Pengcheng, People's Hospital of Development Zone.

In the office of the director of the interventional department, Mu Tao and Wu Haishi Wu Lao watched the operation in the live broadcast room intently.

Since this live broadcast number was broadcast in Xinglinyuan, Mu Tao applied for an account for the teacher, which was directly connected to Xinglinyuan.

The conditions in Pengcheng are particularly good, for ordinary doctors, and for nationally renowned experts, scholars, and professors like Wu Lao, the conditions will only be better.

After learning that the live broadcast began, Mu Tao came to the director's office and watched the live broadcast of the operation with Wu Lao.

Wu Lao's hands were clasped together, and the middle finger of his right hand was gently tapping the back of his left hand, contemplating as he watched.

Mu Tao sat behind Wu Lao's side, his eyes full of doubts.

The sorcerer is very powerful, and Mu Tao has known this for a long time.

But he judged that the level of the sorcerer was a little higher than his current level, and maybe it was between the best.

However, today's surgery brought him a strong sense of discomfort.

The preliminary steps are very simple, and the only highlight is that the surgeon did not do arterial puncture this time, which proves that the cooperation between the surgeon and the assistant has gradually become tacit.

But since the image was opened, Mu Tao began to be in a trance.

The operator's microguidewire did not follow the usual path, and did not enter the hepatic artery from the aorta, but directly overselected the short gastric artery!

He did not easily judge the carelessness of the surgeon, because many revascularizations of liver cancer tissue are supplied by short gastric arteries.

Sure enough, when the microguidewire continued to go deeper and began to walk to the right side, Mu Tao determined that the blood vessel that feeds the tumor must be a short gastric artery!

He can judge without imaging.

But what kind of examination did the surgeon find out about this? Was it a 3D reconstruction of 64-slice CT, or was it something else?

Because Wu Lao watched the operation video silently and intently, Mu Tao did not ask stupid questions, but repeatedly thought about the possibilities.

He thought of many points, such as the operator's feel, surgical intuition, preoperative examination, intraoperative imaging, and so on.

But it is impossible to be denied by him one by one!

This is the real world, and it's not a fantasy novel, how can someone have an unpredictable prophet?

During the live operation, imaging began, and sure enough, just as Mu Tao imagined, the entire tumor tissue was "lit up".

In other words, the patient's tumor feeds the blood vessels through the short gastric arteries, not branches of the hepatic arteries.

In this case, it must be a patient with advanced liver cancer who has been blocked after multiple surgeries and other blood vessels have blocked the hepatic artery branches.

But...... How did he determine the short gastric arteries instead of the phrenic arteries, spinal arteries, or even thoracic and abdominal aorta?

The imaging is completed, and the next one is nothing to see in Mu Tao's opinion.

If he had known that the patient's tumor blood vessel was a short gastric artery, he would have done as well as the surgeon...... Will you......

Mu Tao cheered himself up.

Those few vascular branches are nothing at all, and the blood vessels that are superselected into the liver are extremely subtle, and they should be able to do it themselves...... If you can't do it once, can you overselect it a few more times?

Thinking about it, Mu Tao's right hand twisted slightly, as if he was standing on the operating table at the moment, wearing a lead coat and a lead hat, and was doing surgery.

No way......

He soon realized a frustrating fact - even if he knew that the tumor tissue was supplied by the short gastric artery, he would not be able to make a successful overselection.

One minute on stage, ten years off stage.

This is true for the stage, and even more so for the operating table.

The most basic cognition, Mu Tao still has, and there must be. As a leader in the new generation of intervention in the country, his level is one of the few among young and middle-aged people under the age of 40.

If you can't do it yourself, then the surgeon must be a big star in the country, or even the world's top professors.

Mu Tao thought to himself.

Soon, the live broadcast of the operation ended, and the next operation, Mu Tao could imagine with his eyes closed.

The microcatheter is followed by the microguidewire into the liver, chemotherapy drugs are administered, perfusion chemotherapy is done, embolic agent embolization, and re-imaging is found, and the operation is over.

"What do you see?" After the operation, Wu Haishi and Wu Lao asked in a deep voice.

"The level of the surgeon is higher than mine, and I estimate that he is a top person in China around 50 years old, or an internationally renowned expert. Mu Tao said what he thought.

Wu Lao's right middle finger hit the back of his left hand a little faster.

"It's not about this, it's up to you to say the identity of the surgeon and how well the operation is done. Soon, Wu Lao expressed his dissatisfaction.

Mu Tao is his closed disciple, so he naturally doesn't have to be polite when he speaks.

"Then ......" Mu Tao couldn't understand what Wu Lao meant, and hesitated.

"The surgeon did not overselect the hepatic artery, but went directly to the short gastric artery, what do you think?" said Wu Lao.

"I have a couple of guesses. Mu Tao told all his guesses.

Wu Lao continued to groan, but his fingers tapped the back of his hand faster.

Mu Tao knows the teacher's habit, the speed of his fingers hitting the back of his hand represents the speed of the teacher's thinking.

"I think that the surgeon did a 64-slice CT 3D reconstruction before the operation, judged that most of the necrotic tumor tissue was reconstructed, and found new donor blood vessels. Wu Lao finally said affirmatively.

"64-slice CT 3D Reconstruction...... It doesn't seem that delicate. Mu Tao was puzzled.

"That's because you don't learn much. Wu Lao shook his head and said, "I have only seen one such person, but he died of illness the year before last." ”

"Who is it?"

Wu Lao waved his hand, signaling not to interrupt him.

"When I first learned interventional surgery in China, I was the first to contact a doctor in the radiology department, and I was the second group of people to come into contact with intervention. Wu Lao said: "People who do CT contact interventional surgery are still after radiofrequency ablation began to be carried out on a large scale. However, radiofrequency ablation is also clinician-based. ”

Mu Tao was stunned, completely unaware of what the teacher was talking about.

"It seems that there should be a large team behind the surgeon to support the selection of the short gastric artery. But such delicate work is not something that CT doctors can do. It must be an operator, it must be a 64-row CT 3D reconstruction done by an operator!" Wu Lao became more and more excited the more he spoke, and finally stood up and waved his right hand.

"Teacher, you should take care to control your blood pressure. Wu Lao's actions startled Mu Tao and hurriedly stopped him.

"It's fine. Wu Lao smiled: "Download the video recording, this afternoon's study, there is information." ”

Mu Tao nodded, but when he switched pages, he was stunned for a moment.

"What?" asked Elder Wu.

"The recording is gone. Mu Tao replied in a daze.

"......" Wu Lao also paused for a moment, and then said: "What are you doing!"

Looking at the angry Wu Lao, Mu Tao didn't even dare to say a word.

After a few minutes, Wu Lao's anger subsided, and he said in a deep voice, "You, follow me to the CT room." ”

"Hmm, what are you going to do?" Mu Tao was puzzled.

"Learn to do CT 3D reconstruction. Wu Lao looked indifferent.

++++++

Contact the editor, tentatively scheduled to be on the shelves on December 21. Work hard to code words and live up to everyone's subscription fees. Friends who are able to afford it, please also subscribe to the genuine version, please, please. In addition, it's Monday today, so ask for a recommendation ticket~~~