Chapter 2557: A Bit Tricky

First stitch the back side, wait for the heart to be in the correct position, and then suturing the front vascular anastomosis will be smoother.

Swish, swish, swish, the Chief Surgeon holds the needle holder and forceps, and the suture lightly passes through the vessel wall. The experienced Boss sews really quickly. Soon enough, the first and most difficult left pulmonary vein group is sewn up, moving on to the right pulmonary vein group that belongs to the posterior left atrial wall.

There seems to be a bit of a problem here.

The assistants have been helping, suctioning, retracting, and cutting the lines. Now seeing the Chief Surgeon pause, everyone’s hearts hang with a thud.

It’s said that the Whole Heart Method is difficult, and even more so when applied in pediatric cases. Doctor Cheng Yuchen sighed inwardly. He wondered if his superior’s vigilance had been forcibly lowered due to infrequent practice of this type of surgery. It should be known that Mu Yongxian from next door did three cases this year and never dared to use the Whole Heart Method.

Don’t think that just because the recipient’s pericardial cavity is expanded and the donor heart fits in, it’s perfectly suitable. It definitely isn’t. Each human body has its own intricate differences. Now, putting one person’s heart into another’s body, this donor heart is definitely not an original fit, which reflects in the anastomosis not just as size differences, but also in shape and distance differences. Shape and size differences can be barely accommodated with trimming, but the distance difference is critical. Think about the surgery of that electrocuted child. Can you say Doctor Duan’s repeated failures in suturing were due to poor feel? He can equally be considered a child of the Cao Family. The failure was due to distance.

Why do many doctors prefer using the bicaval method to kick out the left atrium? It’s because these two anastomoses, firstly on the posterior wall, make the operational field too tricky, and secondly in order to reduce the anastomosis operations, it has been directly trimmed once, meaning it must be shortened considerably. If after trimming, the distance between these two sleeves of the donor heart doesn’t match the recipient’s ports’ spacing, there’s not much room for hard pulling. It’s better to leave half of the left atrium for more flexibility.

It’s not possible that an Immortal Brother like this Boss would fail to consider this point in advance. He might have thought it was close enough, but actual operation found that, alas, the measured spacing was a bit larger, just missing by that little, making it tricky.

The terrifying aspect of this surgery is that it doesn’t leave the doctor much time to think. Why was the electrocuted child’s surgery considered relatively simple last time compared to this one? As you can see, the restriction in surgery time poses a high threshold for surgeons.

Must decide quickly, quickly decide what the next step should be.

All operating room personnel are sweating profusely.

At this moment, every second tick from the electronic clock on the wall seemed to announce a countdown to death.

"Teacher Cao, I think we can sew a stitch on the inferior vena cava first." Xie Wanying said.

The gazes of others fell onto her face with a swish.

Inferior vena cava? Why? If you start with the inferior vena cava, and the heart is straightened, how to continue suturing the subsequent anastomoses with blocked vision doesn’t seem right.

"Sew a stitch." The Chief Surgeon spoke up.

"Right. Sew a stitch to establish a pivot point. We need to calculate where the maximum tension the suture can withstand roughly lies."

Understanding Student Xie’s thoughts isn’t easy. A group of people felt as if they were in a fog after listening. Third Assistant Student Wei felt countless stars swirling above his head. Looking again at First Assistant Doctor Cheng Yuchen, a look of utter bewilderment was written all over his face: He couldn’t understand at all what this student was talking about.