Chapter 1706: Chapter 1710: Surgery Failed? Surgery Succeeded?
The surgery continues!
After the delivery, the child needs to undergo a heart-lung transplant as soon as possible.
After some preparations, the team switch continues the surgery!
“Artificial heart-lung machine!”
“Prepare for surgery!”
Watching Guo Xue at this moment was like seeing a puppet, disassembled at will!
People were truly afraid!
What wishful thinking?!
What disregard for medical advice!
The powerlessness of language becomes vividly apparent under the depiction in the scene!
Surgeons, who face disease head-on.
They know well the risks and surprises they must face.
But they cannot retreat!
The next scene is unforgettable for anyone.
Chen Cang needs to open Guo Xue’s chest, remove her heart and lungs, and then place healthy ones inside!
It sounds so simple, as easy as cutting off a head and sewing it back.
Chen Cang splits open the breastbone at the center and pulls the sternum apart sideways.
Following that, he cuts open both sides of the pleura, which at this moment are severely adhered, like a rotting mass of meat, causing nausea!
Seeing this, all professionals become serious!
If the previous scene was for the general public to see, the upcoming surgery is for the experts!
Chen Cang needs to separate the adhesions before heparinization.
The time is short, and Chen Cang must accomplish all of this.
The adhesions in the anterior chest are the most complex.
Because there are a lot of arteries and veins, trachea, diaphragmatic nerve, vagus nerve, recurrent laryngeal nerve…
If these get damaged, many irreversible consequences could occur!
But wanting to complete the surgery in such an adhered environment in a short time is far from simple!
It’s truly somewhat unreasonable!
Sabrina, the president of the AATS association, took a sharp inhale upon seeing this chest cavity!
She deeply felt the pressure Chen Cang faced in summoning the courage to livestream this surgery!
She looked at Rehn and said casually, “How confident are you about this surgery?”
Rehn chuckled directly, “Are you kidding? A surgery like this, can I handle it?”
Rehn wasn’t joking; the difficulty of this surgery practically spans the entire spectrum.
There’s no easy part!
You encounter such circumstances upon opening the chest.
“Do you think there’s a chance for this surgery?” Rehn asked Sabrina.
This really made Sabrina fall silent!
She had tried her hardest to overestimate Chen Cang’s surgical skills, yet even without any errors, the surgery could not be completed!
Because a single surgery cannot be solved solely by Chen Cang; it relies on the effort of both patient and lead surgeon!
Even if Chen Cang makes no mistakes, it doesn’t preclude the patient from problems!
Guo Xue’s condition is very poor!
Moments later, Sabrina shook her head, “No, I don’t think Guo Xue will make it through!”
She spoke delicately, but Rehn understood her meaning.
At this moment!
Almost all members of the AATS association are watching this surgery.
In fact, it can be said that this surgery is the largest, most difficult in cardiothoracic surgery, second to none!
What could be more important than watching this surgery?
Nothing!
Dingxiang Network’s overseas livestream has already erupted.
They’re already discussing frantically.
After all, most overseas viewers are experts in this field.
But domestically, there are many ordinary folks.
Wang Tong and Chen Jing can only patiently explain:
“This surgery is estimated to be difficult!” Chen Jing furrowed her brows, “Everyone sees this adhered region together, right? This is very dangerous; there are numerous neural, vascular airways, and separating them in a short time is very challenging!”
“Moreover, these adhesions can easily induce infections, post-surgery… prospects are grim!”
“Let me show everyone the structure of a normal chest cavity!”
After saying that, Chen Jing pulled up a photo from the computer.
Though everyone didn’t understand, once they compared, they were stunned!
This… can it be operated on?
No doubt!
Chen Cang can!
He then began skillfully separating.
When everyone saw Chen Cang’s gentle hands carefully begin to drift step by step, bit by bit.
Truly stunned!
Too amazing!
In the chest cavity as adhered as a spider’s web, it was actually separated neatly and carefully!
“Amazing!”
“Wow, Professor Chen is just too strong!”
“Indeed, this technique is rare domestically!”
“Domestically? You’re underestimating Professor Chen!”
Chen Cang did not even lift his head, took the scalpel, and made a longitudinal incision in the pericardium!
Then, after heparinization, established extracorporeal circulation according to the heart transplant catheter method.
When everyone saw the heart and lungs, they sighed in admiration!
This heart and pair of lungs had given it their all—how could they not fail?
