Surgery Godfather -
Chapter 531 - 483 Rescue! Quick, Rescue!
Chapter 531: Chapter 483 Rescue! Quick, Rescue!
The medulla oblongata, the size of a fingernail, connected to the upper cervical cord, lay under a microscope.
Inside were various large and small neural nuclei, each closely connected to life.
A single misstep with the scalpel, and the patient would die instantly on the operating table.
Yang Ping’s movements began to slow down, trying to minimize the damage of the scalpel tip to the tissue, completing each step of the surgery with the lightest and most precise movements.
The laser knife cut into the medulla oblongata and its connected cervical cord tissue, slowly sinking deeper and deeper, at a very slow pace.
The data on the monitoring screen fluctuated, heart rate, respiration, blood pressure, blood oxygen saturation, etc. Each piece of data represented the patient’s vital signs.
Liang Fatty watched the data on the screen closely, not daring to slack off for a moment, ready to report any abnormalities to Yang Ping at any time.
Cardiovascular center, acceleration center, decompression center, inhibition center, respiratory center---
Countless centers were all concentrated in this fingernail-sized area, their relationships were complex, and any slight damage could lead to the patient’s death.
One’s life is only once!
The laser knife and bipolar electrocoagulation worked perfectly together, and there’s almost no blood to see in the surgical field.
This was indeed bloodless surgery, the highest state of surgical operation.
"Every step is extremely dangerous, if it were someone else, the surgery would not be able to continue at this point. Only in his hands could the 0.1-millimeter laser knife show its true power," Ikeda muttered to himself.
Ito held his breath. The deeper his understanding of this surgery, the more tense he became, knowing the risks of each step.
The tip of the knife cut accurately between two neural nuclei, and the tumor gradually separated from the surrounding tissue under the knife.
"The Great Route is a chaos of geomagnetism, celestial bodies, ocean currents, and airflows. Travelers can’t even confirm their positions, let alone find those islands. The old seafaring techniques and experience in the Four Seas are useless. Only the log pose and eternal pose are reliable. Now, we’re facing this Great Route without even a log pose or eternal pose. How can we avoid dangerous reefs and rapids and safely reach the target?"
Ito gradually changed his view. The facts proved that this young man is indeed the only one who might complete the surgery.
Nothing else was needed to prove this. The fact that the patient’s heart was still beating at this stage was the best proof.
"This is just the beginning of paradise. The latter part of the New World is the most dangerous. If I’m not mistaken, the heart rate will drop to a few beats per minute at that time, no different from death. Can’t use an artificial heart-lung machine to substitute, can’t let the heart temporarily stop beating, can only let it stay in such a state. Under this condition, the blood supply from the heart cannot meet the needs of the vital organs of the body, especially the brain tissue. Dr. Yang has to cross the narrow dangerous zone within two to three minutes... If delayed, the heart rate will eventually drop to zero, forever zero!" Ikeda and Ito, their eyes staring at the screen, whispered to each other.
Ito spoke slowly: "There are seven lines of magnetic force extending from the Reverse Mountain, no matter which one you choose, you can’t change it once you’ve chosen it. You can only go down island by island along this route, and finally, these seven routes will converge to the Sabaody Archipelago, where you can choose your route again in the New World. And the island you end up with is the end of the Grand Line, Raftel. We’ve done countless experiments, dissected hundreds of corpse specimens, trying to find these safe routes, unfortunately, we didn’t find one. Now he seems to have found it."
"The probe imaging technology is not much help to him."
"He must have a positioning technology of his own."
"What kind of hands are these? So stable, so gentle, so precise, so agile!"
"Hands born for surgery!"
The laser knife followed this path, gradually delving deeper, performing such delicate and complex operations on the tissue the size of a fingernail.
---
Even the gentlest operation can easily cause minor injuries to the neural nuclei due to heat damage, pulling, squeezing, and friction.
The tip of the laser knife in Yang Ping’s hand hardly came into contact with anything, the operation was completed with the cutting of the laser. But heat damage could not be avoided.
So he was moving so slowly, trying to avoid the accumulation of heat.
After the status of the tumor was gradually relieved, the external environment of the neural nuclei would change, and this change would also trigger some risks.
The heart rate and respiration slowed down more and more. This slow-down could not be interfered with by drugs. Once interfered with, it would disrupt and cause the collapse of the whole life system.
Komori Daisuke and Mitsui Tasuku, who once planned to work together to handle this case, were staring at the screen in the operating room, falling into deep silence.
With their skills, there was no way they could have gotten this far.
They were top professors at Tokyo University Hospital, not laymen, and they understood a few things when they got to this point.
---
The doctors from various countries in the conference room seemed to have forgotten why they came to the meeting, as if they came to watch this surgery.
Even doctors not in this specialty were shocked by such an exquisite surgical technique. It was the limit of human hand operation.
