Tanglou once again made a midline sternal split incision on the recipient, and retracted the sternum to both sides.

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

"Pay attention to Dr. Tang's operation. If you encounter pleural adhesions after incising the pleura on both sides, remember to separate the adhesions before heparinization. Pay attention to Dr. Tang's operation, cut the pericardium longitudinally, and after heparinization, transplant the heart

Use intubation to establish extracorporeal circulation."

"After that, there is the resection of the diseased heart, which is also one of the core difficulties of the entire operation. I have concluded that resection of the diseased heart can be divided into three steps, so that the complexity of the entire resection can be avoided."

Professor Liu is indeed an expert in this field. Not long after he finished speaking, Tanglou started to operate it word for word.

First, Tanglou only preserved 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 Tang Lou's decisiveness and speed, the doctor in the observation room also felt his scalp numb. This doctor Tang was too courageous.

"Doctor Tang is really confident, I admire him."

"Yes, for this kind of operation, an ordinary doctor would definitely confirm it carefully before he dares to perform the operation."

"Sure, accurate and ruthless, not even Professor Liu can do this."

Doctor Chen also sighed in his heart, this Doctor Tang is really too strong.

"Vascular forceps..."

In the operating room, Tang Lou had completely taken over the lead in the operation. Director Dong beside him could only nod his head and give a few approving glances at the right time.

The tool master is the real hammer!

Tang Lou picked up two vascular forceps and lifted the left pericardial incision forward and to the left to fully display the direction of the phrenic nerve. Then, he made a longitudinal incision on the pericardium 2cm behind the phrenic nerve.

Seeing this, there was an exclamation in the observation room, especially those chief doctors who had participated in many heart transplants: "Dr. Tang, is this distance feasible? Under normal circumstances, 3cm is already the limit. Also,

This incision is also much smaller than the conventional incision. Under normal circumstances, it extends at least downward to the diaphragm and upward to the pulmonary artery. Is this a mistake?"

Professor Liu also frowned slightly, 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 Tanglou's operation was too fast and too steady before. He suddenly didn't react to the sudden attack.

It makes me wonder, after all, the success of an operation depends not on the upper limit of the operation, but on the lower limit of the operation. No matter how good some operations are, if there is a mistake somewhere, all the previous efforts will be wasted.

"Too bad, Director Dong's face has changed."

In the observation room, Dr. Chen was always observing what was going on in the operating room, and began to sweat over the reckless Dr. Tang.

"If we stop, it may be too late to enlarge the incision again."

Professor Liu also expressed his suggestions through the microphone. After all, he had dealt with too many emergency situations.

In the operating room, Director Dong compared his own experience and agreed very much. He tried to control his tone: "Doctor Tang, it's okay to make a small mistake. Let's take it slow and increase the incision again. Don't be reckless."

"No, that's enough."

Director Dong replied with calm words. Then he took the scalpel from the nurse's hand and started the pericardial resection in front of the phrenic nerve under an almost blind view.

"Doctor Tang, you!"

Before Director Dong could finish speaking, Tanglou had successfully completed the pericardial resection, perfectly preserving the phrenic nerve and the wide pericardial cord of the blood vessels.

"Electric knife..."

An instruction came from downstairs, coldly echoing in the operating room.

In the observation room, Professor Liu and others held their breaths. It was true that Dr. Tang's operation was so frightening.

Director Dong is even more desperate, trying to seize the operation rights of the Tang Tower. However, the operation of the Tang Tower is already halfway through. If someone changes people at this time, there will be greater hidden dangers.

"Doctor Tang, be steady, be steady."

Director Dong sounded a little begging for mercy.

Tanglou ignored it and continued to concentrate on performing the extreme operation. In the center of the remaining posterior wall of the left atrium, he longitudinally dissected the posterior wall of the left atrium through the oblique sinus, and lifted the remaining left atrium and the left pulmonary vein connected to it forward.

, use electrocautery to separate it from the posterior mediastinal tissue. During the separation, it is close to the pulmonary vein and perfectly avoids the vagus nerve.

"Holy crap, what did I see, and it can still be done like this?"

In the observation room, several chief doctors did not believe their eyes, and then recalled the prelude to the nearly blind exercise in Tanglou:

"It's smart. If you do it this way, it will not only increase the speed, but also reduce many postoperative complications."

In the operating room, Director Dong saw it more intuitively. His heart skipped a few beats before he said with uncertainty, "Doctor Tang, this seems to be different from the surgical plan you designed before, right?"

"Oh, during the operation I found that the patient's condition was a little worse than before, so I adopted a method that was more difficult to operate but caused the least damage."

Tang Lou said lightly, after all, surgery is something like this. In addition to the prior plan, it is also very common to adapt to changes during the operation. Of course, the requirements for a doctor's on-the-spot judgment and decision-making are very high.

"Okay."

Director Dong quietly acquiesced. At his age, it was rare for him to experience a roller coaster-like excitement.

In the observation room, interested people also noticed what Director Dong said. The plan for this surgery was actually designed by Dr. Tang.

In the operating room, Tanglou did not stop his movements, and pulled out the left lung to the right front through the pleural incision, fully freed the hilum, ligated the bronchial artery, and then freed and severed the left pulmonary artery.

"I really kneel down to Dr. Tang. If I keep doing this, I feel like this five-hour operation can be completed in less than four hours."

"With this operation and speed, I really think Dr. Tang is the best candidate for Ye Jian's surgery."

A chief physician who had previously been optimistic about Tanglou made this suggestion again.

Professor Liu, who was still considering it at first, agreed with this idea at this moment. He looked at Tanglou with eyes full of expectation. His medical team wanted this doctor.

"But, how to convince Dr. Tang to join our team? It seems that the only way is to communicate with Dr. Tang online after the operation."

When Professor Liu was thinking about how to invite Tanglou, Director Chen on the side certainly smelled Professor Liu's intention, and he felt sour in his heart. However, he had to admit that Dr. Tang's skills were far superior to his.

many.

Seeing how relaxed Director Dong is now, you can see how happy Dr. Tang is as an assistant. Dr. Chen even feels that in this case, the position of the surgeon is the same as the dog.

"Clamp..."

Tang Lou gave the order again and skillfully used the clamp to clamp the left main trachea and cut it off at the distal end.
Chapter completed!