The broken half of the face and upper limbs are still in the refrigerator, and now there is this huge hemangioma in the abdomen.
You can imagine that a patient with severe splenic rupture can only cut off the spleen in order to stop bleeding and save his life. Because there are many "blood sinusoids" structures in the spleen tissue, a severely ruptured spleen will bleed everywhere, and it is impossible to stop bleeding. It can only be removed at the pedicle of the spleen.
Lig the blood vessels at the site and cut off the spleen, so as to solve the bleeding of the spleen.
Now, this hemangioma has more than a hundred pedicles, and the tumor itself is a twisted blood vessel, causing serious damage and bleeding, which is more violent than ordinary organ bleeding.
If it hadn't been for on-site blood transfusion, I probably wouldn't have made it to the hospital alive; once I got to the hospital, there wouldn't have been a steady stream of blood transfusions, and with the use of autologous blood transfusion equipment, I wouldn't have had the chance to go to the operating table.
The autologous blood recovery machine can recycle the blood from the patient, process it, and then infuse it to the patient. However, this process involves losses, so autologous blood transfusion alone cannot meet the requirements, and traditional allogeneic blood transfusion is required to supplement it.
The blood in this patient's body has been changed several times. Blood transfusion can only maintain life for a short period of time and is a temporary solution.
If the abdominal cavity is not opened and the tumor is not removed, the patient will definitely not be able to be saved.
Once the abdominal cavity is opened, in order to reduce bleeding, the aorta needs to be blocked. The blocking time cannot be too long. The limit time given to the surgeon is only forty-five minutes, and the battle must be resolved within forty-five minutes.
Otherwise, ischemia will cause necrosis of abdominal organs. Once necrosis occurs, multiple organ failure will ensue. The entire body's functions will collapse like dominoes, and life will collapse with it.
However, this case is so rare that no doctor can do anything if he encounters it. The spleen is severely ruptured, and the bleeding problem can be solved through splenectomy, because the spleen has only one main blood vessel: the splenic artery and vein, which have a constant position.
Surgeons are familiar with anatomy and can easily ligate and ligate the blood vessels, separate the spleen, and remove the spleen to stop bleeding.
Why is it so difficult to remove this huge hemangioma? It is because it has countless source blood vessels, and the surgeon does not have the anatomical knowledge of these blood vessels.
It is a special, individualized tumor that has never been encountered before. Even if some doctors can encounter such a rare case, the anatomical structure and source of blood vessels of the two tumors will not be the same.
Cutting this hemangioma is like a brutal urban street battle. A special force enters the ruins of the city with no map, no intelligence, and no knowledge of the city's geographical environment and troop deployment. The city is full of bunkers and ambushes. This kind of
Under such circumstances, it is impossible for the special forces to win and will only be eliminated in street fighting.
When performing operations in normal times, it means that the special forces are very familiar with the city. They have been in and out of the city hundreds of times. They know the city's geography and troop deployment very well, so the probability of victory is very high.
At that time, after Masao Fujiwara suffered a failure, he took this rare surgery as a subject and led Takahashi and Sasaki to conduct a large number of animal experiments to solve this devilish surgery.
They used various methods to use drugs in the embryonic stage of monkeys to create test specimens of giant vine-shaped hemangioma in the abdomen. They then used imaging technology to find and identify the blood vessels, designed a careful surgical plan, and ligated the blood vessels one by one.
, completely remove the tumor.
They have also designed interventional methods to embolize hemangioma, but this kind of tumor has almost no obvious main blood vessels, so intervention is futile.
Through extensive research and understanding of the origin and distribution of blood vessels, Fujiwara's team was able to handle operations on experimental animals with ease.
It can be said that they are the only ones in the world who have accumulated technology in this area. This kind of case is too special and no one takes the time to study it.
Fujiwara Masao is different. He will not let go of any failed case. He wants to be the best in the world and improve the surgical level of the entire team through research on this devilish surgery. This is how Takahashi and Sasaki were trained.<
/p>
---
There is no way to get rid of this operation? We have no choice but to give up!
The image on the screen stayed on the huge hemangioma, and now the contrast agent had flowed everywhere, filling the entire abdominal cavity.
Of the more than 2,000 doctors present, no one should have encountered such a rare case.
However, we can understand with professional common sense that the difficulty of this operation is as high as the top of Mount Everest, and it is almost impossible to save this patient.
Medical skills are not omnipotent. Many diseases cannot be cured, and many traumas cannot be rescued. This is the helplessness of medical skills and the helplessness of doctors. The treatment ability of medical skills is limited.
"Turn off the screen? This patient can't be saved."
This is not one person’s idea, but the consensus of all doctors.
---
University of Tokyo Hospital, Orthopedics Demonstration Classroom.
Fujiwara Masao's lips trembled slightly. This operation is too difficult. Even if there is infrared monitoring equipment that can clearly see all the blood vessels, it is not sure because it requires a certain amount of time.
This strange vine-like hemangioma has an irregular shape and grows in all directions, including the liver, spleen, pancreas, kidneys, and spine, towards the intersplanchnic spaces and inside the organs.
Many years ago, he encountered the same case and watched the patient pass away on the table. It was too cruel.
Even if he takes the stage now, if he does not consider the time limit of first aid and treats it as an elective operation, the operation time can be extended at will, and he is 80% sure to remove the hemangioma.
However, considering the timeliness of first aid and setting the operation to be completed within two hours, he only had a barely 60% success rate. The prerequisite was to use his own trauma surgery assistance system.
If Takahashi and Sasaki were to do it, the success rate would be less than 50%.
Standing by and watching is a disregard for life!
