The Godfather of Surgery

When Tan Boyun shook hands with Professor Yu, Professor Yu said, "Director Tan is soaring now!"

Tan Boyun smiled heartily: "I must thank Director Yu for his hard work!"

The two of them were all smiles on the surface. If they didn't know the inside story, they thought they had a deep friendship and shook hands.

Those who know the inside story, they all understand that there is something in their own words, and they mock each other.

How bad is the relationship between the two, they are no longer in the same hospital, they have nothing to do with each other, and they have to compete with each other when they meet and shake hands.

In orthopedic robotic surgery, Fuyi is at the forefront, with more than 500 surgeries being started. In terms of the number of orthopedic robotic surgeries, it is no problem to enter the top three in the country.

The second appendix has not carried out orthopaedic robotic surgery, but only carried out robotic surgery in thoracic, general surgery, urology, and obstetrics and gynecology.

As soon as Tan Boyun arrived at Sanbo Hospital, with the strong support of Director Han, more than ten operations were carried out in just one month. According to the progress of the operation volume, the attached one has become a trend of catching up.

If Sanbo buys the second robot, and all the spine, joint and sports medicine are carried out, it will start a crazy catch-up mode.

Tan Boyun is full of energy, ambitious, and dares to enter the cutting-edge field of the industry.

He is under Director Han, and now he wants to win the wind and the rain.

"Director Tan made a move, and launched more than a dozen units in a month." Professor Su praised.

Although Tan Boyun is arrogant, he does not dare to be arrogant in front of Professor Su, not only because Professor Su's academic character is outstanding, but also because Professor Su has helped him.

"This robot is dedicated to our microtrauma orthopaedic department, so the usage density is very high, and there will be an operation tomorrow. There are five robots in the queue this week. We have to learn more from Fuyi. Compared with Fuyi, we are still just toddlers. "

As the owner, Tan Boyun introduced the recent development of Sanbo's robotic surgery. Before he introduced, he turned his attention to Director Han to show respect and approval.

"We are currently carrying out more than a dozen surgeries involving the pelvis and limbs. Our goal is to use robots to perform all types of traumatic orthopaedic surgeries." Tan Boyun introduced his blueprint.

These more than a dozen operations are just a warm-up, and the good show is yet to come.

Professor Su admired in his heart that Han Jiangong would be good at employing people. Tan Boyun, a fierce horse, could hardly walk in Fuerer, but in Sanbo it was a thousand miles away. This man will surely make extraordinary achievements in the future.

Mr. Ning, a patient in the Overseas Chinese Building, has been sent to the operating room, next door to Director Tan's operation just now, because there is a navigation device - a computer-aided surgical navigation system.

Su Nanchen considered using a robot to complete the puncture, but gave up, because this kind of puncture not only requires precision, but also requires an excellent feel when entering the guide wire, and the direction of the guide wire can be adjusted according to the feel to successfully place the catheter.

Robotic surgery is very precise, but the lack of feedback on the contact of the instrument, that is, the lack of feel, is the biggest shortcoming.

Su Nanchen completed the simulated puncture, mastered the best puncture point, puncture angle and depth from the simulated puncture, and understood the relationship of each anatomy.

Yang Ping took Su Nanchen to the operating room, and Song Zimo followed behind.

Su Nanchen and Wen Rentao are both goals in Song Zimo's heart. He has been secretly working hard to surpass these so-called rising stars.

Song Zimo followed behind without saying a word. He was not sociable, but was too lazy to communicate. He always seemed to have nothing to do with him.

"The aunt I met in the garden just now has a soft leg in her right knee. Did you perform an operation on her?" Su Nanchen took the opportunity to ask.

Yang Ping nodded: "I just finished the operation this morning, and I will be discharged tomorrow, what, acquaintance?"

Su Nanchen said: "My old patient, the second operation was done here. The effect was not good. I met her just now, and the symptoms were completely resolved this time."

Yang Ping didn't expect this patient to belong to him. The patient mentioned that Dr. Su, who was attached to the second operation, did it for him, but Yang Ping didn't care: "This patient is a ligament of the popliteal tendon hiatus. Caused by the pressure, I found the synovium of the popliteal tendon hiatus, removed it, and the patient's symptoms were relieved naturally."

"Have you never heard of this disease?" Su Nanchen asked. With his profound knowledge, he didn't know about this disease.

Yang Ping smiled and said, "I have never heard of this disease. The abnormality found on her MRI."

"When you have time, let's watch the MRI film together?" Su Nanchen is eager to learn.

When the operating room arrives, change shoes, change clothes, and wear masks and hats.

The patient has been placed in a prone position, Zhang Lin and Xiao Wu have helped to disinfect the sheets, and the equipment is ready.

Professor Su, Professor Yu, and Director Han had already put on lead coats and sat inside chatting.

"Nan Chen, hurry up and brush your hands!" Professor Su urged.

"Xiao Yang, brush your hands and give Dr. Su a set." Director Han instructed.

The two wore lead clothes and began to brush their hands.

Yang Ping and Su Nanchen chatted very speculatively. He didn't like that Song Zimo, who was cold and arrogant all the time, rejecting people thousands of miles away.

