crazy scalpel

Xie Ke pushed the cerebellum aside from the side, leaving a gap between the trigeminal nerve and the abducens nerve, and used an aspirator to suck out the cystic fluid wrapped around the tumor, which could reduce the volume of the tumor and facilitate his traction.

Because the tumor cannot be broken, it is very difficult to remove it as a whole. Xie Ke can only cut off the parts that can be resected in pieces as much as possible, and then suck out the tumor, just like the cystic cysts.

After cleaning up the cyst fluid, Xie Ke felt relieved that the tumor had shrunk by a large circle. He cut off the blood vessels on the tumor capsule with an electrocoagulation knife and stopped the bleeding, cut off part of the base, defined the tumor boundary, and then cut the tumor open. Capsule, ready for intracapsular resection.

Xie Ke took the cut cotton piece that the equipment nurse handed him, and placed it between the tumor and the nerve, which was to increase the tension and help the separation.

Finding the tumor can be said to be half the success of the operation. The most important thing in the process of resection is not to scrape through the capsule. Xie Ke's hand movements are very subtle, but they are very steady and powerful, but the people around him don't know what is under the membrane. Condition.

Wen Xudong looked left and right, and found that everyone was staring at Xie Ke's hand.

Are they still expecting the operation to be successful?How can it be?In Wen Xudong's view, failure is certain, and it is only a matter of time.Xie Ke's expression looked so calm and concentrated, but who knows what's going on under the film?Maybe the posterior cranial nerves and cerebellum have been destroyed by now, maybe the inside has been smashed.

But the anesthesiologist hadn't warned the patient of the crisis, so Wen Xudong had to wait.

Xie Ke retracted the tumor slightly inward, used bipolar electric coagulation between the tumor base and the dura mater of the attachment area, and then cut it gradually until the tumor base was completely free.

Not broken!

Great, Shayk lifted the tumor forward and upward, and separated the adhesion between the lower pole of the tumor and the posterior cranial nerve.The seventh and eighth pairs of cranial nerves, namely the facial and auditory nerves, are located ventral to the tumor, and Shayk finds them at the brainstem and mobilizes and protects them distantly.

After mobilizing the lower pole of the tumor, Xie Ke used the same method to mobilize the upper pole of the tumor and the trigeminal nerve.Everything went well, and Pang Fu didn't have bone hyperplasia, so he didn't put more pressure on Xie Ke's operating space.

However, after he separated the periphery of the tumor and the nerves, he discovered another problem.

The anterior inferior cerebellar artery is surrounded by tumor!

Xie Ke tried it and found that this part of the blood vessel and the tumor could not be bluntly separated.Since the intact soft tissue cannot be preserved, it can only be sharply separated.But if it is a normal meningioma, Xie Ke may leave some tumor tissue and choose to preserve the integrity of the blood vessels.

But now this one is cancerous!

Xie Ke increased his perception, and the situation under the membrane was more clearly transmitted to his mind through his fingertips, the posterior segment of the loop of the anterior inferior cerebellar artery!

He remembered that Professor Nutt once said when explaining the blood supply of blood vessels in this area and the possible consequences of damage to different segments that the anterior segment of the anterior inferior cerebellar artery must not be sacrificed, but the posterior segment of the loop can be sacrificed when necessary.

Xie Ke used electrocoagulation to carefully cut the blood vessel and stop the bleeding, and finally got the tumor down.

Because of Shayk's high mental tension, he needs to put all his sensory abilities on his fingertips to determine the positions of various groups of nerves, blood vessels, cerebellum and surgical tools under the membrane, so it is very difficult.The nurse who was used to working with him, this was the first time he saw him sweating during the operation, she froze for a moment before helping him wipe it off.

Xie Ke closed his eyes for a moment, and the movements in his hands stopped.

In the operating room, Didi's instrument recorded the sound, and everyone looked at Xie Ke, waiting for him to announce the result.

Xie Ke: "The separation is successful, and the traction begins."

call--

Xiao Huo excitedly prepared physiological saline beside him. Once Xie Ke pulled out the tumor and completely stopped the bleeding, he could wash it with water and close his head!

It can be said that the operation has been considered a success at this stage, because the most difficult part has been completed.

Originally, it was impossible to pull the tumor out of the gaps in various brain tissues without being able to see it, but Xie Ke has even achieved the even more impossible approach and separation in the front, and the traction in the back is almost nothing to him. What's up.

Time passed by every minute.

If everyone was still holding a gamble, or even if they failed, Xie Ke would be responsible, but now the atmosphere is completely different.

Now almost everyone thinks that this is just waiting before the dawn, and the moment the tumor is pulled out by Xie Ke will be the time when the first ray of light descends.

Even Wen Xudong can no longer think that Xie Ke will definitely fail.

Xie Ke increased the strength little by little, and slowly pulled out the tumor with tweezers and suction.

finally!From the incision of the normal arachnoid, the tumor gradually revealed its hideous appearance.However, at this time, it can no longer cause any harm.

