Chapter 482: The Great Route
"We're here to be assistants, and we have to be there for the safety of the operation."
Mitsui said angrily.
"You have to understand that this is the operating room of Todai Hospital, and according to the laws of the Ministry of Health, Labor and Welfare, we must be on the stage to ensure the safety of the operation."
Daisuke Komori has never seen such an arrogant guy, holding his head high, and it is simply a look of contempt.
Zhang Lin saw that they were still energetic, and couldn't help but sneer and said: "One assistant, two assistants, three assistants, four assistants, N assistants - they are all assistants, how many assistants do you want?" How many people do you see on stage now? Can't count? You Teacher Zhang and I can only mix three helps, wash your hands and dress and sit on the cold bench, and there is a teacher Wu in the back, you can help five and six at most, as for who is five and who is six, you scissors, hammer and paper. I said, five assistants and six assistants, what do you talk about to ensure the safety of surgery? When it was put on the patrimonial surgery, I couldn't lift my legs. I told you in advance, wait for the operation to begin, after you wash your hands and dress, stay and don't move, Dr. Yang has a bad temper, an extremely savage personality, and scolds at every turn, think about it, this whole live broadcast, in front of experts from all over the world, was a grass mud horse on the left, a grandmother a bear on the right, can you stand it? I'm doing this to protect you. β
After listening to this, Komori and Mitsui looked at each other, then took two steps back, and acquiesced to the position that Zhang Lin had arranged for them.
What Teacher Zhang said makes sense, if he is really scolded, then he is called disgrace.
Tang Shun's translation was so smooth that Zhang Lin was a little skeptical about whether the translation was accurate.
"Grass mud horse, grandma is a bear, you can also translate?" Zhang Lin asked Tang Shun.
Tang Shun nodded confidently: "Little meaning, this is a basic skill, it's nothing, Ge Laozi, Niang Xipi, I can turn it all." β
Slang can be translated to convey meaning, which is really high-level.
Zhang Lin turned his head to look at Mitsui and Xiao Sen, his face was red and white for a while, if it wasn't for the accurate translation, it shouldn't have this effect.
"At your level, I'll ask Takahashi to double your commission." Zhang Lin gave a thumbs up.
Liang Fatzi had already done endotracheal intubation for Ning Yu, and after the anesthesia was successfully implemented, Song Zimo took Xu Zhiliang, Zhou Can and Japanese nurses to position the patient together.
"You two, why are you sitting still? Help get positioned! β
Zhang Lin commands Komori and Mitsui.
The two had no choice but to get up and help.
Zhang Lin shook his head: "The action is sharp, the cooperation is good, the training is still not enough, and the critical time is a little messy." β
Xiao Wu said very seriously next to him: "The main reason is that I didn't take Teacher Zhang's class." β
Tang Shun is basically a simultaneous interpreter, and every sentence is translated in a very timely manner.
Komori and Mitsui couldn't cry or laugh, this is the operating room of Todai Hospital, this guy doesn't do it himself, he points fingers on the side, and treats them as coolies.
Yang Ping stood aside and waited for them to prepare, and he couldn't help but want to laugh in his heart.
Zhang Lin is like that, in terms of pretending, no one can beat this guy.
This realm of pretending to be forced, no matter where you are, no matter who you are facing, you don't blush and your heart doesn't beat when you pretend to be forced.
Mitsui and Komori didn't dare to move under Zhang Lin's obscenity, so they were obediently busy and helped set their positions-
Position yourself in the prone position with your head firmly secure.
Song Zimo, Xu Zhiliang and Su Yixuan went to wash their hands and prepare a disinfection sheet.
Komori and Mitsui didn't know what to do for a while after they were busy, so they went to wash their hands? Or stand by now? My head was dizzy.
"Professor, wash your hands and lead the way!"
Zhang Lin pointed to the open operating room door.
Yes, I should go with me, Komori and Mitsui were a little confused and came back to their senses.
The two walked to the door and came back, it turned out that Takahashi had been guarding the door for a long time, and had already taken everyone to wash their hands, and they had nothing to do.
When I was young, when I was a student, I was not treated like this, and now as a famous professor in Japan, I was actually called by this person who didn't know what the origin was, and I was angry, but I couldn't help it, and they had to complete the task assigned to them by the Ministry of Affairs and the difficult new medical evaluation department.
Song Zimo and Xu Zhiliang came back from washing their hands and began to disinfect the sheets, and Xiao Su and the Japanese instrument nurse began to sort out the instruments.
Yang Ping is not in a hurry to come to power for the time being, the assistant is powerful, and his work is naturally easy.
Wait for the two of them to expose the upper cervical cord and medulla oblongata, open the dorsal membrane, and then go on stage without hurrying.
Whatever position a person has reached, he will naturally have any treatment, and if you don't want it, others will give it to you.
Taking advantage of his free time, Yang Ping explained to Gao Qiao how to read the film, how to cut it, how to enter it safely, how to locate the tumor after exposing the spinal cord and medulla oblongata, and how to accurately operate in a safe gap.
The most important thing is how to take the head of the enemy among the hosts - the tumor is successfully removed, and the person must be off the operating table alive.
Takahashi listened attentively, asking questions from time to time.
Mitsui and Komori saw Takahashi's appearance like a schoolboy, and they wanted to lean over and listen to what he was talking about.
"Go wash your hands, and sit here when you're dressed, and I'll be with you."
Zhang Lin instructed Mitsui and Komori.
Song Zimo and Xu Zhiliang have already put on their surgical gowns, and the doctors from the headquarters of Dongda Hospital must be present at the opening stage, it is time for them to come on stage, although it is just a pair of mascots, but it must exist.
