Chapter 482 The Great Route
"We are here to be assistants. For the safety of the operation, we must be present."
Mitsui said angrily.
"You have to understand that this is the operating room of Tokyo University Hospital. According to the laws of the Japanese Ministry of Health, Labor and Welfare, we must be on the stage to ensure the safety of the operation."
Daisuke Komori has never seen such an arrogant guy, with his head held high and a look of contempt.
Seeing that they were still enthusiastic, Zhang Lin couldn't help but sneer and said: "First assistant, second assistant, third assistant, fourth assistant, N assistant - they are all assistants. Which assistant do you want? How many people do you see on the stage now? ? Can’t count? You, Teacher Zhang, and I can only be three assistants, wash hands and dress and sit on the bench, and there is Teacher Wu behind us. You can only have five assistants or six assistants. . What do you mean by five assistants and six assistants to ensure the safety of surgery? When it comes to orthopedic surgery, you can’t even lift your legs. Let me tell you in advance, after the surgery starts, you should stay still and don’t move. This person has a bad temper and is extremely savage. He swears at every turn. Think about it. During this entire live broadcast, in front of experts from all over the world, you were told that you were a fool and that you were a bitch. Can you bear it? I arranged this to protect you. You.”
After hearing this, Komori and Mitsui looked at each other, then took two steps back, acquiescing to the position Zhang Lin arranged for them.
What Teacher Zhang said makes sense. If you really get scolded, that would be a loss of face.
Tang Shun translated so smoothly that Zhang Lin had some doubts about whether the translation was accurate.
"Grass and mud horse, grandma is a bear, can you translate?" Zhang Lin asked Tang Shun.
Tang Shun nodded confidently: "Don't worry, this is a basic skill, it doesn't count. I can translate everything from Ge Laozi to Niang Xipi."
I can translate slang words to express my meaning, which is really a high level.
Zhang Lin turned to look at Mitsui and Komori. Their faces turned red and white. If the translation hadn't been accurate, it wouldn't have had this effect.
"If you're at your level, I'll ask Takahashi to double your commission." Zhang Lin gave a thumbs up.
Fatty Liang had already intubated Ning Jue's trachea. After the anesthesia was successfully administered, Song Zimo took Xu Zhiliang, Zhou Can and Japanese nurses to position the patient.
"You two, what are you doing sitting still? Help with your posture!"
Zhang Lin directed Komori and Mitsui.
The two had no choice but to get up and help.
Zhang Lin shook his head: "Move quickly and coordinate well. I still don't train enough at ordinary times and it's a bit messy at critical times."
Xiaowu said seriously next to him: "The main reason is that I didn't take Teacher Zhang's class."
Tang Shun translated every sentence very promptly.
Komori and Mitsui couldn't laugh or cry. This was the operating room of Dongda Hospital. This guy didn't do anything himself, but was gesticulating from the side, treating them like coolies.
Yang Ping stood aside waiting for them to prepare, and he couldn't help but want to laugh.
With Zhang Lin's appearance, no one can compare to this guy in terms of pretentiousness.
In this state of pretentiousness, no matter where you are, no matter who you are facing, your face will not turn red or your heart will beat when you are showing off.
Mitsui and Komori did not dare to move under Zhang Lin's power, so they obediently hurried up and down, helping to position themselves.
——
Position yourself in the prone position and fix your head firmly.
Song Zimo, Xu Zhiliang and Su Yixuan went to wash their hands and prepare to disinfect the sheets.
After Komori and Mitsui finished their work, they didn't know what to do for a while. Why did they wash their hands? Or stay put? My head was made dizzy.
"Professor, go wash your hands and lead the way!"
Zhang Lin pointed to the open door of the operating room.
Yes, we should go with them. Komori and Mitsui were a little confused and came to their senses.
The two of them walked to the door and came back. It turned out that Takahashi had been waiting at the door for a long time and had taken everyone to wash their hands. There was nothing wrong with them.
When I was young, I was never treated like this when I was a student. Now that I am a famous professor in Japan, I am actually being bossed around by this person who doesn’t know his background. I feel angry, but I can’t help it. The Affairs Department and the High Difficulty Department They must complete the tasks assigned to them by the new Medical Evaluation Department.
Song Zimo and Xu Zhiliang came back from washing their hands and began to disinfect the sheets. Xiao Su and the Japanese equipment nurse began to sort out the equipment.
Yang Ping is not in a hurry to go on stage for the time being, and his work is naturally easy due to his strong assistants.
Wait for them to reveal the upper cervical medulla and medulla oblongata, open the membrane, and then take the stage without any hurry.
Depending on the position a person reaches, he will be treated accordingly. If you don't want it, others will give it to you.
Taking advantage of his free time, Yang Ping explained to Takahashi how to read the films in this kind of case, how to make incisions, how to enter safely, how to locate the tumor after exposing the spinal cord and medulla oblongata, and how to operate accurately in the safe gap.
The most important thing is how to take the enemy's head among thousands of troops - successfully remove the tumor and still leave the operating table alive.
Takahashi listened attentively and asked questions from time to time.
Mitsui and Komori saw Takahashi looking like a primary school student, and wanted to lean over and listen to what he was talking about.
"Go and wash your hands. Get dressed later and sit still. I will do the same and stay with you."
Zhang Lin ordered Mitsui and Komori.
Song Zimo and Xu Zhiliang have already put on surgical clothes. Doctors from the Dongda Hospital headquarters must be present when the stage starts. It is time for them to take the stage. Although they are just a pair of mascots, they must exist.
