"Professor Tan, you should have recognized the complexity of this case a long time ago, and you should not have rushed to replace people now, this is irresponsible to the patient, you have studied at the University of Tokyo Hospital, you should have a minimum of literacy."

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

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

There is no way, they have studied this kind of case, they have accumulated experience, and they can only fight against strength, and everything else is pale.

Song Zimo stopped what he was doing, the instrument nurse Zhou Can was sorting out the instruments on the operating table, the itinerant nurse hung up a few bags of blood, and Liang Fatzi stared at the data on the monitoring screen tightly.

Yang Ping had already put on a surgical gown and gloves, ready to replace Song Zimo at any time, and Xiao Su was resting in the corner, ready to replace Zhou Can at any time.

The blood collected from the chest cavity by the autologous blood transfusion device has been filtered and has begun to be transfused back into the patient's body, and the red blood mixed with normal saline is dripped into the patient's body along the transparent pipeline.

The abdominal cavity is not opened temporarily, the closed abdominal cavity can play a role in temporarily stopping bleeding, the blood flows to a certain extent, the capacity of the abdominal cavity is limited, the hydrostatic pressure of the blood in the abdominal cavity and the pressure of vascular bleeding form a balance, and the blood vessels will temporarily stop bleeding.

Song Zimo looked at Yang Ping who was sitting, change the main knife, who to replace, is it not Yang Ping, is Director Han going to go in person.

He also knew that the operation was difficult, more than 100 blood vessels were like spider webs, and many of them still passed through dangerous areas, but he was confident and wanted to work hard.

What's more, with Yang Ping at the bottom by his side, he is even more confident, but unfortunately, Director Han is going to go into battle in person.

"Senior brother, Director Han wants to go in person?"

The order of the senior doctor is a military order, and medical discipline cannot be violated.

"Are your vital signs stable?" Yang Ping turned his head to look at the monitoring screen.

Liang Fatzi sat on the side of the patient's head: "Temporarily stable, but it can't be maintained by blood transfusion all the time." ”

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

"Director Han!" Yang Ping got up.

Director Han waved his hand: "Xiao Yang, Xiao Song, you go to the side to rest, change Mr. Gao Qiao as the chief surgeon, and Director Tan and I will be assistants, oh, don't take off your surgical gown for the time being, don't pollute yourself, rest and stand by." ”

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

It's not Director Han who came to power, it's Takahashi who came to power, what's going on? Song Zimo didn't even have a chance to ask, Director Han hurriedly took Gao Qiao to wash his hands.

Miyuki Fujiwara stayed in the operating room, Takahashi didn't let her go on stage, and she looked around at the doctors and nurses in the operating room.

Several doctors in the operating room are so young, Fujiwara Miyuki didn't look carefully when she watched the video, and now she sees Song Zimo and Yang Ping up close, with bright eyes, tall posture, and a confident look.

I just watched the video, and the superb thoracoscopic technology is not a rabble in Takahashikou at all.

If it weren't for this rare case, they would have fared better.

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

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

Now, who still has the heart to look at any supermodel, 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 three-dimensional reconstruction image of blood vessels on the screen.

At this time, in Yang Ping's mind, with his powerful composition ability, he had already constructed a complete three-dimensional image.

Images constructed from CT scans show that each of the 124 blood vessels is deformed, and if not treated properly, all of them may be fatal.

Yang Ping even simulated surgery in his mind, according to the constructed graphics, which one to deal with first, which one to deal with later, how each blood vessel was exposed, where the risk was, and how to avoid the dangerous structure.

With so many blood vessels, originating from several directions in three dimensions, it is a tricky thing to reveal alone.

After washing his hands, Takahashi will raise his hands in front of his chest, hold his head high, and stride into the operating room, he wants to step out of the pace and aura of a world-class surgeon.

If you are not arrogant or public, you will not be called Takahashi. He came in, and Zhou Can handed him a surgical gown.

He didn't reach out to take it: "Please trouble you with your hands!" ”

Tang Fei was stunned for a moment and translated it according to the original words.

Zhou Can's face flushed, and he put on the surgical gown with both hands, and Takahashi took it: "Standing in front of you is a world-class surgeon, you should have a minimum of awe." ”

Takahashi shook his hands, and his hands entered the inner opening of the sleeves, and Miyuki Fujiwara helped him put on a surgical gown, which he refused.

Glancing at the operating room, his eyes stayed on Xiao Su's body: "Let her come over and put on a surgical gown for me." ”

In the operating room, the chief surgeon has absolute authority, Xiao Su can understand Japanese, hesitated, this Japanese is quite excessive, the delivery of surgical gowns requires both hands, and the surgical gown is also designated.

Yang Ping heard Takahashi's stern voice, turned his head to look over, and he also designated Xiao Su to wear a surgical gown for him, this Japanese is interesting, he really thinks he is an uncle.

Fujiwara Miyuki couldn't stand it at all, and didn't listen to Takahashi, but pulled the back of Takahashi's surgical gown hard to help him put on the surgical gown.

"Are you an instrument nurse?" Takahashi asked Xiao Su.

Tang Fei introduced: "Yes, orthopedic specialist instrument nurse. ”

"Very good, let her come to the stage, give me a stage, you, change it."

Takahashi was unceremonious, he didn't feel that this was his own hospital at all, and with the majesty of the chief surgeon, he pointed fingers and completely disregarded the face of the master's family, which was full of contempt.

