The medulla oblongata is connected to the upper cervical spinal cord and is about the size of a fingernail, lying under the microscope.
There are large and small nerve nuclei inside, each of which is closely connected to life.
One wrong step with the scalpel and the patient died directly on the operating table.
Yang Ping's movements began to slow down, trying to minimize the damage to the tissue by the tip of the knife, and completing every step of the operation with the gentlest and most precise movements.
The laser knife cuts open the medulla oblongata and the cervical spinal cord tissue connected to it, and goes deep bit by bit, entering very slowly.
The data on the monitoring screen fluctuates up and down, including heart rate, respiration, blood pressure, blood oxygen saturation, etc. Each data represents the patient's vital signs.
Fatty Liang stared at the data on the screen closely, not daring to slack off at all. If there was any abnormality, he would report it to Yang Ping at any time.
Cardiovascular center, cardiac acceleration center, decompression center, cardiac inhibition center, respiratory center ---
Countless centers are all concentrated in this place the size of a fingernail, and the connections between them are intricate. Any slight damage may kill the patient.
You only live once!
The laser knife and bipolar electrocoagulation work perfectly together, and there is almost no blood visible in the surgical field.
This is the true bloodless operation, the highest state of surgery.
"Every step is extremely dangerous. If it were anyone else, the operation would stop here and it would be impossible to continue. Only in his hands can the 0.1mm laser knife exert its true power." Ikeda muttered to himself.
Ito also held his breath. The more he understood the operation, the more nervous he became because he knew the risks faced at every step.
The tip of the knife is impartial, cutting between two nerve nuclei, and the tumor is separated from the surrounding tissue little by little under the knife.
"The geomagnetism, celestial phenomena, sea currents, and air currents of the Great Line are all in chaos. It is difficult for navigators to even confirm their position, let alone find those islands. The navigation skills and experience in the past four seas are useless, and only the recording pointer
And the permanent pointer is trustworthy. Now we are facing this great shipping route, which does not even have a record pointer or a permanent pointer. How can we avoid the dangerous reefs and rapids and reach the target safely?"
Ito gradually changed his view, and it turned out that this young man was indeed the only one who could possibly complete the operation.
There is no need for anything to prove it. After this step, the patient's heartbeat is still there. This is the best proof.
"This is just the beginning of paradise. The second half of the new world is the most dangerous. If I guess correctly, by then, the heart rate will be compressed to several times per minute, which is no different from death. It cannot be replaced by an artificial heart-lung machine. It cannot be replaced by an artificial heart-lung machine."
Temporarily stopping the heart can only keep it in this state. In this state, the blood supply of the heart is far from meeting the needs of the body's important organs, especially the brain tissue. For two to three minutes, that is, Dr. Yang will have to wait for two to three minutes.
Within three minutes, after crossing the narrow dangerous zone, once delayed, the heart rate will finally drop to zero, zero forever!" Ikeda and Ito stared at the screen and talked in a low voice.
Ito said slowly: "There are seven magnetic forces extending out from the Upside Down Mountain. No matter which one you choose, no matter which island the magnetism starts from, once you choose, you cannot change it. You can only go along this channel one by one. The last seven
The routes will all converge to the Chambord Islands. You can choose another route when you arrive in the New World, and the last island reached is Lafdru, the end of the great channel. We have done countless experiments and dissected hundreds of corpse specimens to find these safe channels.
, it’s a pity that none of them were found, but now he seems to have found them.”
"Probe imaging technology is of little help to him."
"He should have his own positioning technology."
"What kind of hands are these, so stable, so gentle, so delicate, so dexterous!"
"Hands made for surgery!"
The laser knife continues to penetrate deeper along this path, completing such delicate and complex operations on tissue as large as a fingernail.
---
Even the gentlest operation can easily cause subtle damage to nerve nuclei due to thermal damage, pulling, squeezing, and friction.
The tip of the laser knife in Yang Ping's hand has almost no contact during the whole process. The operation is completed by laser cutting, but thermal damage cannot be avoided.
That's why he was so slow, trying to avoid the accumulation of heat.
After the tumor's compression is relieved little by little, the external environment of the nerve nuclei will change, and this change will also cause some risks.
The heart rate is getting slower and slower. This slowdown cannot be intervened with drugs. Once it is intervened, it will be disrupted and will cause the collapse of the entire life system.
Daisuke Komori and Sukeyu Mitsui had planned to work together to handle this case. At this time, they stared at the screen in the operating room and fell into deep silence.
With their strength, they simply cannot get to this point.
They are top professors from Dongda Hospital, not laymen. When they saw this, they understood a little bit.
---
The doctors from various countries at the conference seemed to have forgotten that they were here for the conference, as if they were here to see this operation.
Even doctors who are not specialized in this field are still shocked by such superb surgical technology. This is the limit of human hands.
