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Chapter 177 Success is only one step away

Professor Swen was focused on watching Wang Yang perform the operation. When Wang Yang placed the puncture needle in the built-in, the speed became very slow because the patient continued to vomit blood.

Unlike Wang Yang's speed in the past, Wang Yang performed it very carefully. It is obvious that this kind of emergency surgery is more difficult than ordinary slow diagnosis surgery.

Xinglin live broadcast room.

"Damn it! Tips surgery live broadcast! Big guy!"

"Tips surgery is the most difficult interventional surgery in the world and the luckiest one is interventional!"

Some surgeons do not know about tips surgery, but there are many intervention doctors in the live broadcast room. They usually watch teaching videos, tips are their goal.

As soon as they saw Wang Yang's surgery, they knew that Wang Yang was undergoing tips surgery. At this moment, they were crazy, which was the madness of the interventional doctor.

This is live broadcast! Live tips surgery! You can learn tips surgery in all aspects. Whether you can do it is one thing, but there are not so many opportunities to learn.

The venous flow cessation technique is a technique that is mostly a book-based technique. Apart from Professor Wang Jing, there are probably few doctors who can do it in the live broadcast room.

Wang Jing: "The emergency department, the lateral position is actually a tips surgery. This operation is the most difficult among tips. The surgeon is too bold and actually makes the patient stand on the side. I don't know if it is confident. If any link is wrong, the operation will fail."

Wang Jing explained in the live broadcast room that when everyone heard that the tips surgery was already difficult enough. The surgery Wang Yang performed was even more difficult in the tips surgery. This made everyone in the live broadcast room take a breath and cool air. This is a distance they were out of reach.

Looking at Wang Yang who was operating in the live broadcast room, Professor Wang Jing narrowed his eyes and asked He Zhongwen behind him, "How many times do you think he can succeed?"

He Zhongwen was also very surprised when he saw the surgeon undergoing tips surgery. He Zhongwen had many tips surgery, but the success rate was not high and the difficulty coefficient was too high.

"I think the patient's body is still in a state of vomiting blood, which has increased the difficulty of the operation. If the patient's lateral position is performed in this case, I think it is about ten to fifteen times."

He Zhongwen did not say that the failure was because the surgeons in the live broadcast room performed very perfectly, and his teacher, Professor Wang Jing, felt that the other party was at the same level as him, so it was just a matter of the number of times.

“Ten times?

Maybe.”

Wang Jing looked at the screen and remembered some past events.

When Wang Jing first came into contact with tips surgery, the domestic interventional equipment was still very poor and there was no choice at all.

During the puncture, Wang Jing poked the patient's liver and pierced more than 40 times, but none of them succeeded.

Later, the patient died because of ineffective rescue. Wang Jing had actually forgotten this incident. This time, he suddenly remembered when he saw the live broadcast.

Tips surgery depends on luck. Sometimes it is normal for punctures that fail to succeed for dozens of times. Even Wang Jing dares not guarantee that every tip surgery can be less than ten times.

The tips operation is to save lives. After the rescue, the liver damage to the patient is severe, and hepatic diseases are likely to occur after the operation.

When performing tips surgery, you must consider the situation of the patient's family. If Professor Wang Jing’s explanation is not done properly before surgery, he will never undergo tips surgery.

"By the way, the little doctor you mentioned last time, Sven Brenlich went to work with him?"

Wang Jing glanced at the live broadcast room and asked.

"Well, I heard from Director Ding of Union and Union that Sven Brenlich offered $5,000 US dollars of scientific research funds to let the young doctor join his laboratory."

Congratulations to Chinese.

"I watched the last video of prostate interventional embolism. The little doctor's technique is really stable and he is a talent for plasticity. When he comes to Kyoto next time, he will bring him to see me."

Wang Jingdao.

"Okay, teacher."

After Wang Jing finished speaking, her eyes returned to the live broadcast room.

Wang Yang was concentrating on the operation at this time. Through training in the training room, Wang Yang had already penetrated the vein between the hepatic vein and the portal vein branches, and controlled the number of punctures within ten times.

A tips operation was also completed in the training room, which prevented hepatic diseases after surgery.

The title of the leader of the Hundred Schools has greatly helped Wang Yang. If it weren't for the title that passively allowed himself to integrate ct skills, interventional skills and external technology, Wang Yang would have no confidence in this operation.

Although this operation squandered Wang Yang's skill points, Wang Yang knew the role of the title of "Talent of the Hundred Schools" and was able to win the operation, so he felt that it was not a loss.

In the future, when encountering similar tips surgery, whether it is a slow diagnosis or an emergency, Wang Yang only needs to go to the training room to test it.

“Prepare for puncture.”

Wang Yang looked at the overlapping images and spoke.

Li Xiang held the guidewire and stood next to him motionless. Li Xiang also knew that this operation could not be fast, but could only pursue stability, although it was the first time Li Xiang participated in tips surgery.

Wang Yang took a look at the direction, determined that the location was similar to the training room, and began to perform puncture.

But the first puncture failed.

This was Wang Yang's expectation. After all, even in the training room, it was impossible to achieve 100% successful puncture.

Although the puncture failed, it also left a trace on the image. Wang Yang did not continue to puncture, but observed the image first, and a three-dimensional model of the patient's hepatic vein and portal vein appeared in his mind.

This is the role of the strengths of the hundreds of schools. After integrating skills, they will quickly provide feedback when Wang Yang needs it.

"It should be 1cm upwards and the angle is about 25 degrees."

Wang Yang moved the guidewire and judged the position based on the three-dimensional model in his mind.

There is still a difference between reality and training room. For example, the amplitude of vomiting of blood in the training room is regular, but there is no pattern in reality, so the angle can only be changed according to the amplitude of the patient.

Moreover, the hepatic vein is very thin, and the guidewire is too open in the hepatic vein, which will lead to constant movement and the puncture process is difficult.

Wang Yang manipulated the guide wire and walked along the blood vessel wall, using the stickiness of the blood vessel wall to prevent the guide wire from wandering everywhere.

In the live broadcast room.

"The stitch of the surgeon is a bit far away. If it is a chance, is the surgeon considered a non-chief?"

"I think the surgeon did not use this needle blindly, it should have a purpose. Do you still remember the patient who intervened intestinal necrosis last time?

The patient used puncture method to determine the bleeding point."

Some people mocked Wang Yang in the live broadcast room.

Wang Jing was stunned when he saw this scene, but the distance was a bit far away.

But Wang Yang's second injection shocked everyone.

In the live broadcast room, the images of the portal vein and the hepatic vein overlapped, and the puncture needle stopped between the two.

The second puncture was successful! Did the first injection just now have a purpose?

In fact, he succeeded in the first shot?

Wang Jing found that he had this terrifying idea. You should know that the tips surgery, a successful puncture, would shock the world and shock the world.

The main reason is that Wang Yang's first injection is too far away, and the second injection is successful. It is impossible to judge the position by the first injection, and it is even more impossible to fool around.
Chapter completed!
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