Tian Lu's idea was good, but it was really difficult to implement, so Ye Lan thought about it for three minutes and then put it aside, deciding that it was better to learn things honestly first. Although Tian Lu laughed, he still kept this matter firmly in his mind and took it to heart.

Nothing was said all night.

The next morning, with the arrival of Luo You, the operating room was suddenly busy.

After changing his clothes, Luo You said with a smile: "Today's operation may take a long time, so everyone works together, the two are responsible for the front and back, and I am in charge of the middle, what do you think?"

For Tian Lu and Li Qiang, Luo You was still very polite, and he spoke more tactfully, but Tian Lu still had some uncomfortable feelings in his heart.

The so-called before and after responsibility, in fact, when it comes to this operation, is the meaning of craniotomy and cranioclosing.

In the operating room, there is often a tacit understanding that the bigwigs only do the key steps in the middle, and leave the rest to the assistants. On the one hand, some surgeries can last for several hours, or even more than ten hours, and a person can really be overwhelmed from beginning to end; on the other hand, the so-called "front" and "after" are much less difficult and dangerous than the "middle", and ordinary surgeons can handle them well.

Tian Lu also understood this truth in his heart, but he understood it, and he still felt a little unhappy in his heart for a while.

If Tian Lu really can't do it, or if he can't do this operation, he definitely won't have this mind, but in fact. He can do it, and he can do it very well! In such a situation, it is indeed psychologically difficult to accept to be an assistant to a doctor in an outer hospital.

But in an instant, Tian Lu's mentality adjusted.

Either way, he's a surgeon, just stand on this operating table. Then the emotions that will hinder the operation must be removed as soon as possible. After glancing at each other with Li Qiang, Tian Lu nodded and began to make preparations before the operation.

After the anesthesiologist has done his or her job. Tian Lu and Li Qiang began to put the cold cream in position and fix the headframe. As always, the steps of the field road positioning were carried out very carefully. Of course, it also takes a long time. However, he obviously forgot that in today's operating room, in addition to Li Qiang and others, who were already familiar with him, there was also a chief surgeon who was invited from outside!

Frowning, Luo You was a little unimpressed by Tian Lu's movements.

The placement of the body position is indeed very important, the better the placement of the surgical field, the better the surgical field, the chief surgeon can save more effort, and the damage to the patient during the operation may be less. But in Luo You's opinion, the position is not good. The most important thing is to see the doctor's personal experience!

In his words, it's a feeling!

After determining the approximate position according to the results of the imaging examination, the specific and subtle adjustments are completely based on the doctor's personal experience. And it is this experience that represents the level of individual physician ability. and familiarity with this type of surgery!

In Luo You's eyes, Tian Lu's adjustment was very detailed, so meticulous that it made him feel a little contrived.

"Even if you are a genius in neurosurgery, at such an age, even if you have undergone surgery on the cerebellar angle, how many cases can you do?"

Watching the busy situation of Tian Lu. Luo You shook his head secretly: "This young man is a little too forward-looking, neurosurgeons do need to be cautious, but if they are too cautious, they are afraid." ”

Of course, Tian Lu didn't know that it was such a position, and Luo You would actually lower his impression of him by a notch. However, he didn't care much at this time, he only had the red line prompted by the clinical support system in his eyes, and then according to the prompt of the arrow, he moved the cold frost's body little by little, tilted, and chose the best position and angle.

So when Tian Lu finished the work and asked the chief surgeon to make the final confirmation, Luo You quickly froze.

Can't move!

Luo You, who has undergone hundreds of cerebellar angle surgeries, has his first instinct that he can't move! Whether it's his body or his head, whether it's position or angle, according to the imaging results he memorized carefully before the operation, even his intuition tells him that he can't move the patient's position that Tian Lu has placed!

"This 。。。。。。 ”

Luo You only felt that his tongue was dry for a while, and the eyes that looked at Tian Lu no longer had contempt and regret, but were full of surprise and appreciation.

If Tian Lu quickly set the position well, then no matter how well it was placed, Luo You would not think too much, but he could see Tian Lu's movements clearly just now, it was purposeful, and it could even be said that it was placed after jīng's exact calculation!

In other words, Tian Lu may not even rely on feelings and experiences, but on the results of calculations!

"Is it possible, though?"

Luo You's gaze fell on the operating table, and his brows furrowed deeply. He himself doesn't have the confidence to do this, can this young doctor, who has just passed his age, really be able to?