Guo Xue had virtually exhausted all her vitality for the sake of pregnancy!
No matter how you put it, she was truly fighting with her life.
However, never think this would move the disease!
Of course not, you can never touch the disease, only doctors dare to touch the disease!
Indeed!
When Chen Cang acts, you know if it’s possible!
He only turned around to glance at the heart-lung in saline.
He managed to keep everything under control.
He began the excision of the heart and lung.
When removing the diseased heart, Chen Cang preserved only the ascending aorta and the superior and inferior vena cavae.
Then, he even retained some parts for suturing connections.
Next, removing the lungs became relatively troublesome.
After all, the earlier donor was already brain-dead, so performing the surgery had no pressure; after all, the person was already dead, so what was there to care about?
As long as the original heart and lung are not included.
However, Guo Xue was different; she needed to survive.
So when removing the lungs, the surrounding tissue must not be damaged at all costs.
Yet the situation inside the patient’s chest was not good.
The lungs were very large!
Even though they weren’t working under the cardiopulmonary machine now, they still occupied a large space.
Chen Cang used two vascular clamps to lift the cut edge of the pericardium on the left side forward and to the left, showing the phrenic nerve’s path clearly.
As one of the most important nerves in the thoracic cavity, Chen Cang had to take care of the phrenic nerve.
Carefully, about 3 cm behind the phrenic nerve, Chen Cang made a vertical incision in the pericardium, extending downward to the diaphragm, and upward to the pulmonary artery!
Then, while the lung wasn’t noticing!
Hmm!
He quietly removed the pericardium in front of the phrenic nerve.
The whole process left the surgery observers dumbfounded!
What the…?
How was this… done?
Even the members of AATS were confused.
Because of Chen Cang’s clever operation, he managed to preserve the phrenic nerve and blood vessels with a wide pericardial bundle.
This maneuver instantly left the group of experts stunned!
The comment section exploded!
“What’s happening?” Mond Arfa looked dumbfounded.
Sabrina and Rehn exchanged glances, both clueless about how Chen Cang achieved this!
Rehn couldn’t help but write: “Why does… does it feel like he was sneakily removing this tissue while the heart and lung weren’t paying attention?”
Indeed!
That’s exactly the feeling.
Not only did Sabrina not notice it, even everyone else hadn’t paid attention to what had transpired.
And this operation that preserved the phrenic nerve and blood vessels with a wide pericardial bundle was remarkably skillful!
For a moment, various comments started appearing in the comment section!
“Not only did the heart and lung fail to notice, we didn’t notice either!”
“That’s incredible!”
“Indeed, I’ve learned something.”
“Learned something? I… can’t even understand it, and you say you’ve learned it, such bragging!”
…
Chen Cang’s operation could truly be considered sharp.
Subsequently, Chen Cang made a diagonal incision through the central wall of the residual left atrium’s posterior wall.
Then, while lifting the remaining part of the left atrium and the connected left pulmonary vein forward, he used an electric knife to separate them from the posterior mediastinum tissue!
This step was extremely perilous and could easily damage the vagus nerve!
Therefore, Chen Cang kept close to the pulmonary vein during the separation, but this approach could also damage the vein!
Thus, this was almost like seeking survival in a surgical technique that navigated a narrow pathway!
If operated skillfully, not only would it avoid damaging the vagus nerve at the back, but also prevent damage to the veins.
To this, everyone could only say, skill knows no limits!
With that, Chen Cang fully emancipated the lung hilum, tied off the bronchial arteries, and then freed and severed the left pulmonary artery.
Finally, he clamped the left main bronchus with a clamp closer, cutting it at the distal end, and removed the left lung.
Throughout the process, Chen Cang was attentive to every point, every step!
He caused no impact on the thoracic cavity!
This series of operations left everyone watching in bewildered amazement.
Chen Jing excitedly said: “Professor Chen’s surgery is the most incredible lung removal I’ve ever seen; he nearly avoided every perilous area. If such a surgery cannot succeed, I think no one in the world could save her!”
“Ah, truly breathtaking!”
Next, in everyone’s eyes, Chen Cang similarly “while the heart wasn’t paying attention” casually removed the heart!
Using the same method, he removed the entire heart and lung!
At this moment, everyone saw the thoracic cavity almost emptied!
Seeing this scene, everyone was dumbfounded.
Ordinary people certainly had no other thoughts now, no luck?
No one wants to walk such a path again!
This might be the most brutal surgery they have ever seen!
