Surgery Godfather-Chapter 413 - 0384 Extreme Thief_2

Chapter 413: Chapter 0384: Extreme Thief_2

Chapter 413: Chapter 0384: Extreme Thief_2

The double-click electrocoagulation can accurately clamp the ends of the blood vessels, implementing coagulation hemostasis with minimal energy.

The separation of the nerve nuclei and gaps is very rapid. Near the rear nucleus of the vagus nerve, a root of the tumor almost wraps around it, forming a tight adhesion.

Yang Ping stopped, gently put down the instrument in his hand, and rested for a while.

The next step was to separate the adhesions between the nerve nucleus and the tumor. Such adhesions are very tight, almost indistinguishable, which is the anatomical basis for the low success rate of the surgery.

Yang Ping picked up the instrument again, adjusted the two instruments in his hand, and looked for the best feel once more.

Which ones are tumor blood vessels, which are normal blood vessels, which are tumor tissues, and which are normal tissues, where are their safe gaps, and where are the true boundaries of the tumors.

Guided by the images in his brain, these images become commands in the brain, the commands are conducted to the hand, and the hand controls the laser knife head.

The slim laser knife head is much more adept at navigating the complex and narrow anatomical space than a normal scalpel.

Professor Zhang did not go to the conference room to observe, but paced back and forth at the door of the operating room. Han Jiangong and Hong Zhigang both stood at the door of the operating room, and no one spoke.

Other departments also began their surgeries one after the other. Some doctors made a special trip to take a look over here, knowing that Professor Feng’s surgery was being performed inside.

The laser knife with a focus of 0.1 millimeters has no mechanical collision with the tissue and is very easy to use.

The instrument has a precision of 0.1 millimeters, but it’s extremely difficult for a doctor to fully utilize this precision throughout the whole process. This requires extremely steady hands, not affected by any disturbances.

Even though a human hand may not appear to tremble, it actually does.

This is the reason why there is image shaking when taking long-focus photos.

The trajectory of a 0.1 millimeter scalpel according to a person’s will is bound to deviate. Even a simple straight line, when observed through a magnifying glass, cannot maintain a 0.1 millimeter precision all the time.

“The tumor separation is extremely precise. Does their microscope have some special features which can distinguish the tumor and even navigate?” John Ansen couldn’t believe it, as the surgery was being performed without fluorescein and navigation aids.

Griffin shook his head: “If such equipment existed in the world, we should be privy.”

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The surgery reached near the nerve nucleus. Based on anatomical knowledge, John Ansen concluded that the ballet on the scalpel point had officially begun.

From the image judging, this would be a surgical operation delicately balancing life and death.

Under the naked eye, it’s almost impossible to distinguish the tumor from the nerve nucleus.

But the scalpel did manage it, beginning to separate between the tumor and the nerve nucleus. Even with the 0.1 millimeter precision, slight thermal injury can still cause disturbances.

If mechanical scalpels were used instead, the disturbances and injuries would be even greater.

“This is turmoil at the edge of the scalpel!” Griffin tightened his chest.

“Have you seen Point Break?” John Ansen’s heart began to pound in his chest.

“Yes!”

“When Johnny Utah was free climbing Angel Falls, his partner lost his grip and fell, shattering into pieces.”

“Dr. Yang can’t afford any mistakes. Not even one.”

“But even if he makes no mistakes, there will be a few falls. Once he falls, he must catch another rock in mid-fall and continue to climb.”

These “falls” symbolize the abrupt heart stoppages that would occur during the surgery.

“I am about to enter the first dead zone separation. Professor Ma, please pay attention to electrocardiographic monitoring and evoked potential monitoring, and report to me at any time. Once ventricular fibrillation waves appear, aseptically cover the surgical area, lift the trunk aseptic sheet to the shoulders, remove the back electrocardiographic electrode sheet, and complete the cardioversion as quickly as possible. Remember, we only have five seconds. Does everyone understand?”