Yang Ping is different, he has a strong self-confidence, but there is no arrogance and aggressiveness.

Experts are often lonely, and it is a happy thing to be able to find an opponent.

The mutual sympathy between young talents made Su Nanchen hate Yang Ping's meeting. When brushing their hands, the two kept chatting, from the patient whose popliteal tendon hiatus was pressed by the synovial strip to the patient's puncture, as if brushing their hands. The time is too short for two people to chat.

Everything is ready, the main surgeon checks again, opens the stage, local anesthesia, and percutaneously implants a spatial reference positioning needle in the spinous process to provide coordinates for navigation.

Dr. Su's posture on the table is very good, sitting and sitting, standing and standing, walking and walking, eating and eating.

There are postures for surgery. Some people have standard postures and look very beautiful; some people bow their heads and chests, and sometimes look close to the operation area; some people twist their bodies, which is not only ugly, but also easily pollutes the operation area; some people, a simple fracture , Very bad kneeling posture, I don't know if it's a special need, or it's the first surgery.

From Dr. Su's surgical style, it can be seen that Professor Su usually has strict requirements on him. The folds of the large orders are smoothed out, and the operating instruments are required to be neatly arranged and arranged according to the frequency of use.

Keep your chest high and your head down, your hands are at a suitable distance from the operating table, and your movements are controlled within a limited range. If it can be limited to the fingers, try to use the fingers; if the wrist joint is needed, it should be controlled by the wrist joint; even if the elbow joint is needed, it is a very small movement.

Every step, standard specification, looks very beautiful, the rhythm of the operation is clear, and it is advanced step by step.

The image of the navigation screen presents a three-dimensional anatomical structure, the reference point accurately displays the coordinate relationship between the instrument and the anatomical structure, and the navigation pointer instructs the puncture needle with the sheath to move toward the target accurately.

Simulated puncture and precise navigation, coupled with Dr. Su's talent and experience, the puncture is in place at one time, passes through the pedicle, breaks through the cortex at the best position, and completes the bony passage. The target is the nerve root sheath.

One step at a time, without any mistakes.

Su Qingyun's son really lived up to his reputation. Professor Yu paid attention to the entire puncture process and had to admire others for cultivating his son to be outstanding.

Even without Su Qingyun's help, Su Nan Chenjin is fully qualified, and the eight-year Xiehe system is the most valuable education in the country.

What's more, Su Nanchen was the champion of the science college entrance examination in Nandu Province that year, and entered the Xiehe as the champion. For Su Qingyun, no matter from the academic status of the department or his personal success, Professor Yu felt ashamed.

The puncture needle is pulled out, the sheath remains inside, the thin hollow puncture needle is pierced from the puncture sheath, and the needle tip touches the nerve root sheath. Even with navigation, this is an extremely difficult operation.

The afterlife is terrifying! Everyone agreed.

The needle tip is ready to puncture the nerve sheath and enter the sheath. This step cannot be helped by navigation, but must rely on the feel. With Song Zimo sitting next to him, Su Nanchen really deserves to be a rising star as famous as Wen Rentao, and has nothing to do with his father.

The needle tip pierced the sheath tube of the thoracic nerve root, and the microcatheter with an elastic guide wire entered the sheath tube from the hollow needle tube, exposing a little bit, but it was difficult to move forward.

The puncture was blocked in the last step of cannulation.

Su Nanchen frowned. Because of the invasion of tumor tissue and adhesion of the sheath to the perineurium, the guide wire to enter the sheath is now elastic, and the original intention of the design was to fit the natural gap between the sheath and the nerve. The gap does not exist because of adhesion.

When advanced again, the guide wire is bent on the image and cannot break through the adhesion.

Professor Su got up and looked at the navigation picture on the screen. The puncture process was perfect, but the last step was blocked.

He believed that Su Nanchen could handle it, and Su Nanchen did not panic, so he stopped the operation and thought about a solution.

He had already considered adhesions before the operation. To solve this problem, the angle of the puncture needle should be adjusted.

The puncture needle is now entering almost perpendicular to the direction of the nerve. It is necessary to adjust the angle of the needle tip to make the needle and the nerve direction present a certain angle, so that the guide wire can break through the adhesion in a better direction.

Just like splitting wood, it is very laborious to split horizontally; when splitting vertically, an axe can split it in half.

A missile hitting a teacup is fine, and requiring a specific direction to hit the teacup is even harder.

The range that can be adjusted is very small, the diameter of the bony tunnel is inherently thin, and the finer puncture needle has the range of adjustment, but it is very small.

Withdraw the guidewire catheter and re-puncture the nerve root sheath.

Su Nanchen is very proficient in the anatomy of the spine. At a young age, just 30 years old, he has accumulated hundreds of scoliosis surgeries, which is very rare.

He felt very good, the needle tip was slightly adjusted, and the angle appeared, but the needle tip just touched the nerve root, and as soon as it was advanced, it slipped away.

"The angle is not accurate, just adjust it by 15 degrees."

Yang Ping reminded.