godfather of surgery

Chapter 237
"Professor Tan, you should have realized the complexity of this case a long time ago, and you shouldn't hastily change someone now. This is irresponsible to the patient. You have studied at the Affiliated Hospital of the University of Tokyo, and you should have the minimum literacy."

On the way to the operating room, Takahashi was very dissatisfied, and the arrogance and disdain in his bones would be revealed at any time.

Director Tan didn't refute whatever he said, but just led the way.

There is no way, they have research on this kind of cases, they have accumulated experience, and the strength of confrontation can only be strength, and everything else is pale.

Song Zimo stopped what he was doing, Zhou Can, the equipment nurse, was sorting out the equipment on the operating table, and the roving nurse hung up a few more bags of blood. Fatty Liang stared at the data on the monitoring screen, and Xiaowu Zhang Lin was also unhappy on the stage. .

Yang Ping has put on his surgical gown and gloves, and is ready to replace Song Zimo at any time. Xiao Su also put on his surgical gown and is sitting by the instrument table, ready to replace Zhou Can at any time.

The blood collected from the chest cavity by the autologous blood transfusion equipment has been filtered and reinfused back into the patient's body. The red blood mixed with normal saline drips into the patient's body along the transparent tube.

The abdominal cavity is not opened temporarily, and the closed abdominal cavity can temporarily stop the bleeding. When the bleeding reaches a certain level, the capacity of the abdominal cavity is limited, and the hydrostatic pressure of the blood in the abdominal cavity and the bleeding pressure of the blood vessels form a balance, and the blood vessels will stop bleeding temporarily.

Song Zimo looked at Yang Ping who was sitting, and changed the main knife, who was it? Couldn't it be Yang Ping? Could it be that Director Han planned to do it himself.

He also knows that this operation is difficult, and more than 100 blood vessels are like spider webs, many of which still pass through dangerous areas, but he is confident and wants to work hard.

What's more, with Yang Ping at the bottom by his side, he is more confident. Unfortunately, Director Han is going to fight in person.

"Brother, Director Han wants to do it in person?"

The orders of superior doctors are military orders, and medical discipline cannot be violated.

"Is the vital sign stable?" Yang Ping turned to look at the monitor screen.

Fatty Liang sat next to the patient's head: "It is temporarily stable, but it cannot be maintained by blood transfusion."

The automatic door of the operating room opened, and Director Han and his party came in.

"Director Han!" Yang Ping stood up.

Director Han waved his hand: "Xiao Yang, Xiao Song, go to the side and rest. Mr. Takahashi will be the surgeon, and Director Tan and I will be assistants. Oh, don't take off your surgical gowns for now, and don't pollute yourself. Rest and wait for orders."

"Xiao Yang!" Director Han called Yang Ping to stop.

"Director?" Yang Ping understood Director Han's decision.

"It's all right, pay attention to Gao Qiao's operation and study it." Director Han said hesitantly.

"I will." Yang Ping reassured Director Han.

Director Han said a few words in a hurry, and several people immediately went to brush their hands.

It wasn't Director Han who came to power, 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 on stage, she looked around the doctors and nurses in the operating room.

The doctors in the operating room were so young. Miyuki Fujiwara didn't watch the video carefully. Now she saw Song Zimo and Yang Ping at close range, with piercing eyes, tall and straight posture, and a confident look.

Just watching the video, the superb thoracoscopic technique is not at all the rabble that Takahashi said.

They would have fared better had it not been for this rare case.

"Hi, everyone, I'm Fujiwara Miyuki, please take care of me!"

Fujiwara Miyuki wore a large surgical gown, but still couldn't hide her figure, and greeted everyone gracefully.

Now, who still cares about looking at supermodels, the fat man didn't look up at all, Song Zimo just nodded symbolically, Yang Ping didn't hear it, he was staring at the [-]D reconstruction image of blood vessels on the screen.

At this time, in Yang Ping's mind, the powerful composition ability has already constructed a complete three-dimensional image.

According to the CT scan section and the image constructed by the brain, there are 120 four blood vessels, each of which is deformed, and if one is not properly treated, it may be fatal.

Yang Ping even simulated surgery in his mind based on the constructed graphics, which one to deal with first, which one to deal with later, how each blood vessel is exposed, where the risks are, and how to avoid dangerous structures.

So many blood vessels originate from several three-dimensional directions, and it is a tricky thing to just reveal them.What's more, there are certain artifacts and distortions in the CT images, which cannot restore the real fine anatomical relationship, which will add a lot of trouble to the operation.

After washing his hands, Takahashi raised his hands in front of his chest, head held high, and strode into the operating room. He wanted to step out of the pace and aura of a world-class surgeon.

If you're not arrogant or showy, you won't be called Takahashi anymore.He came in, and 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 according to the original words.

Zhou Can blushed, and put on the surgical gown with both hands, Takahashi took it: "The one standing in front of you is a world-class surgeon, you should have at least a sense of awe."

Takahashi shook his hands, put his hands into the inner opening of his sleeves, put on his gloves, and walked to the position of the chief surgeon.

Song Zimo reluctantly gave up the position of the chief surgeon, and Gao Qiao stood in the position of the chief surgeon: "You can go down--"

Director Han gave Yang Ping and Song Zimo a wink: "You guys take a break first, don't take off your surgical gowns, don't pollute yourself, and be ready to help on stage at any time."

Director Han saved his hand. Even the world-renowned trauma surgeon can't be absolutely trusted. After all, the patient is his own. If he can't get it off, he pats his ass and leaves.

"The assistant is in place!" Takahashi's voice was full of majesty.

"Han, the first assistant; Tan, the second assistant, you, the equipment nurse, do you have any objections? If not, prepare to open the stage. The anesthetist will report vital signs, and the operating bed will be raised!"

