Surgical artist
Chapter 320 The technical gold content is extremely high
Chapter 320 The technical gold content is extremely high
It is undoubtedly much less difficult to transplant each organ step by step, one by one.
You can also focus your attention on one organ.
In this way, it is definitely much better than placing it as a whole, resulting in "concerning one thing and losing another".
"But having said that, although Director Zhao's method of overall transplantation increases the difficulty of transplantation and raises the requirements for the surgeon, but..."
"But it is the most effective in curing cancer lesions."
As soon as these words were said, everyone couldn't help but nodded in their hearts.
The difficulty of transplanting separately is naturally low, but during the handover process of the "old and new organs", maybe there will be a little bit of remaining lesions that will be "carried" into the new organ.
The patient's organs are at risk of becoming cancerous again.
The ability of "proliferation" and "survival" of cancer cells is very strong!As long as a little remains, it is likely to develop into a new cancer lesion in the future.
It's like leaving a case of cancer seed.And the new healthy organs, as well as the rebuilt blood supply pipeline, will become the rich nutrients for this cancer seed.Let it get good nourishment again, so as to sprout and grow.
Zhao Peiru's method directly kills the possibility of "carrying seeds" in the bud.
After cleaning, he directly chose the whole transplantation, so that the lesion had no chance to take advantage of it.
It can be said that the "radical" in this project requirement has been completed to the extreme!
Thinking of this...
Many people were suddenly taken aback!
"If Director Zhao can really make this transplant operation a success..."
"Then he didn't just make initial results!"
"It's direct, and the completion of this project has been fully achieved!"
"Give it a perfect finish!"
Everyone's scalps were numb with shock at this moment!
To achieve the ultimate in radical treatment, and to achieve the ultimate in the treatment of organs involved, isn't this just...
Complete the final goal of the entire project directly?
This Zhao Peiru's ambition is so big!
Until now, they finally understood Zhao Peiru's big game of chess.
Everyone is excited!
His eyes were fixed on the screen.
As if, witnessing a peerless surgery!
At this moment, all the people watching the live broadcast sat up straight and their eyes widened!
They all realized it.
Whether the operation is successful or not, the result is not as elementary as the "initial results".
Instead, it determines whether the entire 863 project can be completed directly and perfectly!
I am afraid that it will also become the first team in the country to complete the 863 project.
……
"Next, let's see how Zhao Peiru rebuilds the pipeline!"
The disadvantages of the overall placement are only beginning to be revealed.
All important pipelines are intertwined and intertwined, like a densely packed broken fishing net.And Zhao Peiru's job is to sort out the direction of each thread of this fishing net first, and then mend it accordingly, fully restoring the original appearance of this broken fishing net.
"Rebuilding the pipeline, especially the two parts is the most troublesome!"
"The first is vascular reconstruction!"
"The second is digestive tract reconstruction!"
Experts from various provinces watching the live broadcast looked at the monitor with burning eyes.
This extremely complex pipeline reconstruction has an important reference role for almost all laparotomy operations!
Because almost every laparotomy involves vascular reconstruction and pipeline reconstruction, but it is not as complicated as this one.
It can be said that the technology contained in this operation has extremely high gold content!
The experts in Suzhou Province had a very high opinion of themselves.
But at this moment, seeing the overall placement of the whole organ cluster and seeing the intricate and various channels, I can't help but feel a little dizzy.
If they were to go up instead, I'm afraid they wouldn't be able to figure out how to do this kind of pipeline reconstruction work.
Any mistake in pipeline reconstruction will cause irreparable impact, which is too difficult!
"Fortunately, we did not participate in this project."
"Otherwise, how can I do this? I can't do it!"
"Just one pipeline rebuild job would have us all stumped."
The group of people in Suzhou Province who have permission to watch the live broadcast are all the top experts in the province.They are very clear that even relying on their so-called "profound" background accumulation in Suzhou Province, when faced with this situation...
Also helpless!
So at this moment, they all opened their eyes wide, wanting to take a good look at what Zhao Peiru would do.
Suzhou No.1 civilian hospital.
Zhou Heping's eyes were complicated.
"It's expected that Zhao Peiru can separate the adhesion."
"The idea of whole organ cluster transplantation also shows his research direction."
