Chapter 494 Tokyo Night (V)

Chapter 494 Tokyo Night (V)--

Double-click electrocoagulation to continue changing, the tip size is getting smaller and smaller.

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

The bleeding point on the cross section has not yet formed that light red, and the bipolar electrocoagulation is carried out with precision hunting at the speed of teleportation.

The carbonization point of hemostasis is extremely small. Under the microscope, only beautiful tiny black spots can be seen, and the surrounding soft tissue is very well protected.

Wherever it passes, it is clean.

Patients with coagulation disorders can actually operate "bloodlessly".

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

Starting from this, the laser knife continues to perform sharp separation.

The visible surface of the tumor is getting larger and larger, and it is constantly separated from the surrounding tissues.

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

Some red blood vessels on the surface are clearly visible in the video. These spreading blood vessels actually make the tumor look as beautiful as poppy flowers.

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 makes everyone seem to forget that without coagulation dysfunction, this operation is also an insurmountable mountain.

If the hemostasis points in the first half of the operation were distributed on a flat plane, then now, these hemostasis points are distributed on 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 medulla oblongata and upper cervical cord tissue that wraps the tumor.

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

However, the surgeon seemed to be unaffected. As before, the bipolar electrocoagulation can still quickly eliminate the bleeding points in patches.

Everyone who watched was on the edge of their seats. Every time they stopped bleeding, it was as if they double-clicked the electrocoagulation to poke the surface of their own hearts.

——

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

At the operation site, even though he was only a meter away from the operation site, he could not see clearly what was being done.

Only on the screen could he get a clear surgical field.

He considered himself a gifted person in the field of surgery, but this operation shocked him greatly.

It seemed as if Yang Ping was very familiar with the bleeding points of each cut tissue section.

In theory, these bleeding points were unknown and unfamiliar, and could not be accurately predicted. No matter how good Yang Ping's basic skills were, it was impossible for him to be so fast and accurate. From the eyes discovering the bleeding points, to the brain making judgments, to the operation of the hands, it was impossible to be so fast.

Impossible!

There are limits to human body reactions!

But Yang Ping did it. He almost didn't need to look, as if everything was at his will, as if every bleeding point was clear in his mind.

Fujiwara Masao found that Yang Ping's bipolar coagulation did not make any judgments at all. When the knife cut and the section was revealed, the exposure was not sufficient, and the eyes could not see the location of the bleeding point, and the bipolar coagulation had already accurately pointed to the bleeding point.

In other words, bipolar coagulation was faster than the visual capture of the eyes.

It's like the enemy's missile hasn't taken off yet, but the anti-missile system already knows what it's going to do and kills it directly in a state of readiness.

How is this done?

Is there any way for it to reconstruct the three-dimensional local anatomy of the surgical area almost 100%?

Even if it can reconstruct 100%, it can't be done at such a speed.

Fujiwara Masao couldn't figure it out at all, so he had to give up the root cause and use his talent to explain it all.

This monistic explanation method is very worry-free. As long as you can't figure it out, just attribute it to your talent.

Not many people care about Fujiwara Tani's heart rate drop, because they have witnessed that even if he brushed shoulders with death, Yang Ping could still firmly grasp that glimmer of hope.

Everyone's attention has been focused on stopping bleeding.

Fujiwara Masao stared at the screen. Every time he cut a new position, he simulated himself in his mind as the main surgeon, and then imagined how he could stop bleeding quickly and accurately. However, before he could determine the hemostasis point clearly, Yang Ping's bipolar electrocoagulation had finished working and started a new round of cutting and stopping bleeding.

Using consciousness to simulate surgery can't keep up with Yang Ping's pace.

Fujiwara Masao couldn't help but cast a respectful look at Yang Ping.

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

If he had wavered even a little at that time, his uncle might have already--

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

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

Or, how nice it would be if he was a member of his team.

Unfortunately, none of them are.

Silently, the laser knife has cut out part of the tumor, and Yang Ping is at ease between the dangerous nerve nuclei.

An artery that snakes out of the gap is pulsating under the microscope.

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

Be careful!

Fujiwara Masao's butt left the stool and he couldn't help but shout in his heart.

The laser knife in the right hand, the bipolar electrocoagulation in the left hand, and sometimes the opposite, switch freely, whatever is convenient.

Almost at the same time as the branch vessels were cut off, bipolar electrocoagulation was already in place to stop the bleeding of the two ends.

Amid everyone's worries, all the branch vessels had been cleared.

The winding, thin trunk was like a tree trunk with all branches cut off, and was clamped by two microvascular clamps, then cut from the middle, and finally electrocoagulated to stop the bleeding.

Every tumor blood vessel, whether it was an artery or a vein, followed this procedure, first clearing the branches, then solving the trunk.

Although it was as fast as lightning, it was not in a hurry, and everything was clear!

There was no perfunctory, and there was no mistake during the period.

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

——

"It's unbelievable. He seemed to know where every bleeding point was, and then he clamped the blood vessel end with the best strength and most precise movements without thinking, and performed electrocoagulation."

"It seemed that everything was under his control, as if every step had been tempered a thousand times."

Professor Ikeda and Professor Ito both believed that even if they repeated this operation several times, they would not be able to complete it.

"Did you feel anything?" Ito asked meaningfully.

Ikeda took a deep breath: "Miyamoto Musashi and Sasaki Kojiro, the battle of Ganryu Island is famous all over the world. The moment the sword was unsheathed, the winner was decided. I always thought we were Miyamoto Musashi, but now I have to admit that we are Sasaki."

"Once upon a time, Juntendo and Todai Hospital sat here so neatly to watch the operation. I am afraid that Dr. Amano's coronary bypass surgery did not let us put down our proud hearts." 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 long become more humble than anyone else."

Ito's knee joints are not good, and he wants to stand up and move his lower limbs, but he can't stand up for a while.

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

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

"I dare not sit for long now, for fear of deep vein thrombosis in the lower limbs. You see, I usually wear elastic stockings." Ito gently rubbed both knee joints. The wear of the medial condylar cartilage caused pain and discomfort on the inside of the knee joints.

"I am wearing it too. It is an inevitable problem for the elderly. My knee joints are undergoing stem cell treatment and can still hold up for the time being." Ikeda works closely with the Tokyo University Stem Cell Laboratory and often enjoys their laboratory treatments, such as using stem cells to promote hair growth and blackening.

Ito shook his head: "I have tried it too. I guess the cartilage degeneration and wear are too serious. There is an effect, but it is not obvious. If it doesn't work, wait for knee replacement."

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

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

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

Advanced age reduces the elasticity of brain and spinal cord tissues, increases brittleness, and reduces tolerance and compensation capabilities, so separation will appear very dangerous.

Unconsciously, the operation has entered the most dangerous stage.

At this time, everyone remembered that this was a zero-challenge operation. Currently, only Yang Ping can successfully perform the operation in the world. Coagulation dysfunction is just adding insult to injury.

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

Ito was very worried.

"I'm afraid it will stop beating."

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

"The solitary nucleus is stimulated, causing sinus and junctional bradycardia."

"Not only the solitary nucleus, now the cardiovascular center, the heart acceleration center, the decompression center, and the heart inhibition center are all 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, which can go out at any time after a violent flutter.

Ito and Ikeda cheered up.

Everyone in the venue cheered up, as collapse was about to happen like a domino.