I guess it's more difficult, and you don't know Dean Sun's temper, but the operation should be almost over, and now it has been successful. Dr. Xiao explained.

"Okay, wait a minute. Liu Weixiang nodded helplessly.

After another ten minutes, the operation was finally over, and it was a success!

When Ruan Bin and Sun Wushou walked out of the operating room, dozens of doctors outside the operating room who watched the live broadcast of the operation all stood up and applauded.

Just when Sun Wushou was about to ask Ruan Bin to say a few words of encouragement to the doctors, Liu Weixiang walked over with a stack of examination materials.

"A 5-year-old boy from my department came to the hospital for medical treatment due to fever and nosebleeds, and I found that "the sellar mass, pituitary stem and optic chiasm were compressed, and the diagnosis was craniopharyngioma! What should you do if you keep looking?" Liu Weixiang said to Sun Wushou.

"6 years old, craniopharyngioma?" When Sun Wushou heard this crucial information, his tone instantly rose by three points!

Craniopharyngioma is the most common intracranial tumor in children, although it is a benign tumor, but the commonly used craniotomy surgery has the disadvantages of large trauma, long operation time and many postoperative complications. At the same time, due to the deep growth location of craniopharyngioma, the total surgical resection rate is low, resulting in its high recurrence and low long-term survival rate of tumor-free tumors. As a result, it is the only benign tumor that has been described as malignant, and it is a benign tumor of the nervous system that frustrates neurosurgeons.

There are two peaks in the incidence of this tumor, the peak of children is 5~15 years old, and the peak of adults is about 40 years old, and its main clinical manifestations are headache, vomiting, etc. due to the symptoms of increased intracranial pressure, accompanied by visual field disorders, as well as growth retardation, diabetes insipidus, central obesity, dysplasia of secondary sexual characteristics and other endocrine dysfunction symptoms.

"Yes. Liu Weixiang nodded.

Sun Wushou quickly checked these examination materials, and after reading them, his face became solemn: "Indeed, as you said, the craniopharyngioma grows deeply! Traditional craniotomy may not be able to remove the tumor at this location. ”

"Even you're not sure?" Liu Weixiang was stunned. He also came to Dean Sun because he was not too sure about this craniotomy to remove the tumor.

But now that he heard Sun Wushou say that he was not too sure, he was dumbfounded.

So what about this patient?

"I'm not too sure, this child's tumor is growing too deep, and the operation is not easy to do!" Sun Wushou shook his head.

"So, what should I do? The child's tumor has obviously compressed the optic chiasm, and it must be treated as soon as possible, otherwise the vision will be affected, and even as the tumor grows bigger and bigger, he will lose his sight directly!" Liu Weixiang worried.

He is also an old man with children, and the son of the family is three years old, and he can't imagine how big a five-year-old child will be if he is blind!

Surgery is risky, the removal is not clean, the tumor will recur, and if you don't do it, the child will face blindness at any time.

"This craniopharyngioma is a big headache for our pediatricians! It is also a headache for most pediatricians in the world!" Sun Wushou shook his head helplessly, just as Harvey Cushing, the famous originator of neurosurgery, once said: "Unless there is a technology that can destroy the tumor in situ and make it quiescent, the mortality rate of craniopharyngioma will be maintained at a high level." “

Now this is the case with this craniopharyngioma, which is not serious, and the tumor can be cleaned up by craniotomy. But like these small numbers of craniopharyngiomas that grow deeper, even if the craniotomy is not cleared, as the originator said, it can't be destroyed directly in situ!

At this time, Ruan Bin had not left yet, he was standing next to him, and he was still waiting for Sun Wushou to give him his hard money.

Dozens of other doctors did not leave, after all, Sun Wushou had not really announced his departure.

However, when they heard about this craniopharyngioma, they were all curious.

A group of people stay together with doctors of the same specialty, and there are many topics to talk about.

"Today, it is rare that the doctors from several pediatric hospitals in the magic capital, as well as the doctors from the pediatrics of the major hospitals in the magic capital, are there, so I will take out this case and share it with you, brainstorm, and let everyone see if there are any good suggestions!" Sun Wushou said. In fact, he took out this matter and said, not so that everyone could come up with any surgical methods, but to tell them that this craniopharyngioma currently lacks a safe and effective surgical method, and hoped that they could study it after they go back, maybe someone can promote the surgical development of craniopharyngioma?

Soon, everyone understood the condition, and they all frowned.

"Traditional craniotomy is not ideal, and I think the only way to do this is to remove the tumor through the nasal cavity through neuroscope," suggested a deputy director of a Modu Children's Medical Center.

As soon as this sentence came out, everyone's eyes lit up.

"Although neuroendoscopic transnasosphenoid surgery has been reported in recent years. However, due to the difficulty of this approach technique, small nostrils in children, and poor development of sphenoid sinuses, it is clinically applied to adults, and no such surgery has been carried out on children in China, and only scattered cases have been reported abroad, and it seems that only a few hospitals such as Sheba Medical Center and Cleveland Clinic have had surgical records!" Sun Wushou shook his head and said.

"Sheba Medical Center, Cleveland Clinic, these are among the top 10 hospitals in the world. Yang Wei sighed.

"Even the Mayo Clinic doesn't have a record of the surgery at the moment?"

"Hehe, do you think the Mayo Clinic is invincible? Sheba Medical Center's pediatric level is definitely better than that of Mayo Clinic!"

“......”

Ruan Bin understood after hearing this. Neuroendoscopic transnasal sphenoid surgery, a new type of surgery that is only suitable for adults, is relatively mature. For children, due to the small nostrils and poor development of the sphenoid sinus, the operation is difficult, and there are few foreign hospitals with surgical records. No hospital in China has carried out this new type of neuroendoscopic transnasal and sphenoid surgery for children! That is, there is zero surgical record and zero surgical experience!

"In fact, I won't tell you that in the past year, our domestic pediatric medical alliance has been researching new types of neuroendoscopic transnasal sphenoid surgery, and has been trying to find a way to operate on children, but the progress is not very large. Sun Wushou sighed and said. He and a few old friends started working on the operation a year and a half ago, but it didn't make much progress.

"However, we can't stop studying without the first initiative in China, and since several hospitals abroad have succeeded, our domestic pediatricians should also work hard!

"I also started studying neuroendoscopic transnasal-sphenoid surgery half a year ago, but it is still in the theoretical stage. ”

"Me too, I watched the foreign surgery video a year ago, but the difficulty is too high, and it doesn't seem to be mature enough. Forcibly following the kind of surgery in foreign countries, I am afraid that the risk is too high, and I am almost resigned to fate!"

"I also carried out research in our hospital three months ago, and the simulation test was conducted, but the failure rate was 90%......" Suddenly, seven or eight doctors spoke one after another.

Sun Wushou was a little relieved after hearing this, only by working together can we have a greater breakthrough, let the theory become practice, and finally succeed!

It can quickly create a mature surgical method that can perform surgery, so that domestic patients can enjoy safe and effective surgical protection!

"I've also studied this surgery!" Suddenly, Ruan Bin spoke. Mobile phone users please browse and read, and a better reading experience comes from Aiwang.