"His goal has almost been achieved. To the leaders above, he showed his goal direction: it is aimed at a complete cure."
Zhou Heping's expression was slightly downcast.
This Zhao Peiru has succeeded.
Let him do the initial results.
"The next pipeline reconstruction, Zhao Peiru will definitely fail."
"But that's not important anymore. He has already shown everything he wants to show. He has already expressed his ideas clearly. The higher ups will definitely pay more attention to him."
Zhou Heping sighed slightly in his heart.
……
"Fine tweezers."
"Anastomotic line No. 3."
"Fine cut."
"Anastomotic line No. 5."
"Needle, No. 7 suture."
No matter how the outside world judges, on the operating table, the progress of the operation is still advancing rapidly.
Zhao Peiru was methodical, and accurately identified the retrohepatic inferior vena cava and superior mesenteric vein from the intricate "strings".
The superior mesenteric vein of the donor liver was anastomosed to the superior mesenteric vein of the patient.The donor's abdominal aorta and the patient's right common iliac artery were anastomosed by bypass.
At the same time, Director Han, as an assistant, also under his instruction, flushed the anastomosis with heparin saline to prevent blood coagulation.
Xiao Meng used salt water to moisten Zhao Peiru's gloves every time Zhao Peiru tied the knot, so that it was easier for Zhao Peiru to tie the knot.
The three cooperated and quickly advanced the operation.
After the overall cooperation, Zhao Peiru is quite satisfied with these two assistants.Although he had to suppress the speed of operation a little bit in order for the two of them to keep up.
With the methodical cooperation of the three, the blood vessel anastomosis was successfully completed.
Everyone in the live broadcast room was a little surprised to see this orderly, fast but not chaotic scene.
"Zhao Peiru is very accurate in finding blood vessels!"
"It's almost instant, and I've never made a mistake."
Among the intricate pipelines, finding the most correct one is the most troublesome and difficult.
And once found, the subsequent anastomosis is not difficult.
"However, the anastomotic reconstruction of the vascular part is inherently difficult."
"After all, the number of blood vessels that need to be anastomotic is not many."
"It's not too difficult to find it."
"After the implantation of the whole organ cluster, the biggest difficulty is the reconstruction of the digestive tract later."
The digestive tract, from top to bottom, involves the stomach, bile duct, jejunum, duodenum, and small intestine in sequence.
Every organ, tissue, and organ has its own important pipelines that need to be rebuilt.
Now that they are all in, it is a big problem to just identify which organ and which channel!
If the anastomosis is wrong, a laparotomy will have to be done again.
But... the physical condition of this patient is obviously unable to support another surgery.
In other words, this is the last chance for surgery.
Can only be right, can not be wrong!
This is the most difficult, most complicated, and most error-prone part of the entire "Organ Cluster Liver Transplantation" operation!
It can even be said that because of the "laziness" in the early stage: the entire organ cluster was directly inserted as a whole.
Leading to easier work in the early stage.
But it pushed all the difficult work to the latter part!
In the on-site observation room, the experts of the special team also looked nervous.
This part was the most error-prone part when they deduced the operation before!
Even when they were just mouth caps they were deduced.It may be because there are too many pipelines that need to be "simultaneously processed", and the brain is confused and mistakes are made in the busyness.
What's more, in actual operation, the complexity is higher, and the actual problems faced will occupy part of the brain resources.
At this time, the brain is like an overloaded CPU processor...
When the instantaneous, massive, complex, and extremely confusing processing tasks flood in, the processor of the brain will be overclocked, overheated, freeze, or even crash and restart.
All the on-site experts of the special team were a little apprehensive and uncertain.
"This is the biggest and last difficulty."
"If you can overcome this difficulty, then this operation will not be a big problem!"
As long as the digestive tract can be reconstructed smoothly, there will be no major difficulties in the rest of the surgery.
All the difficulties are almost concentrated in this part.
The people watching the live broadcast also panicked when they saw the various digestive tracts and various pipelines that needed to be matched.
Their usual operations are either gastrointestinal anastomosis, bile duct jejunostomy, or duodenum small intestine anastomosis...
They are all only partial, small-scale anastomoses.
