Chapter 0239 Stop at the foot of the mountain
An image of revascularization transmitted from Tokyo appears on the big screen.
It is very clear, the source and direction of each blood vessel, the entanglement with other blood vessels, and the relationship with the surrounding organs are clear.
You need to look at any one of the blood vessels individually, and it will be shown separately in green, from the source site to the bifurcation, and use this image as a reference for the operation to really guide the operation.
Takahashi was still immersed in depression just now, and when he heard Miyuki Fujiwara say that the image was already visible on the screen, his eyes immediately regained their brightness.
The reconstructed images provided him with a plan for the sequence of surgeries, which was calculated by the computer and was optimal, and Takahashi knew how powerful the system was.
Immediately changed his mind, followed the guidance of the image, and began to look for the eighth blood vessel, and sure enough, this one was easier to separate than the one he had just found.
However, because the blood vessels are deformed, extremely fragile, and adherent, they are inextricably linked with important organs, blunt separation can easily cause tearing and damage to adjacent organs.
Now this blood vessel originates from the aorta and has adhesions with the aorta, it is systematically arranged in front, and the difficulty of the blood vessels behind can be imagined.
This operation made people a little desperate and a little suffocated, Takahashi had no desire to express himself at all, and just quietly separated the blood vessels, hoping to separate them soon.
The movements of the hands are very skilled, but they can't get up quickly, so that the separation of the hands and independent operation will not come in handy, not to mention, this kind of dangerous conditions, with the left and right separate independent operation, easy to have accidents, after all, there is no safety and stability without the operation of both hands.
Blunt separation is not possible, only sharp separation with a sharp knife or tissue scissors.
"Tissue scissors!"
Takahashi carefully used tissue scissors to begin to separate the blood vessels, and the intestinal tube was separated little by little, getting closer and closer to the abdominal aorta, and the blood vessels actually wrapped around it.
Like dancing on the tip of a knife, Takahashi's technique is skillful, but the direction of these deformed blood vessels is too complicated, if it is not ligated from the dry part, it is almost useless to ligate it casually, and if a few are left untreated, the patient will die of hemorrhagic shock.
Although these blood vessels are deformed, they are all thick, with a diameter of 0.5 cm or more than 100 roots, which are too rare and complicated, and finally separated to the main trunk of the source and stitched.
It took five minutes, and with the help of this clear image, it actually took five minutes, and at this speed, I could only find a dozen blood vessels at most.
The ninth blood vessel is even more difficult, as expected, the sorting of the computer will not be wrong, Takahashi sweats on his forehead, and there are still thirty minutes, which is not counted as the failure of aortic blockage, and this patient cannot persist like this,
These blood vessels, which extend up to the hepatobiliary, pancreas, and spleen, down to the kidneys, and back to the spine, even if the image is clear, the operation still cannot be advanced.
No matter how accurate the intelligence is, the enemy's strength is too strong to be defeated!
Takahashi turned around and moved out of the operating area, and the roving nurse helped him wipe the sweat from his forehead.
---
Fujiwara Masao sighed, this patient is more complicated than the one he met many years ago, Takahashi took fifteen minutes to treat eight blood vessels, and now it took another five minutes, and the ninth blood vessel could not be separated, and the operation could not be carried out.
Although the patient on the screen is covered with a thick sterile sheet, revealing only the surgical area, it will be uncomfortable for any doctor to see the patient unable to be rescued and leave.
Fujiwara Masao picked up his phone, oh, Takahashi is on the operating table, he should dial Miyuki's mobile phone.
"Let Professor Han cut off the live broadcast! Let Takahashi answer the phone! ”
It's so cruel, watching the patient on the operating table, the doctor is helpless, and in the end everyone watches this patient die, it's too cruel.
Takahashi retracted his hands into the protective bag on his chest, and to the open safe area, Miyuki Fujiwara put the phone to his ear: "Takahashi, listen, even in Tokyo Main Hospital, you can't complete this operation, please face the reality and give up, you are my best student, you did your best." ”
"Yes, sir!" Takahashi said respectfully.
Fujiwara Miyuki turned on the speakerphone of her phone again: "Dear Professor Han, we all tried our best, every doctor didn't want to see this result, but I still had to make a decision, turn off the video, the friendship demonstration ended here, even Takahashi couldn't take it, no one could complete this operation---"
The judgment in the mobile phone is undoubted, Takahashi can't take this operation, and no one will be able to take it by the doctors present, Takahashi is already standing at the top of the world's trauma surgery pyramid.
But after all, he is a person, a doctor, manpower is limited, and the doctor's medical skills are also limited, and there are places that cannot be reached.
After answering the phone, Takahashi had a strong sense of frustration, his head was buzzing, he had not yet had such an embarrassing operation.
When he came to the stage, he was full of confidence, especially Fujiwara-sensei, who used the latest image reconstruction engine from distant Japan to recreate the image of blood vessels.
But after taking the stage, the first, second, and third blood vessels are very easy, the fourth starts with a long time, the fifth is already struggling, the sixth is very difficult, the seventh is already by luck to complete, the eighth takes five minutes and is very rough to deal with, the ninth is completely bottomless, tortuously intertwined, and intertwined with the hepatic artery, which cannot be found at all, cannot be separated, and is ligated indiscriminately, which will cause blood supply disorders to the liver.
His back was covered with sweat, his hands were a little disobedient, he didn't have the regrets of the teacher, and he didn't complete this Everest-style operation in front of everyone.
He craned his neck slightly, looked up at the ceiling, and seemed to have reached the foot of the mountain, and set off, taking a few steps, but could no longer go forward.
