results. It just so happens that there will be a heart transplant operation in Xiehe Hospital. I was originally the chief surgeon, because Ye Jian's The reason, I turned it down, but due to my sudden no-show, Director Dong of Xiehe Hospital could not find a better replacement for a while, so I chose to go to battle in person, but Director Dong was still worse than me, so I invited me Give him remote instruction."

"It happens to be a difficult heart transplant operation. The patient is older, and the difficulty of some operations is not much worse than that of Ye Jian. Now that the plan has been set, the big guy will come with me to observe. Next, the level of heart transplantation in Union Hospital. I can’t say, but I can also get some inspiration from their operation.”

Hearing Professor Liu's suggestion, the doctors are of course very happy and relaxed. In their opinion, Director Dong's surgical level is a little worse than that of Professor Liu. For a while, it is not Director Dong, but Professor Liu. How to guide.

Soon, Professor Liu and Director Fang of Union Hospital got in touch, and the remote surgery guidance system synchronized the image of the operating room of the Union Hospital.

"Professor Liu, we are about to start taking the donor's heart and lungs, which is the first step. I would like to ask you to keep an eye on it."

Director Dong looked at the screen and asked Qin Lang an encouraging look: "Director Qin, let it go, I have the chief surgeon, and Professor Liu from the Second Hospital of Harbin Medical University for remote guidance."

On the other side of the screen, the expert team from the Second Hospital of Harbin Medical University was very tired after a round of intense consultations. They just took this opportunity to take a break and did not pay much attention to the heart transplant operation of Xiehe.

After all, they are now working on a secondary heart transplant, which is not comparable to an ordinary heart transplant from Concord.

What's more, they accompanied Professor Liu to guide the other side.

"Why do you feel that this doctor who cooperates with Director Dong is a little young."

In the observation table, some doctors noticed Qin Lang's temperament in the operating room.

"I don't know which chief physician of Xiehe is. The surname is Qin. It seems that the emperor does not have such a powerful person."

"It's just a help from Director Dong. It's normal to not have a good reputation, but it shouldn't be underestimated. I can't say that there are some skills worth learning in the operation."

A deputy chief physician commented relatively objectively.

"Hopefully, but I think Xuan, it's very good that he can operate smoothly, I hope Professor Liu can worry less."

"Look, look."

The doctors in the medical team chatted casually.

Professor Liu also felt guilty. His absence made Director Dong only invite such a junior. I hope there will be no mistakes in the operation.

In the operating room, Qin Lang has already started to take the donor's heart and lungs.

"Scalpel..."

Qin Lang took the scalpel without being polite at all, made a transthoracic midline incision on the donor, and opened the chest to expose the pericardium. Extensive incision was made to the pulmonary veins on both sides, and the ascending aorta, innominate artery, and superior vena cava were dissociated. vein...

A series of operations, running smoothly and smoothly, completed the previous steps in a while.

The expert teams of the Second Hospital of Harbin Medical University, who were all lazy, were all shocked by Qin Lang's manipulation.

Between lightning and flint!

Even if Professor Liu watched Qin Lang's operation, he felt waves in his heart.

"This level of help is quite good!"

"Heparin 3mg/kg...Prostaglandin E120ng/(kg·min)..."

Qin Mude's affectionate surgical machine, the gallery, has completely entered the state. High-level ligation and cutting of the superior vena cava are another rapid and extreme operation.

"This... I'm afraid I'm not watching a teaching operation?"

The expert group of the Second Hospital of Harbin Medical University was shocked by Qin Lang's inhuman operation.

"Vascular clamp...cold crystalloid cardioplegia...modified lung protection fluid..."

When Qin Lang gave another order, in the observation room, everyone frowned, especially some relatively young doctors, all of them looked at the most authoritative Professor Liu in the field.

Feeling everyone's doubts, Professor Liu smiled bitterly: "I don't know much about this improved protective solution. It should be the latest achievement of Xiehe Hospital."

"Oh."