Fujiwara Masao picked up the mobile phone and dialed Takahashi's number: "Dr. Takahashi, at this time, you may be the only doctor here who has experience in handling this rare case, even if it is less than 50% successful.
Li Shi, please bravely come on stage. Even if you fail, you will still be my best student. Please give the phone to Professor Han Jiangong."
"Takahashi understands, sir!"
Hearing Fujiwara Masao's slightly hoarse voice on the phone, Takahashi straightened his back, as if Mr. Fujiwara was standing in front of him.
Takahashi kept the phone call going, left his seat, and walked to Director Han. Tang Fei immediately followed to help translate.
Takahashi's expression was serious: "Professor Han, this is Teacher Masao Fujiwara's phone number. He wants to talk to you directly."
Takahashi handed the phone over with both hands, and Director Han took the phone. Fujiwara Masao's English came from the phone: "Dear Professor Han, hello, it is an honor to speak with you. I am watching a surgical demonstration in Tokyo, and I feel very heavy.
This is an extremely rare case. Without experience, the success rate of treatment is zero. Please allow me to solemnly request you to let Fumiya Takahashi perform the surgery because he has rich experience and the success rate can reach 5%.
Ten, I request in the name of a doctor---."
At Sanbo Hospital, the performance of the young doctor just now in dealing with craniocerebral and chest trauma was beyond Fujiwara Masao's understanding. Especially Song Zimo's thoracoscopic operation to treat the ascending aorta tear was simply a tightrope somersault, and his technical level was far beyond
After passing Arai and Ogawa, Masao Fujiwara felt a sense of respect in his heart.
"I am very grateful to Mr. Fujiwara. Please allow me to think about it for two minutes. Because the case is too special, I must make a careful decision."
Director Han returned the phone to Takahashi. Takahashi did not return to his seat immediately, but stood next to Director Han and waited for a reply.
Professor Su, Meng Heng, and Fu Shancheng all saw Director Han answer Fujiwara's call. Although they couldn't hear clearly what was said on the phone, they could guess most of it based on the current situation.
At this time, Director Han can only make the decision, and no one else can give suggestions.
Professor Su didn't say anything, waiting for Director Han to make a decision.
The difficulty of the operation is unprecedented. The objective facts are before us. There are not many people in the world who have experience in this kind of operation, and the cases themselves are rare.
If the hospital's top forces are allowed to take over, even if the patient cannot be saved, there will never be any objections, because it is normal that the patient cannot be saved.
Even if he takes office, he still lacks certain research and experience on this kind of case.
If someone can successfully save the patient, even if he is the arrogant Takahashi, he should be allowed to take the stage. I believe everyone will think so.
Respect life! What’s more, this is just an academic meeting.
Professor Su originally wanted to suggest that Yang Ping should take the stage. Yes, Yang Ping is a surgeon with rare talents, but surgery is an empirical science. Without enough experience, all talents cannot be used.
Yang Ping is probably at a loss what to do about this rare, complex and huge abdominal hemangioma injury and fatal bleeding, because he has no experience.
Director Han crossed his hands, circled his thumbs several times, and asked Tan Boyun: "How are the patient's vital signs?"
Tan Boyun took the tablet handed by his assistant and showed Director Han the latest vital signs, blood routine, biochemistry, liver and kidney function, blood gas analysis, etc.
"Well!" Director Han took a deep breath and made a decision: "Mr. Takahashi, if it's troublesome, I'll trouble you to come on stage and perform the surgery!"
Takahashi was very excited when he got the answer. Like Sasaki, he is a person who has a strong desire for challenges. Teacher Fujiwara gave him a chance, and Director Han agreed. Let him complete an unprecedented operation in front of everyone.
Teacher Fujiwara saves regrets.
"Thank you! I need two experienced assistants. If you don't mind, I ask Professor Han and Professor Tan to be my assistants!"
Takahashi bowed, but Director Han didn't answer. He didn't look up.
"Okay, Professor Tan and I will be your assistants!" Director Han said without hesitation.
Takahashi straightened his back: "Don't waste time, go to the operating room immediately, Miss Miyuki, follow me."
Takahashi, letting Director Han and Director Tan come on stage was completely selfish. If it was for the safety of the patients, Miyuki Fujiwara was his best assistant.
By letting the two directors come on stage as assistants, he wanted more than 2,000 Chinese doctors to see that the gap was not so easy to shorten, in order to satisfy his own proud heart, and also to combat Miyuki Fujiwara's illusions about China and prove that
You are not wrong.
Although he clearly knew Takahashi's purpose, Director Tan had no objection at this time.
"It's a bit too much!" Meng Heng saw this scene.
Fu Shancheng was also a little uncomfortable: "This was intentional, but saving lives is important. If it were me, I wouldn't care about this with him."
Professor Su said nothing, leaving a gap. In the future, he will slowly catch up. The pursuit of those who lag behind will be full of pain.
"Let Song Zimo's surgery be suspended and don't open the abdomen!"
Director Tan immediately notified the operating room.
"Is Takahashi about to come to power?"
After seeing the small movement in the front row, Director Han, Director Tan, Takahashi, and Miyuki Fujiwara left from the side door of the conference room, everyone speculated.
There was a lot of commotion in the venue. This surgery was too difficult and Sanbo Hospital couldn't handle it. It just so happened that Daniel Takahashi was here, and now he wants to invite Takahashi to the stage.
"Yes, Takahashi is on stage."
"The world's great leader in trauma surgery, he has come to power."
I didn't expect this meeting to be so exciting. It was a surgical demonstration, a rare case was encountered, and you could also watch Takahashi's surgery.
The atmosphere at the venue was exciting. Most of the doctors were full of admiration for the world-class experts.
