godfather of surgery

Chapter 236 Let Takahashi come to power

The broken half of the face and upper limbs are still in the refrigerator, and now there is this huge hemangioma in the abdomen.

It can be imagined that for patients with severe rupture of the spleen, in order to stop the bleeding and save lives, the only option is to cut off the spleen, because there are many "blood sinus" structures in the spleen tissue, and a severely ruptured spleen will bleed everywhere, and the bleeding cannot be stopped at all. The blood vessels were ligated at the site, and the spleen was cut off, so as to solve the bleeding of the spleen.

Now, this hemangioma has more than 100 pedicles, and the tumor itself is a winding blood vessel, which is severely damaged and bleeding, which is more violent than ordinary organ bleeding.

If it weren't for the on-site blood transfusion, it is estimated that he would not be able to reach the hospital alive; when he arrived at the hospital, without the continuous blood transfusion and the use of autologous blood transfusion equipment, he would not have the opportunity to go to the operating table.

The autologous blood salvage machine can recover the blood from the patient, process it, and then transfuse it to the patient. However, this process is lossy, so autologous blood transfusion alone cannot meet the requirements, and traditional allogeneic blood transfusion is required to supplement.

This patient's blood has been changed several times, and blood transfusion can only sustain life for a short time, so it is an expedient measure.

If the abdominal cavity is not opened and the tumor is not removed, the patient will definitely not be saved.

Once the abdominal cavity is opened, in order to reduce bleeding, the aorta needs to be blocked. The blocking time should not be too long. The limit time for the surgeon is only 45 minutes, and the battle must be resolved within 45 minutes.

Otherwise, due to ischemia, it will cause necrosis of abdominal organs. Once necrosis, multiple organ failure will follow, and the functions of the whole body will collapse like dominoes, and life will also collapse.

However, this kind of case is so rare that no doctor can do anything about it. The spleen is severely ruptured. The bleeding problem can be solved by splenectomy, because there is only one set of main blood vessels in the spleen: the splenic artery and vein, which are in a constant position. Surgeons are familiar with anatomy, and it is easy to ligate, ligate off the blood vessels, separate the spleen, and remove the spleen to complete hemostasis.

Why is it so difficult to remove this huge hemangioma, because it has countless roots of blood vessels, and these blood vessels do not have the anatomical knowledge of the surgeon.

It is a special, personalized tumor that has never been encountered before. Even if some doctors can encounter such a rare case, the anatomical structure and source of blood vessels of the two tumors will not be the same.

Cutting this hemangioma is like a brutal urban street battle. A special force enters the ruins of the city without a map, without intelligence, without knowing the geographical environment of the city and the deployment of troops, and the city is full of bunkers and ambushes. Under these circumstances, it is impossible for special forces to win at all, and they will only be wiped out in street fighting.

Usually, performing surgery means that the special forces are very familiar with the city, have entered and exited hundreds of times, and know the geography of the city and the deployment of troops well, so the probability of winning is very high.

Back then, after Masao Fujiwara suffered a failure, he took this rare operation as a subject and led Takahashi and Sasaki to conduct a large number of animal experiments to solve this devil-like operation.

They used various methods, using drugs in the embryonic stage of monkeys, to create experimental specimens of huge abdominal hemangiomas, and then used imaging technology to find and identify blood vessels, designed a detailed surgical plan, and ligated the blood vessels one by one , completely resecting the tumor.

They have also designed an interventional method to embolize the hemangioma, but this kind of tumor has almost no obvious main blood vessels, and the intervention is futile.

Through a lot of research and mastering the rules of the source and distribution of blood vessels, Fujiwara's team was able to handle the surgery on experimental animals with ease.

It can be said that they are the only ones who have accumulated technology in this field in the world. This kind of case is too remote, and no one spends time researching it.

But Masao Fujiwara is different, he does not let go of any failed cases, he wants to be number one in the world, through this kind of devil surgery research, to improve the surgical level of the whole team, Takahashi and Sasaki were trained in this way.
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There is no way to step down from this operation?I can only give up!

The image on the screen stayed on the huge hemangioma, and now the contrast agent has flowed everywhere, filling the entire abdominal cavity.

Among the more than 2000 doctors present, no one should have encountered such a rare case.

But with professional common sense, it can be understood that the difficulty of this operation is on the top of Mount Everest, and it is almost impossible for this patient to be saved.

Medical skills are not omnipotent. Many diseases cannot be cured, and many traumas cannot be rescued. This is the helplessness of medical skills and the helplessness of doctors.

"Turn off the screen? This patient cannot be saved."

This is not one person's idea, but the consensus of all doctors.
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University of Tokyo Hospital, Orthopedics Demonstration Classroom.

Masao Fujiwara's lips trembled slightly. This operation is too difficult. Even with infrared monitoring equipment to see all the blood vessels clearly, it is not sure, because there is a certain time requirement.

This strange varicose hemangioma is irregular in shape and grows in all directions toward the interstitial space and inside of the organs, including the liver, spleen, pancreas, kidneys, and spine.

Many years ago, he also encountered the same case. It was too cruel to watch the patient leave on the stage.

Even if he is on stage now, if he does not consider the time limit for emergency treatment and treats it as an elective operation, the operation time can be extended at will, and he is 80.00% sure of removing the hemangioma.

However, considering the time limit for first aid and setting the operation to be completed within two hours, he only has a barely 60.00% success rate, provided that he uses his trauma surgery assistance system.

If Takahashi and Sasaki are allowed to do it, the success rate is lower than 50.00%.

Standing idly by is a disregard for life!