Where has this been done, the whole whole is there, not only is it chaotic to find and choose, but also requires a variety of anastomosis techniques, and you have to consider the impact of each anastomosis sequence on the whole, as well as the need to deal with various unexpected risks. ?There are so many things to consider here!
"Just looking at the screen, I feel a sense of despair!"
"This Mr. Zhao has pushed himself into a desperate situation. How can he sort out such a huge organ cluster?"
"The large bloody abdominal cavity and the complete dissection made me palpitate when I saw it."
"Yeah, the last time I saw such a large-scale wound exposed... It was when I was in school, when I was in anatomy class."
After everyone sighed, they gradually figured out a taste.
"Watching Teacher Zhao's live broadcast, it feels completely different from other teachers'..."
"Other teachers use mature techniques to broadcast live. When we watch, we only have the mentality of learning and appreciating."
"Mr. Zhao often broadcasts this kind of 'first case' and 'first attempt' surgery live."
"That is to say, even he himself can't guarantee the success of the operation."
"This makes us feel more worried and excited."
These comments resonated with experts from various provinces.
Especially the doctors in Jiangnan Province, they watched Zhao Peiru's live broadcast the most times, and they worried several times with Zhao Peiru.
"Speaking of which, Mr. Zhao is really leading us to explore the most cutting-edge medical technology."
"This is a sincere contribution to the cause of medicine!"
"Even if he himself may fail in front of the camera, he will lead us to explore the most possibilities."
"Great, dedication!"
Experts from various provinces also nodded: "Now, there are indeed fewer and fewer people with such selfless dedication and high awareness."
Even if they are the best in the provinces, when facing their personal academic honor and reputation, they will inevitably have a little selfishness mixed in.It's impossible to do this kind of thing, to expose your own failure in front of so many people.
……
Under the emotion of everyone.
Zhao Peiru, who was on the operating table, also seemed to hesitate for a moment because of the huge and complicated reconstruction work of the digestive tract system.
It seemed that he hesitated in the face of such a difficult part.
Zhou Heping, who was in front of the screen, snorted coldly.
"I guess it will fail."
"It's what he chose for himself, the best place for him to fail."
"This Zhao Peiru is really smart, he really knows how to choose!"
The choice fails here. First, it is complex and difficult to match.The second is that the patient is weak and impatient, which makes the anastomosis more difficult.These two reasons are enough for Zhao Peiru to use as an excuse.
Other experts also had a bad feeling in their hearts.
"Are you going to fail here?"
Although they feel a little regretful about this, they are not surprised.
After all, it has only been a month since Jiangnan Province Shan Province was in charge of the 863 project. It was already a great surprise for them to be able to achieve this step.
It can be considered that the initial goal has been completed, and the project direction has also been clarified.
Even if it fails, purely for academic research, it is acceptable.
Joint Organizing Committee of Five Provinces.
The senior leaders of the organizing committee and the expert group were also watching the live broadcast.
"How long has it been?"
"It's been... 12 hours."
Some experts present watched the whole process.
Others came over after a break.
Everyone looked very solemn.
"It's not easy to do this step."
"With this video material, it should be enough to guarantee that our 863 project will not be transferred out."
"Zhao Peiru has brought us many surprises."
The leaders felt a little more at ease.
……
"Open blood flow."
Zhao Peiru gave an order, and the rebuilt blood vessels regained their vitality.
Xiao Meng has been staring at the monitoring equipment, and at this moment his face is also showing a bit of joy.
"The donor liver is well filled with blood, and the pancreas has no bleeding."
When everyone heard this, their hearts lightened.
These are the two places most likely to bleed, and the two most difficult to deal with after bleeding.
As long as those two things are fine, it's fine.
Then, check the entire organ cluster again for signs of bleeding.
This step is to verify whether the "vascular reconstruction" work is done well.
After the verification, everyone at the scene quietly let out a long sigh of relief.
At least the revascularization is no problem.
Then the next step is to formally carry out the reconstruction of the digestive tract.
(End of this chapter)
It is undoubtedly much less difficult to transplant each organ step by step, one by one.
You can also focus your attention on one organ.
In this way, it is definitely much better than placing it as a whole, resulting in "concerning one thing and losing another".
"But having said that, although Director Zhao's method of overall transplantation increases the difficulty of transplantation and raises the requirements for the surgeon, but..."
"But it is the most effective in curing cancer lesions."
