The vascular reconstruction images transmitted from Tokyo appeared on the big screen.
It is very clear. The source and direction of each blood vessel, its entanglement with other blood vessels, and its relationship with surrounding organs are clear.
You need to look at any blood vessel individually, and it will be displayed individually in green, from the origin to the bifurcation. Only by using this image as a reference for surgery can you truly guide the surgery.
Takahashi was still immersed in depression just now. When Miyuki Fujiwara said that the image could be seen on the screen, his eyes immediately regained their vitality.
The reconstructed images planned the sequence of surgeries for him. This sequence was calculated by the computer and was optimal. Takahashi knew the power of this system.
I immediately changed my mind and started looking for the eighth blood vessel according to the guidance of the image. Sure enough, this one was easier to separate than the one I just found.
However, because blood vessels are malformed, extremely fragile, adhere to each other, and are inextricably linked to important organs, blunt separation can easily cause tearing and damage to adjacent organs.
Now this blood vessel originates from the aorta and is still adherent to the aorta. It is systematically arranged in the front. You can imagine the difficulty of the blood vessels in the back.
This operation makes people feel a little desperate and suffocating. Takahashi has no desire to express himself at all and just quietly separates the blood vessels, hoping to separate them quickly.
The movements of the hands are very skillful, but they can't get up quickly. In this way, the separate and independent operation of the hands will not be useful. Moreover, in such dangerous conditions, it is easy to cause accidents if the left and right hands are operated separately. After all, there is no cooperative operation with both hands.
It’s safe and stable.
Blunt separation is impossible, and can only be separated sharply with a sharp knife or tissue scissors.
"Tissue scissors!"
Takahashi used tissue scissors to carefully separate the blood vessels. The intestines were 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 skillful, but unfortunately the direction of these abnormal blood vessels is too complicated. If it is not ligated from the dry part, it is almost useless to just ligate it casually, leaving a few unprocessed ones later.
Patients will all die from hemorrhagic shock.
Although these blood vessels were deformed, they were very thick, with more than 100 blood vessels reaching or exceeding 0.5 cm in diameter. They were so rare and complicated that they were finally separated to the main trunk where they originated and sutured.
It took five minutes. With the help of this clear image, it actually took five minutes. At this speed, I could only find a dozen blood vessels at most.
The ninth blood vessel is more difficult. As expected, the computer's ordering will not be wrong. Takahashi is sweating on his forehead. There are still thirty minutes left. Not counting the failure of the aortic occlusion, this patient cannot
Keep going like this,
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 still cannot be advanced.
No matter how accurate the intelligence is, the enemy is too powerful and cannot be defeated!
Takahashi turned around and moved out of the operating area, and the circulating nurse wiped the sweat from his forehead.
---
Masao Fujiwara sighed. This patient was more complicated than the one he met many years ago. It took Takahashi fifteen minutes to process eight blood vessels. Now it took another five minutes, but he still couldn't separate the ninth one.
Blood vessels, the operation cannot proceed.
Although the patient on the screen is covered with a thick sterile drape, and only the surgical area is exposed, any doctor will feel uncomfortable watching this patient leave without being able to be rescued.
Masao Fujiwara picked up his cell phone. Oh, Takahashi was on the operating table. He should dial Miyuki's cell phone.
"Let Professor Han end the live broadcast! Let Takahashi answer the phone!"
It's so cruel. It's so cruel to see the patient on the operating table, the doctor is helpless, and finally everyone is watching the patient die.
Takahashi retracted his hands into the protective bag on his chest and went to an open safe area. Miyuki Fujiwara put the phone to his ear: "Takahashi, listen, even at our hospital in Tokyo, you can't complete this surgery. Please
Face the reality and give up. You are my best student and you tried your best."
"Okay, sir!" Takahashi said respectfully.
Miyuki Fujiwara turned on the speakerphone of her mobile phone 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. The friendship demonstration ends here.
, not even Takahashi can be removed, no one can complete this operation---"
The judgment on the phone is unquestionable. Even Takahashi cannot perform this operation. No one among the doctors present can do it. Takahashi has already stood at the top of the world's trauma surgery pyramid.
But after all, he is only a person, a doctor. His manpower is limited, and his medical skills are also limited, and there are areas he cannot achieve.
After answering the phone, Takahashi felt a strong sense of frustration and his head was buzzing. He had never had such an embarrassing operation before.
He was full of confidence when he came on stage, especially when Mr. Fujiwara used the latest image reconstruction engine to recreate blood vessel images from far away Japan.
But after taking the stage, the first, second, and third blood vessels were very easy, the fourth blood vessel took longer to start, the fifth blood vessel was already strenuous, the sixth blood vessel was very difficult, and the seventh blood vessel already relied on luck to complete.
The eight roots took five minutes and were handled very roughly. The ninth root had no bottom at all, was twisted and intertwined with the hepatic artery, and could not be found or separated. Indiscriminate ligation would cause blood supply disorders to the liver.<
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His back was covered with sweat, and his hands were a little unruly. He didn't feel sorry for his teacher, nor did he complete this Everest-like 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. He set off and 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--should you cut off the video?"
