hello to everyone so when I get
asked to make a presentation in
head I said oh well no problem
so I do so there is no
worry and then I was given a coach who
wants to give me to crust then salah
came to see me and told me go
show me show me your presentation
go through a bit like that that I have
said okay bah just and said to me but seen
that it’s not going at all you have to
talk about you do not need you to talk that
your job is you need
that you speak good then I ‘m going to talk
Me because it wanted and
I like to please his there and
I will tell you about the story of a
young man who started there is no
badly of time but that is a story
quite banal finally in the beginning since
my story starts in the center of
france to bourgueil a village that
is well known for his wine and in this
small village five years these months there
on the picture so why am I
shows a picture of less than five years
because you know that today we
is in Alsace and that look on the
bottom of the class are storks
here
but actually in fact at five I had
a dream a child’s dream that was of
save lives so you tell me yes
save lives kid’s dream be this
classic anyway huh I do not want to
to do that can not make a head there
on because otherwise that buses
with all the kids quickly becoming
superheroes or firefighters
so I had a little
particularity anyway because I
I will not become a firefighter I wanted
to become a surgeon then obviously
as I will become a surgeon I
did my studies in medicine I am
went to the faculty of laps which was
in the same area and at tourbah I
started my first year I have not
had a great note in french I had
six out of 30
so suddenly I missed my first
year which was very good because
that suddenly it allowed me to become
do a second freshman year and
between the two instead of going in
vacation or work as done
other students I went to see
a surgeon who called himself the doctor
lacombe and this lacombe doctor actually
had operated my little sister a few
years ago in this service of
pediatric surgery service
Pediatric digestive surgery and I
tell him this is it you
would agree to take me into your
service during the summer because me
I would like to be a surgeon later
so he says come on and so I’m going
during all this wonderful summer in
this service
so there I discovered everything I had
at the time 18 years old and I first
discovered this so that craft that I think
is ideal was really nice and
frankly he was really nice
it was very hard technically the
joyel how they operated I could
realize this ability both of
negation ladies for the patients but
also especially technical and
of humanity and especially especially ben
when I was only 18 years old I
discovered at that moment actually
what life was like
against death I discovered these
wonderful children full of life then
that he fights against diseases
incredible unfortunately it takes the
to say I also discovered death and
it’s difficult
so I also discovered and especially
admire their exemplary courage
I discovered early admire the love of
his parents who supervise them of the service
caregivers are
wonderful and obviously all that
he was one of the true heroes of his
services it’s the sick the real ones
hero it’s their families and we
is there just to help them and I
discovered that in a long block and see
the blog who blues them so why he
is blue because I actually date it in
I was like a fish in the water
in a blog I’m just fine and at the
end of these three months dr lacombe me
proposed something rather unheard
but said you will do two operations
duo ie what duo sire
that I was the second there was
a term that operated him watched this
was happening and I had to place the
instruments move organs from
pretty basic stuff but when you
are in first year of medicine
and that you have missed enough yes yes
pretty basic web or if you ‘re doing
the true kitchen is a bit like this
after these two operations in
did I realized that 1
I was good at being honest I have a
that two I was really super good at
as a surgeon I would be a
awesome surgeon my future was
all traced the surgery it was good
I had touched my dream
I knew it would be my future and
so I’m doing my second year and the a7
over 30 French years then you go
to say why there is French in
medicine but I too ask myself
question because obviously
and there, of course, it’s a bit
difficult because when you have a
goal in life that’s easy
you are all drawn your future is
all traced and you have a 7 out of 30
who blocks you while a 10 out of 30
can you pass it’s hard to
to leave then I fought I
evolved obviously make a
third year it was just not
possible this third year then
then I tried to do something else
thing I told myself eh the service to
armies I was preferring the army for
to be able to make medicine save lives
see the concept simply because
soa service that there was a discount
university a little bit of an independent this
says after two years of medicine
it was just not possible then in
did it I did without the spirit of falling
except that nobody knew about it and
see what happens when we fall