Xiao Huo quickly washed the operation area, and the operation was a success!

Xie Ke threw the tumor and the tumor in the tray, put down the surgical tools, and walked aside to rest.

He was really exhausted, and this was the first time he had used his fingertips for such a long time and with such intensity.This gave him a sense of suffocation, not breathing suffocation, but nervous suffocation.

The anesthetist was observing in front of a pile of instruments, Xiao Huo and other doctors were handling the operation area, and the nurses were busy checking the instruments.

Wen Xudong suddenly appeared behind Xie Ke: "What's wrong with you?"

Xie Ke opened his eyes and looked at him, "I'm fine. I'm about to close my head."

Wen Xudong: "Do you think he can wake up?"

Xie Ke understood what Wen Xudong meant. Now the patient's vital signs are all fine, and there seems to be no problem.

But Shayk operated under a membrane, which was gray and opaque.Even if there is a strong light, everyone thinks it is a little bit useful, but if it is a little bit useful, it is really only a "point". It is just a dream to see the blood vessels and nerves clearly.

So although Xie Ke has removed the tumor now, no one knows how complete the operation is.

Wen Xudong is not afraid of Xie Ke's lies, the postoperative CT can explain everything.Judging from the intraoperative monitoring, nothing wrong has been found for the time being, but who knows whether Xie Ke has damaged the cerebellum or brainstem?Or, does Xie Ke have residual tumor tissue in his brain?

In fact, Wen Xudong knew that even if there were unsatisfactory places, Xie Ke did not have to take responsibility, because he had already completed the operation with extraordinary performance.But when Xie Ke has no problems, the problems of his uncle Bian Shunyuan will also surface.

Wen Xudong didn't even know whether he now wanted the patient to wake up or not.

If he wakes up, Bian Shunyuan will be held accountable.If he didn't wake up, it would be due to Xie Ke's recklessness.But even if he failed to wake up, Xie Ke had just performed a failed operation. How could the surgeon succeed every time?But if he didn't wake up, at least Bian Shunyuan wouldn't be the only one who was criticized.

Xie Ke's mind is still in a mess now, but he doesn't want to show weakness in front of Wen Xudong, and he doesn't want others to see his fatigue, so he just replied concisely and forcefully: "Yes."

Wen Xudong's eyes twitched.

So confident?

As the chief surgeon, even if his eyes cannot clearly see the operation under the membrane, he can indeed know whether there is any cut that should not be cut through the feeling in his hand.But this is just a feeling, and no matter how keen the feeling is, it cannot make people answer "yes" so firmly.

Wen Xudong suddenly felt that he had never understood Xie Ke before. Was he pretending to be calm, or did he really have something to hold on to?

Xie Ke's head hurts a bit. At the temporal bone above the ear, it feels like something is growing in the brain, constantly trying to break his head.Due to the aseptic principle in the operating room, he couldn't use his hands to rub it, and could only let the dull pain relieve itself.

In front of him, Wen Xudong's appearance suddenly became a little fierce, like the animal face carved on the stone wall in ancient times to suppress bad luck.Between the changing face of the beast and Wen Xudong's real face, Xie Ke felt that he would open his mouth to bite him at any moment.

Suddenly the picture freezes and the animal face disappears. Xie Ke sees Wen Xudong standing in front of him with a concerned expression, and asks him, "Are you okay? Are you too tired and exhausted?"

And that stench has already permeated.

Xie Ke shuddered. He saw his hands raised forward. The special finger restlessly changed its shape in the latex glove. Fortunately, Wen Xudong didn't respond. It seems that it should still be blurred. with.

Xie Ke tried hard to concentrate, trying to control his fingers to stop this meaningless change, but it mischievously ignored Xie Ke's instructions.

This finger is extremely excited.

But the more excited it was, the more Xie Ke's head hurt.

Xie Ke simply ignored it, and instead focused his attention on the painful part of his head, like taking a deep breath, using "attention" to appease this part of his brain cells, that is, neurons.

Xie Ke's "attention" is like a gentle wave, wrapping around the painful parts and soothing them.

It was a bit like what happened to Shayk when he first discovered his special fingers, luckily he had already experienced it once, so he wasn't too nervous.

When the pain in the head subsided, the changing of the fingers also stopped.

Xie Ke breathed a sigh of relief.

He said to Wen Xudong: "I'm fine. Just do your own thing."

This is a bit harsh. Today, Wen Xudong really failed to succeed but failed, so he blushed and did not speak, but he couldn't tell even though he was wearing a mask.

Xie Ke walked around him and walked to the operating table.Guan Shou could have been handed over to Wen Xudong, but Xie Ke didn't trust him, so he planned to do it himself.

He picked up the needle and thread to suture, but saw the equipment nurse's face pale.

Nurse: "Dr. Xie, wait a minute."

Xie Ke asked her, "What's wrong?"

The nurse was a little bit broken, with a crying voice: "One piece of cotton pad is missing, and I can't find it anywhere."