crazy scalpel

Yu Tengcong slammed his brand-name handbag on Jiang Mingwei and said angrily, "Go away, I want to find your captain!"

Jiang Mingwei rubbed his arm, "The captain said it's okay and let us not disturb him."

"You!" Yu Tengcong was anxious, and roared at Xiaojiang, "Do you think I am okay? I will look for Tan Guofeng when I am okay? Do you think I will turn back?"

Jiang Mingwei scratched his hair, and really didn't know how to deal with this woman: "Auntie, I think our captain means, don't bother him if he doesn't have official business. Do you have official business?"

Yu Tengcong: "That's right, it's business."

Jiang Mingwei was overjoyed: "It's great for business, and it's the same with me! After all, I'm also a team leader, right? Do you want to report the crime? Or do you want to provide clues?"

"You!" Yu Tengcong nodded, "Okay, Tan Guofeng didn't see me, did he? Then let me see if he can see me."

As she said that, she took out her mobile phone from her bag and prepared to make a call. Jiang Mingwei scratched his head anxiously, and the captain was not afraid of anything, but his mother and little nephew. What should I do?

As the saying goes, when the king of Hades fights, the kid suffers.Fortunately, Tan Yan Wang Guofeng opened the office door in time and pulled Yu Tengcong in, Jiang Mingwei was relieved.In fact, this sister-in-law has a bad temper, but she is still okay, and I don't know why the team leader said divorce is divorced, women don't always have to coax her.

Tan Guofeng closed the door, sat back at the desk, took a pen to write in the notebook, and pushed his chin toward the sofa: "Sit down."

Yu Tengcong directly dragged a chair from the side to sit next to him, and patted his desk, "Do you need to be so diligent, and your bureau chief won't give you a bonus."

Tan Guofeng closed his notebook and frowned: "What on earth are you looking for? Also, didn't we agree that you wouldn't bother my mother in the future? Let me remind you, there will be no next time."

Yu Chengcong curled his lips uncomfortably, "I know, a deal is a deal, I'm just pretending, and I didn't really dial the phone. But speaking of this matter, I really didn't get any benefits. You Well, she successfully divorced me. As for my boss and my sister, they also successfully removed Cheng Hai's arrest warrant. It's a win-win situation for both of you, so why am I caught in the middle? I'm also drunk."

Tan Guofeng: "Didn't you say you didn't have feelings for me? Isn't that just right?"

Yu Chengcong gave him a wink: "What if I have it again now?"

"..." Tan Guofeng: "If this is what you came here for today, then..."

Yu Tengcong: "Stop, stop, stop! Have you ever seen someone as incomprehensible as you! My self-esteem is going to be shattered into glass shards! I'm here today because of my sister, who just passed her last seven days. Finally, she was sent away smoothly. However, I don’t believe that she committed suicide. You can find out what’s going on. We both slept in the same bed, so you can’t help me with this. ?”

Tan Guofeng couldn't help but smile: "Can you be more vulgar?"

Yu Tengcong snorted: "The words are not rough. I also know that the surname Jing has greeted you, but I really can't just pretend that she really jumped off the building. You know, my parents leave It's too early, and this is really the only relative in this world, but he died in such an unexplained way. If it's someone else, and there is pressure from above, then forget it. But I know you must have a way to investigate. "

Tan Guofeng met her burning gaze and could only say: "I will pay attention. But there are really many doubts here. Since you came here on your own initiative, it's just right. I've always wanted to ask you, what is the relationship between your sister and Tong Shouye?"

"Tong Shouye?" Yu Chengcong thought for a while: "I don't know too well. I only know that she originally belonged to the electrical appliance factory, which is the place where Xinghai Building used to be. Later, the land of the electrical appliance factory was sold to our boss for commercial real estate. She didn't know What route did I go to the Urban Construction Bureau? At that time, Tong Shouye seemed to have just been promoted to the director of the bureau. However, my sister married Jing Haoran not long after working in the Urban Construction Bureau, and my boss was a matchmaker. Let’s do the math In other words, there used to be a colleague or superior-subordinate relationship.”

Tan Guofeng opened the notebook again to write, and raised his head after finishing writing: "That's it? Gone?"

Yu Tengcong: "Oh, and there is that Tong Shouye has a bit of a perverted interest...you understand. I heard that Cheng Jiang was treated like this by him. But my sister and him should not have much intersection... Oh! Yes Yes! I remembered! When Tong Shouye just died, didn’t you close the case quickly? My sister once came to me to inquire about this matter and asked me to ask you for inside information! But I thought This has nothing to do with us, so I forgot to call you..."

Tan Guofeng wrote down in his notebook, "In other words, your sister is very concerned about Tong Shouye's death? This is very important. If you think about it carefully, has she mentioned anyone or anything specifically? By the way, she knew Cai Tianqiao?"

"Cai Tianqiao? I haven't heard her mention it. Oh yes, I thought of it!" Yu Tengcong suddenly shouted: "Xie Ke! She often asks me about Xie Ke! Every time I contact Xie Ke, she You must drag me to explain all the details! Now that I think about it, it is true that she is a bit too interested in Xie Ke, and it is not like ordinary recruiting talents at all."

"Xie Ke?" Tan Guofeng closed the book, knocked on the cover, and went back.

Xie Ke was struggling on the operating table at this time.

