godfather of surgery

Chapter 239
The vascular reconstruction images transmitted from Tokyo appeared on the big screen.

It is very clear, the origin, direction, entanglement with other blood vessels, and relationship with surrounding organs of each blood vessel are clear.

You need to look at any blood vessel alone, it will be displayed in green alone, from the origin to the bifurcation, and this image can be used as a reference for the operation to truly guide the operation.

Takahashi was still immersed in depression just now, but after hearing Miyuki Fujiwara say that the image can already be seen on the screen, his eyes immediately recovered.

The reconstructed image planned the order of surgery for him. This order is calculated by the computer and is optimal. Takahashi knows the power of this system.

Immediately changed his mind, followed the guidance of the image, and began to look for the eighth blood vessel. Sure enough, this one was easier to separate than the one he found just now.

However, because the blood vessels are deformed, extremely fragile, adhere to each other, and are inextricably linked with important organs, blunt separation is likely to cause tearing and damage adjacent organs.

Now this blood vessel originates from the aorta, and there are still adhesions with the aorta. It is arranged in the front by the system, and the difficulty of the blood vessels behind it can be imagined.

This operation made people feel a little hopeless and suffocating. Takahashi completely lost the desire to express himself, and just quietly separated the blood vessels, hoping to separate them quickly.

The movements of the hands are very proficient, but I can’t get up quickly. In this way, the separate operation of the hands is useless. What’s more, in such dangerous conditions, using the left and right to operate independently is prone to accidents. After all, without the cooperation of both hands Come safe and stable.

Blunt dissection is not possible, only sharp dissection with a sharp knife or tissue scissors.

"Tissue scissors!"

Takahashi carefully began to separate the blood vessels with tissue scissors, and the intestinal tube was separated bit by bit, getting closer and closer to the abdominal aorta, and the blood vessels actually wrapped around it.

Like dancing on the tip of a knife, Takahashi's technique is proficient, but unfortunately, the direction of these deformed blood vessels is too complicated. If it is not ligated from the dry part, it will be almost useless if it is not ligated from the dry part. All patients died from hemorrhagic shock.

Although these blood vessels are malformed, they are very thick, and there are more than 0.5 of them with a diameter of 100 cm or more. They are too rare and too complicated. They were finally separated to the main trunk where they originated and sutured.

It took 5 minutes. With the help of this clear image, it actually took 5 minutes. At this speed, I could only find a dozen blood vessels at most.

The ninth blood vessel is even more difficult. As expected, the computer’s sorting can’t be wrong. Takahashi’s forehead is sweating, and there are three to 10 minutes left, so it’s not considered a failure of aortic occlusion. This patient can’t be like this Stick to it,
These blood vessels extend up to the liver, gallbladder, pancreas, spleen, down to the kidneys, and back to the spine. No matter how clear the image is, the operation cannot be advanced.

No matter how accurate the intelligence is, the enemy is too powerful to defeat him!

Takahashi turned around and moved out of the operating area. The itinerant nurse wiped the sweat off his forehead.
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Masao Fujiwara sighed. This patient is more complicated than the patient he met many years ago. It took Takahashi 15 minutes to treat eight blood vessels, and now it took another full 5 minutes to separate the ninth blood vessel. , the operation could not go on.

Although the patient on the screen was covered with a thick sterile sheet and only the surgical area was exposed, any doctor would feel uncomfortable watching this patient who could not be rescued and left.

Masao Fujiwara picked up the phone, oh, Takahashi is on the operating table, he should dial Miyuki's phone.

"Let Professor Han cut off the live broadcast! Let Takahashi answer the phone!"

It was so cruel, seeing the patient on the operating table, the doctor was helpless, and everyone watched the patient die in the end, it was too cruel.

Takahashi retracted his hands into the protective bag on his chest, and went to the open safe area. Fujiwara Miyuki put the phone to his ear: "Takahashi, listen, you can't do this surgery even in Tokyo Main Hospital, please Let's face it, give up, you are my best student, you did your best."

"Okay, sir!" Takahashi said respectfully.

Fujiwara Miyuki turned on the phone's hands-free again: "Dear Professor Han, we have tried our best. Every doctor is unwilling to see this result, but we still have to make a decision. Turn off the video. This is the end of the friendship demonstration." , even Takahashi can't take it down, no one can complete this operation—"

The judgment on the mobile phone is unquestionable. Even Takahashi was unable to complete the operation. None of the doctors present could do it. Takahashi has already stood at the top of the pyramid of trauma surgery in the world.

But after all, he is a person, a doctor, manpower is limited, and doctors' medical skills are also limited, and there are places that cannot be achieved.

After answering the phone, Takahashi felt a strong sense of frustration, his head was buzzing, and he had never had such a embarrassing operation.

He was full of confidence when he took the stage, especially Mr. Fujiwara, who used the latest image reconstruction engine to recreate the blood vessel image from distant Japan. He was even more confident.

But after taking the stage, the first, second, and third veins were easy, the fourth vein took longer to start, the fifth vein was already difficult, the sixth vein was very strenuous, the seventh vein was already completed by luck, and the fourth vein was already difficult. The eight roots took 5 minutes and were handled very roughly. The ninth root has no bottom at all, twists and turns, intertwined with the hepatic artery. It cannot be found at all and cannot be separated. If it is ligated randomly, it will cause blood supply disturbance to the liver.

His back was covered with sweat, and his hands were a little out of control. He did not satisfy the teacher's regret, nor did he complete this Mount Everest-style operation in front of everyone.

