Chapter 158： 1 minute on the stage, 10 years of work

Pengcheng, People's Hospital of Development Zone.

At the office of the director of interventional department, Mu Tao and Wu Haishi Wu looked at the surgery in the live broadcast.

Since the live broadcast number began in the Xinglinyuan live interventional surgery, Mu Tao applied to the teacher for a number, directly connected to the Xinglin Park.

The conditions in Pengcheng are particularly good. This is true for ordinary doctors. For Wu Lao, a well-known national expert, scholar and professor, the conditions will only be better.

After learning that the live broadcast began, Mu Tao came to the director's office and watched the live broadcast with Wu Lao.

Wu Lao’s hands were fastened together, and the right **** gently tapped the back of the left hand and looked at it while contemplating.

Mu Tao was sitting on the side of Wu's body, full of doubts.

The surgeon is very powerful, Mu Tao has long known.

But he judged that the level of the surgeon is a little higher than his current level, and maybe even between the two.

However, today's surgery has brought him a strong sense of discomfort.

The previous steps are very simple. The only point of view is that the surgeon did not have an arterial puncture. This proves that the cooperation between the surgeon and the assistant has gradually become tacit.

However, since the image was opened, Mu Tao began to pick it up.

The micro-guide wire of the surgeon does not take the unusual path, and does not enter the hepatic artery from the aorta, but directly over-selects the short gastric artery!

He did not easily judge the surgeon's carelessness, because many revascularizations of liver cancer tissue are supplied by the short gastric artery.

Sure enough, when the micro-guide wire continued to deepen and began to move to the right side, Mu Tao determined that the blood supply to the tumor must be a short gastric artery!

Without angiography, he can judge.

But what is the inspection of the surgeon to know this? Is it a 64-row CT 3D reconstruction? Or other means?

Because Wu Lao was silent and focused on the surgery video, Mu Tao did not have a silly question, but repeatedly thought about the possibility.

He thinks a lot about the point, such as the operator's hand, surgical intuition, preoperative examination, intraoperative angiography and so on.

But one by one is denied by him, it is impossible!

This is the real world, not a fantasy novel. How can someone be a prophet?

The angiography started in the live surgery, and as Mu Tao imagined, the entire tumor tissue was "lighted up."

That is to say, the patient's tumor supports the blood vessels, which are fed through the short gastric artery rather than the branches of the hepatic artery.

This situation will occur, inevitably after the multiple operations, the branches of the hepatic artery have been blocked, and other blood vessels are fed to patients with advanced liver cancer.

But... How did he determine the short gastric artery, not the radial artery, spinal artery, or even the thoracic or abdominal aorta?

The angiography was completed, and the next thing in Mu Tao’s view was that there was nothing to watch.

If he knows before surgery that the blood supply to the tumor is a short gastric artery, he will do as well as the surgeon... will...

Most definitely! Mu Tao cheered himself up.

The few blood vessel branches are nothing at all. The blood vessels that are superselected into the liver are extremely subtle, and they should be able to do it themselves... Can you do more than one selection at a time?

Thinking, Mu Tao's right hand slightly moved, as if he was standing on the operating table at the moment, wearing a lead coat, wearing a lead cap, and doing surgery.

No...

Soon he realized the fact that he was frustrated - even if he knew that the tumor tissue was supplied by the short gastric artery, he could not succeed in a superselection.

One minute on the stage, ten years of work.

This is the case with the stage, and the operating table is even more like this.

The most basic cognition, Mu Tao still has, and must have. As a leading figure in the new generation of national intervention, his level is very few among the young and middle-aged people under the age of forty.

I can't do it myself, so the surgeon must be a big cow in the country, even the top professors in the world.

Mu Tao himself thought secretly.

Soon, the live broadcast ended, and the next operation, Mu Tao can imagine with his eyes closed.

The microcatheter enters the liver along the micro-guidewire, chemotherapeutic drugs, perfusion chemotherapy and embolization embolization, and then angiography, no missing, the surgery is over.

"What do you see?" At the end of the operation, Wu Haishi Wu Lao Shen asked.

"The level of the surgeon is higher than mine. I guess it is the top domestic figure in the 50s or an internationally renowned expert." Mu Tao said his thoughts.

Wu Lao’s right hand hit the back of the left hand with a quicker speed.

"It's not this question, the identity of the surgeon, how good the surgery is, and you use it." Soon, Wu Lao expressed his dissatisfaction.

Mu Tao is his close disciple, and it is natural to talk about it.

"That..." Mu Tao couldn't help Wu Lao, hesitated.

"The surgeon did not over-select the hepatic artery, but went directly to the short gastric artery. What do you think?" Wu Lao said.

"I have a few speculations." Mu Tao said all his guesses at 151.

Wu Lao continued to sink, only the finger hit the back of the hand faster.

Mu Tao knows the teacher's habit, and the speed at which the finger hits the back of the hand represents the speed at which the teacher thinks about speed.

"I think that the surgeon did a 64-slice CT three-dimensional reconstruction before surgery, and determined that most of the necrotic tumor tissue had undergone new blood vessel reconstruction and found new blood vessels." Wu Lao finally said affirmatively.

"64-row CT three-dimensional reconstruction... It seems not so fine." Mu Tao doubts.

"That's what you learned." Wu Lao shook his head and said: "I have only seen one person like this, but he died of illness the year before."

"who is it?"

Wu Lao waved his hand and motioned not to interrupt him.

"When I started to learn interventional surgery in the country, I first contacted the radiologist. I am the second person to contact with the intervention." Wu Lao said: "People who engage in CT contact with interventional surgery, or start with radiofrequency ablation After the large-scale development, but radiofrequency ablation is also based on clinicians."

Mu Tao is stunned and completely unaware of what the teacher is saying.

"It seems that there should be a large team behind the surgeon to prepare for the superselection of the short gastric artery. But such a delicate life is not something that CT doctors can do. It must be the surgeon, it must be done by the surgeon. The 64-row CT three-dimensional reconstruction!" Wu Laoyue said that the more excited, finally stood up and waved his right hand.

"Teacher, you pay attention to control blood pressure." Wu Lao's action shocked Mu Tao and quickly stopped.

“Nothing.” Wu Lao smiled and said: “Download the video recording and downloading. I have information this afternoon.”

Mu Tao nodded, but when he switched pages, he suddenly stopped.

"How?" Wu asked.

"The recording and broadcasting disappeared." Mu Tao's answer.

"..." Wu Lao also stunned, and then said: "What to do!"

Looking at the angry Wu Lao, Mu Tao did not even dare to say anything.

After a few minutes, Wu Lao was angered and calmed down. "You, go with me to the CT room."

"Well? What are you going to do?" Mu Tao is puzzled.

"Go to learn to do CT 3D reconstruction." Wu Laoyi looked indifferent.