godfather of surgery

Chapter 494: Tokyo Night ([-])--
Double-click coagulation continues to change, tip sizes getting smaller and smaller.

The laser knife cuts the parenchyma of the spinal cord all the way up to the parenchyma of the medulla oblongata.

Before the bleeding point on the cross-section turned into a little red, the bipolar electrocoagulation carried out precise hunting at the speed of teleportation.

The hemostatic carbonization spots are extremely small. Under the microscope, only beautiful tiny black spots can be seen, and the surrounding soft tissues are well protected.

Wherever you go, it's clean.

Patients with coagulation disorders can actually perform "bloodless" operations.

After a few rounds, the tumor was like a sweet potato buried in the soil, showing a little bit of the surface.

Using this as a starting point, the laser knife continuously performs sharp separation.

The visible surface of the tumor grows larger and continuously separates from the surrounding tissue.

In the medulla oblongata and upper cervical spinal cord, the blood vessels of the tumor extend in all directions in three-dimensional space.

Some red blood vessels on the surface are clearly visible in the video, and these spreading blood vessels actually give the tumor a poppy-like beauty.

The laser knife cuts off these blood vessels one by one, and then the broken blood vessels are taken over by bipolar electrocoagulation to stop bleeding.

The visual enjoyment brought by the operation made everyone seem to forget that without coagulation dysfunction, this operation is also an insurmountable mountain.

If in the first half of the operation, the hemostatic points were placed on a flat plane step by step, then now, these hemostatic points are step by step in a complex section that wraps the tumor. This section is divided into two sides, one is the surface of the tumor, and the other is the surface of the tumor. Medullary tissue and upper cervical spinal cord tissue.

These sections are like complex mountains, canyons, and even caves, making hemostasis complicated and difficult.

However, the main surgeon didn't seem to be affected, as before, where the bipolar coagulation passed, the bleeding spots were quickly eliminated.

The observers, everyone was worried, every time he stopped the bleeding, it was like double-clicking the electric coagulation on the surface of his heart.
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Masao Fujiwara held his breath. He was waiting in the operating room, but he still relied on the screen in the operating room to obtain the progress of the operation.

At the surgery site, even though it was less than one meter away from him, he couldn't see clearly what was going on inside.

Only on the screen can a clear surgical field be obtained.

He considered himself to be quite talented in the field of surgery, but this operation shocked him immensely.

It seems that Yang Ping is very familiar with the bleeding points on the tissue section of each incision.

It stands to reason that these bleeding points are unknown and unfamiliar, and cannot be accurately predicted. No matter how good Yang Ping's basic skills are, it is impossible for him to be so fast and accurate. It can't be that fast.

impossible!

There is a limit to the human body's reaction!

But Yang Ping did it, he almost didn't need to look at it, he seemed to do everything he wanted, and he didn't seem to know a single bleeding point.

Masao Fujiwara discovered that Yang Ping’s bipolar coagulation did not make a judgment at all. The moment the section was revealed when the knife was cut open, the position of the bleeding point could not be seen with the eyes, and the bipolar coagulation had already pointed accurately. bleeding point.

That is, bipolar coagulation is faster than the visual capture of the eye.

Just like the enemy's missile has not yet taken off, the anti-missile system already knows what it is going to do in advance, and directly kills it in a state of readiness.

how did you do that?
Does it have any way to achieve almost [-]% reconstruction of the three-dimensional local anatomy of the surgical area?

Even if a [-]% reconstruction is achieved, there is no way to achieve such a speed.

Fujiwara Masao couldn't figure it out at all, so he could only give up on the bottom line and use talent to explain all this.

This method of monistic explanation is very worry-free, as long as you don't understand it, you will blame it on your talent.

Not many people care about the drop in Fujiwara Tani's heart rate, because they have already witnessed that even if he has a brush with death, Yang Ping can still firmly grasp that glimmer of hope.

Everyone's attention has been focused on stopping the bleeding.

Masao Fujiwara stared at the screen, and every time he cut a new position, he simulated in his heart that he was performing the operation, and then imagined how he could stop the bleeding quickly and accurately, but before he could clearly judge the point of hemostasis, Yang Ping's bipolar coagulation Call it a day and start a new round of incision and hemostasis.

Using consciousness to simulate the operation, it is impossible to keep up with Yang Ping's rhythm.

Masao Fujiwara couldn't help casting admiring glances at Yang Ping.

He was glad that he made this decision and invited Yang Ping to come to Dongda Hospital for surgery, otherwise, his uncle would have no chance.

Even if he was a little shaken at that time, now my uncle may have——
He has been at the fixed point of the Japanese medical pyramid for a long time and is used to being worshiped by others.

Now Masao Fujiwara is deeply attracted by this young man. Sometimes, Masao Fujiwara thinks, it would be great if Yang Ping was his sister's boyfriend.

Or, he's part of his own team, that would be great.

Unfortunately neither.

