When Tan Boyun shook hands with Professor Yu, Professor Yu said, "Director Tan is soaring now!" ”

Tan Boyun smiled heartily: "I must thank Director Yu for his hard work!" ”

The two were smiling on the surface, if they didn't know the inside story, they thought that the two had a deep friendship and shook hands.

Those who know the inside story understand that there is something in their words and ridicule each other.

The relationship between the two is so bad that they are no longer in the same hospital, they have nothing to do with each other, and they have to compete with each other when they meet and shake hands.

Orthopedic robotic surgery, attached to the first is in the forefront, the number of start-up surgeries has been more than 500, and there is no problem in entering the top three in the country in terms of orthopedic robot surgery.

The second part of the second has not carried out orthopedic robotic surgery for a long time, but only carried out robotic surgery in thoracic, general, urology and obstetrics and gynecology.

As soon as Tan Boyun arrived at Sanbo Hospital, with the strong support of Director Han, more than 10 units were carried out in just one month.

If Sanbo buys the second robot and all the spine, joints and sports medicine are carried out, it will start a crazy catch-up mode.

Tan Boyun is full of energy and ambition, daring to enter the cutting-edge field of the industry, not only ambitious to challenge the trauma orthopedics department of the first annex, but also to vow to win a place in the country.

He is under Director Han, and now he wants the wind to win the wind, to get the rain, and to show his strength without any constraints.

"Director Tan took the initiative and carried out more than a dozen units in a month." Professor Su complimented.

Although Tan Boyun has no one in his eyes, he does not dare to be arrogant in front of Professor Su, not only because Professor Su's academic character is outstanding, but also because Professor Su has helped him.

"This robot is dedicated to our microtrauma orthopedics, so the use density is very high, there will be surgery tomorrow, this week there are five units, we have to learn more from the attached one, compared to the attached one, we are still just toddler dolls."

Tan Boyun introduced the recent development of Sanbo robotic surgery as the owner, and before he introduced, he looked at Director Han to show respect and obtain approval.

"We currently carry out more than a dozen surgeries, involving the pelvis and limbs, and our goal is to use robots to do a full range of trauma orthopedic surgeries." Tan Boyun introduced his blueprint.

These dozen or so surgeries are just a warm-up, and the best is yet to come.

Professor Su admired in his heart, Han Jiangong will employ people, Tan Boyun, a fierce horse, is difficult to walk in the attached two inches, but in Sanbo, he will have extraordinary achievements in the future.

Mr. Ning, a patient from the Huaqiao Building, has been sent to the operating room, next door to Director Tan's surgery, because there is a navigation device - a computer-aided surgical navigation system.

Su Nanchen considered using a robot to complete the puncture, but gave up, because this kind of puncture not only requires precision, but also requires an excellent hand feel when entering the guidewire, and the direction of the guidewire can be adjusted according to the feel to successfully place the catheter.

Robotic surgery is very precise, but the lack of feedback on instrument contact, that is, the lack of feel, is the biggest drawback.

Su Nanchen completed the simulated puncture, mastered the best puncture point, puncture angle and depth from the simulated puncture, and knew the relationship between each anatomy.

Yang Ping took Su Nanchen to the operating room, and Song Zimo followed behind.

Su Nanchen and Wen Rentao are all the goals in Song Zimo's heart, and he has been secretly cheering to surpass these characters who are known as the stars of tomorrow.

Song Zimo followed behind, without saying a word, he was not unsociable, but too lazy to socialize, he always looked like he didn't care about himself.

"The aunt I just met in the garden, she had a soft leg in her right knee joint, and you gave her surgery," Su Nanchen took the opportunity to ask.

Insert an app: a perfect replica of the old version of the book-chasing artifact can be changed to the source of the APP--Mimi Reading.

Yang Ping nodded: "I just had surgery this morning, and I'm going to be discharged from the hospital tomorrow, what's the matter, acquaintance?" ”

Su Nanchen said: "My old patient, the second operation was done here for me, and the effect was not good, I met her just now, and the symptoms were completely solved this time." ”

Yang Ping didn't expect this patient to be his, the patient mentioned that Dr. Su who was attached to the second operation helped him do it, but Yang Ping didn't care: "This patient is caused by the compression of the synovial belt of the popliteal tendon hiatus, I found the synovium of the popliteus tendon hiatus, removed it, and the patient's symptoms were naturally relieved." ”

"Haven't heard of this disease?" Su Nanchen asked, with his profound knowledge, he didn't know about this disease.

Yang Ping smiled: "I haven't heard of this disease, and the abnormality found on her magnetic resonance." ”

"Let's take a look at the MRI film when we have time?" Su Nanchen is studious.

When the operating room arrived, I changed my shoes, changed my clothes, and wore a mask and hat.

The patient has been placed in a position, prone position, Zhang Lin and Xiao Wu have already helped to disinfect the sheet, and the instruments are also ready.

Professor Su, Professor Yu and Director Han had already put on their lead clothes and sat inside chatting.

"Nan Chen, hurry up and brush your hands!" Professor Su urged.

"Xiao Yang, brush your hands, and give Dr. Su a stage." Director Han commanded.

The two of them put on lead clothes and began to brush their hands.