As soon as these words were said, everyone couldn't help but nodded in their hearts.
The difficulty of transplanting separately is naturally low, but during the handover process of the "old and new organs", maybe there will be a little bit of remaining lesions that will be "carried" into the new organ.
The patient's organs are at risk of becoming cancerous again.
The ability of "proliferation" and "survival" of cancer cells is very strong!As long as a little remains, it is likely to develop into a new cancer lesion in the future.
It's like leaving a case of cancer seed.And the new healthy organs, as well as the rebuilt blood supply pipeline, will become the rich nutrients for this cancer seed.Let it get good nourishment again, so as to sprout and grow.
Zhao Peiru's method directly kills the possibility of "carrying seeds" in the bud.
After cleaning, he directly chose the whole transplantation, so that the lesion had no chance to take advantage of it.
It can be said that the "radical" in this project requirement has been completed to the extreme!
Thinking of this...
Many people were suddenly taken aback!
"If Director Zhao can really make this transplant operation a success..."
"Then he didn't just make initial results!"
"It's direct, and the completion of this project has been fully achieved!"
"Give it a perfect finish!"
Everyone's scalps were numb with shock at this moment!
To achieve the ultimate in radical treatment, and to achieve the ultimate in the treatment of organs involved, isn't this just...
Complete the final goal of the entire project directly?
This Zhao Peiru's ambition is so big!
Until now, they finally understood Zhao Peiru's big game of chess.
Everyone is excited!
His eyes were fixed on the screen.
As if, witnessing a peerless surgery!
At this moment, all the people watching the live broadcast sat up straight and their eyes widened!
They all realized it.
Whether the operation is successful or not, the result is not as elementary as the "initial results".
Instead, it determines whether the entire 863 project can be completed directly and perfectly!
I am afraid that it will also become the first team in the country to complete the 863 project.
……
"Next, let's see how Zhao Peiru rebuilds the pipeline!"
The disadvantages of the overall placement are only beginning to be revealed.
All important pipelines are intertwined and intertwined, like a densely packed broken fishing net.And Zhao Peiru's job is to sort out the direction of each thread of this fishing net first, and then mend it accordingly, fully restoring the original appearance of this broken fishing net.
"Rebuilding the pipeline, especially the two parts is the most troublesome!"
"The first is vascular reconstruction!"
"The second is digestive tract reconstruction!"
Experts from various provinces watching the live broadcast looked at the monitor with burning eyes.
This extremely complex pipeline reconstruction has an important reference role for almost all laparotomy operations!
Because almost every laparotomy involves vascular reconstruction and pipeline reconstruction, but it is not as complicated as this one.
It can be said that the technology contained in this operation has extremely high gold content!
The experts in Suzhou Province had a very high opinion of themselves.
But at this moment, seeing the overall placement of the whole organ cluster and seeing the intricate and various channels, I can't help but feel a little dizzy.
If they were to go up instead, I'm afraid they wouldn't be able to figure out how to do this kind of pipeline reconstruction work.
Any mistake in pipeline reconstruction will cause irreparable impact, which is too difficult!
"Fortunately, we did not participate in this project."
"Otherwise, how can I do this? I can't do it!"
"Just one pipeline rebuild job would have us all stumped."
The group of people in Suzhou Province who have permission to watch the live broadcast are all the top experts in the province.They are very clear that even relying on their so-called "profound" background accumulation in Suzhou Province, when faced with this situation...
Also helpless!
So at this moment, they all opened their eyes wide, wanting to take a good look at what Zhao Peiru would do.
Suzhou No.1 civilian hospital.
Zhou Heping's eyes were complicated.
"It's expected that Zhao Peiru can separate the adhesion."
"The idea of whole organ cluster transplantation also shows his research direction."
"His goal has almost been achieved. To the leaders above, he showed his goal direction: it is aimed at a complete cure."
Zhou Heping's expression was slightly downcast.
This Zhao Peiru has succeeded.
Let him do the initial results.
"The next pipeline reconstruction, Zhao Peiru will definitely fail."
"But that's not important anymore. He has already shown everything he wants to show. He has already expressed his ideas clearly. The higher ups will definitely pay more attention to him."
Zhou Heping sighed slightly in his heart.
……
"Fine tweezers."
