Gently push the mucosa at the bottom of the saddle to the right by about 0.5 cm, and do not exceed this limit, otherwise it will touch the blood vessels. ”

At this time, Ruan Bin used the computer equipment of the information platform to remotely mark the key points of the operation and the problems that need to be prevented with his voice and marker. Every detail of the instruction is clearly and without delay in Kong Yunqian's surgical field of view, assisting him and the surgical team to operate on the spot.

Sure enough, Kong Yunqian's side clearly saw that Ruan Bin's big hand used a marker pen to make accurate marks on the mucosa at the bottom of the saddle of the three-dimensional model. He just needs to follow the precise operation described by Ruan Bin.

Kong Yunqian, as a master of surgery, is absolutely no problem with this precise control!

"The distance from the anterior nasal spine to the anterior wall of the sphenoid sinus is about (60±5.8) mm, and the distance from the sellar floor to the sellar floor is (71.3±3.7) mm, the average shortest distance from the opening of the sphenoid sinus to the sellar floor is 16.2 mm, and the average thickness of the anterior wall of the sphenoid sinus is only 0.4 mm. The thickness of the anterior wall of children is thinner, and the sphenoid sinus grinding drill will pass through the anterior wall of the sphenoid sinus, and the anterior wall has a thickness of 0.4mm, and the anterior wall will be broken if you are not careful, can you do it?"

"Well, I can't!" Kong Yunqian was embarrassed for a while.

"I knew you couldn't, so I asked you to open the bottom of the saddle from another place!" Ruan Bin said lightly.

Kong Yunqian: "......"

This kid did it on purpose, right?

"The sphenoid sinus opening is often used as the starting point for biting off the anterior wall of the sphenoid sinus, and the sphenoid sinus opening is the uppermost boundary of the sphenoid sinus bone window. However, this is clearly not suitable for the approach of pediatric surgery. ”

"You approach from here!" Ruan Bin pointed to the anterior edge of the turbinate and began to mark, "You make a longitudinal incision of 1.5cm along the septal tubercle!"

Under the guidance of this 'hand-in-hand' operation, Kong Yunqian went smoothly all the way.

The surgical step of midline positioning was quickly reached.

For transnasal butterfly approach, it is important to maintain the midline. Injury to the lateral wall of the sphenoid sinus should be avoided during the anterior sphenoid approach surgery.

"The midline is here!" Ruan Bin continued to mark in the three-dimensional image.

"Okay!" According to Ruan Bin's command, Kong Yunqian used the opener to expose the surgical field and then find the sphenoid crest at the base of the bony nasal septum, which was relatively fixed, and the positioning mark of the midline was connected between the two.

The midline is confirmed, and the internal carotid artery is not likely to be damaged due to direction deviation during the operation.

Two hours later, the operation was finally over, although Kong Yunqian was inevitably a little stumbling when he performed this operation on a child for the first time, but fortunately, Ruan Bin corrected it in time, and it was successfully completed.

The surgery was a success!

The tumor was removed cleanly!

This time, the 'Chrono Surgery Guidance Collaboration' can be regarded as a successful conclusion.

"Ruan Bin, thank you, when you come to the capital, you must come to me, I will introduce my niece to you! My niece is 1.77 meters tall, she is still a professional female model, and she is only 22 years old this year!" When the operation was completed, Kong Yunqian thanked Ruan Bin.

"Professional female model, height 177?" Ruan Bin swallowed after hearing this. However, when he thought that the modeling circle was relatively deep, he still shook his head and refused: "Ahem, you don't need to introduce your niece, just invite me to a big meal." ”

“......”

............

On the way back.

"That, dean, do I have a performance commission for a remote consultation or something?" asked Ruan Bin, rubbing his hands.

"Yes, of course there is! If he doesn't pay the consultation fee, how can I be willing!" Vice Dean Lin laughed.

"By the way, next month is the day for the attending doctor to apply for the exam, you have to use dim sum to read books and brush up on questions! Get rid of the title of resident doctor as soon as possible and become the attending doctor! Once you get that certificate, I will immediately re-sign the contract with you, and the hospital will hire you as the attending doctor of the emergency department!" Vice President Lin said with a smile.

"I know, I'm going to try. Ruan Bin nodded.

He signed up some time ago and waited for the exam next month. He meets the requirements for applying for the attending physician examination, has obtained a bachelor's degree in medicine, has worked as a physician for 4 years, and has a relevant medical practitioner certificate.

It's just true that I haven't read the book!

Now that he has had so many surgeries, the clinical experience in his mind is definitely very rich.

When the time comes, if you encounter any problems that you don't know, go directly to the entry, and I believe he can answer them in minutes.

Anyway, krypton gold doesn't cost a lot of money to get started.

Besides, now he controls dozens of surgeries, and most of the general surgery surgeries are almost kryptonite, and only the fourth-level surgeries and some of them are not kryptonite.

............

The next day, Ruan Bin was dragged by Vice President Lin for another interview, and the interview was about the first case of neuroendoscopic transnasal butterfly surgery in China.

After an interview, Ruan Bin is estimated to be in the newspaper again!

Soon, the report of the operation of the First Affiliated Hospital of the Modu to guide the hospital of the Beijing Institute of Pediatrics soon appeared on the news of the capital and the Modu.

At the same time, the process of this operation was also put on the surgery website, which immediately attracted the attention of many doctors!

"I didn't expect that in just these days, the second case of neuroendoscopic transnasal butterfly surgery appeared, and it was still under the guidance of the First Affiliated Hospital of Modu! So if we encounter such a tricky operation in the future, we can also seek help from the First Affiliated Hospital of Modu?" A pediatric director of a city hospital saw it, and his eyes lit up.

"After watching this second operation, there is no doubt that the neuroendoscopic transnasal sphenoid surgery for children created by Dr. Ruan in our country is very mature! At least it looks like it can almost remove the tumor cleanly, and at the same time, it will not cause too much trauma!"

"In the past month or two, the First Affiliated Hospital of the Demon Capital has been in the limelight, and new or improved surgeries have been born at both ends in three days!"

"The scariest thing is that it's still from the same doctor!"

"It is said that he is the young emergency doctor who created the first pre-hospital REBOA in China?"

"It seems to be ......"

......

Professor Chen Chengquan, who was far away in Jianxi Hospital, was slightly surprised when he saw this report about Ruan Bin: "This kid didn't expect such a high talent?"

When he went to the First Affiliated Hospital of Modu for laparoscopic pancreaticoduodenectomy, he was amazed by Ruan Bin's surgical skills in 'nano' operation.

At the beginning, he just thought that the other party might be more demonic in terms of basic skills, after all, there are still many such people in China. The surgeons in the country are well-known 'technicians'.

However, surgical improvement and innovation are indeed weak.

"This Ruan Bin has a bit of talent!" "Mobile phone users, please browse and read, a better reading experience comes from Aiwang."