The Godfather of Surgery

"Mr. Takahashi, don't be nervous, relax!" Director Tan ignored his so-called protest.

"Professor Tan, ignorant people are fearless. As far as I know, with your skills, you can't handle this kind of surgery, let alone a young mid-level doctor, even if you do it yourself, please put down your hypocritical face, if you can, I will I can help you!"

Takahashi talked to Director Han without even raising his eyelids.

He showed extreme disdain for Director Tan, and felt that he was not at the same level as Director Tan at all. Whether it was personal medical skills, educational background, working hospital, or academic status, there was a huge disparity. This academic meeting is completely a kind of charity.

Director Tan is something he can step on at will. If you don't ignore me, if you don't ignore me, you can't do it. It's all about putting a head on your shoulders, and you're a slap in the face.

"Mr. Takahashi, don't be too nervous, just relax a little bit, you may not have left the island for a long time, and you haven't been to China for a long time. This time I came out to see that China is very big, the world is very big, and you have stayed on the island for a long time. , it is easy to form a thinking fence, using a Chinese idiom, it is called sitting in the well and watching the sky!"

Director Tan confronted each other tit-for-tat. When two arrogant people sat together, the smell of gunpowder would inevitably collide, which might ignite and detonate.

Only Director Tan would not treat him as a dish, and replace him with another person. I am afraid that he does not have the arrogance to compete with him, and he has long been the only one.

When Director Tan said this, Takahashi was extremely angry. When he went out for a meeting, others were like gods. Even in the United States, he was treated like a VIP, and he was embraced by him.

Unexpectedly, in a small hospital, someone dared to contradict him. He held back his anger and said:

"Is this a patient brought back by a helicopter?"

"That's right!"

"The ambulance is still stuck on the highway? Can I come back before dark?"

"You don't have to worry, just watch the operation carefully."

"Don't you have a Chinese speed? Just build another high-speed and come back." Takahashi sneered.

Director Tan did not show weakness: "It seems that you still understand China. If necessary, it is not difficult to open a way."

——

In patient No. 1, the contrast agent was injected into the blood vessels, and as the blood spreads, it takes a certain amount of time, and the operation begins.

In the case of intracranial hemorrhage, the images of brain CT appear on the screen, as the focus of observation plane, there are dozens of pictures in cross-section.

Song Zimo's eyes swept across these dozens of pictures, and his spatial imagination came into play.

As someone who can play blind chess and play Rubik's cube blindly, it's not a problem.

A Rubik's Cube, Song Zimo can remember just by looking at it, and then restore it in his mind, without a single step.

Of course, even if he played the Rubik's Cube, he had only lost to Yang Ping. Except for Yang Ping, he dared to climb over any mountain.

Today, he decided to climb the mountain of Sasaki and prove in front of more than 2,000 doctors that he is also the best surgeon.

When everyone thought he wanted to compete against Arai, only Yang Ping knew him best.

Arai, this mountain is a bit low above sea level. If you want to turn it over, turn over Sasaki.

Song Zimo was very accurate in judging the location of the intracranial hemorrhage.

Drilling and drainage, since the positioning is accurate, can be solved with minimally invasive procedures, and no craniotomy is required.

The craniotomy limit drill drills a small hole in the skull, and the drainage pipe is slowly extended into the center of the subdural hematoma.

The dark red blood was drained along the negative pressure of the tube, which was very successful. The drug to dissolve the blood clot was injected down the tube, so that the clotted blood was dissolved and drained out.

A single tube solves intracranial hemorrhage, and once a method achieves miraculous precision, the effect is multiplied, just like decapitation in war.

The problem of craniocerebral injury is solved, and the next step is the heart and lungs in the chest cavity.

The multiple rib fractures on the left side and the contusion and laceration of the left lung are not a problem at all.

Thoracoscopy, laparoscopy, arthroscopy, foramenoscopy, etc., two hours a day of laparoscopy training has made the operation of these tools perfect.

Thanks to Director Han's major trauma theory, he followed Director Han in major trauma surgery training and successfully accumulated rich experience in whole body trauma surgery.

There is a hematoma in the mediastinum, and CT shows that there is a crack in the ascending aorta, a tiny crack, which is the difficult point of treatment.

If it is treated with thoracoscopy, it is almost impossible, and the speed cannot keep up. Once a mistake is made, the consequences will be disastrous.

But this is for ordinary people. Song Zimo is not an ordinary person. Today, he will complete this impossible operation.

The electrocautery used under the laparoscope gently cuts the mediastinum, the blood is freed from the shackles of the mediastinum and ejected immediately. Once the high-pressure blood spurts are formed, the cleft on the aortic wall will be enlarged due to tearing, and the entire operation area will be red-blind. , and soon the patient died of massive hemorrhage.

Song Zimo's eyes and hands were quick. At the moment when the blood went out of control, the tip of the automatic suture device with thread had reached the rupture of the ascending aorta, completing a stitch of suture.

