The Godfather of Surgery

Half of the fractured face and upper limbs are still in the refrigerator, and now the abdomen is met with this huge hemangioma.

It is conceivable that a patient with severe spleen rupture can only cut off the spleen in order to stop the bleeding and save his life. Because there are many blood sinus structures in the spleen tissue, a severely ruptured spleen will bleed everywhere, and the bleeding cannot be stopped at all. The blood vessels are ligated at the site, and the spleen is cut off, so as to solve the bleeding of the spleen.

Now, this hemangioma has more than 100 pedicles, and the tumor itself is a tangled blood vessel, which is severely damaged and bleeding, which is more ferocious than ordinary organ bleeding.

If it weren't for the on-site blood transfusion, it is estimated that he would not have been able to get to the hospital alive; when he arrived at the hospital, he would not have been able to get a steady stream of blood transfusions, plus the use of autologous blood transfusion equipment, and he would not have the opportunity to go to the operating table.

The autologous blood recovery machine can recover the blood from the patient, process it, and then transfuse it to the patient, but this process is lossy, so the autologous blood transfusion alone cannot meet the requirements, and traditional allogeneic blood transfusion is required.

This patient's blood has been changed several times, and blood transfusion can only maintain his life for a short time, which is an expedient measure.

If the abdominal cavity is not opened and the tumor is not removed, the patient will definitely not be saved.

Once the abdominal cavity is opened, in order to reduce bleeding, the aorta needs to be blocked. The blocking time should not be too long. The limit time given to the main surgeon is only forty-five minutes, and the battle must be resolved within forty-five minutes.

Otherwise, due to ischemia, necrosis of abdominal organs will occur. Once necrosis occurs, multiple organ failure will follow, the function of the entire body will collapse like a domino, and life will collapse.

However, this kind of case is so rare that any doctor can’t do anything about it. The spleen is severely ruptured, and the bleeding problem can be solved by splenectomy, because the spleen has only one main blood vessel: the splenic artery and vein, which are in a constant position. Surgeons are familiar with anatomy, and it is easy to ligate, ligate off blood vessels, separate the spleen, remove the spleen, and complete the hemostasis.

The reason why it is so difficult to remove this huge hemangioma is because it has numerous origin blood vessels that the surgeon has no anatomical knowledge about.

It is a special, personalized tumor that has never been encountered before. Even if some doctors can encounter such a rare case, the anatomical structure and source of blood vessels of the two tumors will not be the same.

Cutting this hemangioma is like a brutal city street battle. A special force enters the ruins of the city, without a map, without intelligence, and ignorant of the city's geographic environment and troop deployment, and the city is full of dark forts and ambushes. Under such circumstances, it is impossible for the special forces to win at all, and will only be eliminated in street battles.

When performing surgery in ordinary times, it means that the special forces are very familiar with the city and have been in and out of the city hundreds of times. The city's geography and military deployment are well known, so the probability of winning is very high.

At that time, after the failure of Masao Fujiwara, he took this rare operation as a subject, and led Takahashi and Sasaki to conduct a large number of animal experiments to solve this devil-like operation.

They used various methods, using drugs during the embryonic stage of monkeys to create experimental specimens of giant venereal hemangioma in the abdomen, and then used imaging technology to identify and identify blood vessels, designed a detailed surgical plan, and ligated the blood vessels one by one. , complete tumor resection.

They have also designed an interventional method to embolize hemangioma, but this tumor has almost no obvious main blood vessels, and intervention is futile.

Through extensive research and understanding of the source and distribution of blood vessels, Fujiwara's team was able to handle the operation of experimental animals with ease.

It can be said that in the world, there are only them who have accumulated technology in this area. This kind of case is too partial, and no one takes the time to study it.

However, Masao Fujiwara is different. He does not miss any failed cases. He wants to be the world's first. Through this kind of devil surgery research, he can improve the operation level of the entire team. Takahashi and Sasaki are trained in this way.

——

There's no way out of this surgery? Can only give up!

The image on the screen stayed on the giant hemangioma, and the contrast agent had now flowed everywhere, filling the entire abdominal cavity.

Of the more than 2,000 doctors present, no one should have encountered such a rare case.

But with professional common sense, I can understand that the difficulty of this operation is the top of Mount Everest, and it is almost impossible for this patient to be saved.

Medical skills are not omnipotent. Many diseases cannot be cured, and many traumas cannot be rescued. This is the helplessness of medical skills, the helplessness of doctors, and the ability of medical skills to treat is limited.

Turn off the screen? This patient can't be saved.

This is not one person's idea, but the consensus of all doctors.

——

The Affiliated Hospital of the University of Tokyo, the Department of Orthopedics shows the classroom.

Fujiwara Masao's lips trembled slightly. This operation is too difficult. Even if there is infrared monitoring equipment and can see all the blood vessels clearly, it is not very sure, because there is a certain time requirement.

This bizarre phantom hemangioma has an irregular shape and grows in all directions in the space between the organs and the inside of the organs. The liver, spleen, pancreas, kidney, and spine can reach everything.

Many years ago, he also encountered the same case, watching the patient leave on the handstand, it was cruel.

Even if he takes the stage now, if he does not consider the time limit for first aid, he will do it as an elective operation, and the operation time can be extended at will. He is 80% sure that the hemangioma will be removed.

However, considering the time limit for first aid and setting the operation to be completed within two hours, he has only a barely 60% success rate, provided that his own trauma surgery assistance system is used.

If you let Takahashi and Sasaki do it, the success rate is less than 50%.

