Chapter 421 Let Lu Chen Guide the Work!
Remember [New] in one second! On the screen, the host from Kyoto Central Hospital was also a little confused.
How come all the doctors in Kyoto First Hospital are so calm?
The host cleared his throat and continued: "Ventricular tachycardia from the epicardium is difficult to operate on, and the risk is also high. According to literature reports, 5-30% of ventricular tachycardia patients may have lesions originating from the epicardium. Traditional endocardial mapping and radiofrequency ablation treatment are unsuccessful, so we need to find another way."
"Let's let the cardiology department of Kyoto University First Hospital speak!"
This time, the host played a trick and called the name directly.
Lu Chen wanted to stand up and answer, but it was not his turn.
A doctor in the row in front of him answered directly.
Lu Chen knew him, he was a resident doctor in the catheterization room.
"We can reach the epicardium by puncturing the pericardium, and then perform epicardial ablation!"
The host nodded slightly.
"Then do you know how difficult this kind of pericardiocentesis is?"
The resident doctor scratched his head, "It's quite difficult, anyway, I can't do it."
"Well." The host smiled, "This kind of pericardiocentesis does not have effusion, the professional term is called dry pericardiocentesis."
"Dry pericardiocentesis requires very high operation requirements from the operator, and must be very careful to send the guidewire and catheter into the middle of the two layers of pericardium that are close together."
"After the puncture, the operation space of the radiofrequency ablation catheter is limited, and it is necessary to avoid the coronary vessels to avoid coronary perforation, etc. Every step of the operation requires extra attention. The slightest carelessness in the operation of key parts will lead to coronary rupture, myocardial perforation, etc."
"Unfortunately, the doctors in the catheterization room of our hospital have not yet performed this operation."
...
After everyone's discussion, the patient's condition and diagnosis and treatment methods have become very clear.
The last step is the actual operation in the clinic.
This is also the most difficult step!
"I wonder if colleagues in various hospitals have relevant experience?" The host continued to ask questions. Their original intention was to learn from other hospitals through this discussion conference.
Arrhythmias originating from the epicardium may not be treated in general hospitals!
At this time, a deep voice sounded in the conference room.
Lu Chen followed the voice and saw that it was Professor Qin Sifeng!
On the other side of the remote screen, all the doctors were quiet and listened attentively.
He was sitting in the first row, holding a microphone, and laughed heartily: "In fact, our hospital has not said much. It's not that we don't know, but it's a coincidence that we just met a similar patient recently!"
The host raised his eyebrows and continued: "Professor Qin, are you also talking about ventricular tachycardia originating from the epicardium?"
Qin Sifeng shook his head, "Ours is atrial fibrillation originating from the epicardium, but it's almost the same, the ablation principle is the same. The final operation went smoothly,"
"Then I'd like to ask, may I ask the teacher who performed the operation, is he here today?"
The host's sudden words stunned everyone in Kyoto University First Hospital.
Qin Sifeng paused for a moment, but slowly said: "He really came to the scene."
"Then I want to find this teacher to share his surgical experience!"
After that, everyone looked at Lu Chen in unison.
Lu Chen looked a little embarrassed, cleared his throat slightly, and then stood up.
"I..."
"Student, if you want to speak, please wait a moment." The host interrupted Lu Chen's speech with a smile.
"I did the last surgery." Lu Chen took the microphone.
As soon as Lu Chen finished speaking, the host on the screen was immediately dumbfounded.
How could this student-like person become a surgeon?
This...this is impossible...
There must be something wrong!
However, when the host saw Qin Sichu's smiling face, he immediately denied this idea.
Then, it was Lu Chen's speech.
He didn't care whether everyone believed it or not, and began to slowly talk about the surgical patient he met during the assessment.
Including the introduction of the patient's condition, the specific process of the operation, and the difficulties that need to be paid attention to, all of them were explained in great detail.
This time, the host had no choice but to believe it.
He must be a surgeon to be able to explain it in such detail!
However, the host still found it hard to believe that this overly young doctor could actually complete such a difficult operation? !
Has the strength of Kyoto University First Affiliated Hospital reached such a terrifying level?
After a long silence, the host said, "Professor Qin, I have an unwelcome request."
"You say."
"I would like to invite this young interventional doctor to come to our City Central Hospital to guide...guide the work." The host said, "We really have no experience in this kind of epicardial surgery."
Qin Sifeng did not answer immediately, but glanced at Lu Chen.
Of course, Lu Chen nodded. This opportunity was very rare!
Seeing this, Qin Sifeng replied, "That's fine. Notify me on the day of the operation, and I will send our doctor over."
"Thank you, Professor Qin!"
...
The entire discussion meeting was coming to an end.
Although Lu Chen did not say much, and his speech was not particularly brilliant, the focus of this meeting was all on him.
This was also something Lu Chen did not expect!
I just came to attend a conference, but I actually encountered an epicardial arrhythmia!
However, Lu Chen didn't have to wait long.
The next day, in the morning.
Kyoto Central Hospital immediately sent someone to pick up Lu Chen.
The patient and his family agreed to undergo radiofrequency ablation surgery today.
When he came to the cardiology department of Kyoto Central Hospital, Lu Chen also met an old acquaintance, Yu Hewei!
"Brother Yu, are you here too?" Lu Chen smiled and greeted Yu Hewei.
Yu Hewei is known as the leader of the younger generation in the field of electrophysiology in China!
It's definitely a good idea to get along with him.
"Well. I watched your first stage assessment video." Yu Hewei smiled, "The entire epicardial surgery was done quite well! Have you encountered this situation before?"
"No, it's my first time too." Lu Chen smiled.
"It's not easy to complete this level of dry pericardiocentesis for the first time!" Yu Hewei was also at the scene, but he could only watch through the glass window.
After a few pleasantries, today's operation began.
The chief surgeon was the host of yesterday's meeting, Lu Chen was the first assistant, and Yu Hewei was the second assistant.
As soon as he walked into the catheterization room, Lu Chen was shocked.
The patient was lying on the operating table.
And on his head, the health value was only 54, and its changing trend was (---)!