Tiny cracks, just one stitch to complete the mission. The aspirator sucked the blood, and there was no more bleeding in the mediastinum.

The heart lifted by the audience gently put it down. In the situation just now, it is very dangerous to deal with it under the endoscope.

Once the speed is slow, or the suture is not precise enough, and the position is offset, the high-pressure blood will tear the aortic wall, forming a larger gap, and the blood will be sprayed out in a short time. At night, the wounded will die on the operating table.

This operation, almost free-handed rock climbing in the air, is thrilling, and the limit of the surgeon's skills.

"Wow!"

Everyone exclaimed and let out a long breath, and Fujiwara Miyuki put her hands on her chest.

Takahashi straightened up and turned to look at Director Tan. This operation, he and Sasaki practiced in the audience for several years before they dared to use it in surgery.

The young doctor used it so skillfully that he thought he was confused.

The rupture of the ascending aorta was repaired, the mediastinal hematoma was removed, the compression of the heart was relieved, and the pulsation became stronger.

The contusion and laceration of the left lung and multiple rib fractures were nothing in Song Zimo's hands. It was solved in minutes without any challenge.

With the help of Yang Ping, Song Zimo's skills improved rapidly.

This operation was forced by Yang Ping to practice acrobatic throwing and enter the room.

Toss the ball, toss two, three, four, five at the same time -- training to capture opportunities, accurately capture opportunities in an instant, and complete high-risk operations.

The dangers of the brain, heart, and lungs are all lifted, and it appears relaxed and effortless at all.

"Old Han actually has such a young doctor under his command?" Fu Shancheng was stunned, and his heart skipped a beat after the operation just now.

Orthopedic surgeons have done so beautifully with chest injuries, better than thoracic surgeons.

"No wonder Lao Han is not in a hurry, he is as stable as Mount Tai, this is a trump card in his hand, it seems that we are overthinking it." Meng Heng's eyes never left the screen.

Professor Su also knew that this doctor was Yang Ping's assistant. It seemed that Yang Ping had already mastered the operation of the whole body trauma.

The contrast agent has almost spread in the blood vessels, and the contrast agent can be started. Everyone goes to the lead screen and avoids the rays.

Spiral CT scans, continuously grabbing images of the abdomen.

Hundreds of thousands of images, sagittal, coronal, and cross-sections, are laid out on the screen one by one, and the mainframe computer starts to reconstruct based on these sections.

Slowly, the 3D reconstructed image of the blood vessels appeared on the screen!

"what is this?"

Some covered their mouths, some rubbed their eyes, and some stood up.

A huge hemangioma appeared on the screen, and the blood vessels extending in all directions were intertwined with each other to form the hemangioma.

The contrast agent was in the blood vessels, and soon overflowed, one overflowed, two overflowed, three overflowed—innumerable overflows, and the entire hemangioma was in a state of smoke.

The reconstructed image rotates on the screen. Song Zimo quickly determines the number of blood vessels. If the diameter is greater than five millimeters, there are at least a hundred blood vessels, no, more!

The hemangioma in the abdominal cavity was damaged, torn, and bleeding profusely.

Even if there is an autologous blood transfusion device, there will be no help in the continuous infusion of blood products.

More than a hundred blood vessels, or even more blood vessels, all need to be ligated, and then the entire hemangioma is completely removed.

Otherwise, the bleeding cannot be stopped, and the patient will die on the stage, watching his abdominal cavity bleed everywhere, helpless.

"Gosh!"

I had not recovered from Song Zimo's surgery just now and saw this strange hemangioma.

Takahashi, one of Japan's trauma surgeon duo, was terrified.

Not even with the help of their infrared trauma surgery assistance system.

The anatomy of this wonderful hemangioma is unique and no one has ever encountered it. Hundreds of blood vessels come from all directions and are intertwined.

The surgeon needs to find these blood vessels in a very short time, all the blood vessels must be found, and then ligated.

How is this possible?

Takahashi has a deep memory. In the past, Mr. Fujiwara brought himself to encounter such a traumatic case, a huge hemangioma that injured the abdominal cavity.

Because of his unfamiliarity with anatomy, he used images and pictures to find each blood vessel, and only a dozen or so were ligated, and the patient bleeded and died on the operating table.

Devil's surgery, real devil's surgery!

Everyone who watched the live broadcast was surprised, a hemangioma that you have never seen before, you don't know its anatomy or how many blood vessels it has.

Now, in order to save my life, I have to take down this huge hemangioma while dealing with countless traumas.

Even if the tumor is simply removed, elective surgery, and adequate preparations are made, it is a sinister protracted battle, and every blood vessel must be ligated.

Before surgery, CT and MRI angiography, vascular reconstruction, and repeated analysis and deliberation must be done before surgery.

Director Tan's face was ashen, which was too unexpected. I didn't expect such bad luck, although everyone knew that this was a devil's operation and it was impossible to succeed.

But in front of doctors from so many countries, it is unacceptable for any hospital to live broadcast patients losing their lives on the operating table.

How to do? Director Tan looked at Director Han.