Yang Ping used the tip of the knife to cut the heart bag.

The tip of the knife ignores adhesions, as if it has eyes, and always swims in a safe gap.

These so-called safety gaps, because of the presence of adhesions, are simply indistinguishable to the naked eye.

So Li Zehui wondered how Yang Ping could predict where the real safety gap was.

"Focus!"

Yang Ping saw that Li Zehui's movements in his hand were sluggish for a moment, and knew that he was distracted, so he immediately reminded him seriously.

Any negligence in this kind of surgery can easily lead to big mistakes.

Yang Ping's voice was a little loud, Li Ze's face flushed, and he couldn't allow him to think about these questions, the tip of the knife was already moving rapidly, and he immediately focused on assisting Yang Ping.

The outline of the right heart, the right heart that is reversed back and forth, is divided little by little under the tip of the knife, and then the aorta, pulmonary artery, superior vena cava, and pulmonary veins are quickly separated, and everything is clearly displayed in front of you.

Li Ze would have thought that it would take a long time to reveal the heart in the adhesions, at least two or three hours.

But Yang Ping completed the revelation in just ten minutes.

It's a sticky right heart here and there, and it's upside down.

This kind of deformed anatomy, any doctor shrinks his hands and feet, like crossing a river by feeling a stone.

---

In the conference room of the heart center, the doctors who observed the operation, the moment they opened the chest cavity, all thought that the step of separating the heart and revealing the large blood vessels could not be completed in three hours.

Dodge thinks so, too.

However, the boldness of Yang Ping's knife tip was beyond their imagination, and they once thought that the blood vessels or nerves would be damaged during the separation process, but the entire heart and large blood vessels were clearly revealed, and no accidental bleeding was seen during the operation.

Ten minutes, in only ten minutes, Yang Ping completed the revelation.

The revelation that should have been in danger was in Yang Ping's hands, and the wind was calm.

"Dude, this Chinese doctor really does heart surgery?"

The layman looks at the lively, and the insider looks at the famous.

When O'Doreelli saw only this step, he sighed to himself.

"Well, it's just a matter of doing it."

In fact, Dodge's thoughts are similar to those of O'Dorell, he just followed the rhythm of the operation, every time he thinks about what he should do if he is himself, but every time he doesn't understand anything, the tip of the knife in the video has gone deeper and deeper.

On this step, Dodge also admits that it is not as good as others.

No wonder Li Ze is so persistent, he must be invited to be the main knife.

Now Dodge's mind seems to be clearer.

But he was not willing to admit defeat and consoled himself: the operation had just begun, and it was not a good level.

Arrogant people will always find all kinds of reasons to convince themselves.

---

"I want to take a good look at this heart?"

Marshall was thrilled.

It was a heart that was upside down, right and backward, and it was now lying in the right side of the chest, beating warmly.

Yang Ping stopped what he was doing and asked him to take a closer look.

As a doctor, Marshall may only come across this one case in his lifetime.

"Can I touch it?"

Marshall asked cautiously.

Yang Ping pointed to the heart and said, "Please!" Be gentle, don't push like a ball. ”

With permission, Marshall's hands trembled with excitement, and he stretched out his sterile gloved fingers, poked them lightly at the beating heart, and then gently held it with his palm.

The surface seen now should have been in the back, and the distribution of blood vessels was also misaligned with the normal front and back.

He pinched it gently, and could feel the rubber ball-like thing under his hand--- the tumor.

Severe quadruple malformations--- aortic riding, ventricular septal defect, pulmonary artery stenosis, and right ventricular hypertrophy are all concentrated in this sick heart.

"Marshall, is that enough?" Li Ze will urge, he also wants to touch this heart.

"Wait!"

Marshall had no intention of stopping right away.

Yang Ping simply stopped and rested for a while, let them experience enough, anyway, the heart has not left the body yet, so they are not in a hurry.

About five minutes later.

Li Zehui's hand was taken out of his chest: "You can continue." ”

Now, Yang Ping is going to start cutting the large blood vessels that connect to the heart, and then take out the heart intact.

Yang Ping ordered the heart-lung machine to be connected, the blood in the heart was emptied, and the asystole fluid was injected into the heart from the coronary arteries, and soon, the heart stopped beating under the induction of the asystole.

"Anesthesiologist! Perfusionist! I'm going to take this heart off now. ”

After alerting the anesthesiologist and perfusionist, Yang Ping cut the aorta above the source of the coronary artery, and then cut the superior vena cava, pulmonary artery, and pulmonary vein without hesitation.