Currently, there’s only one thought in their minds!
Can Guo Xue survive?
It’s simply too terrifying!
This surgery could almost be said to have replaced a person’s thoracic cavity.
Next, the most crucial matter arrived!
That is, heart-lung transplantation.
Wang Tong explained: “Heart-lung transplantation requires precise, seamless suturing of the trachea and blood vessels!”
“Perhaps many people think it’s simple, but this is transplantation, originating from different tissues. To achieve compatibility requires superb suturing skills.”
“It can be said that heart-lung transplantation is currently one of the most difficult surgeries.”
Perhaps everyone has no direct concept of this difficulty!
Let me share a few numbers with you:
Since successfully performed in the United States in the 1980s, fewer than 3,000 such surgeries have been conducted worldwide, with a success rate of less than 1,000 people. In our country, the success rate is under 100 cases!
Globally, there’s no successful instance of heart-lung transplantation for pulmonary hypertension during pregnancy!”
Upon hearing Wang Tong’s introduction, suddenly everyone watching the live broadcast was stunned.
What does it mean that there’s not a single successful case?
Guo Xue’s family was also watching the surgery broadcast!
After hearing the explanation from Academician Wang Tong, everyone fell silent!
Now, the baby is saved!
But does Guo Xue have the chance to survive?
Li Xuefeng and his family were visibly tense and uneasy.
At this moment, almost everyone had abandoned any hope for such a surgery!
That’s right!
Professor Chen has reached his limits.
He has turned surgery into a form of art.
He strives to excel in every detail.
But…
Professor Chen might still face failure.
For a moment, everyone watching Chen Cang perform the surgery, felt an unexpected sense of sympathy!
This is a surgery where success seems impossible, yet Professor Chen has resolutely decided to proceed. For what?
The upcoming surgery, every step is difficult!
All are dangerous.
But Chen Cang has already forgotten about success and failure.
To him, there are only four words: go all out!
Seeing this, Meng Xi was somewhat moved.
At this moment, she finally realized how difficult the surgery truly was!
Some things simply cannot be described with words.
However, Chen Cang did not give up.
Overseas, all the AATS members watching the surgery have fallen silent.
The comments were clean!
It seemed as if no one was watching.
But quite the opposite, everyone was serious, treating it with a sense of worship and learning.
At this moment!
It seemed everyone understood Chen Cang’s deeper meaning.
Doctors will strive to treat patients.
But not every patient can be saved.
Even if the surgeon is a genius!
But healing is ultimately the concern of two individuals.
Considerations must include the patient’s condition, their response, and unforeseen factors.
Above the tracheal bifurcation, Chen Cang carefully cut it and handed part of the tracheal secretion to Meng Xi: “Take it for bacterial culture.”
After speaking, he suctioned out the tracheal secretions.
Then he placed the lungs and heart within the chest cavity.
Cleverly avoiding those crucial blood vessels and nerves.
Trimming the receptor trachea!
Suturing!
The ends of the trachea are inconsistent in size?
This is just a minor issue for Chen Cang!
Time passed second by second!
Finally, Chen Cang had finished suturing the airway, just waiting for the lungs to ventilate!
At this time, everyone became nervous!
Will it succeed?
At this moment, even Chen Cang couldn’t help feeling uneasy!
By now, countless people in front of the lens are anticipatingly watching this surgery.
Hoping…
Will it succeed?
Professor Chen has done his best.
He has made the surgery perfect!
But surgery does not equal recovery, even the best surgery cannot ensure perfect patient recovery.
Gradually!
Ventilation proceeded smoothly!
After witnessing this scene, cheers erupted among the crowd!
Did it succeed?
This stranger, unrelated to them, is she to be saved?
Awesome!
Professor Chen is truly awesome!
The operating room was filled with jubilation!
From across the great rivers and oceans, everyone became excited.
Ventilation of the lungs was completed!
Chen Cang was deeply encouraged!
Continue, there is still the heart that has not been dealt with!
Press on!
Next, Chen Cang began continuous suturing of the heart opening with 4-0 polypropylene thread!
He needed to anastomose the aorta!
Then, gradually, he began to open the superior and inferior vena cava, expel intracardiac gas, and open the ascending aorta!
Heartbeat needs to be restored!
At this moment, even Chen Cang began to tremble!
Whether it can succeed depends on the heart’s re-pumping!
At this moment!
Everyone watching the surgery couldn’t help but stand up.
