Back in 2002 as a doctor
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He knew that Zhou Congwen was very strong, but he never thought that Zhou Congwen would be so strong.
It is unimaginable that Zhou Congwen can easily grasp the distance of less than one millimeter.
In the process of interventional surgery, if you can control the micro-guide wire and micro-catheter to the centimeter level, you are already a strong person; if you can control it to 2-3 millimeters, you can already be said to be a world-class surgeon.
However, Zhou Congwen can continue to precisely control the position to less than 2 millimeter after 3-1 millimeters!
This move alone is enough to shock the medical profession.
After measuring the distance, Liu Wuyan was really speechless.
He was silent for a while, and had a deeper trust in his own judgment - Zhou Congwen must have done something in the subsequent operation.
Let the surgical imaging continue.
The micro-guide wire operated by Mr. Huang passed through the eye of the sewing needle without any difficulty. This step was not difficult when Zhou Congwen was well prepared before.
Immediately, the microcatheter was withdrawn, and the grabber also stuck out its head.
The catcher like a horse pole moved forward only a few centimeters, and then remained motionless.
Still motionless again!
Before seeing the operation, people were amazed at the stability of the surgeon.
Looking back now, every step of the practitioner seems to be engraved with four words - immovable like a mountain!
The blood flow in the pulmonary artery is as if it does not exist, and it cannot have any influence on the operations of the surgeon and assistants.
Not only are their movements accurate to below the millimeter level, but their hands are as steady as a rock, and they can instantly solidify microcatheters, microguide wires, and grabbers, standing tall like famous mountains and rivers.
As for the blood flow and other influences, it can't shake this mountain at all.
This step seems to be calm, but it needs countless micro-manipulations to counteract the dynamic influence of the blood flow in the blood vessels on the micro-guide wire and the catcher.
It looks simple, but it is actually shocking.
This must be the meaning of the fact that a good fighter has no great achievements. Chu Yuntian looked at the micro guide wire and the catcher in the pulmonary artery, and endless confusion arose in his heart.
This is interventional surgery, and I can say that it is not my own field, and it doesn't matter how strong the surgeon is.
But Chu Yuntian asked himself, surgery can do this level, what about surgery?
This is the foundation laid by surgery, but surgery rarely has the opportunity to manifest it.
The more sophisticated interventional surgery fully displays Huang Lao and Zhou Congwen's skills, understanding of surgery, local anatomy and even hemodynamics.
Strong push!
Strong enough to be powerless.
The others also had their own concerns, watching this scene silently.
The operation that was not understood before, the difficulty that was not seen, looking back, everyone has a clear understanding in their hearts.
After all, he is a top performer in the world. If you don't see the way when you look back at it again, you can wash up and go to sleep.
The microguide wire and the catcher were fixed in the blood vessel and remained motionless, while the microcatheter operated by Zhou Congwen moved forward slowly until the head of the microcatheter rested on the lower edge of the sewing needle.
"Pa~" Liu Wuyan pressed the pause button with his hand.
He pauses again.
Here lies the problem!Deng Ming's doubts and his own doubts are all here.
There is a problem with the placement of the microcatheter, and people are aware of that.
But even if this is a postoperative replay, the world's top experts are at a loss when faced with the replay of the operation, and don't know what the problem is.
Everyone knows what's wrong, but they can't see it.
Liu Wuyan began to use a computer to measure the distance between the microcatheter and the sewing needle. He guessed whether the microcatheter controlled by Zhou Congwen had broken through the limit of the millimeter level and entered the nanometer level.
This guess is a bit absurd, and it is impossible for humans to do this.
Measurements also showed that guess was wrong.
The microcatheter and the needle had indeed touched, there was no distance between them.
"Zhou Congwen completed this step very delicately."
said an old voice.
"Boss." Liu Wuyan subconsciously stood up straight and said respectfully.
Chu Yuntian was taken aback, but immediately got out of the best position.
Seeing the looseness ahead, Dr. Miyamoto wanted to squeeze in, but was blocked by Chu Yuntian.
"Boss, the surgery is over." Liu Wuyan said nonsense.
"Well, I'm done. Let Zhou Congwen do the rest." Huang Lao threw the lead coat on the ground with a "boom~".
Afterwards, Mr. Huang naturally sat on the chair in front of the console, watching the picture on the screen freeze on a frame where Zhou Congwen's microcatheter was "cushioned" under the sewing needle.
He smiled, very relieved.
"Do you think there may be a problem here, but you can't tell where the problem is?" Huang Lao asked.
"Yes, boss." Liu Wuyan replied, "I didn't notice when you took out the sewing needle. It was Deng Ming who said that the sewing needle hadn't moved, so I..."
Liu Wuyan said, scratching his head.He didn't know how to describe it, how to describe it.
Chapter 1089 The operation that made the world's top surgeons miss their eyes
"That's not the problem." Mr. Huang sat straight in front of the computer and started to play back the operation video.
The DSA machine automatically records the surgical process and surgical images, which is very good for interventional doctors.
As long as you want to learn, you can compare and learn repeatedly.
But the problem is that the operation of interventional surgery is at a meticulous level, and it is difficult to see how the surgeon operates in front of the video.
This is also different from surgery.
Each has its own advantages and disadvantages.
Mr. Huang rewound the operation video to the scene when the super selection ended and the radiography started.
"Here." Huang Lao pointed to the screen and said, "Why don't you use a high-pressure injector, but push it with your hands?"
Unconsciously, Mr. Huang sat in the operating room of the Mayo Clinic and started teaching mode.
In China, everyone is used to Huang Lao instilling values and starting the teaching mode.
When he came to the Mayo Clinic, the world's number one hospital, Mr. Huang's teaching mode was still harmonious, and no one thought there was anything wrong.