The heart detaches from the baby's circulatory duct and becomes a separate unit.

At this time, Yang Ping carefully took out the heart and held it in the palm of his hand.

The instrument nurse handed over a metal tray that was already covered with sterile ice.

Yang Ping put the heart into the metal plate, and then personally carried the metal plate to the prepared sterile workbench.

He is now going to perform a series of surgeries on this workbench on this isolated heart.

Li Ze will move to the workbench to assist Yang Ping.

Marshall left behind to guard the empty ribcage, and the space left by the removal of his heart appeared empty.

It's a weird feeling, a guy who has had his heart gouged out.

The artificial heart-lung machine mimics the function of the heart and lungs, pushing blood around the body to maintain the baby's life.

The first step is to remove the tumor from the left ventricle, which is in the left ventricle, but the myocardium of the left ventricle cannot be cut directly to reveal the tumor.

The function of the left ventricle is to pump blood, and when pumping blood, the heart muscle contracts strongly, and if the ventricle is cut and the incision is closed with sutures, it is completely unable to adapt to the forceful contraction, and the incision is at risk of dehiscence when pumping blood.

The scar of the ventricles will also reduce the heart's ability to withstand in the future, and it is entirely possible that the heart will crack at the location of the scar due to the rapid contraction of a certain strenuous exercise.

So to remove this tumor, it is better to use a knife in the atrium, and a real master will try to poach the tumor from the void in the aorta.

In this way, the left ventricular myocardium is preserved, allowing the heart to function better and be more resilient.

"Arthroscopic instruments for wrist and interphalangeal joints! Pediatric otolaryngology endoscopic instruments! Pediatric thoracoscopy and laparoscopic instruments! ”

A series of instruments are unpacked sterile, each set of instruments occupies a sterile table, and the operating table is surrounded by a variety of instruments.

If it weren't for Yang Ping's in-depth communication with the entire team in advance, they wouldn't know what to do with these various equipment.

In fact, with so many instruments, Yang Ping can not use much.

But he had to rely on these equipment bags, and each bag might have one or two pieces to make up the equipment he needed.

---

What is this for?

Dodge couldn't understand what Yang Ping was going to do next, he actually asked the itinerant nurse to prepare so many endoscopic laparoscopic systems, did he want to use these mirrors to look at the tumors inside and prepare for planning the surgical incision?

Sure enough, it's a creative guy!

Yang Ping picked a suitable lens and extended it through the fracture of the aorta, which connects to the left ventricle, from which the tumor can be seen.

"Fix the heart!"

Yang Ping needs someone to fix his heart, Li Ze will fix his heart with both hands, Yang Ping holds the lens in one hand and the instrument in the other, and begins to peel off the tumor.

"He actually performed endoscopic surgery on the heart in vitro, didn't he cut open the heart and use the endoscope to solve the tumors and malformations?"

Dodge's guess was right.

Yang Ping's madness is far from being as simple as doing such a complicated operation on his heart out of his body.

He uses minimally invasive incision to remove the tumor.

Impossible!

Dodge denied his own judgment.

No one can do it!

However, the instruments in the video are clearly isolated from the tumor, and in the small space, the instruments are almost used to the limit.

Little by little, the tumors are separated.

Dodge covered his mouth: "Is he really going to use an endoscope to remove the tumor?" How is that possible? ”

"He took the first step towards success? Dude, this guy is full of novel ideas? ”

Odorelli saw that Yang Ping was really isolating the tumor, not just looking at the tumor with a lens.

The tumour of the rubber bulb, hidden deep in the left ventricle, blocked the outflow channel of the aorta.

The confined space makes this type of endoscopic surgery very difficult, almost impossible to complete, and every instrument has to be used to the limit to be successful.

"Marshall, don't stare at the chest, come over and help fix the heart."

Li Zehui now has to free his hands to help Yang Ping support the camera.

Marshall immediately came over to help, after all, his heart was soft and not very easy to fix, and he worked hard to adjust to find the right force.

And Li Zehui now specializes in fixing the lens.

In this way, Yang Ping's two hands were free to operate the instrument.

Sometimes arthroscopic instruments, sometimes otolaryngological endoscopic instruments, sometimes thoracoscopic laparoscopic instruments.

Various instruments enter and exit the aortic fracture and cooperate with each other, and the tumor is separated little by little.