They felt as if they might witness a first in history.
This might be the first successful case in history!
Unprecedented success!
Excitement!
Thrill!
Even Chen Cang felt the same!
In the operating room, everyone stared at Chen Cang.
Waiting for him to give the final command.
To let the heart resume beating!
At this moment, Chen Cang took a deep breath, the first time… he felt his hand tremble slightly!
He was nervous!
Seeing Chen Cang’s hand shake, everyone familiar with him was stunned!
This… might be the first time Professor Chen is nervous, isn’t it?
“Isoprenaline!” Chen Cang calmly instructed.
“Maintain heart rate at 110 beats/min!”
The heart beat!
It beat!
Finally, it beat!
As everyone watched the detachment of the cardiopulmonary machine, the patient’s heart and lungs started their first movement!
They were completely thrilled!
Each face was filled with excitement and elation.
Professor Chen accomplished it.
Historical success!
With this surgery, Chen Cang completed an operation that no one else in the world could achieve!
Tension and unease surged within Chen Cang.
He knew this was temporary.
Because the system hadn’t notified him that the surgery was successful!
Chen Cang took a deep breath.
He’s done everything he could.
This is all he can do.
At this point, everyone noticed that Chen Cang was soaked.
This surgery had drained all his energy.
Leaving him exhausted.
For a long time…
For a long time!
Chen Cang said to Meng Xi, “Close the chest.”
Meng Xi nodded.
At this moment, she realized the pressure Chen Cang was under.
This surgery, regardless of success, Chen Cang had already warned the world.
Life is not a matter of chance.
It’s about someone fighting for you with their life!
…
…
After the surgery, Guo Xue woke up!
When this news spread, the entire world was in an uproar.
Professor Chen had once again accomplished the impossible for everyone!
This winter, in Anyang, the first snow fell.
In the first week post-surgery, Guo Xue embraced her child, tears streaming down her face.
She saw it!
The child that belonged to her and her husband.
This photo went viral online.
The child was named “Li Anyang.”
Everyone marveled at the success of the surgery.
But Chen Cang knew…
The surgery had still failed.
Perhaps it was not his own failure but rather the patient’s body couldn’t withstand such a surgery.
Half a month post-surgery.
The patient experienced rejection.
The reaction was severe, Guo Xue began coughing violently, had a fever, and struggled to breathe, showing severe hypoxemia.
Afterward, the patient’s condition worsened continuously.
X-ray showed indistinct borders around the hilum and diffuse focal lung infiltration, as well as pleural effusion.
For the world’s first completed surgery, many people came from home and abroad hoping to save her.
Facing the family’s pleas!
Chen Cang simply said, “Prepare… for the aftermath!”
The rejection did not take Guo Xue’s illness.
Yet on February 9th, the twenty-seventh of the lunar December, Guo Xue left the world due to an infection!
She… ultimately did not escape fate.
But when Guo Xue left, she left with a smile.
No matter how the sickness tormented her, her heart’s wish was fulfilled.
On this day, Chen Cang made an announcement to the world:
“Every mother is great, but remember, miracles rarely happen, believe in science, follow medical advice, perhaps one day we will have better ways to solve problems we cannot solve now!
Trust me, trust the doctors, stop binding us under the name of love.
Because we are already striving to advance!”
“As the New Year approaches, I wish everyone health and peace.”
After this news was released, no one blamed Chen Cang; they clearly understood this event and praised Chen Cang.
Praise for the doctors!
Doctor-patient relationships should be like this, trusting each other!
Right?
[Ding! The Benevolent Doctor mission triggered, your surgery has saved the souls of millions of patients, enhancing doctor-patient understanding, and you have been specially rewarded: Color Transition Tool (Neurology)]
Chen Cang immediately froze!
Originally, he thought, what reward can there be for failed surgery?
Unexpectedly…
Unexpectedly, he triggered the Benevolent Doctor mission, and received the colorful transition tool!
…
…
ps: Today I did nothing but sit in front of the computer all day, wrote nearly 15,000 words to complete this story.
Wrote out the human heart, wrote out unruliness, and wrote out Professor Chen’s awesomeness!
The veteran considers himself satisfied.
Hope everyone will like it.
If you like it, please help vote and support. Thank you! It’s the end of the month, asking everyone for support!
Finally, thanks to “Beijing’s fattest” for the 50,000 tip, thank you brother.
Thanks to “The sea is purple” for the 10,000 tip, thank you for the support!
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