Facts are facts! Objective facts are as hard as steel!
"I'm sorry, Professor Han --, cut off the video, right?"
There was no time for him to hesitate too long, and Takahashi was forced to say helplessly.
Director Tan stood there and looked at Director Han, Director Han didn't say anything, just looked at the clear image of revascularization coming from Tokyo on the screen.
"Xiao Yang, have you seen this picture clearly?"
Yang Ping nodded, indeed, this image is much clearer than the previous CT reconstruction image, the previous one was like boiled noodles, mixed with each other, forming a dough, unable to distinguish anything; Now it's just noodles one by one, and the relationship between them is clear, and in terms of fineness and accuracy, it's not a little bit better than the previous image.
If it is said that it is still very difficult to complete the operation by relying on the previous image, it is basically not difficult to do it with the current picture.
Yang Ping has just reconstructed the images in his brain, after all, all he can use in his brain composition is only the original CT image.
"Is there a problem?"
"It's not a big problem!"
That's no problem!
"It's too early to give up, let's all rest, Xiao Yang comes to power, the main knife! Xiao Song Yizhu, Xiao Zhang Xiaowu cooperated, Xiao Wu, wash your hands and go on stage! ”
Xiao Wu just went to help Fujiwara Miyuki transmit pictures, and he had already taken off his surgical gown and gloves, and needed to wash his hands and dress again.
Takahashi looked at Director Han, is he crazy?
I can't take it from Fumiya Takahashi, and I still ask someone to come to the stage, is this to let everyone watch the patient leave on the operating table?
Ridiculous! Somewhat furious, Takahashi took off his surgical gown and gloves and threw them into the large yellow barrel.
"Vital signs are temporarily stable--"
The fat man got excited.
Finally Yang Ping came to power, Song Zimo immediately cheered up, Director Han and Director Tan were also ready to step down, Director Han asked, "Do you want us to match you with a stage?" ”
"Thank you, director, it's enough for Song Zimo and them." Yang Ping stood at the position of the main knife.
Director Han muttered: "Cheer up, this operation is Mount Everest in trauma surgery, more than a hundred blood vessels, none of them can be missed, missing one is equivalent to the bleeding speed of a femoral artery, take out your best level, remember what I said?" There is no big guy today, you are the big guy! I'll just sit here, and you guys give it a go! ”
Director Han didn't take off his clothes or gloves, Director Tan saw that Director Han didn't take off his clothes and gloves, and he didn't take them off either, the itinerant nurse moved a few stools, and Director Han sat down.
Takahashi and Fujiwara Miyuki didn't plan to go out, and they also sat down in the operating room, in order not to pollute Director Han and Director Tan, they sat down at a distance, and looked at the screen in the operating room at the angle of leaning.
---
This operation is too difficult, Takahashi can't take it, and he has to close the video.
The video shows the surgical area, as the operator's hands and instruments are removed from the operating area, and after a short blank space, several hands enter the video.
Two S hooks opened the abdominal cavity, and the two hands began to operate, which were the hands of the main knife and Ichisuke.
Subtitles appear, as if typed out word by word.
Chief Surgeon: Yang Ping, Attending Physician of the Department of Orthopedics.
First assistant: Song Zimo, attending doctor of orthopedics.
Yang Ping came to the stage, Professor Su immediately sat up straight, and Lao Han still sent him on the field, but could he handle it?
"Dr. Yang is on stage?" Cheng Liquan reminded Su Nanchen.
Su Nanchen really paid attention to the screen: "He finally came to power--" Can he win it?
Yang Ping, Ou Lichun saw the name, yes, it was his classmate.
"My classmate is on stage!" Ou Lichun pulled Director Zhang and asked him to look.
Director Zhang didn't want to look at it a little, so he glanced at it casually: "Go to the stage and close the abdomen, and then do debridement and suturing on the face and left upper limb, and the video will be turned off immediately---"
Also, Ou Lichun was poured a basin of cold water by Director Zhang, and now he is on stage, an attending officer, what can he do, clean up the mess, this operation has been abandoned.
--- Fujiwara Masao had mixed feelings in his heart, and it was a pity that this patient was going to watch him give up again, and he felt very uncomfortable.
Turn off the video, he couldn't bear to watch it anymore, but his eyes didn't listen, he kept looking at the screen, as if he hoped that something would happen in his heart.
Takahashi only took eight steps, then stopped, there is no way to climb up, if he is on the scene, I am afraid he may not be sure, with a new algorithm to reconstruct the image, eighty percent? Sixty percent? I don't know.
Why hasn't the video been turned off yet, are they crazy?
In the video, several pairs of hands, two retractors, and two hands have begun to act, not to close the abdomen, but to look for blood vessels and sew blood vessels.
Don't they have a minimum of ethics?
In this case, in order to maintain the patient's last dignity, it should no longer appear on video.
The ninth blood vessel, which Takahashi did not find, was found, successfully separated, and the right hand blood vessel was clamped and sheared; The left hand found the tenth.
No, the eleventh was found, and the twelve.
Both of these people are the chief surgeons, they operate at the same time, starting from the upper and lower directions, and both of them use their left and right hands to operate independently separately, which is equivalent to four people operating at the same time.
Fujiwara Masao saw the strange operation of these two hands at a glance.
The speed of one pair is extremely fast, and the speed of the other hand is obviously much slower, but it is also more than Takahashi's two hands can be operated independently separately.
was about to turn off the electronic screen, but Fujiwara immediately shouted:
Wait a minute!