Wen Xudong found him and said he was going to have an operation, and Xie Ke knew that he was representing Bian Shunyuan.Because this operation has something to do with Bian Shunyuan, so he agreed.

However, as the first assistant of a surgery, Wen Xudong is useless.

Yes, Xie Ke rarely swears even when he despises a person, but now he really feels that the word fuck is not enough to describe his mood at this moment.

Xie Ke is famous for his fast operation, so he doesn't use the hanger to pull the hook very much, because these things take up space.But Wen Xudong couldn't even pull a hook well!Well, Lagou and Xiao Huo can do it, but Wen Xudong, an idler, has the cheek to squeeze around beside Xie Ke!

Although he didn't touch Xie Ke, but you said that a person who has nothing to do is so close, what is the trouble?Wen Xudong wanted to see the actual situation, but it was a pity that Xie Ke's wound was relatively small, and his vision was really not very good.Xie Ke instructed him to do other things several times, but he still squeezed over.

Xie Ke couldn't share his heart during the operation, so Xie Ke had to endure it.

The place where Ponfort's tumor grows is in the cerebellar pontine angle on the lower left side, which is the location where Professor Nutt gave an anatomical lecture in a seminar not long ago.After listening to Professor Nat's experience sharing at that time, Xie Ke felt enlightened about the dissection of the suboccipital approach to the cerebellopontine angle region, and he wanted to do it himself for a long time.

If there were not too many unexpected things happened later, Xie Ke would not have had the opportunity until today. Pang Fu appeared in front of him like a patient who fell from the sky.

Xie Ke made an S-shaped incision behind the mastoid process in the left posterior fossa of Pomford, that is, from behind the ear to the side of the neck, and cut the dura mater in an arc from the inferior petrosal sinus, closely adjacent to the jugular foramen.Because dandy's barb-shaped incision is difficult to control bleeding, while Ponfort's tumor is large and causes more bleeding, Shayk gave up this method and chose an S-shaped hockey stick incision.

Judging from the preoperative photographs, the tumor of Pangfu is really localized. The front is the petrous part of the temporal bone, the trigeminal nerve and the facial nerve, the back of the petrous vertebral body, the inner auditory foramen and the sigmoid sinus on the outside, and the tentorium cerebellum on the top. , the bottom of the cranial fossa and the glossopharyngeal, vagus and accessory nerves, the pons and medulla on the inside, and the cerebellum on the back, all surrounded by important tissues like a dice.

The blood supply of the tumor comes from the branches of the basilar artery. These small arteries originate near the brainstem. Special care must be taken during the operation, otherwise, if these blood vessels are stretched or ruptured, it may cause brainstem ischemia or edema. as a result of.

Once this kind of thing happens, the problem may not be reflected in time during the operation, but whether you can wake up after the operation is another matter.

After Xie Ke cut the dura mater, he gently pushed the cerebellum along the outer lower edge of the bone window with a narrow brain pressure plate, and opened the lateral pool of the magnum cistern with a sharp knife. At this time, he only needed to tear the arachnoid, release the cerebrospinal fluid slowly and patiently suck it out. , the cerebellum retracts.

It stands to reason that this process will not be very difficult.

However, when Xie Ke saw Pang Fu's arachnoid, he was shocked.

The arachnoid is deep in the dura mater and should be a very thin and translucent membrane.But now Pang Fu's arachnoid is a layer of gray-white membrane, and the thickness is also increased compared to ordinary people.

Both the brain and spinal cord are soaked in cerebrospinal fluid, and this waterproof membrane is called the arachnoid.

It can be seen through the observation of the electron microscope that its structure is completely different from that of other cells, and it can play a very good role in waterproofing.Although this kind of arachnoid is very thin, it is very strong.Arachnoid cells are one of the most active cells in the human body. They can automatically repair damaged parts and are waterproof.

A large part of the reason why doctors perform posterior fossa surgery is that they can rely on the help of the arachnoid to carry out the operation smoothly.The arachnoid is an extremely important cell in neurosurgery.After the brain operation, it can restore the cut membrane without the doctor's hands to prevent water seepage, so it can help the doctor deal with some difficult things after the operation.

However, Pang Fu's arachnoid became hypertrophic and lost its toughness. Xie Ke doubted whether it could still have its original self-healing quality.This change obviously only appeared after Bian Shunyuan performed meningioma resection on him!Otherwise, Bian Shunyuan's operation would never be completed so smoothly!

Because if the arachnoid can't be restored, the so-called final step of the operation-closing the skull will become a joke.

Why?Why did Pangford's arachnoid become like this?

Xie Ke quickly thought of the reason—cancer cell meninges planted!Cancer cell nests are spreading along the brain tissue and adventitia of blood vessels!

It must be that Bian Shunyuan broke the tumor when removing the tumor, and then the cancer cells inside were planted on the arachnoid of Pang Fu, making the arachnoid infiltrated by cancer cells.

This also proved from the side that the meningioma at that time was indeed not an ordinary meningioma.In it, there is also a frightening brain metastases of cancer cells.

It was the first time in Xie Ke's surgical career that he encountered such a problem before the tumor was exposed.

But Xie Ke didn't panic. He signaled to suspend the operation, called together several doctors, including the anesthetist, Wen Xudong and Xiao Huo, and reported Pang Fu's situation to everyone. Then he saw Wen Xu Dong's face turned pale.This kind of panic can be felt even through the mask.