"Anastomotic line No. 3."
"Fine cut."
"Anastomotic line No. 5."
"Needle, No. 7 suture."
No matter how the outside world judges, on the operating table, the progress of the operation is still advancing rapidly.
Zhao Peiru was methodical, and accurately identified the retrohepatic inferior vena cava and superior mesenteric vein from the intricate "strings".
The superior mesenteric vein of the donor liver was anastomosed to the superior mesenteric vein of the patient.The donor's abdominal aorta and the patient's right common iliac artery were anastomosed by bypass.
At the same time, Director Han, as an assistant, also under his instruction, flushed the anastomosis with heparin saline to prevent blood coagulation.
Xiao Meng used salt water to moisten Zhao Peiru's gloves every time Zhao Peiru tied the knot, so that it was easier for Zhao Peiru to tie the knot.
The three cooperated and quickly advanced the operation.
After the overall cooperation, Zhao Peiru is quite satisfied with these two assistants.Although he had to suppress the speed of operation a little bit in order for the two of them to keep up.
With the methodical cooperation of the three, the blood vessel anastomosis was successfully completed.
Everyone in the live broadcast room was a little surprised to see this orderly, fast but not chaotic scene.
"Zhao Peiru is very accurate in finding blood vessels!"
"It's almost instant, and I've never made a mistake."
Among the intricate pipelines, finding the most correct one is the most troublesome and difficult.
And once found, the subsequent anastomosis is not difficult.
"However, the anastomotic reconstruction of the vascular part is inherently difficult."
"After all, the number of blood vessels that need to be anastomotic is not many."
"It's not too difficult to find it."
"After the implantation of the whole organ cluster, the biggest difficulty is the reconstruction of the digestive tract later."
The digestive tract, from top to bottom, involves the stomach, bile duct, jejunum, duodenum, and small intestine in sequence.
Every organ, tissue, and organ has its own important pipelines that need to be rebuilt.
Now that they are all in, it is a big problem to just identify which organ and which channel!
If the anastomosis is wrong, a laparotomy will have to be done again.
But... the physical condition of this patient is obviously unable to support another surgery.
In other words, this is the last chance for surgery.
Can only be right, can not be wrong!
This is the most difficult, most complicated, and most error-prone part of the entire "Organ Cluster Liver Transplantation" operation!
It can even be said that because of the "laziness" in the early stage: the entire organ cluster was directly inserted as a whole.
Leading to easier work in the early stage.
But it pushed all the difficult work to the latter part!
In the on-site observation room, the experts of the special team also looked nervous.
This part was the most error-prone part when they deduced the operation before!
Even when they were just mouth caps they were deduced.It may be because there are too many pipelines that need to be "simultaneously processed", and the brain is confused and mistakes are made in the busyness.
What's more, in actual operation, the complexity is higher, and the actual problems faced will occupy part of the brain resources.
At this time, the brain is like an overloaded CPU processor...
When the instantaneous, massive, complex, and extremely confusing processing tasks flood in, the processor of the brain will be overclocked, overheated, freeze, or even crash and restart.
All the on-site experts of the special team were a little apprehensive and uncertain.
"This is the biggest and last difficulty."
"If you can overcome this difficulty, then this operation will not be a big problem!"
As long as the digestive tract can be reconstructed smoothly, there will be no major difficulties in the rest of the surgery.
All the difficulties are almost concentrated in this part.
The people watching the live broadcast also panicked when they saw the various digestive tracts and various pipelines that needed to be matched.
Their usual operations are either gastrointestinal anastomosis, bile duct jejunostomy, or duodenum small intestine anastomosis...
They are all only partial, small-scale anastomoses.
Where has this been done, the whole whole is there, not only is it chaotic to find and choose, but also requires a variety of anastomosis techniques, and you have to consider the impact of each anastomosis sequence on the whole, as well as the need to deal with various unexpected risks. ?There are so many things to consider here!
"Just looking at the screen, I feel a sense of despair!"
"This Mr. Zhao has pushed himself into a desperate situation. How can he sort out such a huge organ cluster?"
"The large bloody abdominal cavity and the complete dissection made me palpitate when I saw it."
"Yeah, the last time I saw such a large-scale wound exposed... It was when I was in school, when I was in anatomy class."