A few members of the expert group let out a soft sigh, feeling a little uncomfortable in their hearts. They have always felt that the Cardiac Surgery Department of the Second Hospital of Harbin Medical University, especially in the field of heart transplant surgery, is a leader in Xiehe. Donors are taught to be human at the stage of heart and lung collection.

"It's just a small improvement, a little trick of the wither."

Dr. Chen comforted himself.

Looking at the screen, Qin Lang was still operating at a high frequency without a stop, and the expert group in the observation room all quieted down.

The expression also became very serious. This remote guidance from Professor Liu seems to have changed.

Professor Liu also thought about it, and had a strange idea. Could it be that Director Dong was dissatisfied with his picks and found a master to disgust him? Without himself, some of them are top-notch practitioners in their concord, and they are also one of his director Dong's assistants.

Professor Liu raised his eyebrows. He was still very confident in his accomplishments and experience in heart transplantation. It would be impossible to hang himself up with just anyone.

Next, Qin Lang's operation was quite satisfactory, and the lung perfusion was quickly completed.

"Scalpel...needle forceps..."

Qin Lang used the pen-holding style to cut the left atrial appendage accurately and quickly to drain the pulmonary perfusion. After that, he cut off the aorta at the level of the innominate artery, clamped the trachea above five tracheal rings on the carina and cut it off.

The heart and lungs were separated from the bottom up to the posterior mediastinum, the lower pulmonary ligament was ligated and cut, the heart and lungs were removed from the thoracic cavity, and immersed in normal saline at 4°C.

A whole operation, in one go!

"It's amazing. Which chief physician is this in the country? In theory, such manipulation skills should be famous. Why haven't I heard of it."

Although the doctors from the expert group of the Second Hospital of Harbin Medical University didn't want to admit it, Qin Lang's skills were really good.

Professor Liu put his hands on his chest. So far, the operation of this mysterious assistant is amazing. Although Professor Liu can achieve it in terms of operation, such a fast rhythm, such a dedicated persistence, and Professor Liu's current age, it is already a little bit. Powerless.

"The donor's heart and lungs are completed, and the second stage is next, the donor's heart and lung resection."

Director Dong presided over the progress of the entire operation, but it was just shouting slogans. The basic operations of the entire operation were all completed by Qin Lang.

To tell the truth, Director Dong has never performed an operation so easily. He only needs to control the entire process. The basic operations do not need to be spoken. With one look and one pointing, Qin Lang has completed it perfectly.

"Director Qin, in the recipient's cardiopulmonary resection, the most important thing is to protect the phrenic nerve, vagus nerve, recurrent laryngeal nerve, and complete hemostasis. Minimally dissociate the tissues around the trachea to preserve the blood supply. Is there any problem?"

Qin Lang didn't turn his head and responded directly with the operation on his hand.

"This free hand is too powerful!"

"It's almost textbook level."

"I suddenly had a little immature suggestion. We didn't choose someone to cooperate with Professor Liu for the second heart transplant. This is not the most suitable candidate ready-made."

A chief physician said something casually, and the voice fell, and everyone in the observation room was slightly stunned.

Even Professor Liu was stunned by this idea, and then he thought, if he were to undertake the entire operation, this Director Qin would be the best candidate to maintain this level!

It's just that the usual flying knives of this level of chief physicians are based on relationships and human feelings. Professor Liu is very sure that there is no such person in his circle of friends.

If you rashly invite an unfamiliar doctor to fly a knife, others may not agree.

Professor Liu looked at Qin Lang's textbook-level operations, and suddenly had an absurd thought in his mind. It was like in a river and lake. Youngsters, practicing skills hard, not famous, want to use this surgery, step on themselves, become famous in one battle!

It's just that he, Professor Liu, is so easy to be used as a stepping stone by others.

"Everyone still observe the operation first. As for Ye Jian's operation candidate, we will discuss it later."

After thinking about it, Professor Liu directly interrupted everyone's thoughts. He simply watched Qin Lang's next operation. After all, this heart transplant operation has just begun.

Qin Lang's performance also aroused his competitiveness.

"Professor Liu, in fact, I want to help..."

