Shenzhen City Development Zone People's Hospital.
In the interventional radiology department chief's office, Mu Tao and Wu Haishi watched the surgery intently.
Ever since this account had started broadcasting interventional radiology in Xinglin Garden, Mu Tao had applied for an account for his teacher to connect directly to Xinglin Garden.
The facilities in Shenzhen City were excellent for ordinary doctors, but for nationally renowned experts, scholars, and professors like Old Wu, the facilities were even better.
After learning of the start of the live broadcast, Mu Tao went to the chief's office to watch the surgery with Old Wu.
Old Wu's hands were clasped together, his right middle finger gently tapping on the back of his left hand. He was deep in thought as he watched.
Mu Tao, on the other hand, sat behind Old Wu, his eyes filled with confusion.
Mu Tao had long known that the host surgeon was very skilled.
However, he judged that the host surgeon's skills were slightly higher than his own. Perhaps they were on par.
However, today's surgery had given him a strong sense of discomfort.
The initial steps were simple. The only thing worth noting was that the host surgeon did not perform an arterial cannulation. This proved that the host surgeon and his assistant had gradually developed a rapport.
However, Mu Tao began to fall into a trance the moment the video started.
The host surgeon's micro-guide wire did not follow the usual route. Instead of entering the aorta through the hepatic artery, it had directly selected the short gastric artery!
He did not judge the host surgeon's carelessness because the short gastric artery supplied blood to many of the hepatocellular revascularization tissues.
As expected, when the micro-guide wire continued to travel to the right, Mu Tao was certain that the tumor's blood supply was from the short gastric artery!
He could tell without the need for angiography.
But what kind of examination did the surgeon go through to find out about this? Could it be a 64-slice CT scan with 3D-image reconstruction? Or was it some other method?
Since Old Wu was silent and focused on the video, Mu Tao did not foolishly ask questions. Instead, he repeatedly considered the possibilities.
He thought of many possibilities, such as the host surgeon's touch, surgical intuition, preoperative examination, intraoperative angiography, and so on.
However, he rejected each and every one of them. It was impossible!
This was the real world, not a fantasy novel. How could anyone predict the future?
During the live surgery, the angiography began. Just as Mu Tao had imagined, the entire tumor tissue was' lit up '.
This meant that the tumor's blood supply was through the short gastric artery and not a branch of the hepatic artery.
Such a situation must have occurred in a patient with advanced hepatocellular carcinoma after multiple surgeries.
But … how did he determine that it was the short gastric artery and not the phrenic artery, the spinal artery, or even the thoracic or abdominal aorta?
After the angiogram was completed, Mu Tao felt that there was nothing interesting to see next.
If he had known before the surgery that the short gastric artery was the blood supply of the patient's tumor, he would have performed as well as the surgeon … right?
He definitely will! Mu Tao encouraged himself.
Those blood vessel branches were nothing at all. The blood vessels in the liver were extremely fine. He should be able to do it … If he couldn't do it once, he could do it a few more times.
As he thought about it, Mu Tao's right hand moved slightly. It was as if he was standing on the operating table, wearing a lead apron and a lead cap and performing surgery.
No …
Soon, he realized a depressing fact — even if he knew that the tumor tissue was supplied by the short gastric artery, he could not succeed in the first superselection.
One minute on stage was equivalent to ten years of hard work off stage.
The stage was like that, and the operating table was even more so.
Mu Tao still had the most basic knowledge, and he definitely had it. As a leader of the new generation of interventional radiologists, he was one of the best young people under the age of forty.
If he could not do it, then the surgeon must be an expert in the country, or even a world-class professor.
Mu Tao thought to himself.
Soon, the surgery broadcast ended. Mu Tao could imagine the next steps even with his eyes closed.
The microcatheter followed the micro-guide wire into the liver, chemotherapeutic drugs were administered, chemotherapy was performed, and then embolization was performed. After the angiogram was reconstructed and there were no omissions, the surgery was over.
After the surgery, Wu Haishi asked in a deep voice, "What did you see?"
"The surgeon's skill level is higher than mine. I estimate that he's around fifty years old, a top figure in the country, or an internationally renowned expert," Mu Tao said.
Old Wu's right index finger tapped the back of his left hand faster.
"That's not what I'm asking about. I don't need you to tell me about the surgeon's identity and how good the surgery was." Old Wu quickly expressed his dissatisfaction.
Mu Tao was his last disciple, so there was no need to be polite when he spoke.
"Then …" Mu Tao could not understand what Old Wu meant and hesitated for a moment.
"The surgeon did not superselect the hepatic artery, but went straight for the short gastric artery. What do you think?" Old Wu said.
"I have a few guesses." Mu Tao told him all his guesses in detail.
Old Wu continued to ponder, but his fingers tapped the back of his hand even faster.
Mu Tao knew his teacher's habit. The speed at which his fingers tapped the back of his hand represented the speed at which his teacher was thinking.
"I think the surgeon did a 64-slice CT scan with 3D-image reconstruction before the surgery. He determined that most of the necrotic tumor tissue had been reconstructed and found a new blood supply," Old Wu said with certainty.
"64-slice CT scan with 3D-image reconstruction … I don't think it's that detailed." Mu Tao was puzzled.
"That's because you haven't learned enough." Old Wu shook his head and said, "I've only met one person like that, but he passed away two years ago due to illness."
"Who was it?"
Old Wu waved his hand, indicating that he should not be interrupted.
"When I first started learning interventional surgery in the country, I first came into contact with doctors from the radiology department. I was one of the second batch of people who came into contact with interventional surgery," Old Wu said. "People in the field of CT came into contact with interventional surgery after radiofrequency ablation began on a large scale. However, radiofrequency ablation was mainly done by clinicians. "
Mu Tao was stunned. He had no idea what his teacher was talking about.
"From the looks of it, the surgeon must have had the support of a large team to prepare for the selection of the short gastric artery. However, such detailed work is not something a CT doctor can do. It must be the surgeon. It must be the surgeon who did the 64-slice CT scan with 3D-image reconstruction! "Old Wu became more and more agitated as he spoke. In the end, he stood up and waved his right hand.
"Teacher, pay attention to controlling your blood pressure." Old Wu's movement shocked Mu Tao and he quickly stopped him.
"It's fine." Old Wu smiled and said, "Download the video recording. We'll have the materials for this afternoon's lesson."
Mu Tao nodded. However, when he switched the page, he was stunned.
"What's wrong?" Old Wu asked.
"The recording disappeared," Mu Tao replied in a daze.
"…" Old Wu was also stunned. Then, he said, "What the hell!"
Looking at the angry Old Wu, Mu Tao did not dare say a word.
After a few minutes, Old Wu's anger subsided. He said in a low voice, "You, come with me to the CT room."
"Huh? What for? "Mu Tao was puzzled.
"To learn how to do 3D-image reconstruction," Old Wu said calmly.
+++++
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