After everyone sighed, they gradually figured out a taste.
"Watching Teacher Zhao's live broadcast, it feels completely different from other teachers'..."
"Other teachers use mature techniques to broadcast live. When we watch, we only have the mentality of learning and appreciating."
"Mr. Zhao often broadcasts this kind of 'first case' and 'first attempt' surgery live."
"That is to say, even he himself can't guarantee the success of the operation."
"This makes us feel more worried and excited."
These comments resonated with experts from various provinces.
Especially the doctors in Jiangnan Province, they watched Zhao Peiru's live broadcast the most times, and they worried several times with Zhao Peiru.
"Speaking of which, Mr. Zhao is really leading us to explore the most cutting-edge medical technology."
"This is a sincere contribution to the cause of medicine!"
"Even if he himself may fail in front of the camera, he will lead us to explore the most possibilities."
"Great, dedication!"
Experts from various provinces also nodded: "Now, there are indeed fewer and fewer people with such selfless dedication and high awareness."
Even if they are the best in the provinces, when facing their personal academic honor and reputation, they will inevitably have a little selfishness mixed in.It's impossible to do this kind of thing, to expose your own failure in front of so many people.
……
Under the emotion of everyone.
Zhao Peiru, who was on the operating table, also seemed to hesitate for a moment because of the huge and complicated reconstruction work of the digestive tract system.
It seemed that he hesitated in the face of such a difficult part.
Zhou Heping, who was in front of the screen, snorted coldly.
"I guess it will fail."
"It's what he chose for himself, the best place for him to fail."
"This Zhao Peiru is really smart, he really knows how to choose!"
The choice fails here. First, it is complex and difficult to match.The second is that the patient is weak and impatient, which makes the anastomosis more difficult.These two reasons are enough for Zhao Peiru to use as an excuse.
Other experts also had a bad feeling in their hearts.
"Are you going to fail here?"
Although they feel a little regretful about this, they are not surprised.
After all, it has only been a month since Jiangnan Province Shan Province was in charge of the 863 project. It was already a great surprise for them to be able to achieve this step.
It can be considered that the initial goal has been completed, and the project direction has also been clarified.
Even if it fails, purely for academic research, it is acceptable.
Joint Organizing Committee of Five Provinces.
The senior leaders of the organizing committee and the expert group were also watching the live broadcast.
"How long has it been?"
"It's been... 12 hours."
Some experts present watched the whole process.
Others came over after a break.
Everyone looked very solemn.
"It's not easy to do this step."
"With this video material, it should be enough to guarantee that our 863 project will not be transferred out."
"Zhao Peiru has brought us many surprises."
The leaders felt a little more at ease.
……
"Open blood flow."
Zhao Peiru gave an order, and the rebuilt blood vessels regained their vitality.
Xiao Meng has been staring at the monitoring equipment, and at this moment his face is also showing a bit of joy.
"The donor liver is well filled with blood, and the pancreas has no bleeding."
When everyone heard this, their hearts lightened.
These are the two places most likely to bleed, and the two most difficult to deal with after bleeding.
As long as those two things are fine, it's fine.
Then, check the entire organ cluster again for signs of bleeding.
This step is to verify whether the "vascular reconstruction" work is done well.
After the verification, everyone at the scene quietly let out a long sigh of relief.
At least the revascularization is no problem.
Then the next step is to formally carry out the reconstruction of the digestive tract.
(End of this chapter)
You'll Also Like
-
You, a druid, go to practice Taoism?
Chapter 206 14 hours ago -
The magician of the fairy tale world
Chapter 183 14 hours ago -
What if I become a beast?
Chapter 567 15 hours ago -
I am the best in Xiuxian cheating, you guys will bear all the damage
Chapter 170 15 hours ago -
Cultivating Immortality: Taking on the cause and taking over the result, fellow Taoists, help me!
Chapter 99 15 hours ago -
Immortal cultivation starts with copying
Chapter 302 16 hours ago -
Primordial Era: Even the Three Purities Must Call Me Second Uncle
Chapter 246 16 hours ago -
This is what a fairy should be like
Chapter 45 16 hours ago -
Rebirth of India: Superior
Chapter 433 16 hours ago -
Immortality in the Great Qian Dynasty
Chapter 1854 16 hours ago