"Professor Tan, you should have realized the complexity of this case long ago. You should not rush to replace people now. This is irresponsible to the patient. You have studied at the University of Tokyo Hospital and should have the minimum quality."<
/p>
On the way to the operating room, Takahashi was very dissatisfied, and the arrogance and disdain in his bones would show up at any time.
Director Tan did not refute whatever he said, he just led the way.
There is no way, they have researched this kind of cases, accumulated experience, and have the strength to fight. They can only be strength, and everything else is pale.
Song Zimo stopped what he was doing. Instrument nurse Zhou Can was arranging the instruments on the operating table. The circulating nurse hung up a few more bags of blood. Fatty Liang stared closely at the data on the monitoring screen. Xiaowu Zhang Lin was also unhappy on the stage.
.
Yang Ping has put on surgical clothes and gloves, ready to replace Song Zimo at any time. Xiao Su has also put on surgical clothes and is sitting next to the instrument table, ready to replace Zhou Can at any time.
The blood collected from the chest by the autologous blood transfusion equipment has been filtered and transfused back into the patient's body. The red blood is mixed with normal saline and dripped into the patient's body along the transparent pipe.
The abdominal cavity is not opened temporarily. The closed abdominal cavity can temporarily stop bleeding. When blood bleeds to a certain extent, the capacity of the abdominal cavity is limited. The hydrostatic pressure of the blood in the abdominal cavity and the pressure of blood vessel bleeding will form a balance, and the blood vessels will temporarily stop bleeding.<
/p>
Song Zimo looked at Yang Ping who was sitting there and asked him to change the chief surgeon. Who should he replace? Is it not Yang Ping? Could it be that Director Han plans to do it himself?
He also knows that this operation is difficult. There are more than a hundred blood vessels like a spider web, and many of them still pass through dangerous areas, but he is confident and wants to work hard.
What's more, with Yang Ping at the bottom, he is even more confident. Unfortunately, Director Han has to go into battle himself.
"Brother, Director Han wants to come in person?"
The orders from superior doctors are military orders, and medical disciplines cannot be violated.
"Are your vital signs still stable?" Yang Ping turned to look at the monitor screen.
Fatty Liang sat on the side of the patient's head: "It is temporarily stable, but it cannot be maintained by blood transfusions forever."
The automatic door of the operating room opened, and Director Han and his team came in.
"Director Han!" Yang Ping stood up.
Director Han waved his hand: "Xiao Yang, Xiao Song, you guys go aside and have a rest. Mr. Takahashi will be the surgeon. Director Tan and I will be the assistants. Oh, don't take off the surgical gown for the time being, and don't pollute yourself. Rest and be on standby." p>
"Xiao Yang!" Director Han called to Yang Ping.
"Director?" Yang Ping understood Director Han's decision.
"It's okay. Pay attention to Takahashi's surgery and learn from it." Director Han hesitated and said.
"I will." Yang Ping reassured Director Han.
Director Han hurriedly said a few words, and several people immediately went to wash their hands.
It wasn't Director Han who came on stage, but Gao Qiao. What happened? Song Zimo didn't even have a chance to ask. Director Han hurriedly took Gao Qiao to wash his hands.
Fujiwara Miyuki stayed in the operating room. Takahashi did not let her go on stage. She looked around at the doctors and nurses in the operating room.
Several doctors in the operating room were so young. Miyuki Fujiwara didn't look carefully when watching the video. Now she saw Song Zimo and Yang Ping from close range, with bright eyes, tall and straight posture, and a confident look.
I just watched the video. The superb thoracoscopy technology is not at all what Takahashi said.
If they hadn't encountered this rare case, their performance would have been better.
"Hi, everyone, I am Miyuki Fujiwara, please take care of me!"
Miyuki Fujiwara wore a large surgical gown, but she still couldn't hide her figure and greeted everyone elegantly.
Now, who has the heart to look at supermodels? The fat man didn't even raise his head. Song Zimo just nodded symbolically. Yang Ping didn't hear it. He was staring at the three-dimensional reconstructed image of blood vessels on the screen.