Silently, the laser knife had cut out a part of the tumor, and Yang Ping was able to maneuver between the dangerous nerve nuclei with ease.

An artery snaking out from the crack, pulsating under the microscope.

When it pulsates, it carries countless tiny branches, and those branches extend from different directions.

Be careful!

Masao Fujiwara's ass left the stool, and he couldn't help but screamed in his heart.

Laser knife in the right hand, bipolar coagulation in the left hand, and sometimes the opposite, can be switched freely, whatever is convenient.

Almost at the same time as the branch blood vessels were cut off, the bipolar coagulation had already caught up and completed the hemostasis of the two broken ends.

To everyone's concern, all branch vessels have been swept away.

The small meandering trunk is like a tree trunk that has been cut off from all branches. It is bare, clamped by two microvascular forceps, cut off in the middle, and finally electrocoagulated to stop the bleeding.

Every blood vessel of a tumor, no matter it is an artery or a vein, follows this procedure, first sweeping away the branches, and then solving the trunk.

Although it is as fast as lightning, but not in a hurry, everything is clear!
There was no perfunctory in the slightest, and there was not a single mistake during the period.

Even if a blood vessel was electrocoagulated twice, it did not appear.
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"It's unbelievable. He seemed to know where every bleeding point was, and without thinking about it, he used the best strength and the most precise movements to clamp the broken end of the blood vessel and perform electrocoagulation."

"It seems that everything is under his control, as if every step has been tempered."

Professor Ikeda and Professor Ito also believed that even if they had to repeat the operation several times, it would be impossible to complete it.

"Did you feel anything?" Ito asked meaningfully.

Ikeda took a deep breath: "The battle between Miyamoto Musashi and Sasaki Kojiro is famous all over the world. The moment the sword was unsheathed, the victory was already decided. I always thought we were Miyamoto Musashi, but now I have to admit that we It's Sasaki."

"Once upon a time, Shun Tendo and Dongda Hospital sat here so neatly to observe the operation. I am afraid that Dr. Amano's heart bypass surgery did not make us let go of our proud heart." Professor Ito recalled the past.

Dr. Amano's shy smile is still fresh in my memory.

Ikeda smiled and said, "Yes, today, whether it is Matsui, Komori, or Mitsui, they all lowered their proud heads. As for Takahashi, he has become more modest than anyone else."

Ito's knee joint is not good, and he wanted to stand up and move his lower limbs, but he couldn't stand up for a while.

Although Ikeda is obese, his knee joints are not bad, so he helped him up.

The two looked like they were in a movie theater, afraid of blocking the view of the people behind them, they lowered their heads and bowed their waists to move a little bit, and then sat down again.

"I don't dare to sit for a long time now, because I am afraid of deep vein thrombosis in the lower extremities. You see, I usually wear elastic stockings." Ito gently rubbed the knee joints on both sides. The wear of the medial condyle cartilage caused pain and discomfort on the inside of the knee joints.

"I wear them too. It's an unavoidable problem for the elderly. My knee joint is undergoing stem cell therapy, and it can hold up for the time being." Ikeda works closely with the stem cell laboratory of Dongda University, and often enjoys their laboratory treatments, for example, using stem cells Promotes hair growth and darkening.

Ito shook his head: "I also tried it. I guess the cartilage degeneration and wear are too severe. It works, but it's not obvious. It really doesn't work. Wait for the knee replacement."

On the high-definition screen, more than half of the tumor has been dug out and is being separated deeply.

Most of the operation time is spent on hemostasis, and people's attention has been focused on hemostasis.

The nerve nuclei in the life center are very tightly bonded, far more than Ning Yu.

With advanced age, the elasticity and fragility of brain tissue and spinal cord tissue will decrease, and the tolerance and compensatory ability will decrease, so separation will appear very dangerous.

Unknowingly, the operation has entered the most dangerous stage.

At this time, everyone remembered that this is a challenging operation. At present, Yang Ping is the only one in the world who can successfully perform the operation. The coagulation disorder is just worse.

"The adhesion is very tight, it's troublesome, the heart rate fluctuates, I'm afraid——"

Ito was very worried.

"I'm afraid I'm going to stop fighting."

Ikeda looked at the monitoring data on another secondary screen. This type of ECG waveform indicates that the connection between the heart and the medulla oblongata will soon become disordered, the compensatory ability of the heart will soon be exhausted, and the heart will soon stop beating. "

"Stimulation of the nucleus solitary tract triggers sinus, junctional bradycardia."

"It's not just the nucleus of the solitary tract. Now the cardiovascular center, cardiac acceleration center, decompression center, and cardiac inhibition center are starting to mess up at the same time. It's not good!"

After several ups and downs, the heart rate changed faster and faster, like a candle in the wind, which would go out at any time after violent fluttering.

Ito and Ikeda pulled themselves together.

Everyone in the venue cheered up, the collapse will be like a domino on the verge of breaking out.

(End of this chapter)