"Why, I can't come?" Sun Wushou glared at the other party.

"Yes, yes!" Qiao Yejian said busily, he dared to say that he couldn't! His master used to come out of the same medical school as Sun Wushou, but his master came out five years earlier and is now retired. The two have worked in the same hospital for more than 20 years and have formed a deep friendship.

Speaking of which, when he first debuted, he was also taught a lot by Sun Wushou.

As for why Sun Wushou suddenly appeared here, in fact, he only heard through the grapevine this morning that Ruan Bin was going to undergo neuroendoscopic transnasal-butterfly surgery, and he didn't expect Dong Chengpeng's family to change their minds.

This is the first operation to be performed in China, and he must come over to witness and learn in person.

Because he also heard Ruan Bin's surgical plan, he felt that the feasibility was very high.

"Since Dean Sun wants to be an assistant, then let Dean Sun come to the position of assistant. Vice President Lin spoke. He and Sun Wushou are also familiar with each other and have driven piles together. When an old friend begged him, he naturally wanted to come forward.

Come on.

The dean spoke, and Director Qian didn't argue.

"Ruan Bin, you don't notify me if you want to have surgery, I almost missed it. Sun Wushou walked up to Ruan Bin and patted him on the shoulder fiercely, with a look of resentment.

"I saw that you weren't very willing to take risks the other day, and I was afraid that if the operation failed, you would have to take the risk. Ruan Bin pouted.

Didn't this old guy behave very hard before?

"Ahem...... Who said I was afraid of taking risks? I don't share risks!" Sun Wushou said with a red face.

The main reason is that he looked at Ruan Bin's surgical ideas and plans, which is different from those successful surgical cases abroad, and he feels that the success rate is definitely very high! At least it is higher than those abroad!

The operation is finally about to begin.

In the operating room, Ruan Bin was the chief surgeon, Dean Sun Wushou was the No. 1 assistant, and Qiao Yejian was the No. 2 assistant.

The anesthesia was effective and the operation began.

The first problem is the surgical approach.

Ruan Bin has three approaches in mind, namely: single-nostril nasal septal approach, single-nostril anterior sphenoid sinus approach, and bilateral nostril approach.

Since the patient is a 5-year-old child, the child has small nostrils and poorly developed sphenoid sinuses. Therefore, using the bilateral nostril approach will make the field of view the widest!

That is, the right single nostril anterior wall approach is used to perform the same surgical procedure in both nostrils, and surgical instruments are used to enter the sphenoid sinus through both nostrils. Intraoperative operation can be carried out with three or four hands, and the intranasal operation is more flexible and the surgical scope is larger. In order to obtain more surgical operation space!

Approach!

Coherent!

Everyone was amazed.

"Ruan Bin, are you sure it's your first operation, why are you so skilled?" Sun Wushou asked in astonishment.

"With an operating table in my heart, I can practice surgery anytime and anywhere!" Ruan Bin said with a straight face.

“？？？”

Your brain has been modified? Why can't I do it! Sun Wushou's face darkened. Or is the old man's brain rusty?

Just when Sun Wushou was doubting his life, Ruan Bin's endoscopy had already revealed the bottom of the saddle, and it was time to determine the key step of midline positioning.

Midline positioning, as the name suggests, can make it less likely to damage the internal carotid artery due to deviation of direction during surgery!

Especially for this approach operation, it is important to maintain the midline operation. Due to the complexity and variability of the sphenoid sinus structure, midline localization is difficult.

In Ruan Bin's mind, the experience of many surgeries told him that the sphenoid crest is a more reliable midline positioning landmark, and combined with intraoperative neuronavigation is helpful for midline positioning!

After confirmation, then gently push the mucosa covering the bottom of the saddle to the side, open the bottom of the saddle with a grinding drill, puncture with a fine needle to confirm that there is no bleeding or cerebrospinal fluid, and then bipolar electrocoagulation cauterizes the dura for a "ten" incision, enter the saddle area, carefully identify the normal pituitary gland and residual tumors, and resect the residual intrasellar tumors in blocks with tumor forceps, curettes and elbow suction tubes at different angles under 0° and 30° double endoscopes, especially the residual tumors in the parasellar and suprasellar areas, and stop bleeding in the tumor cavity of the pararenal saline cotton sheet, and finally the tumor cavity is filled with hemostatic cotton or gelatin sponge......

Although it does not reach the wide field of view of adults, it is barely enough for the field of vision of surgical operations. Qiao Yejian exclaimed.

"Well, it's bigger than the surgical field of those successful surgical cases abroad!" Sun Wushou nodded approvingly, while carefully remembering Ruan Bin's midline confirmation and detailed operation experience of the approach.

Although the operation process was very smooth, the difficulty did not seem to be as high as expected. However, everyone can see that this is also thanks to Ruan Bin's delicate operation.

Operate in such a small cavity for children, and even be able to operate so smoothly, worthy of Ruan Bin, who has the name of 'nano operation'!

Terrifying!

If it were to replace them, or to use Ruan Bin's technique, it is estimated that they would definitely bump into the operation. There may even be minor accidents during the operation.

However, Ruan Bin's modified version, specially adapted to the neuroendoscopic transnaso-sphenoid surgery for children, is indeed explosive!

Completely overcome the obstacles and difficulties of changing from adult surgery to suitable for children!

Half an hour later.

The surgery is over.

It didn't hurt the nerves inside, it didn't hurt the arteries and veins.

Zero mistakes!

It can be seen that Sun Wushou and others are numb in their scalps!

Outside the operating room, Vice President Lin and Jiang Yurong were watching the live broadcast of the operation.

When they saw that the operation was completed, they were all relieved!

"Succeeded?" Jiang Yurong said incredulously.

Ruan Bin's ability to show is really refreshing her three views again and again!

"It should have been a success!"

Ruan Bin and others walked out of the operating room.

Dong Chengpeng and his wife hurriedly rushed up: "Doctor Ruan, how is it, did the operation go well?"

"Smoothly! The tumor has been completely removed! I believe that I will be discharged from the hospital after more than a week of recuperation." I have lived up to your expectations!" Ruan Bin said with a faint smile.

"Thank you, thank you, Dr. Ruan! Thank God!" Dong Chengpeng and his wife were overjoyed after hearing this!

"No thanks. ”

......

"Lao Lin, you really picked up a treasure!" Sun Wushou said to Vice Dean Lin with a look of envy.

With such a master, he can't wait to dig up their hospital immediately, even if he loses his granddaughter!

"Hehe, you can't envy it. That, Director Qiao, copy the video of the operation just now, and immediately put it on the operation forum, I want to let the First Affiliated Hospital of Modu once again shock the whole country! We have created another record of the first operation in China!" Vice President Lin said with high spirits.

"Yes, Dean!" Qiao Yejian said with a smile.

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