VIP Volume 116 Operation (I)
Ye Nantian's adoptive father, is that you?
Zhang Kun looked down at the patient on the operating table, who had been fixed on the operating table.
It was an old man in his forties and fifties, with dark hair, but the fine white of the roots still betrayed the fact that they were dyed black.
The frown is very shallow, but the corners of the eyes are very deep, and there are some age spots shallow on the tall nose.
This is Ye Nantian's adoptive father who will never forget after his death? For him, his soul will still remain in the world after death.
I heard Dean Li call him "Secretary Ye" just now, is he an official?
Zhang Kun observed silently for a while, and then finally stood on the operating table.
At this time, Zhang Kun's face instantly became serious: "The operation preparation begins, go to hair, and disinfect!"
"Yes!" The surgical nurse next to her immediately took action, removing all the black and white hair, and sterilizing it.
Zhang Kun turned his head to look at the two people beside him: "Director Tang, Director Xie, let's start!"
Tang Guohua and Xie Zhitian nodded, and then occupied their own suitable positions, with Zhang Kun as the main body, surrounding the operating table in the middle.
"General anesthesia, a small amount, local numbing of the head, take 0.5 (percent of a percent) procaine for subcutaneous injection. ”
"Take the towel. ”
"Midlaner. ”
"Hole towels. ”
"Towel pliers. ”
……
After the patient's head was laid, Zhang Kun closed his eyes and took a deep breath, and when he opened his eyes again, he had completely immersed himself in the realm of the ancient well without waves.
Zhang Kun looked at Tang Guohua and Xie Zhitian: "Let's open the skull!"
Tang Guohua and Xie Zhitian nodded.
Zhang Kun took the scalpel handed over by the nurse, Xie Zhitian as an assistant, pressed the patient's scalp tightly, and then Zhang Kun used the scalpel to cut the scalp layer by layer along the incision.
Tang Guohua, who was next to him, used bipolar electrocoagulation to stop the bleeding, stopped the blood spreading from the wound at the moment of cutting the scalp, and immediately put on the scalp clip.
Although it was the first time for the three of them to cooperate, the movements of the three of them were all coordinated to the point of being incomparable.
Often, as soon as Zhang Kun cut his scalp, the blood began to spread, and Tang Guohua would immediately put the bipolar electrocoagulation on the wound, and the blood would stop almost immediately, and then quickly put on the scalp clip.
"Periosteal stripper!"
"Dried blood pads. ”
After the scalp was completely incised, Zhang Kun did not stop, and immediately separated the loose tissue layer under the cap aponeurosis in a blunt way, and turned the base of the flap as quickly as possible.
So far, the craniotomy has been completed, and it has been very smooth.
The nurse next to her hurriedly helped the three doctors wipe the sweat off their foreheads.
However, at this time, Zhang Kun and the three of them did not relax in the slightest, the craniotomy was just the beginning, and the real thing was the back.
All the following steps must not be wrong, as long as one step is wrong, then it is the result of the failure of the operation and the death of the patient.
After waiting for the nurse to wipe the sweat off his forehead, Zhang Kun ordered in a deep voice: "Turn on the CT, RMI image, and take the microscope!"
The nurses immediately got busy, and when everything was ready, Zhang Kun, with the help of a microscope, began to look for the location of the tumor.
Ye Nantian had already told Zhang Kun before that the approximate location of the tumor was close to the back of the neck.
Soon, Zhang Kun found a place, but Zhang Kun gasped suddenly, and Tang Guohua and Xie Zhitian next to him also looked ugly after seeing the tumor in the patient's head through the microscope's built-in imaging instrument.
Under the microscope, the visible glioma is encased in the cerebral cortex and is purplish-red and fishy-shaped.
The corners of Tang Guohua's eyes twitched: "Malignant astrocytoma!"
Malignant astrocytoma, also known as glioma, is uncommon.
Because even among gliomas, malignant astrocytomas are the most serious.
Moreover, malignant astrocytoma is also the most difficult of all brain tumor surgeries, and conversely, the least successful.
If Tang Guohua felt that he still had a fifty percent chance of success if he came to do this operation, then now, it is basically only thirty percent, or even less than thirty percent.
When Tang Guohua and Xie Zhitian were surprised by the malignant astrocytoma, Zhang Kun sighed that the current situation had deteriorated further than when Ye Nantian told him at the beginning.
Not only malignant astrocytoma, but also the tumor has begun to invade the adjacent lobe, and some of it has crossed the midline and invaded the contralateral cerebral hemisphere.
It has a certain boundary with the surrounding brain tissue and infiltrates and grows into the cortex, forming a "satellite phenomenon" around neurons.
To put it in layman's terms, gliomas have encroached on more territory, become more powerful, and are more difficult to remove.
Seeing this, Zhang Kun couldn't help but scratch his head secretly, the difficulty of the current operation is much greater than what Ye Nantian told before.
Moreover, the corresponding surgical method now may be completely different from what Ye Nantian told him at the beginning.
If he followed what Ye Nantian taught him before, the operation would almost 100% fail.
Zhang Kun hesitated, now, even he didn't know how to start, because now what they saw through the microscope was only the manifestation of glioma.
However, the specific degree of invasion of gliomas in the lobes of the brain, cerebral hemispheres, and cortical layer cannot be shown by CT and MRI.
Without the image display, Zhang Kun could not determine the depth of the operation, so the operation could not be performed at all.
Why the hell, Zhang Kun has never encountered such a situation in Ye Nantian's memory.
CT and MRI can't be imaging, what is the reason for the interference?
In the past, even if I have encountered some patients with abnormal constitutions, at most, CT, MRI, and MRI are not clear, but they will be somewhat blurry.
However, at this time, the CT camera and MRI images were completely dark, and there were no layered images.
In such a situation, Zhang Kun couldn't even go under the knife at all, and he didn't know where to start.
For a while, the operating room fell into complete silence, and Zhang Kun stood there with a scalpel, staring blankly at the intracranial tumor.
Tang Guohua and Xie Zhitian next to him also looked silent, and they didn't have anything to do.
The nurses in the operating room were all silent, not daring to make the slightest sound.
At such a time, suddenly a voice sounded in Zhang Kun's ears.
"It's very troublesome, right, I couldn't have imagined that in just three months, the tumor would deteriorate to such an extent. ”
"When I found out, I wanted to inform you, but my dad was already sick. ”
Ye Nantian suddenly flew down, floated in front of Zhang Kun, looked at the brain that had been opened, sighed, and then turned his head to look at Zhang Kun.
"Can you let me get back on again? Although the current situation is very troublesome, if you just give up, you are really unwilling!"