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【2957】The most difficult place

The child's grandmother said frankly: "I really can't tell if he ate food given by strangers when he went out to play somewhere."

The children couldn't answer it themselves, so the elders had to guess.

No matter what, it is important to treat the child.

Regarding the surgery to remove the worms, on the one hand, the family members don’t even think about it and hope to get the worms out as soon as possible. On the other hand, when they think about having to operate on their children’s heads, they will eventually have some concerns and ask how the surgery is done.

, will it affect the child's brain?

At this point, first of all, this neurosurgery, like other surgeries, has long been as minimally invasive as possible in the development of medicine.

To remove the worms, there is no need to make a big incision on the person's head, that is, it is impossible to remove a large piece of the person's skull for brain surgery.

Xie Wanying first briefly explained the general process of minimally invasive neurosurgery to the family: "To make a hole, you only need to make a hole about the size of a one-yuan coin. We will do the surgical positioning for him in advance, determine the location of the hole, and use the surgery to

With the navigation system, after determining where the insect body is, you can directly go inside and pinch out the insect."

The human brain is inside the skull. Except for the ventricles, it is like a densely packed tofu block.

Under such circumstances, it does not make much sense to remove large chunks of the skull to expose the surface of the tofu block. Because the expansion of the incision in chest and abdominal surgery expands the surgical field, making it easier for the doctor to see inside, and sometimes it is easier for the doctor's hands to go in and turn directly.

The tightness of the organs and brain tissue means that doctors cannot go in and perform surgery with their bare hands, so they can only use instruments.

Therefore, in the scene of neurosurgery, it is usually seen that the doctor's hand-held instruments are like carefully digging through tofu blocks to find foreign objects for clamping or cutting.

As can be seen from the above, it makes no difference to some operations whether large pieces of bone are removed during neurosurgery. Minimally invasive surgery has become highly superior and has become the first choice for neurosurgery.

What is the most difficult part of minimally invasive surgery? We know from previous minimally invasive surgeries in other departments that the most difficult part of minimally invasive surgery is blindness. For this reason, minimally invasive surgery on the chest and abdomen is done through laparoscopic surgery, using equipment.

Medical instruments with cameras travel inside the human body and become the doctor's eyes to perform the surgery.

The premise for the feasibility of laparoscopy is based on the principle of lung collapse in cardiothoracic surgery, which fully demonstrates that such surgery requires space in the human body for instrument operation.

The brain tissue is like tofu cubes packed into a ball and filling up the space. It is impossible to create a large space for thoracoscopic and laparoscope to move around in it. Except for the special structure of the ventricles, there is space for doctors to use, which can be used until the last time.

What we call endoscopic ventriculoscopy is surgery.

How to solve the problem of blindness in minimally invasive neurosurgery depends on Mr. Xie’s powerful three-dimensional computing brain, which is actually subtly similar to the three-dimensional navigation system of neurosurgery.

Take out the patient's preoperative cranial imaging examinations, including CT scans, magnetic resonance, etc., and input them into the computer to form a three-dimensional image of the patient's brain through software. The doctor uses this three-dimensional imaging to compare the patient's head to determine the approximate location of the patient's lesion.

position, calculate the shortest and best surgical path from the surface of the brain, and then draw a surgical incision on the surface of the patient's head.

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