Professor Daniel's impression of this patient is quite clear.

The first visit should have been three months ago, when he made an appointment for an enhanced CT test, and the results of the examination should have been in late November last year, which is only a week to two months away from now.

Wasn't the lower edge of the tumor three centimeters away from the anal tooth line on that CT scan?

Facing the CT scans of the patient that Associate Professor Randall had hung up on the viewing lamp, Professor Daniel calmly read the measurements.

Sure enough, it was only two centimeters......

The TaTme procedure requires a distance of more than 3 cm from the lower edge of the tumor to the anal tooth line, otherwise it will be difficult to reconstruct the intestine after the tumor is removed.

Three centimetres is not the limit for Prof. Daniel, who has historically performed TaTme surgeries on the lower edge of the tumour less than three centimetres from the anal tooth line, with the smallest case being only 2.5 centimetres away.

But this time, it's only two centimeters!

Professor Daniel frowned and shook his head subconsciously.

This surgery can be tried, and the so-called limit is used to be broken. And, intuitively, he doesn't think that intestinal reconstruction cannot be done with just two centimeters of space.

But the question is, is it appropriate to use such a risky operation to achieve the purpose of intimidating young doctors in China?

In case on stage......

"Is this case going to be a TaTme operation?

Suddenly, a young voice came from behind Professor Daniel, speaking words he didn't understand.

Yang Xi?

Professor Daniel couldn't help but turn his head.

Sure enough, it was him!

Didn't you say that you would stay in the hotel in the afternoon to rest or go to the city of Brother Juice?

George was in charge of the candid filming, so he hid behind Conley, and at this time he was replaced by Mr. Tsuna, who was the translator.

The general level of English is okay, and I can still express the meaning clearly.

Although Professor Daniel was displeased, he couldn't pull down his face to drive people away, so he had to patiently listen to Lian Xiangdong's translation.

"You know about the TaTme procedure?" Professor Daniel's reply was full of incredulity.

After pretending to listen to Lian Xiangdong's translation, Yang Xi responded: "There is a saying in Huaguo, it is said that if you have never eaten pork, you have seen pigs run, and the TaTme operation is not much mysterious, although I have not had the opportunity to operate a surgical robot, but I know a lot about the various reports of the TaTme operation." ”

A clever translator can use the proverb of the other country to replace the proverb of his own country, but Mr. Yu does not have that level, and the result of the literal translation is that Professor Daniel blinked for a long time, and finally understood the meaning of Yang Xi's words.

"In your opinion, what is the limit distance between the lower edge of the tumor and the anal tooth line during TaTme surgery?" Professor Daniel said this sentence to Yang Xi on the surface, but in fact he was asking himself.

Yang Xi smiled and waited for Lian Xiangdong to translate, and replied: "If you use a surgical robot, the limit distance should be 2.5 centimeters, less than this distance, and the postoperative complications are really difficult to control." ”

Lian Xiangdong was then translated into English.

Professor Daniel couldn't help but take a deep breath.

He fully agrees with Yang Xi's assertion.

In this case, removing the tumor and reconstructing the bowel with the lower edge of the tumor only two centimeters away from the anal tooth line was difficult for Daniel, but it was not daunting.

What made him hesitate was precisely the problem of postoperative complications that Yang Xi said.

Yang Xi then analyzed: "The advantages of precision and stability of the surgical robot are very prominent, but the disadvantages are also obvious, the surgeon cannot grasp the texture of the patient's surgical tissue, which leads to poor control of the strength during the actual operation of the operation. Therefore, when the distance is less than 2.5 cm, intestinal reconstruction often leads to complications due to improper suture strength of the anastomosis. ”

The intestines, including the lowest rectum, have good stretchability, and when the stump of the rectum is still a certain length, this stretchability of the intestinal tissue can effectively reduce the tension of the anastomosis.

However, in the case of less than 2.5 centimeters, after the tumor has been removed, the rectal stump that can be retained is less than 2 centimeters, and the length is not enough, and its stretchability is bound to be insufficient.

Professor Daniel fully agrees with Yang Xi's analysis.

The three elements that determine the level of the surgeon, precision, stability and strength, the surgical robot has achieved the ultimate in the first two aspects, but it is quite weak in the mastery of strength.

Regret and helplessness.

"Yang, your analysis is very correct, I completely agree. However, although it is rare to be able to ask questions, it is more important to have a solution to the problem, I don't know if you can give me some advice on this?" Professor Daniel's tone was very gentle and humble, but in fact he dug a shallow hole for Yang Xi.

The implication is that you have said so much nagging, although it is very true, but if you can't say a solution, then what you said before is all nonsense.

Can this young Chinese doctor come up with an effective solution?

Professor Daniel smiled contemptuously in his heart.

No way!

He, a well-known professor who has been immersed in surgical robots for seventeen or eighteen years and has more than 100 TaTme surgical experience, can't think of an effective solution.

After the translator translated his words into Chinese, Professor Daniel saw Yang Xi shake his head as he expected.

"If you have to use a surgical robot to complete the operation, I can't give any advice, but ......" Yang Xi didn't finish speaking, and after exiting, he signaled that Lian Xiangdong could translate.

Lian Xiangdong smiled knowingly.

Listening to Lian Xiangdong's stumbling translation of the English expression, Professor Daniel tried his best to suppress the pride in his heart.

But？

When Lian Xiangdong's last word blurted out sonorously, Professor Daniel couldn't help but be stunned.

What else is there to but?

"We can abandon the surgical robot and use our hands to complete this TaTme operation!"

Halfway through the translation, a disdainful smile appeared on Professor Daniel's face, and when the translation was over, Professor Daniel couldn't help but laugh out loud.

"Young man, do you know what you've said? Hands-on TaTme surgery? Don't you know that the complication rate of this type of surgery is almost 40 percent?"

At this moment, Professor Daniel was full of disappointment with Yang Xi.