Chen Minjie whispered to himself, and suddenly felt a little regretful that he didn't recommend himself earlier. Now that he saw that Professor Liu might invite the mysterious doctor on the screen, Chen Minjie was a little unbalanced.

As the saying goes.

However, now is not the right time to express a position, Dr. Chen looked at the screen depressedly.

Five minutes later, Qin Lang completed the minimum limit of dissociation, completely retaining the blood supply.

"Scalpel...heparin..."

Qin Lang performed a median sternum incision on the recipient again, and retracted the sternum to both sides.

In the observation room, Professor Liu's mentality has also changed. He completely regarded Qin Lang's operation as a demonstration operation, and directly explained:

"Pay attention to Director Qin's operation. If you encounter pleural adhesions after incision on both sides of the pleura, remember to separate the adhesions before heparinization. Pay attention to Director Qin's operation, cut the pericardium longitudinally, and press the heart transplant after heparinization. Intubation to establish cardiopulmonary bypass."

"After that, the resection of the diseased heart is one of the core difficulties of the whole operation. I have concluded that the removal of the diseased heart can be divided into three steps, so that the complexity of the overall resection can be avoided."

Professor Liu is worthy of being an expert in this field. Not long after his words fell, Qin Lang started to operate word for word.

First of all, Qin Lang only retained the ascending aorta, superior and inferior vena cava, and four pulmonary veins during the resection of the diseased heart, and then very decisively cut off the posterior wall of the left atrium in between.

Seeing Qin Lang's decisiveness and speed, the doctor in the observation room also had a tingling scalp, and this Director Qin was too bold.

"This Director Qin is really confident and admired."

"Yes, this kind of operation, if it is an ordinary doctor, it will definitely be confirmed before it dares to use the knife."

"Stable and accurate, even Professor Liu can't do it to this level."

Dr. Chen also sighed in his heart, this Director Qin is really too strong.

"Vascular clamp..."

In the operating room, Qin Lang has completely dominated the operation, and Director Dong on the side only nodded and gave a few approving glances at the right time.

Tool man master knife real hammer!

Qin Lang picked up two vascular forceps and lifted the left pericardial incision edge forward to the left, fully showing the direction of the phrenic nerve. After that, a longitudinal incision was made on the pericardium 2 cm behind the phrenic nerve.

Seeing this, there was an exclamation in the observation room, especially those chief physicians who have participated in many heart transplants:

"Director Qin, is this distance ok? Under normal circumstances, 3cm is the limit. Also, this incision is far smaller than the conventional incision. Under normal circumstances, at least it extends down to the diaphragm and up to the pulmonary artery. This is considered a Made a mistake?"

Professor Liu also frowned slightly. He was a little confused. Can such a small incision really provide enough vision?

In the operating room, Director Dong's expression also changed. It was because Qin Lang's operation was too fast, and he was too stable before, but he didn't respond when he suddenly came.

It's heartbreaking to mention that, after all, whether an operation is successful or not depends not on the upper limit of the operation, but the lower limit of the operation. No matter how good some operations are, if there is a mistake in one place, all previous efforts will be lost.

"Oops, Director Dong's face has changed."

In the observation room, Dr. Chen observed the movements in the operating room at all times, and began to sweat for this reckless Director Qin.

"If it stops, it may be too late to re-enlarge the incision."

Professor Liu also expressed his suggestion through the microphone. After all, he has dealt with too many emergencies.

In the operating room, Director Dong also agreed with his own experience, and tried his best to control his tone: "Director Qin, it's okay to make a small mistake, let's take it easy and increase the incision again, don't be reckless."

"No, it's enough."

It was Qin Lang's Danran's words that answered Director Dong, and then took the scalpel from the instrument nurse's hand, and started the pericardiectomy in front of the phrenic nerve under the vision of a near-blind exercise.

"Director Qin, you!"

Before Director Dong could finish speaking, Qin Lang had successfully completed the pericardiectomy, and at the same time perfectly preserved the phrenic nerve and the wide pericardial cord of the blood vessels.

"Electric knife..."

Qin Lang's next command echoed coldly in the operating room.