To stand by and watch is to ignore life!

Masao Fujiwara picked up the phone and called Takahashi: Doctor Takahashi, at this time, the doctor present may only be you, with experience in handling such rare cases, even if it is less than 50% successful. Rate, please come to power bravely, even if you fail, you will still be my best student, please call Professor Han Jiangong.

Takahashi understands, sir!

Hearing the slightly hoarse voice of Masao Fujiwara on the phone, Takahashi straightened his back, as if Mr. Fujiwara was standing in front of him.

Takahashi kept the phone call, left his seat, and walked in front of Director Han. Tang Fei immediately followed and helped translate.

Takahashi looked serious: Professor Han, this is Mr. Fujiwara Masao's phone number, he wants to talk to you directly.

Takahashi handed over the phone with both hands, Director Han took the phone, and there was Masao Fujiwara's English: Dear Professor Han, it's an honor to speak with you, I'm watching the surgery demonstration at the venue in Tokyo, and I feel very heavy, This is an extremely rare case. Without experience, the success rate of treatment is zero. Please allow me to solemnly ask you to let Fumiya Takahashi take the lead, because he has rich experience and the success rate can reach 5%. Ten, in the name of the doctor, I request—.”

Sanbo Hospital, the young doctor's performance in dealing with craniocerebral and thoracic trauma just now was beyond Fujiwara Masao's understanding, especially Song Zimo's thoracoscopy to treat the rupture of the ascending aorta. Having surpassed Arai and Ogawa, Fujiwara Masao felt a sense of respect in his heart.

Thank you very much, Mr. Fujiwara. Please allow me to think for two minutes. Because the case is too special, I must make a careful decision.

Director Han returned the phone to Takahashi, but Takahashi did not return to his seat immediately, but stood beside Director Han and waited for a reply.

Professor Su, Meng Heng, and Fu Shancheng all saw Director Han answering Fujiwara's call. Although they couldn't understand what was on the phone, they could guess more than half of them based on the current situation.

At this time, Director Han can only make the decision, and no one else can give advice.

Professor Su didn't speak either, waiting for Director Han to make a decision.

The difficulty of the operation is unprecedented, and the objective facts are in front of us. There are not many people in the world who can have experience in this kind of operation, and the cases themselves are rare.

If the hospital's top-notch force comes to power, even if the patient is not saved, everyone will never have any objection, because it is normal that the patient cannot be saved.

Even if he came to power himself, he lacked certain research and experience on such cases.

If someone can successfully save the patient, even if he is an arrogant Takahashi, he should be brought to power, I believe everyone will think the same.

Respect life! Besides, this is just an academic meeting.

Professor Su wanted to suggest that Yang Ping should come to power. That's right, Yang Ping is a surgeon with rare talent, but surgery is an empirical science. Without enough experience, all his talents cannot be exerted.

This rare and complex giant abdominal hemangioma injury, fatal hemorrhage, Yang Ping is estimated to be helpless, because he has no experience.

Director Han crossed his hands and circled his thumbs around each other a few times. He asked Tan Boyun, How are the patient's vital signs?

Tan Boyun took the tablet handed by his assistant, and showed Director Han the latest vital signs, blood routine, biochemistry, liver and kidney function, blood gas analysis, etc.

Yeah! Director Han took a deep breath and made a decision: Mr. Takahashi, if it's troublesome, then please take the lead!

Takahashi got the answer and was very excited. Like Sasaki, he was a very challenging person. Mr. Fujiwara gave him the opportunity, and Director Han agreed. Then let himself perform an unprecedented operation in front of everyone. Fujiwara-sensei recovered his regrets.

Thank you! I need two experienced assistants. If you don't mind, I ask Professor Han and Professor Tan to be my assistants!

Takahashi bowed, Director Han didn't answer, and he never looked up.

Well, Professor Tan and I will be your assistants! Director Han said without hesitation.

Takahashi straightened his waist: Don't waste time, go to the operating room immediately, Miss Miyuki, come with me.

Takahashi, let Director Han and Director Tan come to power, completely out of selfishness, if it is for the safety of the patient, Fujiwara Miyuki is his best assistant.

Let the two directors take the stage as assistants. He wants to show more than 2,000 Chinese doctors. The gap is not so easy to shorten, so as to satisfy his arrogant heart. He also wants to combat Fujiwara Miyuki's various fantasies about China and prove that I am not wrong.

He clearly knew Takahashi's purpose, but at this time, Director Tan had no objection.

It's too much! Meng Heng saw this scene.

Fu Shancheng was also a little uncomfortable: This is intentional, but life is the most important thing. If it were me, I wouldn't care about it with him.

Professor Su said nothing, the gap will gradually catch up in the future, and the catching up of the laggards will be full of pain.

Let Song Zimo's surgery be suspended, and don't open the abdomen!

Director Tan immediately informed the operating room.

Is Takahashi going to come to power?

Seeing the small movement just appeared in the front row, then Director Han, Director Tan, Takahashi, and Fujiwara Miyuki left through the side door of the conference room, everyone guessed.

There was a lot of commotion in the venue. The operation was too difficult, and Sanbo Hospital couldn't take it. It happened that Daniel Takahashi was there, and now he was going to invite Takahashi to the stage.

Yes, Takahashi has come to power.

The great bull of trauma surgery in the world, he has come to power.

I didn't expect this meeting to be so exciting, a surgical demonstration, encountering a rare case in a century, and you can also watch Takahashi's surgery.

The atmosphere of the venue was excited, and most of the world-class doctors were full of admiration.