Double-click the electrocoagulation to continue changing, and the size of the tip is getting smaller and smaller.
The laser knife cuts through the essence of the spinal cord and extends upward to the essence of the medulla oblongata.
Before the bleeding point on the cross section forms a faint red color, the bipolar electrocoagulation is carried out with precision hunting at the speed of teleportation.
The carbonization spots that stop bleeding are extremely small. Under the microscope, you can only see beautiful tiny black spots, and the surrounding soft tissue is very well protected.
Everywhere you go is clean.
Patients with coagulation disorders can actually perform "bloodless" operations.
After a few rounds, the tumor was like a sweet potato buried in the soil, with a little surface showing.
Taking this as a starting point, the laser knife continuously performs sharp separation.
The visible surface of the tumor becomes larger and larger, becoming increasingly separated from surrounding tissue.
In the finger-sized medulla oblongata and upper cervical spinal cord, tumor blood vessels extend in all directions in three-dimensional space.
Some red blood vessels on the surface are clearly visible in the video, and these spreading blood vessels actually give the tumor a poppy-like appearance.
The laser knife cuts off these blood vessels one by one, and then the broken blood vessels are taken over by bipolar electrocoagulation to perform electrocoagulation to stop bleeding.
The visual enjoyment brought by the operation makes everyone seem to forget that without coagulation dysfunction, this operation is an insurmountable mountain.
If in the first half of the operation, the hemostatic points were located on a flat plane, then now, these hemostatic points are located on a complex cross-section surrounding the tumor. This cross-section is divided into two sides, one is the surface of the tumor, and the other is the surface surrounding the tumor.
Medulla oblongata tissue and upper cervical spinal cord tissue.
These sections are like complex mountains, canyons, and even caves, making hemostasis complicated and difficult.
However, the surgeon did not seem to be affected, and he could still quickly eliminate the bleeding points wherever the bipolar electrocoagulation passed.
Observers, everyone was on tenterhooks. Every time he stopped bleeding, it was as if double-click electrocoagulation was poking the surface of his heart.
---
Masao Fujiwara held his breath as he waited in the operating room, but still relied on the screen in the operating room to obtain the progress of the operation.
At the surgery site, even though it was only more than one meter away from him, he couldn't clearly see what was being done inside.
Only on the screen can you get a clear surgical field.
He considers himself to be quite talented in the field of surgery, but this operation shocked him extremely.
It seems that Yang Ping is very familiar with the bleeding points of each tissue section.
Logically speaking, these bleeding points are unknown and unfamiliar, and cannot be accurately predicted. No matter how good Yang Ping's basic skills are, it is impossible to be so fast and accurate. From the detection of bleeding points with the eyes, to the judgment of the brain, to the operation movements of the hands,
It can't be so fast.
Impossible!
There are limits to human body reaction!
But Yang Ping did it, he almost didn't need to look, it seemed like everything was done as he pleased, and no bleeding point seemed to be clear to him.
Fujiwara Masao discovered that Yang Ping's bipolar electrocoagulation did not make a judgment at all. The moment the knife cut and the cross section was revealed, when the exposure was not sufficient, the eye could not see the location of the bleeding point, but the bipolar electrocoagulation had accurately pointed.
Bleeding spots.
In other words, bipolar electrocoagulation is faster than the visual capture of the eyes.
Just like the enemy's missile has not yet taken off, the anti-missile system already knows what it is going to do in advance and directly kills it in a state of readiness.
How is this done?
Is there any way it can achieve almost 100% reconstruction of the three-dimensional local anatomy of the surgical area?
Even if 100% reconstruction is achieved, there is no way to achieve such speed.
Masao Fujiwara couldn't understand it at all, so he could only give up searching for the root cause and use his talent to explain it all.
This monistic explanation method is very worry-free. If you don’t understand something, just blame it on your talent.
Not many people care about the drop in Fujiwara Tanio's heart rate, because they have witnessed that even if he has a brush with death, Yang Ping can still firmly hold on to that glimmer of hope.
Everyone's attention has been focused on stopping the bleeding.
Fujiwara Masao stared at the screen. Every time he made a new incision, he mentally simulated himself performing an incision, and then imagined how he could quickly and accurately stop the bleeding. However, before he could clearly determine the bleeding point, Yang Ping's bipolar electrocoagulation had already begun.
Call it a day and start a new round of incision and hemostasis.
Even if you use your consciousness to simulate surgery, you can't keep up with Yang Ping's rhythm.
Masao Fujiwara couldn't help but cast admiring glances at Yang Ping.
He was glad that he made this decision and invited Yang Ping to come to Dongda Hospital to perform the surgery. Otherwise, his uncle would really have no chance.
Even if he wavered a little bit at that time, I'm afraid my uncle has already---
I have been at the fixed point of the Japanese medical pyramid for a long time and am used to being worshiped by others.
Now Masao Fujiwara is deeply attracted to this young man. Sometimes, Masao Fujiwara thinks how great it would be if Yang Ping were his sister's boyfriend.
Or, it would be great if he was part of his own team.
Unfortunately, neither.
Silently, the laser knife had cut out part of the tumor, and Yang Ping was able to navigate between the dangerous nerve nuclei with ease.
An artery snakes out from the gap, pulsating under the microscope.
When it beats, it carries countless tiny branches, and those branches extend out from different directions.
Be careful!
Masao Fujiwara lifted his butt off the stool and shouted inwardly.
Laser knife in the right hand and bipolar electrocoagulation in the left hand, sometimes the opposite is true. Switch freely, whatever is convenient for you.
Almost at the same time as the branch blood vessels were cut off, bipolar electrocoagulation had already followed up and completed the hemostasis of the two severed ends.
Amid everyone's concern, all branch blood vessels have been cleared.
The small and winding trunk is like a tree trunk with all branches cut off. It is smooth and smooth. It is clamped by two microvascular forceps, then cut from the middle, and finally electrocoagulated to stop the bleeding.
Every tumor blood vessel, whether it is an artery or a vein, follows this procedure: first clean out the branches, and then deal with the main trunk.
Although it is as fast as lightning, it is calm and everything is clear!
There was no fuss, and there was not a single mistake during the process.
Even if a blood vessel was electrocoagulated twice, it did not appear.
---
"It's simply unbelievable. He seemed to know where every bleeding point was, and then without thinking, he used the best and most precise movements to clamp the broken end of the blood vessel and perform electrocoagulation."
"It seems as if everything is under his control, as if every step has been refined."
Professor Ikeda and Professor Ito both believed that even if they had to repeat the operation several times, it would not be able to be completed.
"Did you feel something?" Ito asked meaningfully.
Ikeda took a deep breath: "Miyamoto Musashi and Sasaki Kojiro, the battle of Yanliu Island is famous all over the world. The moment the sword was unsheathed, the winner was decided. I always thought we were Miyamoto Musashi, but now I have to admit that we
It’s Sasaki.”
"Once upon a time, Juntendo and Tokyo University Hospital sat here so neatly to observe the operation. I am afraid that Dr. Amano's heart bypass surgery did not make us let go of our proud hearts." Professor Ito recalled the past.
Dr. Amano’s shy smile is still fresh in my memory.
Ikeda smiled and said: "Yes, today, no matter Matsui, Komori, or Mitsui, they have lowered their arrogant heads. As for Takahashi, he has long become more humble than anyone else."
Ito had a bad knee joint and wanted to stand up and move his lower limbs, but he couldn't stand up for a while.
Although Ikeda is obese, his knee joints are still good, so help him up.
The two of them looked like they were in a movie theater. They were afraid of blocking the view of the people behind them, so they lowered their heads and bent their waists to move around a little, then sat down again.
"I dare not sit for a long time now for fear of deep vein thrombosis in my lower limbs. You see, I usually wear elastic stockings." Ito gently rubbed both knee joints. The wear and tear of the medial condylar cartilage caused pain and discomfort on the inside of the knee joints.<
/p>
"I'm wearing it too. It's an inevitable problem for the elderly. My knee joint is undergoing stem cell treatment and it can still hold up for the time being." Ikeda works closely with the Tokyo University Stem Cell Laboratory and often enjoys their laboratory treatments, such as the use of stem cells.
Promote hair growth and darkening.
Ito shook his head: "I've tried it too. I guess the cartilage degeneration and wear is too severe. It works, but it's not obvious. It really won't work. Let's wait for the knee joint to be replaced."
On the high-definition screen, more than half of the tumor has been dug out and is separating deeper.
Most of the time during surgery is spent on hemostasis, and people's attention has always been focused on hemostasis.
The nerve nuclei in the life center are very tightly adherent, far more than Ning Jue.
Old age reduces the elasticity and fragility of brain tissue and spinal cord tissue, and reduces tolerance and compensation capabilities, so separation will appear very dangerous.
Unknowingly, the operation has entered the most dangerous stage.
At this time, everyone remembered that this was an operation with zero challenges. Currently, only Yang Ping in the world can successfully perform the operation. Coagulation dysfunction is just adding insult to injury.
"The adhesions are very tight. It's troublesome. My heart rate goes up and down. I'm afraid---"
Ito was very worried.
"I'm afraid I'm going to stop."
Ikeda looked at the monitoring data on another secondary screen. This kind of ECG waveform indicates that the connection between the heart and the medulla oblongata will soon be disrupted, the heart's compensatory capacity will soon be exhausted, and the heart will soon stop."
"The nucleus of the solitary tract is stimulated, causing sinus and junctional bradycardia."
"Not only the nucleus tractus solitarius, but also the cardiovascular center, cardiac acceleration center, decompression center, and cardiac inhibition center are all starting to mess up at the same time, which is not good!"
After several ups and downs, the heart rate changes faster and faster, just like a candle flame in the wind, extinguishing at any time after fluttering violently.
Ito and Ikeda cheered up.
Everyone at the venue braced themselves, the collapse was about to break out like dominoes.
