Chinese medicine: from rural hospitals to top three hospitals in Kyoto

"Start." He Yonghua ordered in a deep voice, his voice coming through the mask.

The scalpel cut down precisely, and the sternum was slowly sawed open by the electric bone saw. The beating heart and the huge aneurysm that was pulsating like a devil's eye were exposed to the field of vision without any cover.

The tumor wall was indeed as thin as a cicada's wing. One could even vaguely see the blood rushing inside due to the high pressure through it. The visual impact was so strong that all the experts in the observation room who were watching the live broadcast screen held their breath.

Establish extracorporeal circulation, stop the heart... Every step is like walking on a tightrope on the edge of a cliff. If you are not careful, there will be no return.

He Yonghua was fully focused, clearing his mind of all distracting thoughts, leaving only the plan that Chen Yang had formulated before the operation and the key points of each step in his mind.

He carefully freed the aortic arch and its branches with steady and precise movements. He strived for perfection in every clamp and every cut, as if he was carving a work of art.

Chen Yang stood slightly to his side, his eyes as sharp as an eagle, staring closely at every subtle change in the surgical field and every data jumping on the monitor. His brain was working rapidly, simulating various possible accidents and response plans.

"Pay attention to the anatomical layers at the opening of the left subclavian artery to avoid damaging the deep recurrent laryngeal nerve."

"When anastomosing the artificial blood vessels end to end, the needle spacing should be uniform and the tension should be kept moderate to ensure long-term patency."

"Prepare to implant the elephant trunk stent. Pay attention to the position and speed of release to ensure that the stent fits perfectly with the vessel wall and there is absolutely no endoleak."

Chen Yang's instructions were always clear and concise, like the most accurate GPS navigation, always sounding the alarm when the operation was about to enter the next critical node or encounter potential risks. Zhong Dongyang understood his instructions, and his hands moved smoothly, forming a perfect tacit understanding with Chen Yang's command.

Inside the observation room, experts from Country R, ​​such as Ono Shinji and Sakata Shoichi, didn't even dare to breathe, their hearts were in their throats, and their palms were sweating from nervousness.

They know better than anyone that any slight mistake in this link, such as slippage of the clamp and bleeding at the anastomosis, may cause the fragile tumor to rupture instantly, and the patient will die on the operating table within minutes due to uncontrollable heavy bleeding.

Time ticked by in the silent and tense atmosphere. The artificial blood vessel was successfully anastomosed, and the elephant trunk stent was precisely delivered into position via the guidewire system and smoothly released...

When the extracorporeal circulation was successfully withdrawn and the patient's heart resumed beating vigorously and autonomously, intraoperative transesophageal ultrasound and immediate aortic angiography repeatedly confirmed that the aortic arch replacement was successful, the stent was perfectly positioned, there was no active bleeding, and no signs of endoleak...

Everyone in the observation room seemed to have pressed the pause button.

"Success!"

Inside the operating room, someone let out a low cry first, and then the tension that had been suppressed for hours instantly transformed into a wave of ecstasy!

Even though they were wearing masks, one could still feel the excitement and pride that was beyond words from everyone's eyes and brisk movements!

The first step is to successfully overcome the difficulties!

The first battle was a victory!

He Yonghua took off his heavy lead suit and wet surgical gloves, only to find that his sterile underwear had been completely soaked with sweat and was sticking tightly to his back.

He looked at Chen Yang, who had also taken off his mask and was smiling with satisfaction. The two smiled at each other, and everything was self-evident in this smile.

After the operation, Ayako Ishikawa was immediately sent to the ICU for 24-hour uninterrupted intensive monitoring.

Under the strong intervention of traditional Chinese medicine by Wen Haodong and Xun Jiahong - including decoctions to nourish qi and blood, promote blood circulation and dredge meridians, as well as acupuncture stimulation of specific acupoints - her recovery was better than the expectations of all medical staff in Country R.

The body, which was originally extremely weak and deficient in both qi and blood, gradually recovered at a speed visible to the naked eye under the careful conditioning of traditional Chinese medicine. The mental state improved, and even the surgical wound healed significantly faster than normal expectations.

A week later, the patient's vital signs stabilized, his body functions recovered well, and he successfully met the conditions for the second stage of treatment.

The second battle, the target - the two high-risk aneurysms in the brain.

This time, the main battlefield shifted to the interventional catheterization room with advanced equipment.

Wearing a heavy lead vest weighing dozens of kilograms, Qu Haoran was like a heavily armored warrior about to step onto the battlefield. Guided by the clear images generated in real time by the DSA machine, he inserted the hair-thin microcatheter into the abnormally twisted, maze-like vascular network deep in Ishikawa Ayako's brain, just like threading a needle. With his superb touch and spatial imagination, he accurately delivered it.

Qu Haoran's target was two aneurysms located at the siphon segment of the internal carotid artery and the bifurcation of the middle cerebral artery. These two tumors were located very deep and had irregular shapes. Once ruptured, the instantaneous bleeding was enough to cause serious neurological damage or even death.

This process is an extreme test of the operator's technical stability, three-dimensional spatial judgment and patience.

Qu Haoran stared at the real-time changing vascular images on the high-resolution display screen, but his hands were extremely stable in controlling the guidewire and microcatheter, carefully releasing platinum spring coils thinner than a hair, and filling them into the aneurysm cavity accurately and densely like filling a warehouse, until it was confirmed on the angiography that the tumor was completely embolized and no longer visible.

Chen Yang also stood behind Qu Haoran, watching every step of Qu Haoran's actions. Chen Yang's presence itself was a reassurance.

"The angle of the microcatheter tip needs to be adjusted approximately three degrees counterclockwise, taking care to avoid the important perforating vessels supplying the brainstem."

"This tumor neck is relatively wide, so we are considering using auxiliary stent technology. First, the stent is released, and then the spring coil is filled through the mesh to prevent it from falling out."

"Pay attention to the tension of the microcatheter in the blood vessel to avoid excessive tension and stimulation of the tumor itself."

With Chen Yang's precise remote "navigation" and crucial reminders, Qu Haoran felt as if he had reached an optimal state of "human-machine integration," his operations becoming increasingly smooth and confident. He successfully embolized two difficult intracranial aneurysms, considered daunting by interventional neurosurgeons from Country R, ​​in one fell swoop!

When the final cerebral angiography confirmed that the two target aneurysms were completely invisible and the aneurysm artery and all its important branches were unobstructed, Qu Haoran finally let out a long and complete breath that he had been holding for a long time. A huge sense of accomplishment and a sense of exhaustion that surged like a tide swept over him at the same time, almost making him collapse.

The success of two consecutive high-difficulty and high-risk operations was like two loud slaps in the face of the experts from Country R who were originally waiting to see the joke.

Ichiro Yamamoto's breathing became rapid. Such a difficult operation was actually completed by Chen Yang's team.

This is simply a miracle.

This time, Chen Yang's team can be said to have become a legend in one battle.