In the observation room, Professor Liu and others held their breaths. Indeed, the operation of this Director Qin was too frightening.

Director Dong is even more difficult to ride a tiger and wants to take Qin Lang's operation right, but Qin Lang's operation has already been carried out halfway. At this time, changing people will cause even greater hidden dangers.

"Director Qin, keep your hands steady, keep your hands steady."

Director Dong's tone was a little begging for mercy.

Qin Lang ignored it and continued to concentrate on the extreme operation. In the center of the left atrial posterior wall, through the oblique sinus, the left atrium posterior wall was longitudinally incised, and the left atrium remnant and the left pulmonary vein connected to it were lifted forward. , use electrocautery to separate it from the posterior mediastinum tissue, close to the pulmonary vein during separation, and perfectly avoid the vagus nerve.

"Damn it, what did I see that it can still operate like this?"

In the observation room, several chief physicians did not believe their eyes, and recalled the prelude to Qin Lang's almost blind exercise:

"Smart, if you do this, in addition to improving the speed, it will reduce a lot of postoperative complications."

In the operating room, Director Dong could see more intuitively. His heart thumped a few times before he said unsurely, "Director Qin, this seems to be different from the surgical plan you designed before?"

"Oh, during the operation, I found that the patient's condition was worse than before, so the operation was more difficult and the damage was minimal."

Qin Lang calmly said, after all, surgery is such a thing, in addition to the prior plan, it is also very common to adapt to the situation during the operation. Of course, the requirements for a doctor's on-the-spot judgment and decision are very high.

"Fine."

Director Dong tacitly acquiesced, saying that at his age, he has rarely experienced a roller coaster thrill.

In the observation room, people with intentions also noticed Director Dong's statement that the plan for this operation was actually designed by Director Qin.

In the operating room, Qin Lang did not stop what he was doing. He pulled the left lung out to the right front through the pleural incision, fully dissociated the hilum of the lung, ligated the bronchial artery, and then cut off the left pulmonary artery.

"I really knelt down for Director Qin. If I keep doing this, I feel that this five-hour operation can be completed in less than four hours."

"This operation, this speed, I really think Director Qin is the best candidate for Ye Jian's surgery."

A chief physician who had been optimistic about Qin Lang before made this suggestion again.

Professor Liu, who was still thinking about it, agreed with this idea at this moment. Looking at Qin Lang, his eyes were full of anticipation. His medical team wanted this doctor.

"Just, how to convince Director Qin to join our team? It seems that we can only communicate with Director Qin after the operation is over."

When Professor Liu was thinking about how to invite Qin Lang, Director Chen, who was beside him, of course smelled Professor Liu's intention, and there was a lot of sourness in his heart. However, he also had to admit that Director Qin's skills were far superior to him.

Looking at how relaxed Director Dong is now, you can see how satisfying Director Qin is as an assistant. Dr. Chen even thinks that in this case, the position of the main knife is almost the same as a dog.

"Clamp..."

Qin Lang gave the order again, and skillfully used a clamp to clamp the left main trachea and cut it off at its distal end.

The left lung was successfully removed!

After that, Qin Lang followed the same method and completed the extraction of the right lung.

"It's pleasing to the eye."

In the observation room, Professor Liu sighed with rare emotion. Hearing Professor Liu's admiration, the medical team members of the Second Hospital of Harbin Medical University were all very surprised. After all, Professor Liu is famous for his eyes above the top in the hospital. It is even more true for the doctors under him. I have never seen a doctor who can get such praise from him.

After all, Professor Liu is already a top expert in the field of heart transplant surgery, and he has not seen it for many years if he can perform better than him.

After the removal of the left lung and the right lung was completed, the trachea was exposed from the right side of the aorta to free the trachea.

"Everyone carefully observe Director Qin's operation to see how he frees the trachea. We must pay attention to preserving the tissues around the trachea to ensure the blood supply to the trachea."

In the operating room, Qin Lang completed the dissociation very quickly, and calmly issued the last command of the second stage:

"Scalpel... trachea cut... recipient's heart and lungs are all taken out..."

