"Surgical robots are an inevitable trend in the development of surgery. They have super-magnified fields of view, are precise and stable beyond the limits of human hands, and have few complications. They have important and far-reaching significance for hospitals to improve their core medical competitiveness."
"Next, I will show you the three major components of the surgical robot, the surgeon's console, the robotic arm system, and the imaging system..."
In the spacious conference room, Wang Dali stood on the podium and explained the contents of the ppt diligently.
Surgeons from various departments were sitting under the stage with serious expressions. From time to time they would nod to record and circle the key points in their notebooks.
After the animal experiment was successfully completed, the hospital organized key teams from various departments to conduct training on surgical robots.
Let doctors first have a certain understanding of surgical robots, and then practice them in subsequent clinical experiments.
This will allow doctors to learn to use robots to perform surgeries in the shortest possible time.
Because it involves many departments, Wang Dali and Dean Fang attach great importance to it.
Dean Fang allocated the resources of the entire hospital as much as possible to provide Sanqing with the greatest convenience.
Wang Dali took the stage in person to answer questions about theoretical lessons and system usage.
Of course, in addition to him, the directors of major departments also gave lectures on the application of robotic surgery in cardiac surgery, general surgery, and urology surgery to the attending physicians.
After class, the doctors came to the operating room to test drive the surgical robot system.
They will systematically receive dry and wet tests, suture surgical operations, and skilled use of robotic arms, and finally undergo group training.
After two weeks of surprise training, hundreds of surgeons from a dozen departments, mostly working on animals or fruits, experienced the advantages of surgical robots over traditional surgeries.
They were all excited and gearing up, waiting for the clinic to start.
And this day came extremely quickly.
****
With a rapid blast of sirens, the white 120 ambulance drove into the hospital and stopped downstairs in the emergency room.
The medical staff quickly jumped out of the car and pushed the patients on the car into the building.
The emergency doctor rushed over, looked at the patient, and immediately called the orthopedics department.
"Hello, I'm in the emergency department. There is a patient here who accidentally fell from a height."
"Minor injuries, limbs can move, vital signs are stable, seems fine, just a few fractures, should be no big problem."
"I don't have any beds here. I'll arrange an examination later and send the patient to you."
"Okay, then send it over." The orthopedic surgeon heard that the condition was not serious, he breathed a sigh of relief and agreed.
Not long after, the patient was transferred to the orthopedic ward.
Dr. Du from the inpatient department came over to take a look, and suddenly became furious and cursed regardless of image.
"Your sister, these liars in the emergency department, nine out of ten sentences are lies. They are really lawless."
"My left hip hurts and I can't move. How the hell do you think it's okay?"
"The pelvic bone is severely fractured. You call this a minor problem?"
"Damn it, I'm in hemorrhagic shock. Damn it, is this called stable vital signs?"
"Rescue quickly! WCNM's emergency department!"
Under emergency rescue, the patient's bleeding finally stopped.
Dr. Su wiped the cold sweat from his forehead, took a CT scan of the patient, and instantly spurted out a mouthful of old blood.
"Here I go, left acetabulum fracture combined with ipsilateral separated and displaced sacral fracture, I can't handle this."
"There is nothing we can do, close the door and let the director go!"
He immediately took out his cell phone and called for help.
"Director, I'm Xiao Su. A patient came here. He fell from a height and suffered a pelvic fracture. After a CT scan, he needed to reduce and fix the pelvic fracture."
"This operation is too difficult. I can't handle it, so you have to step in."
Director Cao was currently watching a gallbladder polyp removal operation in the operating room, drooling with envy as he watched the surgical robot.
Hearing this, he suddenly became energetic: "Come to live, that's good."
He rushed back to the orthopedics department immediately, and after a careful inspection, his face became serious.
"It is a very difficult operation to reduce and fix a pelvic fracture. It is one of the most difficult operations in orthopedic trauma."
"Furthermore, the patient's pelvic fracture was quite serious and unstable. He also experienced massive bleeding and his body was very fragile."
"If traditional open surgery is used, the incision may be too large and the organs may be stretched, causing massive bleeding again."
"This surgery is not easy to perform. The requirements for stability and accuracy are very high. It is best to use minimally invasive surgery to save the patient to the greatest extent."
When Dr. Su heard this, he immediately panicked: "What should we do? In our orthopedics department, we all help rough men cut bones with electric saws. That's just trying to be smooth and requires precision in the operation. Isn't that embarrassing?"
"How about we bring in the general surgery team and have a consultation together?"
Director Cao smiled lightly and said confidently: "It doesn't matter, have you forgotten that there are a few new surgical robots in the hospital?"