Dr. Lin Mingyuan from Singapore is communicating with doctors from Australia.
Professor Liang sat together with Professor Su and Professor Qin, and was very satisfied with this rising young student.
Professor Su was very happy, but he was confused as to why this girl didn’t bring Xiao Yang home.
He couldn't wait to recognize this son-in-law.
Professor Qin is the only one who is more depressed. There has been no progress in recruiting people. The superiors are constantly putting pressure on him. He has done a lot of work, but it has no effect.
Many other young doctors have now become fans of Yang Ping, and everyone follows Yang Ping as an example.
For example, Song Yun of Xiehe studied with Hu Guolin at Sanbo for a period of time and gained a lot. Now he has also joined Yang Ping's research project, the experimental subject of external spinal fixation, and Song Yun is one of the protagonists.
---
The patient's heart rate is getting lower and lower, has dropped below 30, and is still falling.
The separation of tumors has approached the heartbeat center, and they still have some kind of adhesion, which is very difficult.
Probe imaging under the microscope can only play a rough role in identification, and is not helpful for the precise operations required by Yang Ping. However, Yang Ping is so familiar with the anatomy here that he can complete it accurately even without any assistance.
Dangerous operation.
When the patient's heart rate dropped below 30 beats/minute, Mitsui and Komori's hearts trembled suddenly.
Now every fall means the patient is one step closer to death.
They sat motionless next to him while the patient lay not far away. They could really feel the approaching breath of death.
Japanese anesthesiologists, equipment nurses, and traveling nurses also set their sights on Mitsui and Komori.
Please ask if intervention is needed at this time. If you continue, your heart will definitely stop.
But at this time, Komori and Mitsui were unable to do anything because they lacked experience in this area.
Even if Yang Ping calls them to the stage for rescue, they don’t know what to do?
Use a temporary pacemaker?
Use an artificial heart-lung machine to replace the heart's work?
Or simply stop the heart and use extracorporeal circulation?
No, once these technologies intervene, the feedback mechanism between the heart, spinal cord, and brain is inhibited. Once inhibited, collapse will follow. Once collapsed, there is no way to recover.
Modern medical skills sometimes seem very powerful in the face of the complex human body, but sometimes they appear very feeble.
Mitsui's eyes turned to Yang Ping, who was concentrating on the operation. Yang Ping didn't seem worried and seemed confident.
It seems that we often encounter this situation and it has become commonplace.
Finally, the heartbeat dropped to only a dozen times per minute, approaching the edge of death.
This is the narrowest area between the two nerve nuclei. It is so narrow that it is almost stuck together. The tumor squeezes through the middle and becomes thin.
Suddenly, the heart rate dropped to ten beats per minute and was still falling. It was no different from death.
Cells throughout the body enter a state of hypoxia, as if suffocated.
The Japanese anesthesiologist and nurse looked at each other. There was no movement from Mitsui and Komori. They were very anxious.
The heart rate dropped below 10 beats per minute.
"10 times!"
Fatty Liang started counting with a calm tone, obviously this was not the first time he had encountered this situation.
10 times!!!
Mitsui and Komori stood up almost at the same time and shouted.
Rescue!
Rescue quickly!
If no resuscitation is carried out, the brain will die due to ischemia in eight minutes, and a heart rate of ten beats will not be able to maintain perfusion of important organs.
Japanese anesthesiologists and nurses heard the shouts and acted reflexively.
There was a commotion in the operating room.
"Bagya Road!"
Zhang Lin stared angrily and roared angrily. He and Xiao Wu simultaneously blocked Komori and Mitsui, telling them to stay where they were and not to do anything drastic.
Tang Shun actually forgot how to translate.
Originally, Zhang Lin spoke Japanese, so there was no need for translation.
It was this powerful "Bagya Road" that played a huge role. Komori and Mitsui were stunned, and then forced themselves to sit down. Their foreheads were covered with sweat and they did not dare to move anymore.
The Japanese anesthesiologists and nurses who had just prepared to take action also stopped their actions under the roar of "Bagya Road".
Everyone wakes up.
The chief surgeon is not them, but the Chinese, and they only cooperate symbolically.
Screaming like this suddenly will seriously interfere with the operation.
Three minutes is the golden window period. There is only three minutes. The dangerous stage must be crossed within three minutes, otherwise, the patient will die.
Not to mention three minutes, even thirty minutes, no one can complete this separation operation.
Mitsui and Komori's breathing was a little rapid, and the Japanese anesthesiologists and nurses were also anxious.
Unlike their nervousness and panic, the Chinese team seemed like nothing happened.
Yang Ping was completely unaffected by them. He was as steady as a mountain, breathing smoothly, and continued the operation.
Song Zimo and Xu Zhiliang were also unmoved.
The instrument nurse still sat there quietly, placing the instruments needed for the next step in a convenient place.
The anesthesiologist crossed his legs and stared at the screen.