At this time, Yang Ping's powerful composition ability has already constructed a complete three-dimensional image in his mind.
According to the CT scan section, the image constructed by the brain shows that one hundred and twenty-four blood vessels, each one is malformed, and if one is not treated properly, it may be fatal.
Yang Ping even simulated surgery in his mind based on the constructed graphics, which one to process first, which one to process later, how to expose each blood vessel, where the risks are, and how to avoid dangerous structures.
With so many blood vessels originating from several three-dimensional directions, it is difficult to expose them alone. What's more, the CT image has certain artifacts and distortions and cannot restore the true fine anatomical relationship, which will add a lot of trouble to the surgery.
.
After washing his hands, Takahashi raised his hands in front of his chest, held his head high, and strode into the operating room. He wanted to walk out of the pace and aura of a world-class surgeon.
If he is not arrogant or showy, he would not be called Takahashi. When he came in, Zhou Can handed him a surgical gown.
He didn't reach out to take it: "Please use both hands!"
Tang Fei was stunned for a moment and translated it according to the original words.
Zhou Can blushed and put on the surgical gown with both hands. Takahashi took it and said, "The person standing in front of you is a world-class surgeon. You should have at least a sense of awe."
Takahashi shook his hands, inserted his hands into the inner opening of his sleeves, put on his gloves, and walked towards the surgeon's position.
Song Zimo reluctantly gave up his position as the surgeon, and Takahashi stood at the position of the surgeon: "You can go down now--"
Director Han winked at Yang Ping and Song Zimo: "You guys take a break first, don't take off your surgical gown, don't pollute yourself, and be ready to go on stage to help at any time."
Director Han kept a secret. Even an internationally renowned trauma surgeon cannot be trusted absolutely. After all, the patient is his own. If he fails to take it and leaves, he will have to clean up the mess himself.
"Assistants are in place!" Takahashi's voice was full of majesty.
"Han, first assistant; Tan, second assistant, you, the instrument nurse, have no objections, right? If not, prepare to start the operation, the anesthesiologist reports vital signs, and the operating table is raised!"
Takahashi started to speak Japanese, and Tang Fei could only help translate.
"Blood pressure 84/45mmHg, heart rate 116 beats/min, blood oxygen saturation, 90% under low-flow oxygen inhalation!" The fat man reported vital signs.
"Speak louder, your vital signs are already unstable, but you are still listless, knife!"
The fat man had no choice but to repeat loudly. He hadn't paid much attention just now. Why did this Japanese suddenly come to the stage? What happened?
"Do I need to turn off the video?" Director Han suggested.
"No need!" Takahashi said confidently.
"Open the abdomen now, knife!"
Japan's top surgeon lived up to his reputation. He took the scalpel and made a beautiful vertical incision in the abdomen. The incision was in the middle of the abdomen, just under the skin, no more, no less.
The subcutaneous fat that looks like corn kernels is turned out, and the electrocautery is used to stop the bleeding. The incision is made layer by layer. The anatomy is clear and the surgical area is basically blood-free.
"The blade is not sharp enough. Do you usually use this kind of knife for surgery? Get a new blade! Next time I will give you a set of surgical blades made in Japan."
Takahashi threw the scalpel into the sharp plate, and Xiao Su quickly replaced it with a new scalpel.
The skin and superficial fascia are incised, and the deep fascia is exposed. Takahashi's scalpel cuts through several layers of muscles one by one.
"Pay attention to blood pressure, pressurize and transfuse blood at full speed, I'm going to open the abdominal cavity, non-damaging aortic clamp!"
The scalpel cuts through the last layer of muscle and cuts through the parietal peritoneum. The blood in the abdominal cavity immediately pours out and is sucked away by Director Han's suction device.
Takahashi gently and quickly pushed aside the intestinal tube floating in the blood with his hands, inserted a forceps into the upper section of the abdominal aorta, and blocked the abdominal aorta.
