Transposition of the great arteries

Surgery begins,

Qin Feng took the scalpel, took a midline incision in the upper abdomen, and cut it layer by layer.

He then used the abdominal retractor to open the abdominal wall and enter the abdominal cavity to begin exploration.

"Electric knife."

Snapped!

Qin Feng took the instrument, cut open the gastrocolic ligament, removed the excess organs, and exposed the pancreas.

Extremely fast!

Even Sun Sheng and Cheng Hongwu, who were beside them, didn't have time to react, and most of the surgical field of vision had been opened.

Director Zhang Tong's pancreatic cancer is located in the head of the pancreas, which is relatively good.

If it is the tail of the pancreas, it is impossible to judge whether the cancer cells have spread to the duodenum. Once this happens, it is not a good thing for the patient.

Because the duodenum is an important digestive organ in the human body, food is generally digested and absorbed along the stomach, duodenum, small intestine, and large intestine.

Once the removal of part of the duodenum changes the way food is digested, symptoms of abdominal pain and discomfort will appear.

The impact on the body is not small, and it is impossible to determine whether the cancer cells will continue to spread!

Too much risk!

Although both are malignant pancreatitis, in the early stage, the head of the pancreas has a greater advantage than the lesions of the tail of the pancreas.

Start free now.

Qin Feng picked up the scalpel and quickly freed the lymphoid tissue around the pancreas.

This is one of the easiest places for cancer cells to spread, and it can't be felt at all.

When the human body perceives the abnormality, it cannot be controlled by medical means.

Therefore, he freed the surrounding lymphoid tissue as much as possible to avoid the residue of cancer cells to the greatest extent.

It is also very helpful for later chemotherapy.

But Qin Feng did not intend to let President Zhang Tong accept the chemotherapy in the later stage.

"System, turn on super vision to the maximum!"

Qin Feng said silently in his heart.

In the next second, the vision in front of him changed instantly, the dark pupils turned into two thin lines, and then gradually shortened, like two sesame seeds.

At this moment, in Qin Feng's eyes, the pancreas had a flower-like outline.

That's right!

He saw the edge of the cell!

Qin Feng only felt that his brain was dizzy, as if he had fainted.

"Are you OK?"

Seeing him stop, Sun Sheng, who was beside him, quickly asked in a low voice.

"I'm fine, let's continue."

Qin Feng didn't move when he heard the words, just said something lightly, and then took the scalpel and slowly lowered into it.

At this moment, he has discovered normal cells and cancer cells!

But not much time, only two hours!

This is the physiological limit the system tells him, and after two hours his mental and physical strength will exceed the physical load.

If not stopped in time, it may even cause irreversible visual damage.

It doesn't matter if the skill is abolished, it may be blind!

Qin Feng didn't have much time, and the pupil in one eye began to slowly enlarge until the edge of the pancreas appeared.

At this time, he has a microscope in one eye and a magnifying glass in the other.

The scalpel quickly swam away all the surrounding lymph in his hand.

But to everyone's surprise, Qin Feng took a careful look at the incision every time a part of the tissue was removed.

Moreover, the knife is often re-entered many times, which will dissociate the tissue deeper!

"What's going on?"

In the observation room outside the operating room,

Several directors of other departments are sitting in it. After all, they know that the person in the operating room is Zhang Tong, how can they not care?

But seeing Qin Feng's actions, he couldn't help but look suspicious.

Not only them, but even Sun Sheng and Cheng Hongwu, who were standing beside them, were blank.

What's going on with Qin Feng?

Why go away again and again?

Half an hour...

One hour...

Sweat appeared on Qin Feng's forehead, and his mental and physical strength felt a significant decline.

This is a side effect of [Super Vision], and the consumption is accelerated!

But he couldn't stop, all the lymphoid tissues carrying cancer cells had all been swept away.

The next step is to remove the cancerous pancreatic head!

This step determines whether Zhang Tong will relapse and how long he can live.

"Whoo~"

He let out a sigh of relief, pulled the head of the pancreas up, and dropped the knife in his hand.

The sharp blade slashed, the head of the pancreas was cut off, and blood spilled out.

"Hemostatic forceps."

Qin Feng took the hemostatic forceps and blocked them temporarily. The suction device quickly sucked the blood away to ensure the vision.

"Line 1."

He then began to sew up the blood vessels while observing whether the spilled blood cells contained cancer cells.

An hour and a half...

Qin Feng felt that his physical fitness was rapidly declining, and his pupils clearly showed uncontrollable fluctuations.

But still can see clearly.

He knew that he was going to speed up, and the stitching progress on his hands flew even more.

Sun Sheng, who was on the side, kept cutting the sutures for him. This suture technique and speed were completely beyond everyone's imagination.

He is so fast!

The observation room couldn't help but burst into amazement.

Dang bang~

With a clear sound of falling, Qin Feng immediately stopped [Super Vision].

His eyes were full of flowers, and his feet couldn't help shaking.

"How are you"

Seeing this, Sun Sheng quickly stretched out his arm and put his arm behind him, and asked with concern.

"I'm fine, come on."

"OK."

Hearing Qin Feng's words, Sun Sheng immediately looked at the traveling nurse next to him and helped Qin Feng down.

After cleaning, Qin Feng left the operating room and breathed a sigh of relief.

The operation was a success!

He completely removed all cancerous tissue!

Thinking of this, Qin Feng couldn't help but raise a satisfied smile on the corner of his mouth.

This is the first time he has completely removed all lesions in a cancer patient, that is.