There was no time for him to hesitate too long, Takahashi was forced to say helplessly.
Director Tan stood there and looked at Director Han. Director Han didn't say anything, he just looked at the clear vascular reconstruction image from Tokyo on the screen.
"Xiao Yang, do you see this picture clearly?"
Yang Ping nodded. Indeed, this image is much clearer than the previous CT reconstruction image. The previous image was like boiled noodles, mixed together and forming a dough, and it was indistinguishable; now it is like noodles one by one.
, the relationship between them is clear, both in terms of fineness and accuracy, it surpasses the previous images by no means.
If it is said that it is very difficult to complete the operation based on the previous images, it is basically not difficult to do it based on the current image.
Yang Ping has just reconstructed the image in his brain. After all, what he can use for brain composition is only the original CT image.
"Any questions?"
"It's not a big problem!"
That means there is no problem!
"It's too early to give up now. Let's all take a rest. Xiao Yang comes on stage and takes the lead! Xiao Song Yishu, Xiao Zhang and Xiao Wu are cooperating. Xiao Wu, wash your hands and go on stage!"
Xiaowu has just gone to help Miyuki Fujiwara transfer pictures. He has already taken off his surgical gown and gloves and needs to wash his hands and dress again.
Takahashi looked at Director Han, is he crazy?
I, Fumiya Takahashi, can't even take it, but I still ask people to come on stage. Does this mean everyone is watching the patient leave on the operating table?
Ridiculous! Takahashi was a little angry, took off his surgical gown and gloves, and threw them into a large yellow drum.
"Vital signs are temporarily stable--"
The fat man became excited.
Finally, Yang Ping came on stage. Song Zimo immediately cheered up. Director Han and Director Tan were also preparing to step down. Director Han asked: "Do you want us to provide you with the stage?"
"Thank you, director. Song Zimo and the others are enough." Yang Ping stood at the chief surgeon's position.
Director Han mused: "Buck up, this operation is the Mount Everest of trauma surgery. There are more than a hundred blood vessels. Not one of them can be missed. If one is missed, it will be equivalent to the bleeding rate of a femoral artery. Take
Show your best level, remember what I said? There is no boss today, you are the boss! I am just sitting here, you can give it a try!"
Director Han did not take off his clothes or gloves. Director Tan saw that Director Han did not take off his clothes and gloves, so he did not take off either. The circulating nurse moved a few stools and Director Han sat down.
Takahashi and Miyuki Fujiwara did not plan to go out, so they also sat down in the operating room. In order not to contaminate Director Han and Director Tan, they sat down far away from each other, leaning against each other and looking at the screen in the operating room.
---
This operation is too difficult. Takahashi can no longer handle it and has to close the video.
What is shown in the video is the surgical area, because the surgeon's hands and instruments have moved out of the surgical area. After a brief blank, several pairs of hands enter the video.
Two S retractors opened the abdominal cavity, and two pairs of hands began the operation. These were the hands of the chief surgeon and the first assistant.
The subtitles appear, just like typing out the words one by one.
Chief surgeon: Yang Ping, attending physician of orthopedics.
First assistant: Song Zimo, attending physician of orthopedics.
Yang Ping came on stage, and Professor Su immediately sat up straight. Old Han still sent him on the stage, but could he handle it?
"Dr. Yang has come to power?" Cheng Liquan reminded Su Nanchen.
Su Nanchen really paid attention to the screen: "He finally came to power -" Can he win?
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: "Go on stage and close the abdomen, then perform debridement and sutures on the face and left upper limb, and then turn off the video immediately---"
Also, Ou Lichun was poured cold water on by Director Zhang. Now he is on stage. What can he do as an attending physician? Just clean up the mess. This operation has been abandoned.
---Masao Fujiwara has mixed feelings in his heart. Unfortunately, this patient has to watch helplessly give up again. He feels very uncomfortable.
Turn off the video. He couldn't bear to watch it anymore, but his eyes didn't obey him. He kept looking at the screen, as if he was hoping for some miracle to happen.
Takahashi only took eight steps and then stopped. He could no longer climb up. If he were at the scene, he might not be sure. With the new algorithm to reconstruct the image, 80%? 100%
Sixty? I don’t know.
Why hasn’t the video been turned off? Are they crazy?
In the video, several hands, two retractors, and two hands have begun to move. They are not closing the abdomen, but looking for blood vessels and suturing them.
Don’t they have any basic ethical concepts?
In this case, in order to maintain the patient's final dignity, he should not appear on the video again.
The ninth blood vessel that Takahashi had not found was found and successfully separated. He clamped and cut the blood vessel with his right hand; he found the tenth blood vessel with his left hand.
No, the eleventh root was also found, followed by the twelfth root.
Both of these people are the chief surgeons. They operate at the same time, starting from the upper and lower directions, and both of them use their left and right hands to operate independently, which is equivalent to four people operating at the same time.
Masao Fujiwara saw the strange operations of these two hands at a glance.
The speed of one pair of hands is extremely fast, while the speed of the other pair of hands is obviously much slower, but it is still higher than Takahashi's ability to operate his hands independently.
Originally preparing to turn off the electronic screen, Fujiwara immediately shouted:
