Organ transplantation has very strict requirements for suturing. Yang Ping completed the bronchial suturing and blood vessel suturing, and in the end all that was left for Director He was to trim a few traction threads.
"Director He! Sit over here." Yang Ping took off his glasses again.
"There are still a few threads here. Please help me cut them." Yang Ping said.
Not to mention the wire cutter, Director He would be satisfied even if he didn't do anything but just sit here and shake the robotic arm twice.
In fact, there were not many traction threads, only four were left, but Director He was serious about cutting several traction threads neatly and beautifully. Director He gestured for a long time before cutting the scissors, and finally he was satisfied with cutting several traction threads.
The remaining work is actually to use fiber bronchoscopy to check the quality of the bronchial anastomosis, and to use transesophageal cardiac color ultrasound to check the quality of the anastomosis between the pulmonary blood vessels and the heart. If there is no problem, the remaining finishing work is to place the drainage tube and suture the surgical incision.
"Professor Yang, why don't you take a break?" Director He offered.
In fact, Yang Ping had nothing to do, so he moved to the operating room to see the results of transesophageal cardiac color ultrasound and fiberoptic bronchoscopy. At this time, Song Zimo was using a color ultrasound machine to perform transesophageal cardiac color ultrasound.
There was no suspense. Whether it was bronchi or blood vessels, the quality of the anastomosis was very high and the tubes were very smooth. The operation could be completed. The entire operation only took two hours to complete. The bleeding during the operation was less than the bleeding of pulling out a fingernail.
ECMO can generally be taken off-line 24 hours after surgery. For Yang Ping, this is a very conservative approach. Because this is the first lung transplant performed by a surgical robot, it has to be more conservative. In the future, as the accumulated data increases, it can be done
To continuously shorten the postoperative ECMO support time, it is best to wean off ECMO immediately after surgery, so that the implanted lung can work as early as possible.
"Professor, when did you teach me how to do multi-arm operations? Why do I always have trouble switching my thinking when doing multi-arm operations? I always feel that I only have two hands and can only really use two robotic arms at all times.
, the third robotic arm can only be used as a substitute. In the operation rhythm, two are operating and one is queuing. In short, the two robotic arms are the main ones when operating." Song Zimo is very distressed, robotic surgery is the future of surgery.
direction, he hopes to master the most cutting-edge robotic surgery skills as soon as possible.
The future of robotic surgery will definitely not be what it is now. The multiple robotic arms of future surgical robots can perform many operations at the same time, improving the efficiency and quality of surgery. Just like machines replace manual weaving, the method of machine weaving will definitely be the same as manual weaving.
It's completely different, not just a simple copy of hand-woven fabrics.
The current robot surgery is just a copy and imitation of the doctor's surgery. Its function is only an auxiliary tool. Like laparoscopy, it is just an operating tool. However, this tool is slightly more advanced. It is named robot.
, in fact the name does not match the reality.
"Multi-arm operation is not necessary. It goes against the original intention of the design of this surgical robot. The original intention of the design is to let you imitate the operation of two hands. You don't need to learn multi-arm operation." Yang Ping enlightened Song Zimo.
But Song Zimo was very persistent: "Professor, tell me how to train. I also want to break through the limitations of machine design and unlock new skills."
This makes Yang Ping a little embarrassed. Indeed, he has not thought of any good training methods for the time being. Apart from training with the real surgical robot, there seems to be no good way to train the multi-arm operation of the surgical robot. This thing was just launched and sold for 75 million US dollars.
Taiwan, now the price has dropped to 1.5 million U.S. dollars, which costs more than 10 million yuan when converted into RMB. The price of a robotic arm has now been reduced, but it still costs 30,000, and it can only be used ten times. Once it reaches ten times
, the built-in chip will be locked so that the robotic arm cannot be used.
"We can only use robots for training. There is no other way for now." Yang Ping said helplessly.
Song Zimo felt that this was too wasteful. He used robots to practice. He calculated that the use time of one robotic arm was only about 40 hours. At the same time, four robotic arms were fully equipped with a total of 120,000 yuan. Two hours a day.
It can only be used for about 20 days, four hours a day, only ten days. Not counting the wear and tear of the robot, the cost of the robotic arm alone costs an average of 12,000 per day. Who can accept this kind of training cost?
"Professor, you can't practice like this, can you?"
Song Zimo sorted out the color Doppler ultrasound and fiberoptic bronchoscopy, and said that Xu Zhiliang was suturing the surgical incision alone. Several doctors observing nearby did not leave and listened to their chat attentively. The chat of the master was also very informative.
Yang Ping sneered and said: "How could a diligent and frugal person like me be so extravagant and wasteful? I am a talented player. I usually do robotic surgery. I will naturally make breakthroughs as I do it. When did I make the breakthrough? How did I make the breakthrough?
Even I don’t know.”
''Then what should we do?" Song Zimo just made this calculation and felt that there was no hope of getting the chance to train.
Yang Ping thought for a while: "If you really want to train robot surgery, I will buy another one specifically for training, or I will ask the manufacturer to give you one for fun."
"Giving one as a gift? Why---what?" Xu Zhiliang was confused.
"You won't give it away, right? I'll use another brand of surgical robot for surgery next time." Yang Ping said coldly.
"Is this useful?"
Xu Zhiliang still doesn't understand.
Song Zimo immediately understood the reason: "Professor, are you serious? Why don't you let Tang Shun contact the manufacturer?"
"Ask him to contact the manufacturer as soon as possible and arrange a room on which floor to put the robot as a special training room." In fact, Yang Ping now has the foundation's strength to buy another surgical robot. However, he thinks it is a waste of time.
Money wasted.
"I---I still don't know---Bai?" Xu Zhiliang did not turn around.
Song Zimo had no choice but to explain. There was really nothing he could do about this somewhat dull junior fellow student: "Whose brand does the professor use because he values it? Do you understand? The performance of the machine shown in the professor's surgery cannot be surpassed by anyone in the world. Let's put it this way, if
It is said that the ultimate performance of brand A machine is 100 points, and the ultimate performance of machine B is 80 points. The professor can maximize the performance of machine B to 120 points or even higher, while others, no matter how powerful they are, can only maximize the performance of machine A.
60 to 70 minutes.”
"I still don't understand, and the elementary school math problems are the same." Xu Zhiliang frowned.
Song Zimo had no choice but to continue explaining: "For example, although brand A is better than brand B, if this lung transplant is done by a machine of brand B, the next heart bypass is done by brand B, and the next one will have intracranial tumors."
It’s done by brand B again. Which brand do you think people around the world think is better? After this kind of surgery several times, who will remember brand A?”
"Then why - let Tang Shun - contact the manufacturer?" Xu Zhiliang asked another question.
Song Zimo wanted to hit him, but his mind would not think about anything else except seeing a doctor and doing surgery all day long: "I don't want Tang Shun to go, but let you go? Let me go? An Ivan is walking around the laboratory, and now he is sent almost every other day.
When the money came, I not only gave it away, but also thanked Tang Shun endlessly."
"Selling someone to someone else and counting the money?" Xu Zhiliang seemed to understand again.
Song Zimo said impatiently: "Can you put it nicely? It makes it seem like we are very immoral. We are helping international friends improve their technology and charge a nominal and necessary low fee."