Hearing Qin Lang's words, Director Dong on the side also breathed a sigh of relief and was very satisfied with Qin Lang's operation.

The tool man yawned and continued to shout slogans: "Director Qin, the third stage, which is the final step, is the donor cardiopulmonary resection and combined transplantation!"

Qin Lang nodded, and immediately moved to the top of the donor trachea carina, and cut the silver scalpel sharply.

"Amazing, if I cut the trachea, I would at least have to trim it. After it's tidy, I'll just go to the next step. Director Qin, this knife will be clean and clean. This control ability is too strong."

A chief physician has been completely convinced by Qin Lang, and his tone is full of admiration.

"Yeah, it's really our honor to witness such a heart transplant. After that, when Professor Liu invites Director Qin to the medical team, I must ask him face to face how he did such a superb job. skill based."

In the observation room, the members of the medical team had acquiesced in joining after Qin Lang to assist Professor Liu in the operation.

Before, everyone was still entangled, who would help, at this moment, he no longer thought about it!

Director Chen Minjie looked a little dejected. It might have been the most important moment in his medical career, but he was pushed away by his hesitation.

If I had recommended myself earlier and decided to help me, at this moment, everyone would at most appreciate Director Qin, and would not think of asking him to replace them.

"Take part of the tracheal secretions for bacterial culture... The second helps to absorb the tracheal secretions..."

Qin Lang continued to give instructions without hesitation, clear and precise!

"Okay, Director Qin."

As usual, this kind of order should be given by the chief knife. Even if the second assistant of Xiehe receives Qin Lang's order, he will confirm with Director Dong again, but at this moment, Director Dong himself has become a mascot, except for calling Liuliu. Sixth, there are no constructive comments.

Therefore, the second assistant very obediently followed Qin Lang's instructions.

"The chief surgeon, assisted me in placing the right lung of the donor through the recipient's right atrium and phrenic nerve into the right thoracic cavity, and the left lung through the left phrenic nerve into the left thoracic cavity."

Director Dong gave a soft sigh and immediately cooperated with Qin Lang's operation.

"4-0 polypropylene thread...surgical scissors..."

Qin Lang trimmed the trachea and began to suture the trachea.

"This hand stitching is also too powerful."

"Yes, it is obvious that the diameters of the trachea that the donor and the recipient have cut off are different. It is sutured on the membrane, which is very difficult."

"Smart, you see, Director Qin kept fine-tuning the stitch distance and margins when stitching the membrane, and when it came to the cartilage, he changed it to "8" stitching. After stitching this section, he started continuous stitching again. pretty!"

After three minutes, the anastomosis is complete!

"It's really fast!"

"I really want to take off Director Qin's surgical gown and mask to see who is the chief physician. The basic skills are too solid."

"Second help, ventilate the patient's lungs..."

Qin Lang continued to issue orders, and at this stage, it has basically entered the final stage.

Director Dong was also looking forward to watching Qin Lang's operation. Qin Lang completely followed the standard heart transplantation method, incising the right atrium of the donor heart in an arc from the inferior vena cava upward, and using a 4-0 polypropylene thread to connect the right atrium of the donor and recipient. The atrial opening was sutured continuously, and finally the aorta was anastomosed with 4-0 polypropylene suture.

Speaking of which, it is just stitching, but due to the particularity and fragility of the parts, the control requirements for strength and accuracy are very strict.

Of course, in addition to standard and precision, Qin Lang's speed is unparalleled, which further reduces postoperative complications.

"Open the superior and inferior vena cava, exhaust the gas in the heart, and open the ascending aorta!"

Ten minutes later, Qin Lang issued an exciting order.

"Sewing pacing leads..."

"The heart rate is maintained at about 110 beats/min!"

"Totally stop the bleeding...stop cardiopulmonary bypass..."

When Qin Lang's last order was issued, the entire difficult heart transplant operation was declared a success!

"Amazing!"

In the observation room, the expert group of the Second Hospital of Harbin Medical University also applauded, and the final time of the entire operation stayed at three hours and fifty-eight minutes!