well there is someone who comes to you
help you get up
and that happens at the first steps
the footsteps of childhood and the first
people who help you get up
when you fall that way to parents and
it was the same for me they told me
helped me up and made me
understand an important thing
to learn to walk is first
learn to get up and that’s it
really important you have to accept the
hand extended and after you have to have a
goal to move forward once we
got up and there my problem he
was important it was that I had more
of objective so I learned the guitar
I played guitar did not follow
not make a lot of money because
people will give me the money just
for me to stop playing but apart
it’s not eh I did it
tennis I was a tennis teacher I know
that there are some who tell me you are sure
since still there good and ultimately
in the end I did the only thing that
which seemed interesting to me since
medicine unfortunately for me
it was over I made a cross on it
and I decided to make
the computer why of
the computer simply because
that at the time it was my hobby
so I may know in the room
there are children who play a lot
video games or rather their parents and
is said but what is this
trick that will never do anything to them
life actually thanks to that I did
something of my life since see to
the time I did the science degree
of towers where there was an option
computer and at the time see
it was punched cards
learned could program my
computer of the time it was this
computer
he had eight colors it was great
and it was the doubt of a pc ibm when
same and with that I could develop
nice video games so that was
my hobby was not my passion
it was my hobby and it was not bad
so I’m good, that’s better than
nothing I’m going to do my job from my
leisure without really knowing by the way
what I was going to do with it and so I
did this science faculty I had 16
over 20 years french
and after 1.19 format a wine in
computer I was recruited
directly to the high school
computer studies in paris is in
third year
I had to make a dea and I chose
to do the dr d’orsay in which he
there was a teacher the professor
nicholas ayache who was giving an option
which was called medical informatics
but that I did not know when I’m doing
there paris I learned the moment I
chose to do two hours of recipes
just by bravado for that matter because
it was supposed to be the hardest then
I was to see his option and he
shows a brain in 3d and he tells us
explains at the end of his presentation
who was great looking for
someone a trainee to develop
a digestive surgery simulator on
the liver and if you remember the
beginning of my story is good I was
in a digestive surgery department
so I’m going to see him on Thursday I’m the
only candidate that you will have who did
that’s why I’m necessarily the best
candidate and suddenly he got me
recruited so I left for sophia
antipolis in the south of France
was rather nice and sophia
antipolis where was his laboratory of
inria
I started my internship with 7 of this
development he was seeing at the time
I was a little further but especially
the helmet was much bigger
it has reversed with time the cases
are smaller
and at the end of my internship I left
do the military service then the
military service
on my return the broussard marescaux
jacques marescaux you know
maybe who created the ircad institute
Research Against Cancer
the digestive tract in 1994 he had
got European funding and he
was proposing a thesis scholarship for
do the thesis so in the team of
nicolay h i got seven thesis scholarships
it is he who chose is there and so
I started to develop my thesis
on assisted surgery
computer the problem is that
it was two worlds
did not know computers at all
and the medicalize a lot of trouble to
communicate but the chance I had
it was that at the time I already had
met the one who will be my future
wife and that he is today
the mother of my children who gave me a lot
just helped what I wanted
they understand what we were doing
aurel and nights of the computer world
nor the medical world
today in the French test
see the links which is very
practice in my case so for her
understand what I was doing I
popularize my speech I started
to make explanations of what is
l computer science of what was the
medical in a language she could
include results of the races
doctors understood what I was doing
in computer science and computer scientists
understood what was being done in medicine
young people is to create a bridge between these
two worlds and this bridge that allowed me to
do things a bit original and well
that was the strength of my thesis
since in the end I got the
congratulations from the jury of the finger of orsay
who was one of the last certifies
the fine congratulations that had been
given by this university
so at the end of two worlds my thesis
Professor Marescaux offers me a
post to create my own team of
research
he proposes this post he was in
competition with the general society
electric who offered me a position of
researcher so what really did
the difference is that the trial in