Yang Ping and Su Nanchen chatted very speculatively, he didn't like that Song Zimo, who was cold, revealing a kind of arrogance all the time, rejecting people thousands of miles away.

Yang Ping is different, he has a strong self-confidence, but he is not arrogant and aggressive.

Masters are often lonely, and it is a happy thing to be able to find an opponent.

The sympathy between young talents made Su Nanchen hate Yang Ping late, and when he brushed his hands, the two kept chatting, from the patient with popliteal tendon hiatus synovial strip compression, and then to the patient's puncture, it seems that the time for brushing hands is too short, not enough for two people to chat.

Everything is ready, the main knife checks again, opens the stage, local anesthesia, and implants a spatial reference positioning needle percutaneously in the spinous process to provide coordinates for navigation.

Dr. Su's posture is very good, sitting posture, standing posture, walking posture, eating posture eating.

There is a posture for doing surgery, and some people have standardized postures and look very wonderful; Some people bow their heads and hold their chests, sometimes approaching the operation area to see; There are also people who twist their bodies, which is not only ugly, but also easy to pollute the operation area; There are even more people, a simple fracture, very in a lame kneeling position, I don't know if it's a special need, or the first time to have surgery.

From Dr. Su's surgical style, it can be seen that Professor Su is usually strict with him, the wrinkles of the large order are smoothed, and the operating instruments are neatly placed and arranged in order of frequency of use.

Keep your chest up and your head bowed, keep your hands at a reasonable distance from the operating table, and control your movements within a limited range. If it is possible to confine it to the fingers, try to do it in the fingers; If the wrist joint assistance is required, it is controlled in the wrist joint; Even if elbow assistance is required, it is a minimal movement.

Every step, the standard specifications, looks very beautiful, the rhythm of the operation is clear, and the step by step progresses.

The image of the navigation screen presents a three-dimensional anatomy, with reference points showing the coordinate relationship between the instrument and the anatomy, and a navigation pointer indicating that the needle with the sheath is advancing precisely towards the target.

Simulated puncture and precise navigation, coupled with Dr. Su's talent and experience, the puncture is in place at one time, through the pedicle, in the best position, breaking through the cortex, the bony passage is completed, and in front of it is the target - the nerve root sheath.

One step in place, without any mistakes.

Su Qingyun's son really deserves his reputation, Professor Yu paid attention to the entire puncture process, and had to admire others for cultivating his son to be outstanding.

Even without Su Qingyun's help, Sunan Chenjin is fully qualified, and the eight-year system of Concord is the highest degree in the country.

What's more, Su Nanchen was the champion of the science college entrance examination in Nandu Province that year, and he entered Xiehe as the champion, and Professor Yu was ashamed of Su Qingyun, whether it was from the academic status of the department or his personal success.

The needle is pulled out, the sheath remains inside, and the thin hollow needle is threaded out of the puncture sheath, and the tip of the needle touches the nerve root sheath, which is extremely difficult to operate, even with navigation.

A ragged colt may make a good horse! Everyone agreed.

The tip of the needle is ready to puncture the nerve sheath and enter the sheath, a step that cannot be aided by navigation, but must be felt by hand. Song Zimo sat next to him, Su Nanchen really deserved to be a rising star on the same level as Wen Rentao, and had nothing to do with his father.

The tip of the needle punctures the thoracic 2 nerve root sheath, and the microcatheter with an elastic guidewire enters the sheath through the hollow needle, exposing a little, but it is difficult to move forward.

The puncture was blocked in the last step.

Su Nanchen frowned, because of the invasion of tumor tissue, the adhesion of the sheath and the perineurium, now the guidewire to enter the sheath is elastic, and the original intention of the design is to fit the natural gap between the sheath and the nerve, but now this gap does not exist because of adhesions.

Pushing again, the guidewire appears bent on the image and cannot break through the adhesion.

Professor Su got up and looked at the navigation pictures on the screen, the puncture process was perfect, but the last step was blocked.

He believed that Su Nanchen could deal with it, and Su Nanchen did not panic, stopped the operation, and thought about the solution.

He had already taken into account the adhesions before the operation, and to solve this problem, the angle of the puncture needle had to be adjusted.

The puncture needle is now almost perpendicular to the direction of the nerve, and the angle of the needle tip needs to be adjusted so that the needle and the nerve are at a certain angle, so that the guidewire can break through the adhesion in a better direction.

It's like splitting wood, splitting horizontally, which is very laborious; Split vertically, you can split it in half with an axe.

It's good if the missile hits the teacup, and it also requires hitting the teacup from a specific direction, which makes it even more difficult.

The range of adjustment is very small, the diameter of the bony tunnel is already small, and the thinner needle has the range of adjustment, but it is small.

The guidewire catheter is withdrawn and the nerve root sheath is re-punctured.

Su Nanchen is very proficient in the anatomy of the spine, and at a young age, just 30 years old, he has accumulated experience in hundreds of scoliosis surgeries, which is very rare.

He felt very good, and the angle of the needle tip was slightly adjusted, but the needle tip just touched the nerve root, and as soon as it was advanced, it actually slipped away.

"The angle is not accurate, only adjust fifteen degrees."

Yang Ping reminded.