"Little Su, don't panic. With surgical robot-assisted surgery, how difficult is it for a mere pelvic fracture?"
"In terms of surgical precision, my orthopedics department is by no means inferior to anyone else."
Dr. Su's eyes shone when he heard these words, he looked at his director with admiration, and kept saying he was awesome.
Director Cao waved his hand and gave instructions calmly.
"Go and tell the family about the situation and get their consent."
"This is a major surgery. It requires the use of the most advanced orthopedic surgery robot, so it is reasonably expensive. However, if you can apply for a clinical trial, it can be done for free."
"Once the family members sign the consent form, things will be easier to handle."
"You take care of this first, and I'll go apply for robot surgery time."
Dr. Su was still hesitant: "Director, I am not a bully. I have full confidence in you and I am definitely not doubting your surgical skills."
"That's it. We've only had two robotic orthopedic surgeries. Can you handle such a major surgery all at once?"
Director Cao's eyes as big as gongs glared at him instantly: "Hey, you said it wrong."
"Have you been practicing clinical practice for so long and you haven't even figured out the real mysteries of clinical medicine?"
"Clinical medicine is actually clinical science, do you understand?"
Doctor Su was stunned for a moment: "How do you say this?"
Director Cao touched the green stubble on his chin and said earnestly.
"For a good surgeon, surgical tools and surgical skills are not the most important thing."
"Surgical skills are just muscle skills. Anyone, including butchers, can master the essence and perform beautiful surgeries after repeating the same action countless times."
"Traditionally, surgery was performed by barbers from the beginning, and it was not difficult at all."
"But do you know why surgeons today need to go to medical school?"
Before Dr. Su could answer, he said it loudly.
"Because only a medically trained brain can make decisions, where to cut, why, how much to cut, what is the next layer, what emergencies may be encountered, what should be done if it happens, and what will be the impact, my team How should I adjust it? Do I need help..."
"This series of thinking is the most important essence of being a surgeon."
"In the final analysis, technology is a spinal cord reflex, and only the plan is a brain reflex."
"A trained butcher can also learn surgical skills, but only we doctors know how to make the choices that are best for our patients."
"A surgeon's work is actually all outside the operating table."
He stretched out his big hand like a cattail leaf, pointed at his forehead, and said meaningfully.
"A general surgeon is just a technician. He only knows how to do it."
"A brilliant surgeon knows how to use his brain to find the best treatment plan."
"So, do you think my brain, which has accumulated countless cases and knowledge over the past 20 years, can use the most advanced orthopedic robot-"
"How about a pelvic reconstruction surgery that has been performed hundreds of times and save the patient from death?"
Director Cao stared at the other party and asked word by word.
Dr. Su's eyes met with his, and his whole body trembled due to the sharp eyes. He was instantly filled with confidence, and he blew a rainbow fart in a hurry.
"Director, you have learned the ultimate secret of surgery. It is just a pelvic rehabilitation surgery. I believe you can definitely handle it!"
Director Cao chuckled, waved his hand and said, "As long as you know, go ahead and don't keep me waiting."
Dr. Su nodded excitedly, turned around and left.
After some communication with him, the family members quickly signed the consent form.
The surgery was scheduled for the afternoon of the next day.
When the time came, the surgery was once again crowded with people.
Orthopedics ranks among the top major surgeries, and everyone wants to come and experience it.
After a while, Director Cao put on surgical clothes, a headgear and a mask, and walked in with his head held high.
He was over 1.8 meters tall, with bulging arm muscles and a body as majestic as a bear. He sat down in front of the console and instantly blocked the entire screen.
Fortunately, there was another big screen in the operating room, and everyone roared and gathered around it.
The operation began.
Director Cao first turned on the navigation system on the robotic arm, took an image of the patient's pelvis, and uploaded it to the robot's imaging system.
After some precise processing, the three-dimensional image of the fracture was intuitively presented to him.
Director Cao quickly analyzed the 3D images in real time to plan the surgery. Based on his rich experience, he quickly determined the best nail placement channel in the system.
After the surgical plan is planned, the robot's robotic arm moves again.
According to the planned route, the machine first accurately positioned and made three incisions of only 1 cm in the patient's abdomen.
Then, the configured screws are accurately driven into the long and narrow pubic bone and sacrum one by one.
The screw placement process was very short, taking less than 5 minutes to install three screws.
During the operation, the patient's bleeding volume was very small, only a few ml, less than the size of a bottle cap.
Before the end of the operation, the robotic arm scanned the patient's abdomen again to confirm the position of the screws.
After realizing that it was exactly the same, he slowly retracted.
Director Cao's forehead was beaded with sweat, and he exhaled slowly.