Dr. Lin Mingyuan from Singapore was discussing with a doctor from Australia.
Professor Liang was sitting with Professor Su and Professor Qin, very satisfied with this rising young man.
Professor Su was very happy, but puzzled. He wondered why Song didn’t bring Yang Ping home yet.
He couldn’t wait to acknowledge this son-in-law.
The only one who was a bit depressed was Professor Qin. The job of digging people had not progressed, the upper level kept pressuring, a lot of work had been done, but it was all in vain.
Other young doctors had all become fans of Yang Ping, each of them taking Yang Ping as a role model.
Like Song Yun from Xiehe Hospital, who studied with Hu Guolin at Sanbo for a while and gained a lot. Now, he also joined Yang Ping’s topic research. In the experimental topic of spinal external fixation, Song Yun was one of the main characters.
---
The patient’s heart rate was dropping lower and lower, already below thirty, and still falling.
The separation of the tumor was getting close to the heart rate center, and some adhesion remained between them, which was quite tricky.
The probe imaging under the microscope could only serve a rough identification purpose and did not contribute to Yang Ping’s meticulous operation. However, Yang Ping was so familiar with the anatomical structure here that even without any assistance, he could carry out the dangerous procedure accurately.
When the patient’s heart rate fell below 30 beats per minute, Mitsui and Komori shivered.
Now, each drop meant that the patient was getting one step closer to death.
They sat still, with the patient lying not far from them and could feel the looming breath of death.
The Japanese anesthesiologist, the instrument nurse, and the circulating nurse all turned their eyes to Mitsui and Komori.
They wondered if it was necessary to intervene at this moment because if they continued, a cardiac arrest would certainly occur.
But Mitsui and Komori were helpless as they lacked experience in this area.
Even if Yang Ping had called them up for rescue, they would not know what to do.
Use a temporary pacemaker?
Replace the function of the heart with an artificial heart-lung machine?
Or simply let the heart stop and use extracorporeal circulation?
None of them would work. Once these techniques were introduced and the feedback mechanism between the heart and the spinal cord and brain was suppressed, a collapse would follow, leading to a point of no return.
Modern medicine sometimes seems powerful when facing the complex human body, but it can also seem incredibly weak.
Mitsui’s gaze fell on Yang Ping who was concentrating on the surgery. Yang Ping seemed unfazed, as if he had full confidence.
It was as if he was accustomed to such situations.
Finally, the heart rate dropped to only a dozen beats per minute, approaching the brink of death.
This was the narrowest area between two nerve nuclei, so narrow that they were almost sticking together. The tumor squeezed through the middle, becoming very thin.
Suddenly, the heart rate dropped to ten beats per minute, continuing to decrease, differentiating very little from death itself.
All the body cells were in a state of hypoxia, struggling to breathe.
The Japanese anesthesiologist and nurses glanced at each other, and seeing that Mitsui and Komori made no move, they became extremely anxious.
The heart rate dropped below ten beats per minute.
"Ten times!"
Liang Fatty began to count, his tone calm, obviously not his first time encountering such a situation.
Ten times!!!
Mitsui and Komori almost simultaneously stood up, yelling out loud.
Rescue!
Rescue immediately!
If no resuscitation intervention was carried out, brain death would occur after eight minutes due to ischemia. A heart rate of ten beats was not capable of maintaining the perfusion of vital organs.
The Japanese anesthesiologists and nurses sprang into action upon hearing the cry.
Everyone in the operating room started moving around.
"Hakkaiyarō!"
Zhang Lin’s eyes bulged with fury as he roared. He and Little Five blocked Mitsui and Komori, making them stay put and not carry out any rash actions.
Tang Shun was so shocked he forgot to translate.
Normally there was no need to translate what Zhang Lin said since it was in Japanese.
This powerful "Hakkaiyarō" shout played a crucial role. Komori and Mitsui froze, then reluctantly sat down, sweat dripping down their foreheads, not daring to move again.
The Japanese anesthesiologists and nurses who were preparing to take action also stopped at this shout of "Hakkaiyarō".
Everyone came to their senses.
The chief surgeon was not them, but the Chinese. They were just symbolically assisting.
Sudden shouts like that could severely disrupt the surgery.
Three minutes was the golden window period. They must get through this dangerous phase within these three minutes, or else the patient would die.
Let alone three minutes, no one could complete this step of separation even in thirty minutes.
Mitsui and Komori breathed heavily and the Japanese anesthesiologist and nurses were also restless.
However, unlike their agitation and panic, the Chinese team seemed as if nothing had happened.
Yang Ping was not affected at all, remained as steady as Mount Tai, with steady breathing, and continued with the surgery.
Song Zimo and Xu Zhiliang were the same, unmoved.
The instrument nurse still sat quietly, laying the next surgical instrument at a handy place.
The anesthesiologist was cross-legged, staring at the monitor screen.
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