In an instant, the world's top practitioners became Huang Lao's students, and even Dr. Miyamoto pricked up his ears to listen to Huang Lao's words.His Chinese is not good, and there is no Chinese translation, but he can understand as much as he can, and there are not many similar opportunities.
"I thought this step was impossible at first, but after seeing the radiography, I found that... maybe you and Zhou Congwen were worried that the pressure of the high-pressure injector would change the blood flow and cause the position of the sewing needle to change." Liu Wuyan replied.
"Yes." Mr. Huang played the operation at normal speed, he said lightly.
Under normal double speed, Zhou Congwen's "ridiculous" action of pushing the syringe is no longer ridiculous, but full of details.
After the replay, everyone realized more clearly that because of Dr. Smith's misoperation and the impact of imaging again and again, the sewing needle was pierced deeper and closer to the bronchial artery, so that the needle tip would scratch Bronchial artery rupture.
The replay of the operation continued, and the process of pushing the contrast agent, which was a bit lengthy at the time, was indeed as it should be now.
I can't even bear the power of radiography, so what about the subsequent operations?
Such a question appeared in everyone's mind.
When Mr. Huang saw Zhou Congwen operating the microcatheter directly to the position in front of the needle again, he didn't stop there, as if he didn't notice the extremely delicate operation.
"Boss, Zhou Congwen's hand is really beautiful." Liu Wuyan admired, "I measured it just now, and the distance from the microcatheter to the eye of the needle is 0.9mm."
"Oh?" Mr. Huang responded, "The operation here is the simplest, didn't you see it? It shouldn't be."
"..."
"..."
"..."
Everyone in the operating room who could understand Huang Lao's words was shocked.
Dr. Smith didn't know what Huang Lao was talking about. He felt that the atmosphere was not right, so he pulled Chu Yuntian's arm, "Chu, what is Dr. Huang talking about?"
"Old Huang said that this step is the easiest to operate." When Chu Yuntian said this, his mouth was astringent.
In his opinion, Zhou Congwen's operation can be called a god's hand, and this operation is below the millimeter level!
And Chu Yuntian deeply understood that Zhou Congwen was definitely not fooled.
If you don't know what to do, you definitely won't push the micro guide wire straight up.Because once the microcatheter touches the sewing needle, the operation will most likely fail.
In other words, there is no doubt that Zhou Congwen's operation level must have reached the millimeter level.
But this kind of operation, which can be called the hand of a god, is actually considered by Huang Lao to be the simplest operation!
Everyone was surprised, especially Dr. Smith. He opened his mouth after listening, and his joints were almost dislocated.
Mr. Huang didn't show off, but continued, "This is visible to the naked eye, and it's not too difficult. Zhou Congwen should be able to do it."
"The next steps are the hardest and the focus of the surgery."
Next, the operation recording and broadcasting played the scene where Mr. Huang just walked out of the operating room.
"Boss, your operation is really stable." Liu Wuyan pointed at the motionless micro guide wire and praised.
"My operation is not bad at this step. It is very difficult, but it is not as difficult as Zhou Congwen's operation." Huang Lao's words were filled with almost infinite comfort.
Everyone was surprised.
"At first I wanted to operate a microcatheter, but Zhou Congwen said confidently that he was the one to do it. I guess this kid thinks that I am old and my body cannot bear the pressure of such delicate surgery."
"Uh..." Liu Wuyan was startled, "Boss, what's the problem?"
"It's right here." Huang Lao's hand touched the position where the microcatheter and the sewing needle are in contact with each other, "Is there no distance here?"
"Yes, I just measured it." Liu Wuyan said.
"Actually, this is the beginning of the difficulty." Huang Lao said, "The difficulty here is that you can't apply force to the sewing needle, so the microcatheter operated by Zhou Congwen is not 'pad' under the sewing needle, but touches it, but it touches it. Didn't touch it."
Met, but didn't come across...
Chu Yuntian didn't know how to translate this sentence, which was like a Zen master saying gatha.
It can only be understood, but cannot be expressed in words.
Although he didn't know how to translate it to Dr. Smith, Chu Yuntian knew what Huang Lao meant - the microcatheter was in contact with the sewing needle, but no force was applied to the sewing needle.
What kind of realm is this, and what kind of method is it?
No one can figure it out, but the truth is there, undeniable.
"Next, it's Zhou Congwen's time." Huang Lao smiled happily, and explained to the operation recording, "Look here, I tighten the harness and prepare to grab the [-] micro-guide wire."
"Yes." Liu Wuyan stared at the screen intently, and didn't forget to answer in the middle, lest the boss feel like talking to himself.
This is a habit formed in 912 before, and Liu Wuyan hasn't changed it until now.
"In order to avoid the guide wire in the blood vessel, I made a movement on my right wrist. Whether it is a microcatheter or a sewing needle, there is a corresponding change in the conduction of this movement."
"Generally speaking, if I do the operation myself, it will have failed at this time."
"Without Zhou Congwen's cooperation, a little force would cause the needle tip to swing and cut the bronchial artery. But do you know why the operation is still going on?"
Huang Lao asked while facing the suspended operation screen.
Liu Wuyan understood in an instant, all the things he didn't want to understand before suddenly had the answer.
It's Zhou Congwen!
Zhou Congwen manipulated the microcatheter. While overcoming the microcatheter’s own micro-moving force, he also had to take care of the boss’s operation. He applied a reverse force to the sewing needle so that the needle tip remained motionless under the force.
It turned out to be so!
Thinking of the answer, Liu Wuyan seemed to have touched an electrostatic ball, and the hairs all over his body stood on end.
He never expected Zhou Congwen's operation to be so delicate!
Chapter 1090 The operation ended successfully
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