godfather of surgery

Chapter 974 Can You Speak More Nicely?

Organ transplantation has very strict requirements for suturing. Yang Ping completed the suturing of the bronchi and blood vessels, and all that was left for Director He was to cut a few traction wires.

"Director He! Come and sit here." Yang Ping took off his glasses again.

"There are still a few threads here, can you please help me cut them?" Yang Ping said.

Not to mention the wired cutters, even if Director He did nothing but just sat here and shook the robotic arm a few times, he would be satisfied.

In fact, there were not many traction wires, only four left, but Director He was very serious and cut the wires neatly and beautifully. Director He practiced for a long time before using the scissors, and finally cut the traction wires with satisfaction.

The remaining work is actually to use bronchofiberscope to check the quality of bronchial anastomosis, and use transesophageal cardiac ultrasound to check the quality of anastomosis between pulmonary blood vessels and heart. If there is no problem, the remaining finishing work is to place a drainage tube and suture the surgical incision.

"Professor Yang, why don't you take a break?" Director He offered.

In fact, Yang Ping had nothing to do, so he moved to the operating room to check the results of the transesophageal cardiac color Doppler ultrasound and bronchoscopy. At this time, Song Zimo was using the color Doppler ultrasound machine to do a transesophageal cardiac color Doppler ultrasound.

There was no suspense at all. Whether it was the bronchus or the blood vessels, the anastomosis quality was very high and the channels were very unobstructed. The operation could be completed. The entire operation took only two hours to complete, and the bleeding during the operation was less than that of pulling out a nail.

ECMO can usually be taken off the machine 24 hours after surgery. For Yang Ping, this is a very conservative approach, as this is the first lung transplant performed using a surgical robot, so he has to be conservative and prudent. In the future, as more data is accumulated, the support time of ECMO after surgery can be continuously shortened. It would be best to be able to be disconnected from ECMO immediately after surgery, so that the implanted lungs can work as early as possible.

“Professor, when will you teach me this multi-arm operation? Why can’t I switch my thinking when doing multi-arm operation? I always feel like I only have two hands, and I can only use two robotic arms at all times. The third robotic arm can only serve as a substitute. In the rhythm of the operation, two are operating while one is waiting in line. In short, the two robotic arms are still the main ones when performing the operation.” Song Zimo was very distressed. Robotic surgery is the future direction of surgery, and he hopes to master the most advanced robotic surgery operation skills as soon as possible.

Robotic surgery in the future will definitely not be like it is now. The multiple robotic arms of future surgical robots can perform many operations at the same time, improving the efficiency and quality of surgery, just like machines replacing manual weaving. The method of machine weaving is definitely completely different from manual weaving, and it is not just a simple copy of manual weaving.

The current robotic surgery is merely a copy and imitation of doctors' surgery. It only serves as an auxiliary tool. Like a laparoscope, it is just an operating tool. However, this tool is slightly more advanced. It is really a misnomer to call it a robot.

"Multi-arm operation is not necessary. It goes against the original intention of designing this surgical robot. The original intention of the design is to allow you to imitate the operation of two hands. You don't need to learn multi-arm operation." Yang Ping enlightened Song Zimo.

But Song Zimo was very persistent: "Professor, please tell me how to train. I also want to break through the limitations of machine design and unlock new skills."

This made Yang Ping a bit embarrassed. He really couldn't think of any good training method for the time being. Apart from training with the real surgical robot, there seemed to be no good way to train the surgical robot's multi-arm operation. This thing was sold for 7500 million US dollars when it was first launched on the market. Now it has dropped to 150 million US dollars, which is more than million RMB per unit. The price of a robotic arm has now dropped, but it is still yuan each, and it can only be used ten times. Once it has been used ten times, the built-in chip will be locked and the robotic arm cannot be used.

"We can only use robots for training. There is no other way for now." Yang Ping said helplessly.

Song Zimo felt that this was too wasteful. He calculated that using robots for practice, a robotic arm could only be used for about 40 hours. At the same time, four robotic arms were equipped at full capacity, costing a total of 12 yuan. If it was used for two hours a day, it could only be used for about 20 days. If it was used for four hours a day, it could only be used for ten days. Not counting the wear and tear of the robots, the cost of the robotic arms alone would cost an average of 1.2 yuan a day. Who could accept such training costs?

"Professor, you didn't train like this, did you?" Song Zimo said as he sorted out the color ultrasound and bronchoscope. Xu Zhiliang was suturing the surgical incision alone. Several doctors who were watching nearby did not leave but listened to their conversation attentively. The great doctor's casual chat was also very interesting.

Yang Ping sneered, “How could someone as frugal as me be so extravagant? I am a talented athlete. I usually perform robotic surgeries, and I naturally have breakthroughs while doing them. I don’t even know when and how I achieved the breakthrough.”

"What should I do then?" Song Zimo just made this calculation and felt that there was no hope of getting a chance to train.

Yang Ping thought for a moment and said, "If you really want to train robot surgery, I'll buy another one specifically for training, or I'll ask the manufacturer to send one to you guys to play with."

“Give one away? For what?” Xu Zhiliang was puzzled.

"You don't want to give it to me, right? I will use another brand of surgical robot for surgery next time." Yang Ping said in a cold tone.

“Is this useful?”

Xu Zhiliang still didn't understand.

Song Zimo immediately understood the reason: "Professor, are you serious? How about letting Tang Shun contact the manufacturer?"

"Let him contact the manufacturer as soon as possible and ask you to arrange a room on which floor to place the robot as a special training room." In fact, with the current strength of Yang Ping's foundation, it would be very easy to buy another surgical robot, but he felt that it was a waste of money.

"I—still—don't—understand?" Xu Zhiliang didn't understand.

Song Zimo had no choice but to explain to this somewhat dull junior, "The professor uses a certain brand because he respects that brand, understand? The performance of the machine displayed by the professor's surgery cannot be surpassed by anyone in the world. Let's put it this way, if the maximum performance of machine A is 100 points, and the maximum performance of machine B is 80 points, the professor can maximize the performance of machine B to 120 points or even higher, while others, no matter how good they are, can only maximize the performance of machine A to 60 to 70 points."

"I still don't understand. It's just like an elementary school math problem." Xu Zhiliang frowned.

Song Zimo had no choice but to continue explaining: "For example, although brand A is better than brand B, if this lung transplant is performed by brand B's machine, and the next heart bypass is performed by brand B, and the next intracranial tumor is performed by brand B, which brand do you think people around the world will think is better? After a few such operations, who will still remember brand A?"

"Then how do we let Tang Shun contact the manufacturer?" Xu Zhiliang asked another question.

Song Zimo wanted to hit him. His mind was full of nothing but seeing patients and doing surgeries. "If they don't let Tang Shun go, they'll let you go? Let me go? Ivan has been walking around the lab, and now he's sending money almost every now and then. Not only that, he keeps thanking Tang Shun."

"After selling the person - others also help count the money?" Xu Zhiliang seemed to understand again.

Song Zimo said impatiently: "Can you please speak more nicely? It makes us seem immoral. We are helping our international friends improve their technology and we only charge a symbolic and low fee."