crazy scalpel

The surgery Tong Wenjie needs to perform this time places high demands on the surgeon.

First, the cerebrospinal fluid shunt, which is a tertiary operation.This alone eliminated most of the attending physicians.Unless you are particularly experienced and capable, you can perform this operation before you are promoted to the deputy chief physician.

Then, according to Tong Wenjie's condition, a neuroendoscope was used to do ventricle exploration to find out the specific obstruction and see if there were other cysticercosis.This craniotomy is also a level three.

Finally, if there is a cysticercosis in the ventricle, cysticercisectomy is required, which is grade four.

As I said before, the chief physician can perform level [-] surgery.

So, can Cai Tianqiao and Bian Shunyuan both do it?

Obviously not!

Don't think that after three operations in a row, the most advanced operation will prevail!

What is the most important thing about craniotomy?

time!The shorter the time, the higher the success rate and the better the prognosis!

Brain surgery usually takes half a day.If the above three operations are superimposed according to the general situation, the operation time will be at least ten hours or even more!

The longer the operation time, the longer the anesthesia time, the longer the bleeding time, the longer the operator's homework time, the greater the mental stress, and the more prone to mistakes.

Of course, sometimes you can also arrange assistants to do the first two relatively easy tertiary operations, but this will definitely affect the sense of surgery and state.Especially the second one, the process of probing, is very important for the subsequent extraction of cysticercosis or the treatment of other temporary strains.

All in all, the requirements of this surgery are very high.Bian Shunyuan, who has just been promoted to chief physician, obviously does not meet the qualifications. In fact, even if you ask him to do it, he might refuse it.If these three operations are separated, he can do them, but when they are combined, the level of surgery that needs to be achieved is completely two realms!

Regardless of President Liu's words, only Cai Tianqiao has this level in the city's No. [-] hospital.

Of course, Xie Ke thinks he can do it himself, but he doesn't have enough professional titles, and he can't expose his weird fingers, so he can only slowly accumulate qualifications.

Xie Ke didn't expect Cai Tianqiao to refuse!

As far as he knew, although Director Cai was usually a bit sharp, and his eyes were too warm, which caused him to detour when he saw Cai Tianqiao, but Cai Tianqiao's surgery was absolutely top-notch!

Xie Ke once snatched a video of Cai Tianqiao's surgery to remove a sphenoid ridge meningioma from Wang Lei.

After reading it, he wanted to give Director Cai 1 likes!Couldn't be better!

The sphenoid bone, flatly speaking, is the whole piece of the face except the forehead and the nose, which is shaped like a butterfly bone.If you talk about the mask worn by a masquerade ball, you can definitely understand it. It is embedded in your face, which is the sphenoid bone.

The tumor was located on the medial side of the sphenoid ridge, between the eye sockets and the bridge of the nose, and it tended to extend to the opposite side.This place adjoins and brings together the optic nerve, olfactory nerve, chiasm, superior orbital fissure, carotid artery, middle cerebral artery, anterior cerebral artery, posterior communicating artery, and cavernous sinus.

Because the location is very deep and the blood supply is rich, it usually leads to increased intracranial pressure, so it is very difficult to remove the tumor. This is the key operation of neurosurgery, and it is also one of the difficulties that are currently being sought to solve.

Cai Tianqiao did it very neatly. When Xie Ke watched his every move, he was simulating it simultaneously. It was hard for him to believe that Cai Tianqiao could be so accurate and accurate while using extremely ordinary surgical instruments. Tumors are easily found.

This is not something that can be done simply by noting the results of imaging studies.This requires a heightened sensitivity to space...like Shayk.

Xie Ke thought not very convinced, as long as he blurred the knife on his fingertips and poked it in, he could do it too.

But in the end he had to admit that without this trick, he might not be able to do so well.

Cai Tianqiao can.

Xie Ke was a little depressed, this was the first time he met a genius who was even more talented than himself.Perhaps, foreign training is really useful, Xie Ke thought, it seems that he can't rest on his laurels, and needs more contact with the outside world.

After cutting off most of the tumor, there is still a small piece wrapped with the pile of nerve vessels, which requires the use of microscopic equipment.Cai Tianqiao used extremely fine manipulations to free all kinds of nerves and blood vessels without any unnecessary movements.

One of them, Xie Ke can see from the color and shape of the tumor through the lens, is a bit hard, and it is very tightly adhered to the optic nerve.Cai Tianqiao ignited it with electric coagulation and did not move it. After a while, the tumor was still there.

At that time, the doctors nearby thought that Cai Tianqiao would continue to order it. This is normal. It is like this in general surgery. They would rather cut a few more cuts than lose control and damage the things next to them.But Xie Ke, although he was outside the camera, he immediately realized Cai Tianqiao's terrifying control and calculation power.

Sure enough, after a few seconds, the tumor tissue slowly dissolved.

Wang Lei told Xie Ke that everyone was dumbfounded.

The people at the scene may not be clear because of the angle and other reasons, but Xie Ke, who watched the video, knows that what is even more rare is that the whole process of shooting the camera is clearly exposed.

The camera is installed on Cai Tianqiao's glasses, and the image displayed by the lens is basically Cai Tianqiao's own vision.

Xie Ke has reason to believe that Cai Tianqiao's ability to perform the operation with such precision is definitely directly related to the position of the body and head before the operation!

In other words, if the angle is a little bit different, it is very likely that the tumor cannot be removed so cleanly!

After watching this video, Xie Ke seemed to have entered a new world.He realizes that he still has a lot to work on, especially not to be complacent about his special abilities.Since then, besides the surgical inpatient building and his home, he has another place to go, which is the laboratory building.

With the number of times he applied to use it, everyone in the laboratory building soon knew him, and he was given a nickname—anatomy maniac.

Because of his crazy practice, many mice were lost in the world.

It is precisely because of his understanding of Cai Tianqiao's surgical level that he never expected that Cai Tianqiao would refuse Tong Wenjie's operation!

In his imagination, Cai Tianqiao was simply the perfect candidate!

And he also earnestly hopes that he can observe this operation!Although as an orthopedic surgeon, he may not be able to enter the operating room, but he can watch and discuss with other doctors in the live broadcast hall.He was really, really looking forward to it.

However, Cai Tianqiao refused!

And the reason is simply ridiculous!

According to Wang Lei, what Director Cai meant was that the incidence of cerebral cysticercosis in the United States is relatively low, and he has no experience in surgery, so he plans to take a look at it.

What a liar this is!Although what Cai Tianqiao said is true, the sanitation conditions in the United States are better than here, and the incidence of cerebral cysticercosis is indeed much lower than here, but!The world's population is mobile!If Ebola can go, why can't Cerebral Cysticercosis go!South America is so close to the United States, and the incidence rate in South America is very high!

Xie Ke roared in his heart, because he knew very well that this was definitely an excuse, and it was very low.With Cai Tianqiao's astonishing skills, even if he has never had cysticercisectomy, it is not difficult for him at all. Isn't it just picking up the cysticercis with tweezers and throwing them out!Others are obviously common surgical methods.

Cai Tianqiao refused to do it, and of course no one forced him.

As I said before, the No. [-] City Hospital is the "counterpart" hospital of the No. [-] Affiliated Hospital of Jiefang University.

Tong Shouye finally invited Professor Xu to perform this operation for Tong Wenjie through the relationship of the leadership of the Health Bureau.