Surgery Godfather
Chapter 1279 - 974: Can You Speak More Pleasantly?

Chapter 1279: Chapter 974: Can You Speak More Pleasantly?

Organ transplant required extremely strict suturing requirements, and Yang Ping had completed the suturing of the bronchi and blood vessels, leaving only a few traction threads for Director He to cut.

"Director He! Please, come over here," Yang Ping said as he removed his glasses again.

"There are a few threads left, can you help me cut them?" Yang Ping asked.

It was not just thread cutting, even if he did nothing but sit there and maneuver the robotic arm, Director He was completely satisfied.

In reality, there were not many traction threads left, just four, but Director He took his time to ensure they were cut neatly and beautifully, spending a long time positioning the scissors before finally cutting the threads to his satisfaction.

The remaining work involved using a fiber optic bronchoscope to check the quality of the bronchial anastomosis and a transesophageal echocardiography to inspect the quality of the lung blood vessels and heart anastomoses. If there were no issues, the final steps would be placing a drainage tube and suturing the surgical incision.

"Professor Yang, why don’t you take a break?" Director He volunteered.

In fact, Yang Ping had nothing else to do, so he moved to the operating room to check the results of the transesophageal echocardiography and the fiber optic bronchoscopy. At that moment, Song Zimo was performing a transesophageal echocardiography with the ultrasound machine.

There was no doubt about it. Whether it was the bronchus or blood vessels, the anastomosis quality was very high, and the passageway was very clear. The surgery could be concluded, and the entire procedure had taken just two hours to complete, with bleeding even less than that from a toenail removal.

ECMO could generally be discontinued 24 hours after surgery, which was a very conservative approach for Yang Ping. Since this was the first case involving a surgical robot performing a lung transplant, a cautious and sure approach was necessary. However, with more data accumulated, it would be possible to progressively shorten the postoperative ECMO support time, ideally disconnecting from ECMO immediately after surgery to allow the implanted lungs to begin functioning as soon as possible.

"Professor, when will you also teach me how to use the multi-arm operation? I always struggle with the cognitive shift during multi-arm operations. I still feel like I only have two hands, and I can really only use two robotic arms effectively at any moment, leaving the third arm as a backup. It feels like two are in use and one is waiting in line; essentially, during the operations, it seems like only two robotic arms are primarily used," Song Zimo expressed his frustration, as his future in surgery was heading toward robotic operations, and he hoped to master the cutting-edge skills as soon as possible.

The future of robotic surgery will certainly not remain as it is now. The surgical robots of the future will be able to perform many operations simultaneously with multiple arms, enhancing the efficiency and quality of surgeries. Just like how machines replaced hand looms, the methodology of robotic surgery will definitely differ from simply mimicking hand surgery—more than just a simple copy.

Currently, robotic surgery merely replicates the actions of surgeons, serving only as an auxiliary tool, similar to a laparoscope. It is merely an advanced tool, albeit a little more sophisticated than others, but calling it a robot is somewhat of a misnomer.

"Multi-arm operations are not mandatory and actually go against the initial design intent of these surgical robots, which is to mimic the operation of two hands. You do not need to learn multi-arm operations," Yang Ping advised Song Zimo.

But Song Zimo was very determined, "Professor, please tell me how to train. I also want to surpass the machine’s design limitations and unlock new skills."

This put Yang Ping in a difficult position, as he really hadn’t thought of a good training method yet, apart from using the actual surgical robot. There seemed to be no other way to train for the multi-arm operation on the robotic surgeon, which initially cost 75 million US dollars each and now reduced to 1.5 million US dollars. The equivalent price in RMB was also about ten million per unit, and a single robotic arm, now discounted in price, still cost thirty thousand each and could only be used ten times. Once it reached ten uses, the built-in chip would lock, preventing the arm from being used.

"We can only use the robot for training, there’s simply no other way," Yang Ping said helplessly.

Song Zimo felt this was too wasteful. Using a robot for practice, he calculated that one robotic arm had about 40 hours of use. Fully fitted with four arms, the total cost was 120,000. At two hours a day, it would only last about 20 days, or 10 days at four hours a day. Not considering the wear and tear on the robot itself, just the cost of the robotic arms added up to an average daily expense of 12,000, a training cost that was hard for anyone to accept.

"Professor, you didn’t train this way, did you?"

Song Zimo was arranging the Surface Ultrasound and Fiber Optic Bronchoscope, while speaking. Xu Zhiliang was alone suturing the surgery incision, and the several doctors observing did not leave. They listened to their conversation intently, even a casual chat with an expert has substance.

Yang Ping sneered, "How could someone frugal like me be so extravagant and wasteful? I am naturally talented. When I perform robotic surgeries, I just make breakthroughs instinctively, not even knowing when or how they happen."

"What should we do then?" Song Zimo, having just calculated, felt there was no hope of getting a training opportunity.

After thinking for a moment, Yang Ping said, "If you really want to train in robotic surgery, I’ll buy another one specifically for training, or maybe I’ll let the manufacturer send one over for you guys to tinker with."

"Send one over? Based on—what?" Xu Zhiliang was puzzled.

"Not sending it, huh? Next time, I’ll use a different brand of surgical robot." Yang Ping’s tone was cold.

"Is that useful?"

Xu Zhiliang still did not understand.

Song Zimo immediately grasped the reasoning, "Professor, are you serious? Should we let Tang Shun contact the manufacturer?"

"Let him contact the manufacturer, as soon as possible. See which floor we can arrange a room on to put the robot and use it specifically as a training room." Actually, buying another surgical robot was easy for Yang Ping given the foundation’s resources, but he felt it was a waste of money.

"I—still don’t really—get it." Xu Zhiliang had not caught on yet.

Song Zimo had no choice but to explain for his somewhat slow junior, "The brand that the Professor uses reflects his endorsement of it, understand? The performance of the machines shown in his surgeries is unmatched worldwide. Let’s put it this way, if Brand A’s robotic performance has a limit of 100 points, Brand B’s limit is 80 points, the Professor can enhance Brand B’s performance to 120 points or even higher, while others, no matter how skilled, could only bring Brand A’s performance to between 60 and 70 points."

"I still don’t understand—it’s like—elementary school math," Xu Zhiliang frowned.

Song Zimo had to continue explaining, "Even though Brand A is better than Brand B, if the lung transplant was done with Brand B’s machine, next a heart bypass with Brand B, and then a damn brain tumor also with Brand B, which brand do you think the world will favor? After a few such surgeries, who will remember Brand A?"

"Then why—have Tang Shun—contact the manufacturer?" Xu Zhiliang had another question.

Song Zimo felt like smacking him; his mind seemed to only think of treating patients and performing surgeries, "Not send Tang Shun, then who? You? Me? Ivan takes a walk in the laboratory, and now almost every couple of days he is sending money over, not just money, but also continuously thanking Tang Shun."

"Selling someone out—and others—helping to count the money?" Xu Zhiliang seemed to get it.

Song Zimo said impatiently, "Can you phrase it more nicely? It makes us sound so unethical. We are helping international friends to enhance their skills, merely collecting a symbolic, minimal fee."

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