Based on CT angiography, he determined the highest position where the tumor blood vessels originate, and then blocked the aorta from above.
"Record time!"
The battle must be ended within forty-five minutes, which means that on average, it takes less than half a minute to resolve a blood vessel.
Huge vine-shaped hemangioma, with thick arteries and veins intertwined and twisted.
Takahashi's fingers were very nimble. He fumbled for a while, separated a blood vessel with a vascular forceps, and handed the forceps to Director Han to maintain the exposure of the blood vessels.
Takahashi's right hand operated the vascular forceps to clamp the found blood vessels, and his left hand was already searching for the blood vessels at the same time.
The left and right hands do different things respectively, which is the most difficult technique to train in surgical operations.
He trained for more than ten years before acquiring this superb surgical ability.
Clamp the distal and proximal ends of the blood vessels with two vascular forceps, and cut the blood vessels from the middle with the scissors in your right hand.
He found another blood vessel with his left hand and handed it to Director Han.
Then he freed up his hands and began to suture the blood vessels, which was originally done by the assistant.
But he was not worried, so he did it himself, suturing and tying the blood vessels himself. With quick movements, he successfully treated the first blood vessel.
It takes about one minute, and the speed is quite satisfactory.
"Keep up with my rhythm, I am the chief surgeon, keep up with my rhythm, understand?"
Takahashi is very dissatisfied with the provision of assistants and equipment nurses.
"Ms. Miyuki, please transmit all the CT scan cross-sectional images to Tokyo to Mr. Fujiwara." Takahashi looked up at the three-dimensional reconstruction of blood vessels on the screen. The accuracy was not good, and some complex areas were too blurry.
"Xiao Wu, you take Dr. Fujiwara to the operating room to demonstrate the classroom and help her transfer the pictures." Director Han asked Xiao Wu to step down temporarily to do this work.
---
"It's really Takahashi who performed the surgery, he is indeed a master!"
The venue was full of surprises. People tend to have preconceptions when looking at problems. Now that Takahashi is undergoing surgery, every move will be considered a masterpiece by a master.
Witnessing the master's surgery, everyone was in a state of worship.
The blurry and extremely complex anatomy can make it difficult to start, but Takahashi is a world-class surgeon and he takes his time.
The surgeon's hands and instruments are the special forces. Now they have entered the ruins of the city. They rely on their usual training to advance cautiously, keen judgment and decisive attack in the unknown world.
This is the difficulty of the operation. One hundred blood vessels are one hundred ambushing enemies, and no one can be missed.
The main venue, sub-venues, and every screen are divided into two halves.
Now, on the two screens, Sasaki is operating on the left and Takahashi is on the right.
Two heroes of Japanese trauma surgery performed surgery at the same time, a feast of surgical demonstrations.
Sasaki is working hard to reconstruct the ducts of the liver, gallbladder and pancreas.
The duct has just been exposed, which is a very dangerous area. If a general surgeon can complete the combined pancreaticoduodenectomy, it will mark the peak of the field.
Sasaki's surgery involves the reconstruction of the entire duct system of the liver, gallbladder and pancreas, which is several times more difficult than combined pancreaticoduodenectomy. It is also performed on a five-month-old fetus under a microscope. It is simply the crown among crowns. On Takahashi's side, a huge vine-shaped hemangioma in the abdominal cavity was severely damaged. It took forty-five minutes to successfully remove the hemangioma, which was composed of more than a hundred thick blood vessels.
In fact, Takahashi's surgery is more difficult. Sasaki's surgery tests the level of microsurgery and abdominal surgery, while Takahashi's surgery tests all the skills of a surgeon.
Although one enemy is powerful, he has sufficient intelligence; the other enemy is very powerful, but his information is very limited. It is a brand new enemy.
What was originally a live broadcast of surgeries at two hospitals has now become a surgery show at the University of Tokyo Hospital.
It’s also a surgical show by Japan’s trauma surgery duo!
"Separate hands and operate independently?"
Someone noticed Takahashi's technique. Takahashi was actually able to operate his hands independently!
