0237 Surgery is rough (1/5)
"Su Yun, record this position." Zheng Ren pointed to a branch of the superior bladder artery and said to Su Yun who had been standing behind him.
Su Yun held a pen and paper in his hand and recorded the position Zheng Ren said.
The recorded text is not Chinese or English, but some special symbols that only he can understand.
Although it is recorded with the simplest symbols, an A4 piece is also full of writing, and it is almost time to change to another page of paper.
And three pieces of paper similar to this have been written.
"How is it? Is there any progress?" Su Yun noticed the slight change in Zheng Ren's expression, and it seemed that there was a breakthrough, so he asked.
"We should try it. If there are thinner micro guidewires, the effect will be very good. Under the existing conditions, we can try the interventional guidewires of neurology as we said before to open the subtle branching arteries."
In interventional surgery in neurology, the diameter of the microguide wire is the shortest, thinner and more difficult to manipulate.
Even so, it cannot meet the needs of interventional surgery for the prostate.
But under the current conditions, this is the only way to do it.
After a few conversations, they were all busy again.
Zheng Ren was still doing reconstruction and told Su Yun to record a certain position from time to time. The anatomical position recorded was very scattered and had no certain regularity at all.
Su Yun stood behind Zheng Ren very seriously, almost motionless for ten hours. At this moment, Su Yun was the most perfect assistant.
At 4:12 a.m., after constructing the capillary network of the last blood vessel branch, Zheng Ren breathed a sigh of relief, and a long-lost smile appeared on his face.
"It's done?"
"Absolutely, the technical level of our two will be tested next." Zheng Ren pointed to the screen and said: "The branch arteries separated by six large blood vessels will then evolve into capillary networks to supply blood to the prostate."
"Are you sure?" Su Yun did not think that Zheng Ren could do it. Those fine and dense capillary networks need to be intervened in super-selected and embolized, which is difficult to achieve with the current technical level.
"Not at all." Zheng Ren told the truth.
Making the 3D reconstruction of the 64-row CT is just the first step. Just like a military map during the war, let yourself know what you need to do next.
The rest... Zheng Ren calculated the inventory of surgical training time and experience values.
Squandering? It seems that it is time to squander.
There seems to be one or two gold treasure chests. Can you have good luck? As soon as this idea emerged, Zheng Ren threw it out of the sky.
If you try your luck, don’t think about it anymore.
A few hours ago, Zheng Ren made a capillary network constructed by the first branch artery and initially formulated a surgical plan.
Because the blood vessels are too thin, Lin Jiaojiao needs to be operated like opening the ocular artery - using a micro guidewire to pass through blood vessels with a thinner diameter than the guidewire, and cannot exceed the compliance of the blood vessels, resulting in secondary bleeding caused by surgical operations.
Few people do this unconventional operation. Even if it is done, most of them will end up in failure. If Zheng Ren had not succeeded in opening Lin Jiaojiao's ophthalmic artery once, I'd probably be Su Yun and Director Kong would have scoffed at this surgical plan.
But even with successful precedents, the two of them were not optimistic about the surgical plan.
This operation is very difficult, but after discussion, the weakness of domestic micro guidewires has become advantages in a specific period.
Domestic micro guidewires are relatively hard, and the difficulty coefficient is one level higher than that of imported guidewires.
A slightly harder guidewire is a disadvantage during ordinary surgery. However, before Zheng Ren's "opening operation", the disadvantage became an advantage. As long as you are careful, the possibility of success in theory will greatly increase.
So, Director Kong informed Feng Xuhui that they would use their guide wire.
This kind of thing is hard to tell Feng Xuhui whether he can save his own fruit of victory.
Director Kong also had the intention. Seeing that Feng Xuhui followed Zheng Ren in the past few days, he made a solid favor and asked Feng Xuhui to notify Changfeng's mildly invasive senior management to talk to him.
Zheng Ren didn't know about these things, nor did he want to know about them.
He was immersed in his vision of surgery and could not extricate himself.
If the surgery is not done well, no matter how many other things are done, it will be useless. Zheng Ren understands this.
"Let's have a rest." Zheng Ren woke up Director Kong who had already fallen asleep on the chair and said in a low voice.
"I'll sleep for a while when you go back to the interventional department. If you still have the energy, see if there is anything worth learning from when Professor Rudolph Wagner of Heidelberg University." Director Kong said.
Zheng Ren nodded.
For a body under 30 years old, staying up late is nothing. Especially for clinicians and emergency department hospitalization, staying up late must be a necessary skill. As the old directors get older, the skill tree of staying up late continues to wither.
This is an inevitable trend in the human body's physiology.
Several people walked out of the CT room. Feng Xuhui did not wait outside the door this time. He probably went to the airport to pick up his boss.
When he came to the teaching room of the interventional department, Director Kong opened the video and was trapped. He went to his office to take a nap.
I might even have anything to do today, I can rest for a while.
Zheng Renze and Su Yun watched the recording of Professor Rudolph Wagner's surgery together.
Just like the other professors who watched the recording last night, their skillful techniques and handy micro-guidance wires and micro-catheters jointly built a perfect operation.
Su Yun sighed in his heart, a little helpless.
He is already familiar with interventional surgery and seems to him that Professor Rudolph Wagner's operation is slightly stronger than Zheng Ren. With the advantageous micro guidewire and microcatheter, it can be said that this operation is something Zheng Ren cannot surpass now.
It is actually not difficult to surpass.
Zheng Ren is less than thirty years old, and at most five years... No, maybe three years are enough, Zheng Ren's level will definitely surpass Professor Rudolph Wagner.
But now speaking of these means the failure of this scientific research.
Su Yun didn't care about success or failure, the consequences, etc. It was just that the flame of fighting for victory was burning in his heart. He was not happy if he didn't cross Professor Rudolph Wagner's mountain.
The operation was completed smoothly. The operation of the front and back perioperative surgery was removed. Professor Rudolph Wagner completed the entire process of prostate embolism in more than an hour.
Almost perfect.
"Boss, what do you think?" Su Yun saw Zheng Ren watching the video recording with all his attention, and returned to his previous sarcastic and mean way of speaking, and asked with joking questions.
"The surgery was done very roughly," said Zheng Ren.
"..." Su Yun didn't expect Zheng Ren to answer like this. In an instant, he was shocked and looked at Zheng Ren like a monster looking at him.
Chapter completed!