“Understood!” Everyone knew their roles, as they had been repeated and drilled before the surgery.

Dr. Wu, an emergency technician trainer from ICU in Shanghai, who is in charge of defibrillation, pushed the defibrillator near the operating table.

Yang Ping took a deep breath, and the laser knife began to separate the adhesions of the tumor and neural nucleus. The cruel devil training made Yang Ping’s mental quality and hand stability as strong as a machine.

However, Yang Ping has human tactile feedback and thinking adaptability that machines do not have.

The laser knife began to enter the edge of death, with a precision of 0.1 millimeters, there could be no deviation. Even a slight one could damage the neural nucleus, bringing about irreversible cardiac arrest.

The atmosphere in the entire operating room was condensed to its peak, everyone was fully focused, and all their energy was concentrated on a tiny point.

The tip of the knife gradually penetrated deeper, along the edge of death, separating along the 0.1 millimeter life-death line.

“The heart rate suddenly drops, 30 times per minute, blood pressure 40/20mmHg—

“Administer 1 milligram of adrenaline now, withdraw surgical instruments, cover the surgical area, prepare for defibrillation!”

The rescue drug was injected through the vein, a folded sterile sheet immediately covered the head and neck surgical area, and the body sterile sheet was lifted. Old Feng’s entire back, up to his shoulders, was exposed.

Everyone acted in their roles, the team worked seamlessly, and the anesthesiologist stared at the monitor after administering the drugs.

After the normal ECG waveform, suddenly, there was a wave of ventricular fibrillation, which soon filled the entire screen.

Ventricular fibrillation—a lethal arrhythmia and a type of cardiac arrest.

“Cardiac arrest—ventricular fibrillation wave!”

“Transverse defibrillation!”

The wires and electrode patches connected to the ECG monitor were quickly removed by the patrolling nurse. Almost at the same time, Dr. Wu from the ICU pressed down on the right infrascapular region with the cathode of the electrode plate in his right hand while pressing down the left intercostal 5th space with the anode using his left hand, defibrillating the patient with 200J.

“Stand Back!”

Everyone withdrew from contact with the operating bed.

After discharge, the only straw of life was grasped, and the defibrillation was successful once. A familiar waveguide line appeared on the defibrillator screen.

This was the sinus rhythm oscillation line, the oscillation line of life.

Everyone’s hearts that had been hanging in their mouths slowly relaxed, but the hearts in their chests were still pounding violently.

Cardiac arrest occurred during the surgery, no one was certain that it could be rescued. Especially when it’s caused by nerve nucleus interference, the investigation into the brain in medicine is still very crude.

Only Yang Ping was calm and composed, watching the restored ECG: “Reconnect the ECG monitor!”

“Sinus rhythm, heart rate 50 beats per minute, blood pressure 90/45mmHg.” The anesthesiologist reported, and a milligram of adrenaline was injected once again. Shortly after, the heart rate was 60 beats per minute, and the blood pressure was 100/60mmHg.

Yang Ping observed for a few minutes, confirmed that we have stabilized: “Reapply disinfectant, add sterile sheets, change surgical gown and gloves, be careful not to contaminate the surgical area, continue the operation–”

Watching Yang Ping’s calmness, Wen Rentao admired him immensely. At this moment, the chief surgeon is the faith of the team members.

“One can never step into the same river twice.”

Yang Ping studied in the system space countless times, simulated countless times, but the patient’s state will never be exactly the same as when simulated in the system space.

Therefore, Yang Ping did not dare to relax at all, he always made the best decision according to the state at that moment.

“The heart rate center is disturbed and regulation is disordered, we must defibrillate within five seconds. Every time, we only have five seconds.”

Because the sterile sheet covering the body was just lifted, someone has been contaminated and needs to scrub in again. The sterile sheet on the table also needs to be piled up again.

Everyone return to their positions to continue the operation.