Chapter 239 Stop at the Foot of the Mountain

The reconstructed images of blood vessels transmitted from Tokyo appear on the big screen.

It is very clear, the origin, direction, entanglement with other blood vessels, and the relationship with surrounding organs of each blood vessel are clear.

You need to look at any blood vessel individually, it will be displayed in green, from the origin to the bifurcation, and use this image as a reference for surgery to truly guide the surgery.

Takahashi was still immersed in depression just now. Hearing Fujiwara Miyuki say that the image can already be seen on the screen, his eyes immediately recovered.

The reconstructed image planned the sequence of operations for him. This sequence was calculated by the computer and was optimal. Takahashi knew the power of this system.

Immediately changed his mind, following the guidance of the image, he began to look for the eighth blood vessel. Sure enough, this one was easier to separate than the one he had just found.

However, because blood vessels are deformed, extremely fragile, and stick to each other, they are inextricably linked with important organs. Blunt separation can easily cause tearing and damage adjacent organs.

Now this blood vessel originates from the aorta and is still attached to the aorta. It is systematically arranged in the front, and the difficulty of the blood vessels behind can be imagined.

This operation made people a little desperate and a little suffocating. Takahashi completely lost that desire to express, 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. In this way, the separate and independent operation of the hands will not come in handy. What's more, in this dangerous condition, the left and right separate operations are easy to cause accidents. After all, there is no two hands to cooperate with the operation. Safe and stable.

Blunt dissection is not possible, only sharp dissection with a sharp knife or tissue scissors.

"Tissue scissors!"

Takahashi used tissue scissors carefully and began to separate the blood vessels. The intestines were 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 unfortunately 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. All patients die from hemorrhagic shock.

Although these blood vessels are deformed, they are all thick, with more than 100 of them reaching or exceeding 0.5 cm in diameter. They are too rare and too complicated. They were finally separated to the main trunk at the origin and sutured.

It took five minutes. With the help of this clear image, it actually took five minutes. At this speed, I could only find a dozen blood vessels at most.

The ninth blood vessel is even more difficult. As expected, the computer's ordering will not be wrong. Takahashi sweats on his forehead, and there are still 30 minutes left. It is not counted as the failure of the aortic occlusion, and this patient can't either. Hold on like this,

These blood vessels extend up to the liver, gallbladder, pancreas, spleen, down to the kidneys, and back to the spine. No matter how clear the images are, the operation still cannot be advanced.

No matter how accurate the information is, the enemy is too powerful to be defeated!

Takahashi turned around and moved out of the operating area, and the itinerant nurse wiped the sweat from his forehead.

——

Masao Fujiwara sighed. This patient is more complicated than the one he encountered many years ago. It took Takahashi fifteen minutes to process eight blood vessels, and now it took five minutes to separate the ninth one. Blood vessels, surgery can not go on.

Although the patient is covered with a thick sterile sheet on the screen, and only the surgical area is exposed, any doctor will feel uncomfortable watching the patient cannot be rescued and leaving.

Masao Fujiwara picked up the phone, oh, Takahashi is on the operating table, he should call Miyuki's phone.

"Let Professor Han cut off the live broadcast! Let Takahashi answer the phone!"

It was so cruel. Watching the patient on the operating table, the doctor was helpless, and finally everyone watched the patient die. It was so cruel.

Takahashi retracted his hands into the protective bag on his chest and went to the empty safe area. Fujiwara Miyuki put the phone to his ear: "Takahashi, listen, even in Tokyo Hospital, you can't complete this operation, please. Face it, give it up, you are my best student, you tried your best."

"Okay, sir!" Takahashi said respectfully.

Fujiwara Miyuki turned on the phone's speakerphone again: "Dear Professor Han, we have done our best, every doctor is reluctant to see this result, but we still have to make a decision, turn off the video, the friendship demonstration ends here. , even Takahashi can't win, no one can complete this operation--"

The judgment on the mobile phone is unquestionable. Takahashi can't win the operation. No one of the doctors present can win it. Takahashi is already standing at the top of the world's trauma surgery pyramid.

But he is a person after all, a doctor, manpower is limited, and doctors' medical skills are also limited, and there are places that cannot be achieved.

After answering the phone, Takahashi felt a strong sense of frustration, his head was buzzing, and he had never done such an embarrassing operation.

When he came to power, he was full of confidence, especially when Mr. Fujiwara used the latest image reconstruction engine to recreate blood vessel images from far away Japan. He was even more confident.

But after taking office, the first, second, and third blood vessels are very easy, the fourth one takes longer to start, the fifth one is already struggling, the sixth one is very laborious, the seventh one is already completed by luck, the first The eighth one took five minutes to handle, and the ninth one had no bottom at all. It was tortuously intertwined, intertwined with the hepatic artery, and could not be found at all, could not be separated, and was ligated indiscriminately, which would cause blood supply obstruction to the liver.

His back was covered in sweat, and his hands were a little unruly. He had no regrets from his teacher, nor did he complete this Mount Everest-style operation in front of everyone.

He moved his neck slightly, looked up at the ceiling, and seemed to have reached the foot of the mountain, and he set off and climbed a few steps, but he could no longer move forward.

