Chapter three hundred and sixty seventh difficult operation
Zhang Chengjian had been waiting for this day for a long time, and finally had such an opportunity. Naturally, he was very excited. ∷
He looked up at the camera and thought that the doctor of medicine from Johns Hopkins University should be observing at this time. Isn't he a top student from a prestigious American school? Don't you have to keep your tail between your legs when you get here? Compare yourself to yourself.
Get up, what's there to be proud of?
In fact, Zhang Chengjian also suffered from an inferiority complex. He always wanted to go to a prestigious school abroad, and then be able to stay in the United States, get a green card, and become a winner in life. So he was extremely jealous of Qin Chuan, a guy who could get everything he dreamed of at his fingertips.
In addition, Qin Chuan seems not to care at all about all the things he admires. He could have interned in the best hospital in the world, but he wanted to return to China. He could have stayed in the United States to be a doctor, but he still wanted to return to China to be a doctor.
.Zhang Chengjian believed that Qin Chuan was not morally noble, but a real sin.
"Concentrate your energy and don't worry about other things. You only have eyes for the patient now." Zhou Zengfu thought that Zhang Chengjian was a little nervous because the camera was facing him, so he quickly reminded him.
Zhang Chengjian was shocked. If Zhou Zengfu saw the little Jiujiu in his heart, there would be no such chance in the future. He quickly took a deep breath and calmed down.
Zhang Chengjian turned on all the instruments and equipment, and the view of the neuroendoscope appeared on the display screen.
At this time, Zhang Chengjian was completely focused on the patient. He carefully checked all the equipment and looked back at the patient's physical indicators at this time. Under the influence of anesthesia, the patient's physiological activities have been significantly suppressed.
Zhang Chengjian has participated in many similar operations, so he is very familiar with the signs and indicators of the operation. With just a brief glance, he already knew that the patient was in a normal state.
In the observation room, Lin Jianxing sat next to Qin Chuan. Lin Jianxing has now moved into Qin Chuan's doctor's dormitory. He is much closer to Qin Chuan's nature.
"Dr. Qin, don't look at Dr. Zhang who is usually very arrogant, but his skills are indeed very good. Ordinary doctors in our department would not dare to perform this kind of surgery. But now he can be the chief surgeon. With him,
Compared with the Ph.D. graduates, he is already far ahead. I heard that he is now taking the U.S. exam. After getting his Ph.D. diploma, he will go to the United States. It seems that he has been in contact with American hospitals recently. But this week
The professor wanted him to stay at Union Medical College. He was Professor Zhou's favorite student, and Professor Zhou wanted him to take over his class. Originally, if Professor Zhou agreed, it would be very simple to recommend an American hospital to him.
Things. But now things have become complicated." Lin Jianxing was familiar with these gossips.
"Let's watch the operation. This operation is indeed difficult." Qin Chuan whispered. Because Lin Jianxing spoke a little loudly, people around him were already looking over.
For this surgery, Qin Chuan has carefully read the medical records. The patient Liang Xueying, who is from Jingnan Province, is 31 years old. She was born with congenital skull base developmental malformation, odontoid kyphosis of the axis and subcerebellar tonsillar hernia. The condition is extremely complex.
A few years ago, she went to a local hospital for treatment due to numbness in her left hand and foot, weakness and unsteady standing, and hoarseness. Imaging examination revealed the condition. Due to obvious pressure on the front and rear of the brainstem and medulla oblongata, Liang Xueying could not move her head and neck at a large scale.
It can lead to respiratory and cardiac arrest, and life may be threatened at any time.
Liang Xueying went to Duojia Provincial and Ministerial Hospital in southern Beijing for medical treatment, but was told that surgery was not possible. As Liang Xueying's condition became more and more serious, her family had no choice but to come to Yanjing with the attitude of giving it a try.
After the Department of Neurology received the patient Liang Xueying, it also attached great importance to it because this case was very rare. Hu Chengzhong handed the patient over to Zhou Zengfu, a highly respected member of the Department of Neurology.
Professor Zhou Zengfu led the team to carefully formulate a treatment plan, combining the two subspecialties of spinal cord and neuroendoscopy to perform separate surgeries on the front and rear lesions. Previously, Professor Zhou Zengfu had personally successfully removed the compressive bone in the back of the patient's brainstem under a microscope.
.Today, Zhang Chengjian will work with an otolaryngologist to remove the odontoid deformity of the central axis under a neuroendoscope through the nasopharyngeal approach and with the help of neuronavigation, which will relieve the pressure on the front.
"Slow down, don't be in a hurry. Your hands must be steady." Zhou Zengfu would remind Zhang Chengjian from time to time. This is the first time Zhang Chengjian has performed such a difficult operation. If something unexpected happens, it will be a serious blow to his self-confidence.
Zhou Zengfu originally did not want to let Zhang Chengjian perform such a complicated surgery so soon, but he was also worried that his over-protection would be counterproductive. So he simply put some pressure on Zhang Chengjian.
The field of view seen by an endoscope is still very different from the normal human field of view, and the tissue structure seen is also different from the anatomical diagrams we usually see. To judge the position of the endoscope, a certain amount of knowledge is required.
Experience. This is also a very important reason why otolaryngology experts must come to cooperate.
"Go a little further over there. Yes, that's where it is." Lu Sicong, an otolaryngologist, pointed at the screen.
"No. There are large blood vessels here. If you accidentally damage them, it will be dangerous." Zhang Chengjian shook his head.
"But if you don't move a little bit this way now, you will deviate from the location of the lesion later." Lu Sicong reminded.
Zhang Chengjian stopped when he heard this and frowned.
Zhou Zengfu didn't say anything. He wanted to see what his favorite disciple would come up with.
Zhang Chengjian originally thought that he could get help from Zhou Zengfu, but he did not expect that the expected help did not come. It was not easy for him to ask. This question was not important, but he was afraid that Zhou Zengfu's impression of him would plummet.
Zhang Chengjian manually adjusted some microscopes, and the eyepieces became clearer. At this time, Zhang Chengjian began to finely control the moving direction of the endoscope. It was right next to a large blood vessel. As long as Zhang Chengjian's hand shook slightly, it might cause an accident.
Zhang Chengjian's good basic skills were demonstrated at this time. The neuroendoscope accurately reached the designated position and then began to remove the diseased structure.
This operation lasted for several hours, although it was not a particularly strenuous operation for the surgeon. You must know that some surgical operations can take more than ten hours.
When the operation was completed, the doctors and medical students observing in the room couldn't help but applaud. Qin Chuan also stood up and applauded to express his congratulations.
In the operating room, all the doctors also began to congratulate Zhang Chengjian.
"Dr. Zhang, you are really amazing. You have completed another difficult operation! Now you are far behind the other doctors." Lu Sicong said.
Zhou Zengfu also did not hesitate to praise Zhang Chengjian: "Chengjian, you performed very calmly during today's surgery. I will summarize it later." (To be continued, please search Piaotian Literature, the novel is better and updated faster!
