Director Zuo and his two assistants were familiar with the road and quickly completed the placement of artificial blood vessels.

"This is Professor Yang from the south, right?"

Director Zuo finished the operation, began to take off the surgical gown, and asked.

"Hello Director Zuo!" Yang Ping greeted politely.

Director Zuo said with a smile: "Heroes come out of teenagers, you are the champion of this Orthopedic Golden Knife Award, right?" ”

Yang Ping nodded.

Song Yun immediately introduced Director Zuo in front of him: "Our Director Zuo was also the champion of the Golden Knife Award in the Department of Vascular Surgery back then. ”

Concord has produced many Golden Knife Award champions, such as orthopedics, vascular surgery, and general surgery, that is, the basic surgery of Concord, have all produced Golden Knife Award champions.

Although it is not enough to talk about the Golden Knife Award everywhere, it is not uncommon.

It was not easy for Director Zuo to regain the Golden Knife Award for Vascular Surgery from Anzhen Hospital and Fuwai Hospital, because the Golden Knife Award for Cardiac and Macrovascular Surgery usually takes turns for these two hospitals, especially for cardiac surgery, which has always been alternately seated by these two hospitals, and has never fallen into the hands of the third hospital.

The same is true for the Department of Macrovascular Surgery, which is covered by these two hospitals, and only Director Zuo has won the Golden Knife Award for Macrovascular Surgery, breaking the undefeated golden body of An Zhen and Fuwai.

"It's not worth mentioning, I was forty-two years old when I won the award, and you are not even thirty years old now, so you can't compare." Director Zuo waved his hand.

He also wanted to chat with Yang Ping, after all, they were all Golden Knife Awards, heroes sympathized with each other, and there were many topics.

Unfortunately, Director Zuo's assistant received a phone call, and there was an emergency operation, and the emergency department admitted a pregnant woman with a torn aortic dissection, and now the blood vessels are bulging like balloons, which may burst at any time and require emergency surgery.

didn't even have time to say hello, Director Zuo left in a hurry with his assistant.

Yang Ping then continued the operation, and everyone rested for a while before re-entering the state.

With the protection of artificial blood vessels, even if aortic dissection occurs in the future, there is no need to worry about danger, which means that this mine has been discharged in advance.

Yang Ping began to isolate the tumor, and although the posterior separation did not reach 360 degrees, most of it had been completed, leaving only the anterior side without separation.

Most of the blood vessels supplying the tumor come from the anterior pathway, so the anterior route is more challenging for hemostasis.

In addition, the tumor is adhesed to the abdominal aorta and inferior vena cava, and it is very difficult to separate the blood vessels.

This step is very dangerous and very challenging for the doctor's surgical operation.

The doctors in the entire conference room are looking forward to seeing how this supreme master can isolate the tumor here, whether it will break the large blood vessels, and whether it will break the pseudomembrane of the tumor, so that the isolation of the tumor cannot be removed without leakage.

Because the pseudomembrane of the tumor here is part of the wall of the large blood vessels, it is much more difficult to successfully isolate than the posterior route.

Cheney's bladder doesn't feel as distended now, presumably because the bladder reabsorption is working, plus Cheney no longer drinks water.

Director Hu ignored him the whole time, he watched the operation alone, and several other American doctors were also immersed in the observation, communicating with the Chinese doctors next to him from time to time.

Cheney also wanted to communicate and ask a few details of the operation, and he was very interested in this Chinese-style total vertebrotomy, but Director Hu's answer made him dare not ask again. …

"The separation of 36 degrees, now there is the last step, now we must first complete the ligation of the tumor blood vessels, only by ligating all the tumor blood vessels, keeping the absolute clarity of the surgical field, the subsequent separation can be carried out calmly."

Yang Ping would tell Song Yun every time he took a critical step.

He ligated the segmental arteries around the lumbar 2, 3, and 4 vertebrae, and then began to ligate the blood vessels supplying the tumor one by one.

Song Yun couldn't understand why Yang Ping was so familiar with the anatomy of this tumor, and if he relied on angiography images to remember these blood vessels, then Yang Ping's ability to apply image images to actual surgical operations was too strong.

Yang Ping kept asking the instrument nurse for vascular clamps, and Song Yun kept ligating the blood vessels, keeping tying knots!

The blood vessels supplying the tumor were ligated one by one, and no one was missed or the wrong one was found, and this method of cutting the grass and eradicating the root cause of hemostasis was very useful.

The whole field is very clean, and it's a little unrealistically clean.

This field is only available for extremity surgery using tourniquets and preoperative blood removal.

The clean and clear surgical field makes the isolation of the tumor very smooth, and when the separation progresses to the part of the adhesion with the large blood vessels, the laser knife dissects it very finely.

"It's still this principle, starting from the normal organization and going deeper step by step!"