Professor Liu was also very excited, restrained his impulse, and said into the microphone: "Director Dong, Director Qin, congratulations on your successful completion of this difficult heart transplant operation, my colleagues and I have benefited a lot. "

"Originally, Director Dong also invited me to guide the operation, but I am ashamed to come down this stage. Director Qin's basic skills are solid, which I have only seen in my life."

"Professor Liu is very polite."

In the operating room, after the operation, Director Dong felt completely relaxed and even more excited.

Too long face!

"Director Dong, I have an unkind request. After Director Qin and you change, can you have a remote communication with us. I would like to hear Director Qin's experience on this operation, so that we can learn from it. some tricks."

Professor Liu made a very sincere request, and the members of the expert group behind him were also very curious as to which Director Qin under the surgical gown was He Fangcaijun.

"Director Qin, take some time to discuss this operation with the doctors from the Second Hospital of Harbin Medical University."

"My Healing Game"

If Director Dong had agreed on Qin Lang's behalf before the operation, after all, he was much higher than Qin Lang in terms of seniority and age, and Qin Lang was a younger brother in front of him.

However, after this operation, he has completely regarded Qin Lang as a doctor of the same level, and did not dare to make decisions for Qin Lang without authorization, for fear that he would be annoyed. After all, a doctor's level and temper are positively related to some extent.

"Can."

Of course Qin Lang had no problem and agreed.

"Okay, it's such an honor. Director Qin, Director Dong, go to the changing room first, and we'll connect later."

Ten minutes later, Qin Lang and Director Dong logged into the remote system again.

When they saw Qin Lang's young appearance, the doctors at the Second Hospital of Harbin Medical University were all stunned.

"You are Director Qin who performed the operation just now?"

Qin Lang smiled slightly, and communicated with Professor Liu without being humble or arrogant.

"Director Qin, originally this operation should have been performed by me, but now there is a very critical case of secondary heart transplantation in our hospital, so I have to stay to lead and organize."

Professor Liu explained the reason for his absence, and explained to Qin Lang the difficulty of Ye Jian's operation and the value and significance in the history of heart transplantation. Finally, he was very looking forward to and sincerely invited:

"Director Qin, after the observation just now, my hospital's expert team and I agreed that with your level of surgery, it is very suitable for this difficult secondary heart transplant in our hospital. Therefore, on behalf of the Second Hospital of Harbin Medical University, I implore Director Qin. I can come to our hospital tomorrow~www.novelbuddy.com~ to overcome difficulties with my medical team, participate in the third general consultation, and the final second heart transplant after that."

Hearing Professor Liu's invitation, Director Dong on the side was also shocked. He didn't expect that the Second Hospital of Harbin Medical University would actually do such a big thing.

Director Dong also looked at Qin Lang expectantly. Qin Lang originally wanted to refuse. After all, he had just completed Xiehe's flying knife, and now he just wanted to go back to Hecheng to continue the research and development of new drugs for smoking cessation.

[Ding, new task, participating in the second heart transplant operation in the Second Hospital of Harbin Medical University, which is recorded in the history of medicine. Mission reward: 1.3 life simulation points]

Seeing that Qin Lang fell into silence, Professor Liu on the other side of the screen increased his stake:

"Director Qin, this time I invite you to assist in the operation. Our hospital will bear the expenses of the experts after that, which will not be lower than the operation performed by Xiehe."

Hearing what Professor Liu said, Director Dong on the side also raised his brows, and looked at Qin Lang, who was so young, and actually earned more than 200,000 yuan a week through the flying knife. Sure enough, high-end doctors are making too much money in China.

"Director Qin, in addition to the remuneration, this operation in our hospital can also be recorded in the history of medicine. I believe this is a once-in-a-lifetime opportunity for any physician. Director Qin came to participate in our operation. And there is no harm. As for the accident, if there is an accident during the operation, it will be borne by our hospital. "

Listening to Professor Liu's continuous increase, even in the expert group of the Second Hospital of Harbin Medical University, all of them are somewhat envious of Qin Lang's attention.

In particular, Director Chen Minjie, who had a depressed expression on the side, was envious. +Bookmark+