Zhang Lin and Xiaowu also went to wash their hands together. The two had already agreed that one would keep an eye on the other and guard them closely.
You must not have the intention of harming others, and you must not have the intention of guarding against others.
For such a high-risk operation, if someone accidentally touches the surgeon's arm during the operation, the operation will be declared a failure.
Who knows what they are thinking, believe them, the sow will not only climb the tree, but also fly around to show you.
Zhang Lin, Xiaowu, Mitsui, and Komori washed their hands and dressed, and stood next to the operating table.
Naturally, Yang Ping was the last one to take the stage. According to custom, Yang Ping would not take the stage until his assistant revealed the upper cervical spinal cord and medulla oblongata.
However, it is better to be cautious when performing an away surgery in unfamiliar environment and equipment.
Accompanied by Takahashi, Yang Ping also washed his hands and dressed before going on stage. An operation that only required two or three people to complete now had seven people standing there, with no room to stand at all.
But in order to complete the sacred pre-operation check, everyone gathered around the operating table.
Name, gender, age, hospitalization number, method of surgery, site of surgery, focus of surgery, expected amount of bleeding-——
The chief surgeon, assistants, instrument nurses, anesthesiologists, and circulating nurses all have to stop what they are doing and participate in the final preoperative check.
Everyone is very serious and checks every link carefully.
Respect for life and reverence for medical skills, regardless of nationality.
"After checking, do you have any questions?"
There is no doubt that surgery can begin.
"I want to say something!"
Yang Ping's voice.
As the chief surgeon, he has the highest authority in the operating room.
Everyone was waiting on the spot, wondering what Yang Ping was going to say at this time.
"Everyone, I just want to say one thing - the only enemy of a doctor is the disease, there is no other enemy!"
No one knew the meaning of Yang Ping's words, and Yang Ping did not explain: "Let's start the operation!"
Song Zimo started to use a sharp surgical knife to incise the skin on the back of the head and neck, cut the skin, cut the superficial fascia, and then cut the deep fascia, advancing layer by layer.
As Yang Ping's first assistant, Song Zimo demonstrated superb basic surgical skills.
Each step is connected smoothly and rhythmically, which is Yang Ping's style - surgery also has its own inherent rhythm.
The base of the skull and the upper cervical spinal canal are opened from the back side, and the entire rhombic fossa is exposed. Gradually, the upper cervical spinal cord and medulla oblongata wrapped by the dura mater are gradually exposed.
Everything is so skilled and stable.
The laser knife advances bit by bit, and the vertebral artery, cranial nerve, and spinal nerve are separated and sorted out bit by bit.
Gradually, the upper cervical cord and the posterior part of the brainstem appear on the screen.
The laser knife made a Y-shaped stroke and the dura mater was lifted.
The median foramen of the fourth ventricle is opened, and the choroidal tissue, cerebellar tonsils, and posterior inferior cerebellar artery are located on the lateral side.
Xu Zhiliang's nerve retractor gently retracts the cerebellar tonsils and posterior inferior cerebellar artery to both sides.
Song Zimo continued to separate the choroidal tissue and inferior medullary velum, and the entire rhomboid fossa was successfully exposed.
Still using the transvela medullary approach, the dorsal area of the brainstem is exposed to the field of view, and the safe zone near the facial colliculus appears in the center of the surgical field of view.
The exposure work is declared complete, and the next step is the work of the surgeon.
Song Zimo respectfully moved to the assistant position on one side, and Yang Ping sat in the chief surgeon's position.
The microscope is pushed into the surgical area, and every subsequent step must be completed under the microscope.
——
Big screen in conference room.
Professor Ito looked a little lonely and turned his head habitually. His side had been empty just now, but now old Ikeda had actually returned.
"Didn't you go to rest? Aren't you going to participate in the meeting?" Ito didn't know when Ikeda came to the meeting.
Ikeda stared at the screen and said: "Just because I don't participate in the meeting doesn't mean I can't sit here."
This statement is impeccable, well, you can sit wherever you like.
Ito couldn't figure out what the old Ikeda was thinking more and more.
On the screen, the capsule was opened, and the essence of the medulla oblongata and spinal cord was about to be cut.
"The great voyage has just begun. His goal is Rafdrew, to get One Piece!" Ikeda said to himself.
"You still read such childish things?" Ito was quite surprised.
"Don't you read it too?" Ikeda retorted.
"What a shame!" Ito blushed.
"The hypoglossal nucleus, accessory nerve nucleus, nucleus ambiguus, dorsal vagus nucleus solitary tract nucleus, and trigeminal spinal tract nucleus - they are like reefs. The tip of the knife will travel in dangerous seas and will swallow the will of the surgeon at any time. Devouring the patient's life, I don't know if my recording compass can help him." Ikeda kept his eyes focused on the screen. The "recording compass" he called was the latest probe marking technology.
The theory is wonderful, but the reality is cruel.
The errors caused by the superposition of imaging technology, the deformation caused by three-dimensional imaging, and the blur caused by the halo that cannot be eliminated cannot meet the surgical requirements.
"Are you sure he's okay?"
"I don't confirm, but I confirm that Fujiwara's judgment is not wrong."
"It's not too late to regret now!"
"The Grand Line, and Gol D. Roger, have been to the end, but no one has been to the end of this route. If I regret it, will you continue sailing for him?"
Ikeda's tone was gentle, but it made Ito sound very harsh, and he fell into silence for a moment.
"He is the only one who has hope of reaching the finish line. When you see those hand-drawn drawings, you should have the same judgment as me."
Ito stopped speaking, and only Ikeda's voice was heard.
(End of chapter)