At this time, in order to prevent the tumor from leaking, it is necessary to completely peel off the adventitia of the large blood vessels, which is part of the pseudomembrane of the tumor.

The adventitia of the aorta is separated by a laser knife, and it is lifted little by little, neither thick nor thin, maintaining an intact adventitia.

"Therefore, when doing this operation, it is very important to insert artificial blood vessels in advance, otherwise once it is broken, it will cause massive bleeding, and the blockage of the aorta can only temporarily stop bleeding for a short time, and it is impossible to prevent breakage, even if it is not damaged, and the adventitia is successfully peeled off, the remaining blood vessel wall is also unhealthy and easy to form a dissection."

Soon, the tumor separated from the aorta, and immediately afterwards, from the vena cava.

Yang Ping checked whether there was tissue adhesion near the tumor and the vertebral body, very good, there was no connection at 306 degrees, Yang Ping carefully took out the entire tumor and three vertebrae from the abdominal cavity in front, and then put them into the metal basin of the instrument nurse.

The removal of the tumor and three vertebrae is complete!

The operation is still progressing to the third hour, which includes the time for the artificial blood vessel to be inserted by the vascular surgery.

Flush the surgical area, check whether there are any missing bleeding points, find that there is no problem, insert a drainage tube, and Song Yun is responsible for layered suturing of the surgical incision of the anterior pathway.

In this way, the whole operation is completed in two steps, except for the last step-—— posterior fixation, and the spine is supported with the pedicle nail system and the derivation structure of the artificial spinal prosthesis.

After the anterior surgical incision is sutured, the aseptic compress is applied, and the patient must be placed back in the prone position for posterior fixation.

Posterior surgery is relatively simple, an artificial spine is inserted, and then the pedicle system is used to connect and fix, and the entire artificial frame structure replaces the three vertebral bodies that have been removed, and continues to play the supporting function of the central axis of the human body.

Four hours later, the operation was over. …

The operation, which was originally planned to take twenty hours, was completed in four hours.

All the doctors in the conference room were shocked at this time, but they were still shocked, and everyone didn't feel how long the four-hour operation was, and a lot of them were still unsatisfied.

Professor Lu was so frightened that he couldn't believe that the director of the medical department, who had seen the wind and waves, had been regretting it at this time, and he should have been more active in signing at the beginning, instead of pushing left and right.

Professor Liang had a slight smile on his face, the damage caused to him by the Zhang Chunquan incident had been healed by Yang Ping.

Cheney now feels like his self-esteem has been thrown to the ground and has been crushed into crepes.

"Cheney, what did you just say?"

Professor Hu knew that Cheney had been fidgeting and wanted to ask questions.

"Where's the bathroom?" Cheney plucked up the courage to ask.

Director Hu pointed: "Go out the back door and turn left!" ”

Finally, the doctors of Xiehe have seen the level of the Golden Knife Award, the first level in the country.

Four hours, a perfect surgery, says it all.

"Professor Yang's team, can we increase the number of places now?" A chief physician who led the group came to Director Hu's side and asked quietly.

Director Hu shook his head: "His team is equipped with doctors under the age of forty, most of whom are under the age of thirty-five, and the number is sufficient. ”

The chief physician sat back in his seat disappointed.

"Professor Hu, is the second operation still a demonstration of Chinese-style total vertebrotomy? Can I come into the operating room and watch on stage? ”

Cheney emptied his bladder, much more relaxed, and much bolder.

"I'm sorry, but there is only one demonstration operation today, and according to our operating room management rules, you can't enter the operating room right now." Director Hu apologized.

Cheney was very disappointed and continued: "We can exchange doctors for further training, are there still total vertebractomy surgeries these days?" Can I stay here and see. ”

Director Hu still expressed his apologies: "Our training will be carried out in stages, Chinese doctors will be given priority, and foreign doctors will not be accepted for the time being." ”

Cheney blushed in embarrassment: "How long do you have to wait?" ”

"We are Chinese, it is difficult for me to determine the specific time now, if you have this request, you can wait for our notice." Director Hu's whole body is comfortable, and he has never been so sour.

Cheney nodded helplessly: "Okay." ”

"When we have time, let's continue to talk about cooperation?" Director Hu reminded Cheney.

Cheney hesitated: "This -- cooperation thing-—— we are a little hasty, and there are still many problems that have not been solved. ”

Compared with the Chinese total vertebrotomy, Cheney's surgery is a bit backward and a little rough.

He secretly called in his assistant and took his instrument box down from the podium, and he didn't plan to continue the lecture after the meeting.

Cheney was very upset, but he didn't dare to show it.

He complained in his heart: medical skills should have no borders, these Chinese are narrow-minded, and they actually have to wait for the Chinese to finish learning before arranging the study of foreigners, and this will have to wait until when.