The Godfather of Surgery

Chapter 494 Tokyo Night (5)--

Double-click the coagulation to continue the replacement, the size of the tip getting smaller and smaller.

The laser knife incised the parenchyma of the spinal cord, all the way up, extending to the parenchyma of the medulla oblongata.

The bleeding point on the cross-section has not yet formed that little reddish color, and the bipolar coagulation will carry out precise hunting at the speed of teleportation.

The carbonized spots for hemostasis are extremely small. Under the microscope, only beautiful tiny black spots can be seen, and the surrounding soft tissues are very well protected.

Wherever you go, it's clean.

Patients with coagulation disorders can actually operate without blood.

After a few rounds, the tumor, like a sweet potato buried in the soil, showed a little surface.

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

The visible surface of the tumor grew larger and was continuously separated from the surrounding tissue.

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

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

The laser knife cuts these blood vessels one by one, and then the broken blood vessels are taken over by bipolar coagulation to implement coagulation 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 stepped on a flat plane, then now, these hemostatic points are divided into a complex section that wraps the tumor. The medulla oblongata and the upper cervical cord.

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

However, the main knife did not seem to be affected, and it was still the same as before. Where the bipolar coagulation passed, the bleeding points were quickly eliminated.

The observers, everyone was in awe, every time the bleeding was stopped, it was as if a double-click electrocoagulation poked the surface of their heart.

——

Masao Fujiwara held his breath, he waited in the operating room, but still rely on the operating room screen to get the progress of the operation.

At the operation site, even if it was less than a meter away from him, he couldn't see what was going on inside.

Only on the screen can you get a clear surgical field.

He considers himself to be quite gifted in the field of surgery, but this operation shocked him.

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

Logically, 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 to be so fast and accurate. From the detection of bleeding points in the eyes, to the brain's judgment, to the operation of the hands, It can't be that fast.

impossible!

The human body has a limit!

But Yang Ping did it. He almost didn't need to look at it, as if everything was arbitrary, and he didn't seem to understand a single bleeding point.

Masao Fujiwara found that Yang Ping's bipolar coagulation did not make a judgment at all. The moment the knife was cut and the section was revealed, when the exposure was not sufficient, the eyes could not see the location of the bleeding point, and the bipolar coagulation had been accurately pointed. Bleeding spots.

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

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 preparation.

how did you do that?

Does it have any way to achieve almost 100% reconstruction of the three-dimensional topography of the surgical area?

Even with a 100% reconstruction, there is no way to achieve such a speed.

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

This monistic explanation method is very worry-free, as long as you don't understand it, it is all pushed to talent.

Not many people care about Fujiwara Gusheng's heart rate drop, because they have witnessed that even if he passes by the god of death, Yang Ping can still firmly grasp that glimmer of hope.

All attention has been focused on stopping the bleeding.

Masao Fujiwara stared at the screen. Every time he opened a new position, he simulated himself in the main knife, and then imagined how he could stop the bleeding quickly and accurately, but before he could clearly determine the hemostasis point, Yang Ping's bipolar coagulation had already Stop work and start a new round of incision and hemostasis.

Using consciousness to simulate surgery cannot keep up with Yang Ping's rhythm.

Masao Fujiwara couldn't help but cast an admiring look at Yang Ping.

He was fortunate that he made this decision and invited Yang Ping to perform surgery at Dongda Hospital, otherwise, his uncle would really have no chance.

Even if it was a little shaken at the time, now my uncle is probably already--

He has been at the fixed point of the Japanese medical pyramid for a long time, and is used to being worshipped.

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

Or, what if he was part of his own team.

Unfortunately not.

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

An arterial blood vessel that snaked out of the slit, pulsing under the microscope.

It beats with countless tiny branches that extend in different directions.

Be careful!

Masao Fujiwara's buttocks left the stool and involuntarily cried out in his heart.

The right-hand laser knife, the left-hand bipolar coagulation, and sometimes the opposite, can be switched freely, whichever is convenient.

Almost at the same time as the branch blood vessels were cut off, bipolar coagulation followed, and the hemostasis of the two severed ends was completed.

Amid everyone's worries, all branch vessels have been swept away.

The meandering small trunk is like a tree trunk with all branches cut off, it is bare, it is clamped by two microvascular forceps, then it is cut in the middle, and finally the bleeding is stopped by electrocoagulation.

The blood vessels of each tumor, whether it is an artery or a vein, follow these steps, first sweep the branches, and then solve the main trunk.

It's as fast as lightning, but don't be in a hurry, everything is clear!

There was no perfunctory, and there was not a single mistake during the period.

Even if a blood vessel was coagulated twice, it did not appear.

——

It's unbelievable. He seems to know where every bleeding point is, and then without thinking, he uses the best force and the most precise movements to clamp the broken end of the blood vessel and perform electrocoagulation.

As if everything is under his control, as if every step has been tempered.

Professor Ikeda and Professor Ito also believe that even if the operation is repeated several times, it will not be completed.

Did you feel anything? Ito asked meaningfully.

Ikeda took a deep breath: Miyamoto Musashi and Sasaki Kojiro, the battle of Iwaryu Island is famous all over the world, the moment the sword is unsheathed, the outcome is already divided, I always thought we were Miyamoto Musashi, but now I have to admit, we It's Sasaki.

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

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

Ikeda smiled and said, Yes, today, whether it's Matsui, Komori, or Mitsui, they all bowed their heads arrogantly. As for Takahashi, he has long since become more humble than anyone else.

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

Although Ikeda is fat, his knee joints are not bad, so I helped him up.

The two of them looked like they were in a movie theater. They were afraid of blocking the view of the people behind them.

I don't dare to sit for a long time now, for fear of deep vein thrombosis in the lower limbs. Look, I usually wear elastic stockings. Ito gently rubbed both knees.

I'm also wearing it. The elderly cannot avoid the problem. My knee joint is undergoing stem cell treatment, and I can still hold it for the time being. Promotes hair growth and darkening.

Ito shook his head: I tried it too. It is estimated that the degeneration and wear of the cartilage is too serious. It is effective, but it is not obvious. It is really not good. Just wait for the knee joint replacement.

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

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

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

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

Unconsciously, the operation has entered the most dangerous stage.

At this time, everyone remembered that this is an operation with zero challenges. At present, only Yang Ping can successfully perform the operation in the world, and the coagulation dysfunction is only worse.

The adhesion is tight, troublesome, heart rate goes up and down, I'm afraid—

Ito was very worried.

I'm afraid it's going to stop.

Ikeda looked at the monitoring data on the other secondary screen. This ECG waveform indicates that the connection between the heart and the medulla oblongata will soon be disturbed, the compensatory capacity of the heart will soon be exhausted, and the heart will soon stop beating.

Stimulation of the nucleus solitarius leads to sinus, junctional bradycardia.

More than 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, not good!

After several ups and downs, the heart rate changes faster and faster, like a candle in the wind, after a violent flutter, it goes out at any time.

Ito and Ikeda cheered up.

Everyone in the venue cheered up, and the collapse will be like a domino.

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