Masao Fujiwara picked up his mobile phone and dialed Takahashi's number: "Dr. Takahashi, at this moment, the only doctor present may be you, who has experience in handling such rare cases. Please come on stage bravely, even if you fail, you will still be my best student, please call Professor Han Jiangong."

"Takahashi understands, sir!"

Hearing Masao Fujiwara's hoarse voice on the phone, Takahashi straightened his back, as if Mr. Fujiwara was standing in front of him.

Takahashi kept talking on his cell phone, left his seat, and walked up to Director Han. Tang Fei immediately followed and helped with the translation.

Takahashi looked serious: "Professor Han, this is Mr. Masao Fujiwara's phone number. He wants to talk to you directly."

Takahashi handed over the phone with both hands, Director Han took the phone, and Masao Fujiwara said in English: "Dear Professor Han, hello, it's an honor to talk to you, I'm watching a surgery demonstration in Tokyo, and I feel very heavy. This is an extremely rare case. Without experience, the success rate of treatment is zero. Please allow me to solemnly ask you to let Takahashi Fumiya be the surgeon, because he has rich experience and the success rate can reach 50.00%. I In the name of a doctor, I request—"

In Sanbo Hospital, the young doctor’s performance in dealing with craniocerebral and chest trauma just now has exceeded Masao Fujiwara’s understanding, especially Song Zimo’s thoracoscopic operation on the ascending aortic rupture is simply a wire somersault, and his technical level is far away. After surpassing Arai and Ogawa, Masao Fujiwara felt a sense of respect in his heart.

"I am very grateful to Mr. Fujiwara, please allow me to think for 2 minutes, because the case is too special, I must make a careful decision."

Director Han returned the mobile phone to Takahashi, but Takahashi did not return to his seat immediately, but stood beside Director Han waiting for a reply.

Professor Su, Meng Heng, and Fu Shancheng all saw Director Han answer Fujiwara's call. Although they couldn't understand what was said on the phone, they could guess more than half of it based on the current situation.

At this time, Director Han can only make the decision, and no one else can give advice.

Professor Su didn't speak either, waiting for Director Han to make a decision.

The difficulty of the operation is unprecedented, and the objective facts are in front of us. There are not many people with experience in this kind of operation in the world, and the cases themselves are rare.

If the most top-notch force in the hospital is allowed to take the stage, even if the patient is not saved, everyone will never have any objections, because it is normal that the patient cannot be saved.

Even if he came to power by himself, he still lacks certain research and experience on such cases.

If someone can successfully save the patient, even if he is the arrogant Takahashi, he should be allowed to take the stage. I believe everyone will think so.

Be in awe of life!Besides, this is just an academic meeting.

Professor Su originally wanted to suggest that Yang Ping be allowed to take the stage. Yes, Yang Ping is a surgeon with rare talent, but surgery is an empirical science, without enough experience, all talents cannot be brought into play.

This kind of rare and complex huge abdominal hemangioma injury, fatal bleeding, Yang Ping probably will be at a loss because he has no experience.

Director Han crossed his hands, circled his thumbs several times, and asked Tan Boyun, "How is the patient's vital signs?"

Tan Boyun took the tablet from his assistant, and showed Director Han the latest vital signs, blood routine, biochemistry, liver and kidney function, and blood gas analysis.

"En!" Director Han took a deep breath and made a decision: "Mr. Takahashi, if you are troublesome, then I will trouble you to be the chief surgeon!"

Takahashi was very excited when he got the answer. Like Sasaki, he is a person with a strong desire to challenge. Mr. Fujiwara gave the opportunity, and Director Han agreed, so let yourself complete an unprecedented operation in front of everyone. Teacher Fujiwara redeemed his regret.

"Thank you! I need two experienced assistants. If you don't mind, I ask Professor Han and Professor Tan to be my assistants!"

Takahashi bowed, but Director Han didn't answer, so he didn't look up.

"Okay, Professor Tan and I will be your assistants!" Director Han said without hesitation.

Takahashi straightened his waist: "Don't waste time, go to the operating room immediately, Miss Miyuki, follow me."

Takahashi, letting Director Han and Director Tan take the stage is completely out of selfishness. If it is for the safety of patients, Miyuki Fujiwara is his best assistant.

Let the two directors come on stage as assistants. He wants to show more than 2000 Chinese doctors that the gap is not so easy to shorten, so as to satisfy his proud heart, and also want to combat Miyuki Fujiwara's fantasies about China and prove himself correct.

Clearly aware of Takahashi's purpose, but at this time, Director Tan did not have any objections.

"It's a bit too much!" Meng Heng saw this scene.

Fu Shancheng was also a little uncomfortable: "This is intentional, but it's important to save lives. If it were me, I wouldn't care about it with him."

Professor Su didn't say a word, the gap will slowly catch up in the future, and the catch-up of the laggards must be full of pain.

"Tell Song Zimo to suspend the operation, don't open the abdomen!"

Director Tan immediately notified the operating room.

"Is Takahashi about to take the stage?"

Seeing the small movements that just appeared in the front row, then Director Han, Director Tan, Takahashi, Miyuki Fujiwara and a group left from the side door of the conference room, everyone guessed.

There was a lot of commotion in the venue. The operation was too difficult, and Sanbo Hospital couldn't handle it. It happened that Da Niu Takahashi was there, and now Takahashi was going to be invited to the stage.

"Yes, Takahashi is on stage."

"The world's leading trauma surgeon, he's on stage."

I didn't expect this meeting to be so exciting, a surgery demonstration, encountered a rare case in a century, and I could watch Takahashi's surgery.

The atmosphere of the venue was excited, most doctors were full of admiration for world-class experts.

(End of this chapter)