Zhang Lin Xiaowu also went to wash his hands together, and the two had already discussed, one staring at the other, and strictly guarding against it.
You can't have the heart to hurt others, and you can't have the heart to defend people.
With such a high-risk operation, if someone makes a mistake and touches the arm of the chief surgeon casually during the operation, the operation can be declared a failure.
Who knows what they think in their hearts, believe them, the sow will not only go up the tree, but also fly around to show you.
Zhang Lin, Xiao Wu, Mitsui, and Xiao Sen had also washed their hands and stood beside the operating table.
The last to come to power was naturally Yang Ping, if it was customary, Yang Ping would definitely not come to power until the assistant revealed the upper cervical cord and medulla oblongata.
However, the away surgery, the environment and equipment are unfamiliar, so it is better to be careful.
Yang Ping also washed his hands and dressed in advance to the stage, accompanied by Gao Qiao.
An operation that only takes two or three people to complete is now standing with seven people, and there is simply no place to stand.
But in order to complete the sacred pre-operation check, everyone gathered around the operating table.
Name, gender, age, hospital number, method of surgery, site of surgery, focus of surgery, estimated amount of bleeding β
The surgeon, assistant, instrument nurse, anesthesiologist, and itinerant nurse all have to stop what they are doing and participate in the last preoperative check.
Everyone is very careful and carefully checks every link.
Reverence for life, reverence for medical skills, regardless of nationality.
"Checked, do you have any questions?"
There is no doubt that surgery can begin.
"I want to say something!"
Yang Ping's voice.
As the chief surgeon, he has the highest authority in the operating room.
Everyone waited on the spot, not knowing what Yang Ping was going to say at this time.
"Ladies and gentlemen, I just want to say one thing - the only enemy of the doctor is the disease, and there is no other enemy!"
Everyone didn't know the meaning of Yang Ping's words, and Yang Ping didn't explain: "Let's start the operation!" β
Song Zimo began to move, with a sharp surgical knife, the skin on the back of the head and neck was cut, the skin was cut, the superficial fascia was cut, and then the deep fascia was cut, advancing layer by layer.
As Yang Ping's assistant, Song Zimo demonstrated superb basic surgical skills.
Each step is smooth and rhythmic, which is from Yang Ping's style - surgery also has its own rhythm.
The skull base and the spinal canal of the upper cervical vertebra open posteriorly, revealing the entire rhomboid fossa, and gradually, the dural-encased upper cervical medulla and medulla oblongata are gradually revealed.
Everything is so skillful and stable.
The laser knife is advanced little by little, and the vertebral arteries, cranial nerves, and spinal nerves are separated and sorted out little by little.
Gradually, the upper cervical cord and the posterior part of the brainstem appear on the screen.
The laser knife is Y-shaped, and the dura mater is lifted.
The median foramen of the four ventricles is opened, and the choroidal tissue, cerebellar tonsils, and posterior inferior cerebellar artery are lateral.
Xu Zhiliang's nerve hook gently retracts the cerebellar tonsils and posterior inferior cerebellar artery to both sides.
Song Zimo continued to separate the choroidal tissue and the inferior medullary sail, and the entire rhomboid fossa was successfully exposed.
In the transmembranous medullary sail approach, the dorsal area of the brainstem is exposed to the visual field, and the safe area near the facial mounds appears in the middle of the surgical visual field.
The reveal work is complete, and the next step is the work of the chief knife.
Song Zimo respectfully moved to the assistant position on the side, and Yang Ping sat in the position of the chief knife.
The microscope is pushed into the surgical area, and every next step must be completed under the microscope.
A large screen in the meeting room.
Professor Ito looked a little lonely, and habitually turned his head, the side of him that had been empty just now, and now the old Ikeda had actually returned.
"Didn't you go to rest? Not attending a conference? Ito didn't know when Ikeda would come to the venue.
Ikeda stared at the screen and said, "Just because I'm not in a meeting doesn't mean I can't sit here. β
It's an unassailable statement, okay, if you like to sit there.
Ito became more and more puzzled by Ikeda's thoughts.
On the screen, the capsule is opened, and the parenchyma of the medulla oblongata and spinal cord is about to be cut.
"The great voyage has just begun, and his goal is Ralph Drew, to get OnePiee!" Ikeda muttered to himself.
"You still look at such a pediatric thing?" Ito was surprised.
"Don't you read it too?" Ikeda retorted.
"I'm ashamed!" Ito blushed.
"The hypoglossal nucleus, the accessory nucleus, the suspicious nucleus, the dorsal nucleus of the vagus nerve, the nucleus of the solitary tract, and the nucleus of the spinal tract of the trigeminal nerveββ, they are like reefs, and the tip of the knife will travel in the dangerous sea, and at all times it will devour the will of the main knife, devouring the patient's life, and I don't know that my recording compass can help him." Ikeda's gaze is always on the screen, and what he calls the "recording compass" is the latest probe marking technology.
The theory is wonderful, but the reality is cruel.
The errors caused by the superposition of imaging technology, the distortion caused by stereoscopic imaging, and the blurring caused by the unelimitable halo cannot meet the requirements of surgery.
"Are you sure he can?"
"I'm not sure, but I'm sure Fujiwara's judgment won't be wrong."
"It's too late to regret it now!"
"The Great Voyage, and Gore. D. Roger has been to the finish line, but no one has ever been to the end of this route, if I regret it, will you continue the voyage for him? β
Ikeda's tone was gentle, but it made Ito sound harsh, and he was silent for a moment.
"He's the only one who has hope of reaching the end, and when you see those hand-drawn drawings, you should have the same judgment as me."
Ito no longer spoke, only Ikeda's voice alone.
The first is the latest.