In ten minutes, he completed three minimally invasive incisions and successfully placed the screws.
Together with the post-operative scan confirmation and fully automatic wound suturing, it took less than 15 minutes.
The whole process is as easy as eating and drinking.
What consumes the most time and energy is the preoperative surgical planning.
Just based on the operation time and the amount of surgical blood loss, the surgical robot instantly beats traditional surgery.
It would be unimaginable to replace this with traditional open surgery.
You must know that the anatomy of the pelvis is very complex. Once a serious fracture occurs, a long incision is often required to expose the broken end of the fracture.
Traditional surgery involves a lot of bleeding and trauma, and relies heavily on the doctor's experience. If it is not handled properly, disastrous consequences will occur.
Switching to a surgical robot to assist in surgery not only allows minimally invasive surgery, but also greatly reduces the incidence of infection and complications after reducing bleeding, allowing patients to return to normal life faster.
The most important thing is that such a simple operation can completely lower the threshold for major orthopedic surgery.
As long as an experienced doctor plans the surgical route, an ordinary attending doctor can independently complete such a difficult orthopedic surgery.
"It's time for those bastards to realize the true meaning of clinical medicine and experience what clinical medicine is."
Thinking of this, the corners of Director Cao's mouth raised slightly, and he had already thought of the eighteen training postures for Xiao Su and other attending doctors in his mind.
At this moment, a burst of thunderous applause came from not far behind.
It was also accompanied by bursts of exclamations and cheers.
"Well done!"
"Lao Cao does have a few brushes, and he can complete such a difficult operation so well."
"It takes 45 minutes to complete a major operation, which is amazing."
“Orthopedic surgery can now be minimally invasive, awesome!”
"According to the previous method, a 10-centimeter long incision had to be left in the patient's abdomen before the nail could be inserted. Now it only takes 1 centimeter."
"It has accurate positioning, less bleeding, less trauma, and good prognosis. It is indeed worthy of promotion."
"Be good to patients and be good to doctors. It's really good to you, me, and everyone."
"I looked at the operation manual. This robot can not only perform pelvic fracture surgery, but also perform trauma surgery on all spinal segments and limb fractures. It can be said to be a decathlon."
"The robotic arm is really stable. The precision is said to reach the sub-millimeter level. I saw it today. There is no difference at all when driving a nail."
“The most awesome thing is the main control computer system, which is just like the brain of a robot. It can not only help doctors make suggestions, but also track the patient’s movement during surgery, control the robotic arm to make automatic position compensation, and ensure that the surgical path is consistent with the planned path. .”
"Yes, it's very sensitive. I noticed that when the head end of the robotic arm leaves the surgical field of view, the system will also give feedback."
"The robot also has fluoroscopy eyes. The scanning system is really easy to use. It can not only see through the depths of the muscles and bones, but also monitor every step of the surgery in real time."
"Three major problems in orthopedic surgery have been solved in one fell swoop: poor vision, difficulty in precision, and instability. We can no longer laugh at the orthopedic surgeons who perform surgeries so crudely that they are blind."
"That's right, now that there are surgical robots, everyone is on the same starting line. I'm afraid it will be difficult to establish a chain of contempt for surgery."
"Such a good surgical robot must be very expensive."
"No matter how expensive it is, can it be as expensive as Leonardo da Vinci?"
"In terms of price, you have to have confidence in domestically produced equipment."
"No matter how high-end or expensive the equipment is, as long as it is domestically produced, it will be sold at a cabbage price."
"I heard that nuclear magnetic resonance equipment is also made in China, and the price is only one-tenth of the imported product. A 30 million MRI, you can take home one for less than 3 million. You say it's awesome or not."
"It is estimated that in two years, domestic MRIs will be everywhere, and MRIs can be done for only one hundred yuan."
"So, I would say that Sanqing's surgical robot is similar. In two years, everyone in any department will be able to use it."
"I never thought in my life that a surgical robot could be used to cut the appendix. The incision is automatically sutured by the robot. The most hurtful thing is that the suture is better than mine."
A male general surgeon suddenly sighed, his tone as resentful as a middle-aged woman who had been a widow for twenty years.
"Brother, I'm afraid you're not good at your basic skills. You need to practice more."
"No chance. The director said that my sewing was too bad. It was as crooked as a centipede's legs. He will lose his face for the rest of his life. I am strictly prohibited from suturing patients anymore. I will let robots do all the work."
The male general surgeon added, the sadness almost overflowing from his face.
"Hahaha~ No, I can't hold it in anymore. Let me have a good laugh."
Cheerful laughter burst out instantly and spread throughout the operating room. (End of chapter)