Takahashi began to speak Japanese, and Tang Fei could only help with the translation.

"Blood pressure 84/45mmHg, heart rate 116 beats per minute, blood oxygen saturation, 90% under low-flow oxygen inhalation!" The fat man reported his vital signs.

"Speak up, the vital signs are already unstable, and you are still listless, Dao!"

The fat man had no choice but to repeat it loudly. He hadn't paid much attention just now. Why did this Japanese come on stage suddenly? What's going on?

"Do you need to turn off the video?" Director Han suggested.

"No!" Takahashi said confidently.

"Open now, knife!"

Japan's first-class surgeon lived up to his name. He took the scalpel and made a beautiful longitudinal incision in the abdomen. The incision was in the middle of the abdomen, just under the skin, not too much, not too little.

The corn grain-like subcutaneous fat was turned out, the bleeding was stopped with an electric knife, and the incision was made layer by layer. The anatomical layers were clear, and there was basically no blood in the operation area.

"The blade is not sharp enough. Do you usually use this kind of knife for surgery? Get a new blade! Next time I will send you a set of Japanese-made surgical blades."

Takahashi threw the scalpel into the curved plate of the sharps receiver, and Xiao Su quickly replaced it with a new one.

The skin and superficial fascia were incised, and the deep fascia was exposed. Takahashi's scalpel cut through several layers of muscle one by one.

"Pay attention to blood pressure, pressurize blood transfusion at full speed, I'm going to open the abdominal cavity, aortic clamp without injury!"

The scalpel cut through the last layer of muscle and the parietal peritoneum, and the blood in the abdominal cavity immediately gushed out and was sucked away by Director Han's suction device.

Takahashi gently and quickly poked open the intestinal tube floating in the blood, placed forceps in the upper part of the abdominal aorta, and blocked the abdominal aorta.

Based on CT angiography, he judged the highest position where the tumor blood vessels originated, and then blocked the aorta above.

"Record time!"

The battle must be ended within 45 minutes, which means less than half a minute on average, and one blood vessel must be dealt with.

Huge varicose hemangioma, thick arteries and veins are intertwined, twisting and weaving.

Takahashi's fingers were very nimble. He fumbled for a while, separated a blood vessel with a vascular clamp, and handed the vascular clamp to Director Han to maintain the exposure of the blood vessel.

Takahashi operated the vascular forceps with his right hand to clamp the found blood vessels, while his left hand was already searching for blood vessels at the same time.

The left and right hands do different things respectively, which is the most difficult skill to train in surgical operations.

He has trained for more than ten years to acquire this superb surgical ability.

Two vascular clamps clamp the distal and proximal ends of the blood vessel, and the scissors in the right hand cut the blood vessel from the middle.

He found another blood vessel in his left hand and handed it to Director Han.

Then he freed his hands and began to suture the blood vessels, which was originally done by the assistant.

But he was not at ease, so he did it himself, sutured the blood vessel himself, and managed the first blood vessel with agility.

It takes about 1 minute, which is quite satisfactory.

"Follow my rhythm, I am the chief surgeon, keep up with my rhythm, understand?"

Takahashi was very dissatisfied with the arrangement of assistants and equipment nurses.

"Ms. Miyuki, please send all the CT scan images to Mr. Fujiwara in Tokyo." Takahashi looked up at the three-dimensional reconstructed images 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 show the classroom and help her transfer pictures." Director Han asked Xiao Wu to step down temporarily to do this work.
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"It's really Takahashi who took the lead, he really is a big bull!"

There was a sound of surprise in the venue, and people would have preconceived ideas when looking at the problem. Now that Takahashi is undergoing surgery, every movement will be regarded as a masterpiece of the master.

Witnessing the master's operation, everyone was in the mood of worship.

It was a blur, and the extremely complicated anatomy would make it difficult for people to start. But Takahashi is a world-class surgeon, and he took his time.

The surgeon's hands and instruments are the special forces. Now they have entered the ruins of the city. Relying on their usual training, they advance cautiously, make sharp judgments, and attack decisively in the unknown world.

This is the difficulty of the operation, one hundred blood vessels are one hundred ambush enemies, each one cannot be missed.

The main venue, sub-venues, and each screen are divided into two halves.

Now, on the two screens, Sasaki is in surgery on the left and Takahashi is on the right.

The two heroes of Japanese trauma surgery operated at the same time, a feast of surgical demonstrations.

Sasaki is struggling to rebuild the pipeline of the liver, gallbladder and pancreas.

The duct has just been revealed, which is a very dangerous area. If a general surgeon can complete combined pancreas-duodenectomy, it marks the peak of the field.

Sasaki's operation is the reconstruction of the entire pipeline system of the liver, gallbladder and pancreas, which is several times more difficult than the combined resection of the pancreas and duodenum, and it is performed on a five-month-old fetus. It is the crown of the crown when it is performed under a microscope.

On Takahashi's side, a huge varicose hemangioma in the abdominal cavity was severely damaged, and it was necessary to successfully remove the hemangioma composed of more than 45 thick blood vessels within 100 minutes.

In fact, Takahashi's operation was more difficult. Sasaki's operation tested the level of microsurgery and abdominal surgery, while Takahashi's operation tested all the skills of a surgeon.

Although the enemy faced by one is powerful, but has sufficient intelligence; the enemy faced by the other is very powerful, but the intelligence in hand is very limited, it is a brand new enemy.

The live broadcast of surgery at the two hospitals has now become a surgery show at the Affiliated Hospital of the University of Tokyo.

It is also a surgical show of Japanese trauma surgery duo!

"Operate independently with your hands apart?"

Someone noticed Takahashi's tricks, Takahashi can actually operate independently with his hands apart!

(End of this chapter)