Chapter 158 One Minute on Stage, Ten Years Off Stage
Pengcheng, People's Hospital of Development Zone.
In the office of the director of the interventional department, Mu Tao and Wu Haishi watched the operation in the live broadcast room intently.
Since the live broadcast of the interventional operation in Xinglinyuan, Mu Tao applied for an account for the teacher, which directly connected to Xinglinyuan.
The conditions in Pengcheng are particularly good, for ordinary doctors, but for Wu Lao, a well-known expert, scholar, and professor in the country, the conditions will only be better.
After learning that the live broadcast started, Mu Tao came to the director's office and watched the live broadcast of the surgery with Mr. Wu.
Old Wu's hands were clasped together, and the middle finger of his right hand tapped the back of his left hand, looking and thinking.
Mu Tao sat behind Wu Lao's body, his eyes full of doubts.
The practitioner is very powerful, and Mu Tao has long known this.
But he judged that the skill of the practitioner was a little bit higher than his current level, and maybe it was even between equals.
But today's surgery has brought him a strong sense of discomfort.
The initial steps are very simple. The only thing to watch is that the surgeon did not perform arterial puncture this time, which proves that the cooperation between the surgeon and the assistant has gradually become tacit.
But since the image was opened, Mu Tao began to be in a trance.
The surgeon's micro-guide wire did not take the usual route, it did not enter the hepatic artery from the aorta, but directly overselected the short gastric artery!
He did not easily judge the operator's carelessness, because many vascular reconstructions in liver cancer tissue are supplied by the short gastric artery.
Sure enough, when the micro-guide wire continued to go deeper and started to go to the right, Mu Tao determined that the feeding blood vessel of the tumor must be the short gastric artery!
Without imaging, he can judge.
But how did the practitioner know this by checking? Is it a 64-slice CT 3D reconstruction? Or other means?
Because Mr. Wu watched the surgery video silently and intently, Mu Tao did not ask silly questions, but pondered over the possibility.
He thought of many points, such as the operator's feel, surgical intuition, preoperative examination, intraoperative angiography, and so on.
But it is impossible to be denied by him one by one!
This is the real world, not a fantasy novel. How could someone be unpredictable?
The angiography was started during the live operation, and as expected by Mu Tao, the entire tumor tissue was "lit up".
That is to say, the tumor feeding blood vessels in this patient is fed through the short gastric artery, rather than a branch of the hepatic artery.
If this happens, it must be a patient with advanced liver cancer who has been blocked by the branches of the hepatic artery after multiple operations and supplied by other blood vessels.
But...how did he determine the short gastric artery, not the phrenic artery, the spinal artery or even the thoracic and abdominal aorta?
The imaging is completed, and in Mu Tao's view, there is nothing to watch.
If he had known before the operation that the blood vessel supplying the tumor was the short gastric artery, he would have done as well as the surgeon... Yes...
Most definitely! Mu Tao cheered himself up.
Those few blood vessel branches are nothing at all. The blood vessels in the liver are super-selected very small, and I should be able to do it myself... If you can't do it at one time, you can super-select several times.
Thinking about it, Mu Tao twisted his right hand slightly, as if he was standing on the operating table at the moment, wearing a lead coat and a lead cap, and was performing an operation.
no……
He soon realized a fact that frustrated him-even if he knew that the tumor tissue was supplied with blood by the short gastric artery, he would not be able to succeed in a superselection.
One minute on stage, ten years off stage.
This is the case on the stage, and even more so on the operating table.
The most basic cognition, Mu Tao still has, and must have. As a national leader in intervening in the new generation, his level is one of the few among young and middle-aged people under the age of 40.
If you can't do it yourself, then the practitioner must be a big bull in the country, and maybe even the world's top professor.
Mu Tao thought to himself.
Soon, the live broadcast of the operation was over, and Mu Tao could imagine the next operation with his eyes closed.
The micro-catheter enters the liver along the micro-guide wire, and the chemotherapy drugs are given, infusion chemotherapy is performed, then the embolic agent is embolized, and the angiography is performed again.
"What did you see?" Wu Haishi asked in a deep voice after the operation was over.
"The skill of the practitioner is higher than mine. I estimate that he is a top domestic figure in his fifties, or an internationally renowned expert." Mu Tao expressed his thoughts.
Wu Lao's right middle finger tapped the back of his left hand a little faster.
"That's not what I'm asking about, the identity of the surgeon, how well the surgery is done, and you have to tell me." Soon, Mr. Wu expressed his dissatisfaction.
Mu Tao was his close disciple, so he didn't have to be polite when he spoke.
"Then..." Mu Tao couldn't understand what Mr. Wu meant and hesitated for a while.
"The surgeon did not superselect 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 one by one.
Wu Lao continued to ponder, but his fingers tapped the back of his hand faster.
Mu Tao knew the teacher's habit. The speed at which the fingers tap the back of the hand represents the speed of the teacher's thinking.
"I think the surgeon did a 64-slice CT 3D reconstruction before surgery, and judged that most of the necrotic tumor tissue had undergone new blood vessel reconstruction, and found new blood vessels for feeding." Mr. Wu finally said with certainty.
"The 64-row CT 3D reconstruction...it doesn't seem to be that fine." Mu Tao wondered.
"That's because you didn't learn much." Elder Wu shook his head and said, "I've only seen one such person, but he died of illness the year before."
"who is it?"
Old Wu waved his hand, motioning not to interrupt him.
"When I first learned about interventional surgery in China, I first came into contact with doctors in the department of radiology. I was the second batch of people who came into contact with interventional surgery." Mr. Wu said: "People who engage in CT interventional surgery are still in the beginning of radiofrequency ablation. After large-scale development. But radiofrequency ablation is also dominated by clinicians."
Mu Tao was stunned, not knowing what the teacher was talking about.
"It seems that there should be a large team behind the operator to prepare for the super-selected short gastric artery. But such delicate work is not something that a CT doctor can do. It must be done by the operator, and it must be done by the operator. The 64-row CT 3D reconstruction!" The more Wu Lao said, the more excited he became, and finally stood up and waved his right hand.
"Teacher, pay attention to controlling your blood pressure." Mr. Wu's actions startled Mu Tao and hurriedly stopped him.
"It's alright." Wu Lao smiled and said, "Download the video recording. I have the materials for this afternoon's study."
Mu Tao nodded, but when he switched pages, he was stunned.
"What?" Wu Lao asked.
"The recording has disappeared." Mu Tao replied in a daze.
"..." Wu Lao was also stunned, and then said: "What are you doing!"
Looking at the angry old Wu, Mu Tao didn't even dare to say a word.
After a few minutes, Wu Lao's anger subsided, and he said solemnly, "You, follow me to the CT room."
"Huh? What are you going to do?" Mu Tao was puzzled.
"Go learn to do CT 3D reconstruction." Wu Lao looked indifferent.
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