March that he told me that you will work
in the medical with me and the
first thing I did was
graduate from university
surgery in the institute and that
obviously it was really great
the second huge gift that made me
Jacques Marescaux That’s who allowed me
a year to the day after the
defense of the thesis to present
my work at the draw academy
because my thesis was actually the
mix of anatomy and
computing
my thesis jury and tmx centers
computer and it says call and
when I presented my work in front of
bismuth who created the surgery of the
I explained that the anatomy of the
queen’s choices at were wrong in
in at least 33% of cases in
lead to errors that could be
obviously a real problem for
the operation of the patient etc using
the computer have corrected this problem
at the end of my bismuth talk asks
aquino what do you think
because I did not know that
cousineau was in the room quinn
rising and the one who invented
the anatomy of the time I help him
criticized by the passage all the way through
world around the world use and
the queen anatomy up and he got
lifted up so I thought he’ll come
put a slap in fact not at all he
said in my wildest dreams I
would never have imagined that one day we
can do what you did and he
offered me his autographed books and he
congratulated me
which for the little student in
medicine that had missed medicine itself
find in the academy of surgery
congratulated by his peers were
obviously an encouragement to
continue on this path of difference
since obviously I was different
I had made a different path
I had found a way out or
rather a gateway into a
world that had refused me with its limit
usual and thanks to that I was able
continue my path by becoming first
professor at the faculty of medicine
of Strasbourg associated with the team of
professor marescaux
from the following year to 30 years which
is it seems to these young people so it’s
not necessarily that which is the most
spectacular since in fact I am
still not a doctor and I will know
never but I am a teacher in
medicine in fact i’m kind of one
kind of virtual surgeons if you
want
I often say jokingly
that’s why I’m trying to
make robots that will automate the
surgery to replace surgeons
because they did not want me
the reality is that from there
I gave the chance to others
people we created this team that
wanted jacques marescaux
we started with three and then
the team gradually grew a
little like me but only I am a
diet and in the end you see that it’s
the current team and together with
this team who has who is a
composition of personalities
outstanding and capabilities
exceptional we began to
revolutionize the medicine that one
knew
we have mixed these two worlds and we have
introduce the computer to the block
operative
today with what we have developed
we can see the patient like that as
a hologram with a helmet
virtual reality and that’s the
virtual copy of the patient you
see these lands is not an anatomy
mean is the anatomy of this patient
because all patients are
different like all beings
humans finally out of 16 are
different and the strength of this system
it is also possible to use it
during the operation to see to
through the patient then what is it
serves all that it serves to save
lives that is still and will remain
always my dream
the image you see on the screen is
the image of a six-month-old child
the green spot is a big tumor
without the program
the operation should last between 4 and 7
hours the challenge is a fact known
not too much with the virtual copy that
you see there he was able to train
before the operation on its copy
and in the end the operation lasted 40
minutes obviously the child was
saved this second example that you
see now on the screen this is a
tumor that is not in the device
digestive but which is a tumor of
lungs and seven children had a
diagnosis that was atresia that’s
the word a bit complicated which is clogged
obviously the bronchi and see in
did here he thought the area to
cut out it was the yellow area the
upper right lung
but with the software when we look
we realize that in fact what was
withdrew it’s the little part in blue
the surgeons would remove the
bad part and test up the
pathology through software
he was well cared for and finally a
last example with this child who
was just not operable he
at three months
and see the tasks in the body in
bar well it’s pathology but
it’s almost impossible to understand his
vascularization with 3d mapping
with this own modeling
patients can be seen there in three
dimensions we will rotate it and we
go look at the patient’s back and there we
sees clearly appear to
the two pathologies that must be removed
and their vascularization result
the child has not only been operated on
but he was also healed these are
that three examples among many
a lot of examples and so I’ll be
never a surgeon in my life but my
dream it was not to be a cd surgeon
to save lives so what’s needed
remember my little story there
no limits that can not be
crossed if you believe in your dreams
thank you
[Applause]
”
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