Facts are facts! Objective facts are as hard as steel!

"I'm sorry, Professor Han--, cut off the video?"

There was no time for him to hesitate too long, and Takahashi was forced to speak helplessly.

Director Tan stood there, looking at Director Han, Director Han didn't say anything, just looked at the clear blood vessel reconstruction image from Tokyo on the screen.

"Xiao Yang, do you see this picture clearly?"

Yang Ping nodded. Indeed, this image is much clearer than the previous CT reconstruction image. The previous image was like boiled noodles, mixed with each other and became a dough, which could not be distinguished; now it is just noodles one by one. , the relationship between each other is clear, both in terms of precision and accuracy, beyond the previous image is not a little bit.

If it is said that it is very difficult to complete the operation with the previous image, it is basically not difficult to do it with the current picture.

Yang Ping has just reconstructed the image in his brain. After all, the only thing he can use for his brain composition is the original CT image.

"Is there a problem?"

"No problem!"

That is no problem!

"It's still too early to give up. Let's all rest. Xiao Yang will take the stage and lead the knife! Xiao Song will help, Xiao Zhang and Xiao Wu will cooperate, and Xiao Wu, wash your hands and go to the stage!"

Xiaowu just went to help Fujiwara Miyuki transmit pictures, and has already taken off her surgical gown and gloves, and needs to wash her hands and dress again.

Gao Qiao looked at Director Han, is he crazy?

Even I, Takahashi Fumiya, couldn't win, and I called people to come on stage. Is this to make everyone watch the patient leave on the operating table?

absurd! Takahashi was a little angry, took off his surgical gown and gloves, and threw them into the big yellow drum.

"Vital signs are temporarily stable--"

The fat man got excited.

Finally Yang Ping came to power, Song Zimo immediately cheered up, and Director Han and Director Tan were also about to step down. Director Han asked, "Do you want us to give you a stage?"

"Thank you, Director, Song Zimo and the others are enough." Yang Ping stood in the position of the chief knife.

Director Han pondered: "Get up, this operation is the Mount Everest in trauma surgery. There are more than 100 blood vessels, not one of which can be missed. Missing one is equivalent to the bleeding speed of a femoral artery. Play your best level, remember what I said? There are no bosses today, you are bosses! I'll just sit here, and you can 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 off either. The visiting nurse moved a few stools and Director Han sat down.

Takahashi and Fujiwara Miyuki didn't plan to go out, so they also sat down in the operating room. In order not to pollute Director Han and Director Tan, they sat down at a distance away from each other and looked at the screen in the operating room.

——

This operation is too difficult, Takahashi can't get it, and he has to close the video.

The video shows the surgical area, because the operator's hands and instruments have moved out of the surgical area. After a short blank, several hands entered the video.

Two S retractors pulled open the abdominal cavity, and started the operation with both hands, which were the hands of the chief knife and the first assistant.

Subtitles appear, just like typing out one word at a time.

Chief surgeon: Yang Ping, attending physician of orthopedics.

One assistant: Song Zimo, attending doctor of orthopedics.

When Yang Ping came to power, Professor Su immediately sat up straight. Old Han still sent him on stage, but can he handle it?

"Dr. Yang came to power?" Cheng Liquan reminded Su Nanchen.

Su Nanchen really paid attention to the screen: "He finally came to power--" Can he win?

Yang Ping and Ou Lichun saw the names, yes, they were his classmates.

"My classmate is on stage!" Ou Lichun pulled Director Zhang to let him see.

Director Zhang didn't want to watch it, so he glanced casually: "Go to the stage to close the abdomen, then debride and suture the face and left upper limb, and close the video immediately-"

Also, Ou Lichun was splashed with cold water by Director Zhang. Now that he is in power, he is an attending doctor, what can he do to clean up the mess, and the operation is abandoned.

——

Masao Fujiwara had mixed feelings in his heart. It was a pity that this patient had to watch helplessly and give up again, which made him very uncomfortable.

Turn off the video, he couldn't bear to watch it again, but his eyes didn't obey, and he kept looking at the screen, as if he hoped for a miracle to happen.

Takahashi only took eight steps, then stopped, and could no longer climb up. If he was on the scene, I am afraid that he might not be sure. With a new algorithm to reconstruct the image, 80%? Sixty percent? do not know.

Why haven't the video been closed, are they crazy?

In the video, several hands, two retractors, and both hands have already begun to move. Instead of closing the abdomen, they are looking for blood vessels and suturing them.

Don't they have any basic ethics?

In this case, in order to preserve the last dignity of the patient, it should not appear on the video again.

The ninth blood vessel that Takahashi could not find was found and successfully separated. The blood vessel was clamped and cut off in his right hand; the tenth blood vessel was found in his left hand.

No, the eleventh was also found, and the twelfth followed.

These two people are the main surgeons. They operate separately from the upper and lower directions at the same time, and both of them use the left and right hands to operate independently, 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 hand is extremely fast, and the speed of the other hand is obviously much slower, but it also exceeds the level of Takahashi's hands-free operation.

Originally about to turn off the electronic screen, Fujiwara immediately called out:

and many more!