At this moment, the whole place was silent.

There are many doctors who rack their brains to avoid risks.

But it is so rare to truly practice the Hippocratic Oath that you took when you entered medicine and put the lives and interests of patients first.

Xu Qiu dared to formulate such a surgical plan because of his ability, but more importantly, his sincerity.

This is probably one of the things that some doctors need to hone the most and are most lacking as medical technology becomes more and more advanced and technological.

…

The clinical research on Yan Ziqiang's four artificial blood vessel subjects has not yet been completed, and Xu Qiu is facing a new difficult surgery.

With the attention of the whole hospital, Tao Changhan began preoperative preparations.

Shave your head that day.

The night before the operation, an enema was administered and 0.1g of phenobarbital was administered orally to ensure that the patient rested quietly.

Many cranial surgeries do not allow enemas because a large proportion of patients have intracranial hypertension and enemas will worsen the condition.

However, Tao Changhan's tumor is very small and does not have any space-occupying or supercharging effect, so he has no worries in this regard.

Do not eat on the morning of surgery.

One hour before the operation, phenobarbital 0.1g and atropine 0.4mg were given.

"Dad, you must be good, otherwise I will give all your inheritance to your most hated Aunt He." Tao Nu comforted her father and gave him the confidence to live.

Tao Changhan glanced at his daughter indifferently. Although there was no emotion, the killing intent in his eyes was quite obvious.

Liu Susu came over and interrupted: "Stop saying a few words. We are about to go to the operating table. Don't make the patient emotional."

Wang Fan was very casual and said: "Don't worry, Brother Xu said that he has mutism now and cannot get excited."

Liu Susu: "..."

Having said that, it was the first time she had seen a family member who could joke around with the patient so easily before surgery.

Soon, Tao Changhan was pushed onto the operating table.

Then the surgical team entered the operating room one after another.

Although imaging cannot completely explore the entire tumor, the imaging department still plays a huge role in this surgery.

Before the operation, an ultra-thin CT bone window scan was performed to understand the bone condition of the skull base and petrous apex. Then, CTA and MRI images were fused into the neuronavigation system for positioning, and the internal carotid artery and superficial great petrosal nerve were marked in advance.

and other important structures.

"The operation begins."

As Xu Qiu's voice fell to the ground, everyone's attention was focused to the extreme.

The first step is to open the skin.

This is already the foundation of the basics. Xu Qiu opened the skull from the right side with a knife. The scalp incision started from the outer occipital tuberosity, seven centimeters upward from the left side of the midline, and then eight centimeters laterally. At this site, the incision was made downwards.

The end point reaches the mastoid process.

Turn the flap.

A neat and beautiful scalp incision is exposed under the bright light.

"There is so little blood!"

"Is this cut by hand? It's even more perfect than robotic surgery!"

Han Jinzhang and others opened their eyes wide and felt in disbelief.

On the field, Wei An, like Jin Yucheng, has also performed endoscopic robotic surgery.

This new era of surgery can connect the endoscope to Rosa's robotic arm, use the middle frontal gyrus approach, and operate under the endoscope to reduce the disturbance and impact on normal nerve tissue.

The advantages are very significant: for example, the stability of the endoscope is improved through force feedback, allowing rapid operation and fine-tuning; the robotic arm is not only the "main surgeon", but can also be used as an imaging device to perform neuronavigation at any time.

Therefore, it is widely used in transnasal sphenoidal surgery, intraventricular tumor resection and third ventriculostomy.

However, at this time, even though Wei An had completed so many robot surgeries, he was still inevitably stunned for a moment when he saw Xu Qiu's technique.

He couldn't understand why a human holding a knife could have the same stability and accuracy as a robot holding a knife!

"drilling."

On the other side, Xu Qiu continued the operation without giving others any time to buffer.

There are four cranial burr holes on the right side and two on the left side.

First use a jigsaw to cut between the drilled holes.

Then, use rongeurs to bite off the ancient bridge across the sagittal sinus.

After flipping the bone flap to the right, use a rongeur to remove the bone at the lower edge of the bone window to expose the upper edge of the transverse sinus.

"Cut the dura mater."

In the blink of an eye, we reached the third step.

Making a triangular dural flap...

The serpentine fixed retractor retracts the occipital lobe upward and outward...

Revealing the free edge of the cerebellar tentorium...

Xu Qiu's operation was smooth and smooth. After incising the cerebellar membrane on the right side, he hooked up the free edge of the cerebellar membrane without any pause and quickly cut it open.

Next to him, Jin Yucheng kept bipolar electrocoagulation ready.

When a general operation is carried out at this point, it is easy to cause bleeding from small meningeal blood vessels.

He stretched his neck and considered whether he should take the initiative to help Xu Qiu stop the bleeding and show off his skills.

After all, Jin Yucheng has been secretly working hard in the past few months, just waiting to surprise everyone when he starts working for Xu Qiu again.

"Hey, it's out!"

At this time, a cry of surprise came from beside me.

Zhong Wen, the junior chief surgeon at the brain surgery department, stared at the surgical field in horror.

Inside the bright head, the quadrigeminal cisterns, the circumferential cisterns and the great cerebral veins suddenly appeared in front of the eyes. Covered by the arachnoid membrane, they appeared and disappeared like a little girl who wanted to resist but was welcomed back.

Jin Yucheng suddenly came back to his senses, glanced at the surgery field, at the bipolar electrocoagulation, and then at the calm Xu Qiu, suddenly confused.

I'm waiting to stop the bleeding.

As a result, you didn’t break a single blood vessel, so it was revealed successfully?

This shouldn't be the case!

Is there really anyone who does not need bipolar electrocoagulation for brain surgery?!

Jin Yucheng looked at Han Changran and asked: "Director Han, your medical oncology hospital..."

Han Cheng was silent for a few seconds: "Don't ask me, I've never seen anyone who can avoid all blood vessels."

Jin Yucheng tilted his head: "Director Wei?"

Wei An stopped talking and stared at the operating area intently, but his slightly trembling hands still revealed his shock.

…

The most important step of the operation is about to begin.

After incising the skin, drilling the bone flap, incising the dura mater, and separating various brain structures, the next step is to break into the area where the tumor is located and find the tumor!

At this step, everyone was worried and extremely nervous.

A tumor that is difficult to detect even with images.

Multiple MRIs and reconstructions failed to obtain more accurate information.

And now is the closest moment to unraveling its mystery.

Only through craniotomy can the true nature of the tumor be observed.

"Be careful."

"Don't crowd, don't crowd."

"I guess it's black, I like black stockings."

"I bet it should be flesh-colored. The tumor is so small that it is generally unlikely to be necrotic and black."

At this moment, Jin Yucheng, Han Zhangjiang and others were all rubbing their hands, looking forward to it but not daring to accept it.

It's like opening a blind box.

It's like lifting off a bride's red hijab.

Full of caution, wanting to be rude, but restrained.

It is completely unlike Xu Qiu, whose knife skills are sharp, but when it falls on the patient's surgical area, it appears gentle and sharp.
Chapter completed!