0158 One minute on stage, ten years off stage
Pengcheng, Development Zone People's Hospital.
In the office of the Director of the Interventional Department, Mu Tao and Wu Haishi and Wu Lao looked at the operation in the live broadcast room in a blind eye.
Since the live broadcast account started broadcasting interventional surgery in Xinglinyuan, Mu Tao applied for an account to directly connect to Xinglinyuan.
Pengcheng's conditions are particularly good, for ordinary doctors, and for nationally renowned experts, scholars, and professors like Mr. Wu, the conditions will only be better.
After learning that the live broadcast began, Mu Tao came to the director's office and watched the live operation with Mr. Wu.
Mr. Wu held his hands together, and gently tapped the back of his left hand with the middle finger, looking and pondering.
Mu Tao sat behind Mr. Wu, full of doubts.
Mu Tao has known this for a long time.
But he judged that the level of the craftsman was a little higher than his current level, perhaps even the same as the average.
But today's surgery brought him a strong sense of discomfort.
The early steps are very simple. The only highlight is that the surgeon did not undergo arterial puncture this time, which proves that the cooperation between the surgeon and the assistant has gradually become tacit.
But since the image opened, Mu Tao began to feel dazed.
The surgeon's micro guide wire did not go through the ordinary path and did not enter the hepatic artery from the aorta, but actually directly selected the short gastric artery!
He did not easily judge the inattentiveness of the surgeon, because many blood vessel reconstructions of liver cancer tissue are provided by the short gastric artery.
Sure enough, when the micro guidewire continued to penetrate deeper and began to walk to the right, Mu Tao confirmed that the tumor's blood vessel must be a short gastric artery!
He can judge without imaging.
But what inspection did the surgeon know this? Is it a 64-row CT three-dimensional reconstruction? Or is it another method?
Because Mr. Wu was silent and focused on watching the surgical video, Mu Tao did not ask questions stupidly, but repeatedly thought about the possibility.
He thought of many points, such as the surgeon's feel, surgical intuition, preoperative examination, intraoperative angiography, etc.
But it is impossible to deny it one by one by him!
This is the real world, not a fantasy novel. How could someone predict it in the future?
The imaging started during the live operation, and as Mu Tao imagined, the entire tumor tissue was "lit up".
In other words, the patient's tumor feeds blood vessels through the short gastric artery, not the branch of the hepatic artery.
This situation will occur, and it must be that after multiple surgeries, the branches of the hepatic artery have been blocked and other blood vessels are supported by patients with advanced liver cancer.
But... how did he determine the short gastric artery, not the phrenic artery, spinal cord artery, or even the thoracic and abdominal aorta?
The imaging was completed, and in Mu Tao's opinion, there was no highlight.
If he knew before the operation that the patient's tumor blood vessel was short gastric artery, he would definitely do it as well as the surgeon...
Mu Tao will definitely cheer himself up.
Those blood vessel branches are nothing at all. The blood vessels in the liver are extremely subtle, so you should be able to do it yourself... Can you choose more times if you can't do it at once?
Thinking of this, Mu Tao's right hand twisted slightly, as if he was standing on the operating table, wearing a lead suit and a lead cap, and was undergoing surgery.
no……
Soon he realized a fact that frustrated him - even if he knew that the tumor tissue was supplied by the short gastric artery, he would not be able to succeed in a super selection.
One minute on stage, ten years of hard work off stage.
This is the case for the stage, and even more so for the operating table.
Mu Tao still has the most basic cognition, and it must be. As a leading figure in the country who has been involved in the new generation, his level is only a handful of middle-aged and young people under the age of 40.
If you can't do it yourself, then the craftsman must be a big shot in the country, and even the world's top professors may be.
Mu Tao thought to himself.
Soon, the live broadcast of the operation ended, and Mu Tao could imagine the following operations with his eyes closed.
The microcatheter entered the liver along the microguide wire, was given chemotherapy drugs, was injected with chemotherapy, and then embolized the embolizer, and then re-enzyme. It was found that there was no miss, and the operation was over.
"What did you see?" Wu Haishi and Mr. Wu asked in a deep voice after the operation.
"The skill level is higher than mine. I guess I am a top domestic figure in my 50s or an internationally renowned expert." Mu Tao expressed his thoughts.
Mr. Wu tapped the back of his left hand with the middle finger a little faster.
"I'm not asking about this, the identity of the surgeon, how good the operation is, you need to say." Soon, Mr. Wu expressed his dissatisfaction.
Mu Tao is his closed disciple, so he naturally has no need to be polite when speaking.
"Then..." Mu Tao couldn't understand what Mr. Wu meant and hesitated for a moment.
"The surgeon did not choose the hepatic artery, but went directly to the short gastric artery. What do you think?" said Mr. Wu.
"I have a few guesses." Mu Tao said all his guesses.
Mr. Wu continued to ponder, but his fingers hit the back of his hand faster.
Mu Tao knew this teacher’s habit. The speed of tapping his fingers on the back of his hand represents the speed of his teacher’s thinking.
"I think the surgeon did 64-row CT three-dimensional reconstruction before the operation, and determined that most of the necrotic tumor tissue had undergone new blood vessel reconstruction and found new feeding vessels." Mr. Wu said affirmatively at the end.
"The 64-row CT three-dimensional reconstruction...it doesn't seem that fine." Mu Tao was puzzled.
"That's what you learned." Mr. Wu shook his head and said, "I have only seen one such person, but he died of illness the previous year."
"Who is it?"
Mr. Wu waved his hand and signaled not to interrupt him.
"When I first learned interventional surgery in China, I first came into contact with the doctors in the radiology department. I am one of the second batch of people who came into contact with interventional surgery." Mr. Wu said: "People who have CT have contact with interventional surgery after radiofrequency ablation begins to be carried out on a large scale. However, radiofrequency ablation is mainly clinicians."
Mu Tao was stunned and had no idea what the teacher was talking about.
"It seems that the surgeon should have a large team behind him to choose the short gastric artery that is prepared to choose. But such a fine job is not something that the CT doctor can do. It must be the surgeon, and it must be the 64-row CT three-dimensional reconstruction done by the surgeon!" Mr. Wu became more and more excited as he spoke, and finally stood up and waved his right hand.
"Teacher, please pay attention to controlling your blood pressure." Mr. Wu's actions shocked Mu Tao and quickly stopped him.
"It's okay." Old Wu smiled and said, "Download the video recording and broadcasting. I have information for my study this afternoon."
Mu Tao nodded, but when he switched the page, he was stunned for a moment.
"What?" asked Mr. Wu.
"The recording has disappeared." Mu Tao answered in a daze.
"..." Old Wu was also stunned for a moment, and then said, "What are you doing!"
Looking at the angry Mr. Wu, Mu Tao didn't even dare to say something.
After a few minutes, Mr. Wu calmed down his anger and said in a deep voice, "You, come to the CT room with me."
"Hmm? What are you doing?" Mu Tao was puzzled.
"Go and learn to do CT three-dimensional reconstruction." Mr. Wu looked calm.
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Chapter completed!