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

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

Director Han left a hand, even if he is an internationally famous trauma surgery boss, he can't absolutely trust it, after all, the patient is his own, in case he can't take it down, pat his ass and leave, and the mess has to be cleaned up by himself.

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

"Han, Ichisuke; Tan, Ersuke, you, the instrument nurse, have no objections, right? If not, the stage is ready to be opened, the anesthesiologist reports vital signs, and the operating table is raised! ”

Takahashi began to speak Japanese, and Tang Fei could only help translate.

"Blood pressure 8445mmHg, heart rate 116 beats, blood oxygen saturation, 90% in the case of low-flow oxygen!" The fat man reported vital signs.

"Be louder, your vital signs are no longer stable, you guys are still listless, knives!"

The fat man had to repeat it loudly, he hadn't paid much attention to it just now, why did he suddenly change this Japanese to the stage, what's going on?

"Now open belly, knife!"

Japan's first-class surgeon lives up to his name, taking the scalpel and making a beautiful longitudinal incision in the abdomen, the middle of the abdomen, just under the skin, not a single point, not a single point.

The subcutaneous fat like corn grains was turned out, the electric knife stopped the bleeding, and it was cut layer by layer, the anatomical level was clear, and the operation area was basically bloodless.

"The blade is not sharp enough, do you usually use this kind of knife for surgery? New blades! Next time, I'll give you a set of scalpel blades made in Japan. ”

Takahashi threw the scalpel into the curved disc of the sharps, and Xiao Su hurriedly replaced it with a new scalpel.

The skin and superficial fascia are incised, the deep fascia is exposed, and Takahashi's scalpel cuts through several layers of muscles one by one.

"Pay attention to blood pressure, pressurize and transfuse at full speed, I'm going to open the abdominal cavity without damaging the aortic occlusion forceps!"

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

Takahashi gently and quickly opened the intestinal tube floating in the blood with his hand, and inserted forceps into the upper part of the abdominal aorta, blocking the abdominal aorta.

Based on CT angiography, he determined the highest location of the blood vessel origin of the aneurysm, and then blocked the aorta above.

"Record time!"

The battle must be ended within forty-five minutes, that is, less than half a minute on average, to resolve a blood vessel.

Huge cranoid hemangiomas with thick arteries intertwined with veins that curve and disc.

Takahashi's fingers were very flexible, and after gently groping for a while, he used a vascular clamp to separate a blood vessel, and handed the vascular clamp to Director Han to maintain the exposure of the blood vessels.

Takahashi's right hand operated the vascular clamp to clamp the found blood vessels, and his left hand was already looking for blood vessels at the same time.

The left and right hands do different things, and it is the most difficult technique to train in surgical operations.

He trained for more than a decade to acquire this level of surgical prowess.

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

With his left hand, he found another blood vessel and handed it to Director Han.

Then he freed his hands and began to sew the blood vessels, which was supposed to be the work of the assistant.

But he was not at ease, so he did it himself, stitched the blood vessels himself, and successfully treated the first blood vessel.

It took about a minute, and the speed was satisfactory, but the movements of the instrument nurse were a little out of rhythm.

It's not too slow, but it's always a beat faster, which leads to an uncoordinated rhythm of the whole operation, and the instruments always arrive early.

The movements on Takahashi's hand have not been completed, and the instruments are always delivered in advance, and when he found that the main knife had not reached out, Xiao Su retracted it in embarrassment.

"Keep up with my rhythm, I'm the main knife, keep up with my rhythm, understand?"

Takahashi was very unhappy with this chaotic rhythm.

---

"It's really Takahashi's main knife, it's really a big bull!"

The venue was full of surprises, and people would have preconceived ideas when they saw the problem, and now that Takahashi has surgery, every movement will be considered a master's masterpiece.

Witnessing the master's operation, everyone was in the mood of bowing and worshipping.

It's a blurry, extremely complex anatomy that can be overwhelming, but Takahashi is a world-class surgeon who doesn't panic.

The surgeon's hands and instruments are the special forces, and now they have entered the ruins of the city, relying on the usual training, in the unknown world, the advance of the small wings, the sharp judgment, the decisive attack, to defeat the ambush.

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

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

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

The simultaneous operation of two males in the Japanese trauma surgery is a feast of surgical demonstrations.

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

The duct is just being revealed, and this is a very dangerous area, and the general surgeon, if he can complete the pancreaticoduodenal resection, marks the pinnacle of the field.

And Sasaki's surgery is the reconstruction of the entire piping system of the hepatobiliary pancreas, which is several times more difficult than the combined pancreaticoduodenal resection, and it is a five-month-old fetus, done under the microscope, it is simply the crown of the crown.

On Takahashi's side, a huge cranoid hemangioma in the abdominal cavity was seriously damaged, and it took 45 minutes to successfully remove this hemangioma composed of more than 100 thick blood vessels.

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

An enemy is strong, but he has sufficient intelligence; The other enemy is tough, but with very limited intelligence, and it's a whole new enemy.

What started to be a live broadcast of the surgery at the two hospitals has now become a surgical show at the University of Tokyo Hospital.

It's also a surgical show by two heroes of Japanese trauma surgery!

"Operate independently with your hands apart?"

Someone saw Takahashi's technique, Takahashi can actually operate independently with both hands apart!