According to Zhao Yuan’s surgical plan, the tumor at the junction of the carotid artery area and the craniocervical area must be removed first!
Then the extracranial tumors are removed, and then the intracranial tumors are removed.
When Zhao Yuan first started to remove the tumor, there were signs of bleeding.
Shan Zhenyu frowned slightly, thinking to himself, what a bad start!
This is surgery.
Although you have done a lot of preparation work before and thought about how to deal with everything, when it comes to actual operation, you will always find that you are not fully prepared.
Issuke felt his heart rising to his throat.
However, he found that Zhao Yuan did not have any abnormal symptoms. He stopped the bleeding and peeled off the tumor.
Zhao Yuan knew that there would definitely be bleeding during the removal of this part of the tumor.
Because the adhesion between tumors and blood vessels is too tight.
"How much bleeding?"
"200ml!"
Everyone was surprised when they heard this data.
They are all experts in neurosurgery. Although they are not up to the level of department directors, they still understand basic common sense.
The most fatal risk during external neck tumor resection is bleeding.
The child is very young, and the total blood volume in his body is only 1,000 milliliters. Now the bleeding has reached one-fifth!
Zhao Yuan remained calm and stretched out his hand towards the equipment nurse, "Electrosurgery!"
After the addition of electrosurgery, the amount of bleeding began to decrease significantly, but the risk was still not eliminated.
Zhao Yuan is not unaware that traditional scalpels can cause bleeding more easily than electric scalpels.
But this is a risk that surgical options must address.
The key positions of tumors in the outer neck must be removed with a traditional scalpel, which will be more thorough.
Tumor surgery must eliminate the root cause and remove as much of the diseased tissue as possible as well as potentially risky parts of the disease.
If it is a lung tumor surgery, the lymph node dissection usually has to go to the neck.
Some intracranial tumors cannot be treated so completely.
However, when resecting tumors outside the neck, one must follow the principle of preferring to kill a thousand by mistake rather than letting one go.
Ichisuke is the newly promoted chief physician of the neurosurgery department.
In the past, I was always working for Shan Zhenyu.
Nowadays, it feels strange to give a hand to a young man.
Zhao Yuan's operation is faster and more precise than Shan Zhenyu's.
The first assistant suddenly felt that when he was still the second assistant, Director Shan had the same temperament at that time.
Recall the time, that was ten years ago.
As a member of Shan Zhenyu's team, he actually clearly feels that Shan Zhenyu's level is declining.
Especially the difference between the early, middle and late stages of surgery is very large.
Despite this, Shan Zhenyu's level is much higher than others.
Now that Yisuke has seen Shan Zhenyu's peak strength from the young Zhao Yuan, he feels a lot of emotion in his heart.
No wonder Shan Zhenyu handed over the chief surgeon to Zhao Yuan.
"There are multiple tumors that are tightly adherent to the carotid arteries." Yishu suddenly discovered the problem and quickly reported it to Zhao Yuan.
Zhao Yuan knew that this was the biggest difficulty in the first step. If the tumor was forcibly removed at this time, the carotid artery would rupture, massive bleeding would occur, and the patient's life would be terminated.
"tweezers!"
Zhao Yuan handed the electrosurgery to the instrument nurse and used forceps to peel off the tumor adhering to the carotid artery little by little.
"The bleeding volume is 500ml!"
The second assistant reminded softly beside him.
Zhao Yuan nodded slightly, "I got it!"
The amount of bleeding reached about one-third of the patient's body.
There is no turning back when you draw your bow, you must grit your teeth and push forward at this moment!
The operation time passed by minute by minute.
After two hours of work, Zhao Yuan finally peeled off the tumor from the carotid artery.
Everyone knows that this is just removal of extracranial tumors.
It is much more difficult to remove intracranial tumors than tumors in this part.
…
When Tang Jin completed three operations in one go, it was already three o'clock in the afternoon the next day.
He decided to take a short rest before completing the remaining two surgeries.
He came to the office and clicked on a website.
At this moment, the digital demonstration operating room where he was supposed to be was live broadcasting an operation.
Tang Jin was a little surprised.
In the column of surgeons, besides Shan Zhenyu, there is another named Zhao Yuan.
Who is Zhao Yuan?
Could it be that Tianhua is a neurosurgery expert seconded from another hospital?
Tang Jin discovered that the operation had entered the middle stage.
The patient is still alive and well?
According to his deduction, in the early stage of the operation, the patient will most likely need to be rescued due to excessive blood loss, and the operation will be completed.
His first reaction was that this kid was so lucky.
However, after observing the operation for a few minutes, he immediately realized that it was not luck.
The child's ability to persist until now is entirely related to the operating techniques of the surgeon.
After three years of growth, the tumor in the intracranial part has merged with many important nerves. Therefore, cutting out more parts will damage the fragile nerves, leading to disability.
If the resection is not thorough enough and there are residual remains, it will lead to recurrence.
In front of the screen, Zhao Yuan carefully dealt with the tumor, carefully avoiding the nerves, but was able to remove the tumor completely.
The operation is simply too detailed.
Tang Jin may be able to do this, but it will definitely take a lot of time. However, the operation has only lasted four hours so far.
The assistant arranged by Lin Zhiyuan for Tang Jin came to knock on the door and reminded softly, "The fourth operation will start in an hour."
Tang Jin glanced at the assistant impatiently and said, "Postpone the remaining two surgeries until tomorrow!"
"Ah?" The assistant was surprised. Wasn't Tang Jin in a hurry to finish the operation and get out of the way?
Tang Jin explained, "The physical signs of the patients undergoing the two surgeries still need to be adjusted. It is safer for them to postpone the surgery until tomorrow."
The assistant was a little dissatisfied with Tang Jin's back-tracking, but he still suppressed his displeasure and turned around to explain to the patient.
Tang Jin was attracted by the operation in front of him.
He didn't want to miss any details of this operation.
Of course, the explanation he gave is also reasonable.
According to the original plan, those two patients were not supposed to start surgery until tomorrow.
Zhao Yuan has already begun to peel off the tumor near the brain stem.
A sneer appeared in Tang Jin's eyes.
True to his own judgment, the tumor adhesion in the brainstem is completely beyond ordinary people's understanding. Let alone removal, even a slight tug may cause damage to the brainstem.
Once the brain stem is damaged, the patient will most likely not wake up.
Zhao Yuan stared at the microscope, even if his eyes were sore, he could not take it lightly.
There is no quick way at this time, the only way is to peel off the tumor bit by bit around the brain stem.
Unknowingly, four hours later, half of the tumor in the brain stem was still left.
Shan Zhenyu secretly sighed, if it were him, he wouldn't be able to carry it till now.
Zhao Yuan not only persisted, but also maintained a high degree of stability.
Time passes minute by minute.
Live broadcast websites have more and more viewers.
Tang Jin just took a short rest and then continued to watch the operation.
When the operation reached the tenth hour, Tang Jin decided to go to the observation room to watch the scene.
After all, there is still a difference between live streaming on the website and watching it live.
Lin Zhiyuan was very surprised to hear that Tang Jin postponed the two operations to the next day.
Then he learned that Tang Jin made this decision in order to watch Zhao Yuan's surgery, and he instantly became autistic!
Did I invite you here to watch others perform surgeries?