This [King of Cancer], who was talked about in front of the whole world, was really eliminated in an operation for the first time!

If this surgical case is published, it is estimated that it will shock the eyes of internal medicine experts all over the world!

And all the credit behind this is the power of his own system.

Beyond the power of human technology!

...

After the operation,

The news that Zhang Tong suffered from pancreatitis only spread, and the operation was completed perfectly, and the recovery was also very good.

After Qin Feng's operation, he called Liu Yan'er and asked her to take him home and have a good sleep.

This night, Qin Feng slept very soundly, on the one hand, he was too tired.

On the other hand, he did it!

Completely eliminate all possibilities of pancreatitis canceration!

This is simply unrealistic!

After half a month,

Zhang Tong was successfully discharged from the hospital and returned to his post.

And in multiple inspections, no abnormality was found.

That is to say, if nothing else, his survival time is at least 5-10 years.

Of course, this is an estimate based on currently available world data.

Only Qin Feng knows that there is absolutely no possibility of recurrence.

...

In the obstetrics and gynecology department, a man was waiting anxiously outside the delivery room. The attending doctor, Xu Yingying, was delivering a mother.

The woman who fell accidentally at home caused the rupture of the amniotic fluid and was rushed over.

Fortunately, she was 9 months pregnant, not premature, just a little dangerous.

"Remove the fetus and send it to the monitoring center."

Xu Yingying gently picked up the baby covered in blood and amniotic fluid and handed it to the nurse next to her.

Immediately, she began to suture the wound and closed her abdomen.

Everything is going smooth!

When she took off her mask and sterile gown and walked out of the operating room, the man hurried forward.

"Doctor, how are my wife and children? Are you okay?"

"Don't worry, mother and son are safe."

Xu Yingying smiled and shook her head.

"That's great!"

Hearing this, the man's eyes burst into ecstasy.

Then the pregnant woman was pushed out of the operating room, and the man ran forward, his face full of distress and guilt.

It's all his fault, it's his negligence that he didn't put the anti-skid pad back in place, so his wife accidentally slipped.

"Wife, you've worked hard, I'm sorry, it's all my fault."

The woman was then pushed into the ward while the child was washed and sent to the intensive care center for examination.

After all, she fell, to prevent the fetus from being affected, all inspections must be done.

When the results of all blood tests etc. came out, the baby had normal signs, no problems and was very healthy.

Xu Yingying looked at the report and nodded with satisfaction.

A 9-month-old baby is not considered premature, and the position of the fall is a roll, which generally does not affect the fetus.

"Do another ECG monitoring and pay attention 24 hours a day."

She spoke to the nurse and began to write the case.

"OK."

Just as she was about to find the child's father with the report, the office door was suddenly pushed open.

The nurse at the monitoring center rushed in anxiously.

"Doctor Xu! It's not good!"

"What's wrong?"

Seeing this, Xu Yingying groaned in her heart and asked quickly.

"The child's breathing is not right! Go and see!"

Hearing this, Xu Yingying immediately followed the nurse with the report.

She came to the monitoring center and saw that the child's electrocardiogram was obviously wrong, and her breathing became very rapid and blue-purple.

Cyanosis!

Physiological indicators fluctuate abnormally and continue to decline!

This is congenital heart disease!

"Quick, EKG!"

Xu Yingying's face changed slightly and she looked at the nurse.

"Here."

The nurse quickly brought over the electrocardiogram, which was obviously not a normal heartbeat.

She walked over to the baby, took out the stethoscope, placed it over the baby's heart, and listened carefully.

About ten seconds later, Xu Yingying's eyelids twitched, she straightened up like lightning, her expression became a little weird and nervous.

Second heart sound!

How could this be?

"Go to Director Wang. In addition, notify Director Zhang and Deputy Director Cao of the Cardiac Surgery Department to come for consultation!"

Xu Yingying did not dare to delay for a second, and immediately called to the nurse.

The nurse raised her leg and rushed out!

"Schedule a bedside ultrasound now, fast!"

Xu Yingying looked at the baby in front of her, and her face gradually became a little ugly.

Here's to trouble!

May be complete inversion of the great arteries!

Complete transposition of the great arteries (TGA) is the most common cyanotic congenital heart disease in the neonatal period, with an incidence rate of 0.2‰-0.3‰.

This disease accounts for about 5%-7% of the total number of congenital heart disease, ranking second in cyanotic congenital heart disease.

Simply put, the large arteries in the heart are reversed!

A normal human heart is divided into a left heart and a right heart by a septum, and the right heart sends blood to the lungs through the pulmonary artery above it.

The inhaled oxygen is "mixed" into the blood through the lungs, and the oxygen-containing blood is then returned to the left heart through the pulmonary veins.

In transposition of the great arteries of the heart, the pulmonary artery and the aorta on the heart are reversed.

In this way, the blood that is output through the aorta to the arterial network and finally reaches the whole body will no longer be "mixed" with oxygen through the lungs.

Neonates with this disease have a high mortality rate of over 80%, and the remaining 20% ​​rarely survive past the age of 3 without surgery.

But this kind of disease can usually be found by ultrasound examination during pregnancy. Why didn't this pregnant woman show anything?

Surgery must be done as soon as possible, otherwise the child will soon be unable to hold on!

5 minutes later,

Wang Yue, director of the obstetrics and gynecology department, and several attending physicians, Zhang Fan and Cao Ke from the cardiac surgery department came over.

Looking at the ultrasound image on the projection screen, I was startled.

Deputy Director Cao Ke frowned and said in a deep voice.

"Congenital inversion of the aorta, this is trouble!"