He moved his neck slightly, looked up at the ceiling, and seemed to have reached the foot of the mountain, and set off, climbed a few steps, but could no longer move forward.

Facts are facts!Objective facts are as hard as steel!
"I'm sorry, Professor Han——, cut off the video?"

There was no time for him to hesitate too long, Takahashi was forced to say helplessly.

Director Tan stood there, looking at Director Han. Director Han didn't say anything, but just looked at the clear vascular reconstruction image from Tokyo on the screen.

"Xiao Yang, have you seen this picture clearly?"

Yang Ping nodded. Indeed, this image is much clearer than the previous CT reconstruction image. The previous image was like overcooked noodles, mixed with each other, and became a dough, which is indistinguishable; now it is noodles one by one. , The relationship between each other is clear, no matter in terms of fineness or accuracy, it is not a little bit better than the previous image.

If it is still very difficult to complete the operation based on the previous image, it is basically not difficult to do it based on the current image.

Yang Ping just reconstructed the images in his brain. After all, what he can use for his brain composition is only the original CT images.

"Is there a problem?"

"No problem!"

That is no problem!

"It's too early to say give up now, let's all rest, Xiao Yang is on stage and will be the chief surgeon! Xiao Song is the first to help, Xiao Zhang and Xiao Wu cooperate, and Xiao Wu, wash your hands and go on stage!"

Xiaowu just went to help Fujiwara Miyuki transfer pictures, and she has already taken off the surgical gown and gloves, and needs to wash her hands and get dressed again.

Takahashi looked at Director Han, is he crazy?

I, Takahashi Fumizai, couldn't hold it down, so I asked someone to come on stage. Is this to let everyone watch the patient leave on the operating table?

absurd!Takahashi was a little angry, took off the surgical gown and gloves, and threw them into the big yellow drum.

"Vital signs temporarily stable--"

Fatty got excited.

Finally Yang Ping took the stage, and Song Zimo cheered up immediately. Director Han and Director Tan were also preparing to step down. Director Han asked, "Do you want us to match the stage for you?"

"Thank you, Director. Song Zimo and the others are enough." Yang Ping stood at the chief surgeon's position.

Director Han pondered: "Cheer up, this operation is Mount Everest in trauma surgery. There are more than 100 blood vessels, and none of them can be missed. If one is missed, it is equivalent to the bleeding speed of a femoral artery. Take out Your best level, remember what I said? There are no bosses today, you are the bosses! I'll just sit here, you guys give it a go!"

Director Han didn't take off his clothes or gloves. Director Tan saw that Director Han didn't take off his clothes and gloves, and he didn't take off his gloves either. The itinerant nurse moved some stools, and Director Han sat down.

Takahashi and Miyuki Fujiwara didn't intend to go out, and they also sat down in the operating room. In order not to pollute Director Han and Director Tan, they sat at a distance from each other, and looked at the screen in the operating room with their respective corners.
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This operation is too difficult, Takahashi can't do it anymore, and the video is going to be turned off.

The video shows the operation area, because the operator's hands and instruments have moved out of the operation area. After a short blank, several hands entered the video.

Two S retractors opened the abdominal cavity, and two hands started the operation, which were the hands of the chief surgeon and the first assistant.

The subtitles appeared, like typing out words one by one.

Surgeon: Yang Ping, attending physician of orthopedics.

First assistant: Song Zimo, attending doctor of orthopedics.

When Yang Ping came on stage, Professor Su immediately sat up straight. Lao Han still sent him on stage, but could he handle it?
"Dr. Yang is on stage?" Cheng Liquan reminded Su Nanchen.

Su Nanchen really paid attention to the screen: "He finally took the stage--" Can he win it?

Yang Ping, Ou Lichun saw the name, yes, it was his classmate.

"My classmate is on stage!" Ou Lichun pulled Director Zhang to show him.

Director Zhang didn't want to watch it, so he glanced at it casually: "Come on stage and close the abdomen, then do debridement and suture on the face and left upper limb, and immediately turn off the video—"

That's right, Director Zhang poured cold water on Ou Lichun. Now that he's on stage, what can he do as an attending doctor? Clean up the mess. The operation was given up.
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Fujiwara Masao had mixed feelings in his heart. It was a pity that this patient had to watch him give up again, and he felt very uncomfortable.

Turn off the video, he couldn't bear to watch it again, but his eyes couldn't be controlled, he kept looking at the screen, as if he hoped for a miracle to happen in his heart.

Takahashi only took eight steps, then stopped, and could no longer climb up. If he was on the scene, he might not be sure. With a new algorithm to reconstruct the image, 80.00%? 60.00%?do not know.

Why is the video still not off, are they crazy?

In the video, several hands, two retractors, and two hands have already started to move. They are not closing the abdomen, but looking for and suturing blood vessels.

Don't they have a minimum of ethical concepts?
In this case, in order to maintain the final dignity of the patient, it should not appear on the video again.

The ninth blood vessel that Takahashi failed to find was found and successfully separated. The right hand clamped and cut off the blood vessel; the left hand found the tenth blood vessel.

No, the No. 11 root was also found, and the [-]th root was also found out.

These two people are the main surgeons. They operate separately from the upper and lower directions at the same time, and both use their left and right hands to operate independently, which means four people are operating at the same time.

Fujiwara Masao saw the strange operation of these two hands at a glance.

The speed of one hand is extremely fast, and the speed of the other hand is obviously much slower, but it also exceeds Takahashi's level of independent operation with both hands separated.

Originally about to turn off the electronic screen, Fujiwara immediately called out:
and many more!

(End of this chapter)