"Director Luo, what do you think?"

didn't wait for Luo You to think for too long, Tian Lu saw that he had been in a daze, so he couldn't help but remind in a low voice.

"Oh. ”

Luo You immediately reacted, nodded and said, "The position is very good, you can continue." ”

After receiving Luo You's order, Tian Lu and Li Qiang hurriedly started the routine disinfection and towel, and then began the craniotomy. The first assistant was Tian Lu, and the main steps of the craniotomy were naturally entrusted to him. Li Qiang cooperated on the side, while Luo You stood aside, his eyes wide and observing Tian Lu's every move!

"So fast!"

This is the first feeling in Luo You's heart after Tian Lu went under the knife!

There was no hesitation, no hesitation, and even the trajectory of the scalpel glide did not have any pause, an arc-shaped incision, from the back of the left ear occipital sigmoid sinus, up to the upper collar line 1.5 cm, down to the ** horizontal 2 cm, just like a cloud appeared!

"Accurate!"

This is Luo You's second feeling!

The cutout is almost like a textbook animation, without a single deviation. If you cooperate with the speed of Shangcai, Luo You was shocked: this field road, the basic skills can no longer be regarded as solid, but exaggerated!

Next, Tian Lu cut through the skin and subcutaneous layers in layers, making Luo You's eyes widen wider and wider, and finally almost frozen!

"So clean!"

There is little bleeding and no extra cāo to do. Although these seemingly simple steps that Luo You disdained to do, the experienced Luo You knew very well in his heart that it was these cāo works that represented the basic skills of a surgeon! All you need is experience and accumulation.

"It seems that the Second Affiliated Court has picked up a treasure this time!"

After a brief shock in his heart, Luo You immediately pondered. The overall strength of the First Affiliated Hospital and the Second Affiliated Hospital is about the same, but the level of neurosurgery is quite different. Attached to the size and fame of the gods outside the courtyard. It's not something that can be compared with the Second Affiliated Court. Therefore, when he found that there was a very talented young doctor outside the Second Affiliated Hospital, Luo You, who was in the same system, couldn't help but secretly admire.

Give the patient 200 ml of 20% mannitol to lower intracranial pressure, and then drill a hole in the occipital bone. Tian Lu used rongeurs to bite off the occipital scales, and opened a bone window about 4 by 3.5 cm in size, anterior to the sigmoid sinus, up to the transverse sinus, and down to the lateral edge of the foramen magnum, exposing the transverse sinus and the sigmoid sinus corner.

It was only at this point that Tian Lu's movements finally slowed down. The cāo of the rongeur is not particularly easy, and the movements of the hands of the field road are made in order to ensure the accuracy of the xìng. Had to slow down.

After opening the bone window, he began to enter the microscope, and Tian Lu placed the microscope and cut the dura mater in an arc under the microscope.

The tone of the dura mater is not high, and the intracranial pressure is not high after partial release of cerebrospinal fluid. Tian Lu retracted the cerebellar hemisphere posteriorly, exposing the tumor at the pontine angle.

Whether it is in the real San Francisco Medical Center or in the system's simulated operating room, Tian Lu has seen cholesteatoma many times, but today after the exposure was completed, and the instruments in his hand were withdrawn. He couldn't help but widen his eyes and looked at them carefully for a few seconds.

Cholesteatoma, also known as pearly tumor in the textbook, is gray and white, pearl-like, but in Tian Lu's eyes, cholesteatoma is like the most tender white fungus, crystal clear in the surgical field under the mirror, flashing with brilliance that attracts his attention.

Li Qiang also rarely sees cholesteatoma, and at this time, his eyes are not off the eyepiece, and he is amazed in his mouth: "This epidermoid cyst is really beautiful under the scope!"

The two of them whispered this here, and Luo You on the side was already stunned.

He had just roughly estimated that Tian Lu's speed was at least about one-fifth faster than his fastest speed! And looking at the expressions of Li Qiang and the anesthesiologist, nurse and others, such a speed must be a common thing for Tian Lu, otherwise these people would definitely not be so calm.

"Director Luo, it's your turn now!"

Tian Lu took one last look, stood up from the position of the chief surgeon, and greeted Luo You with a smile: "The tumor body is delicate, there is no blood supply, and there are nerves and blood vessels embedded. In addition, the petrosal veins are coarse, so I am afraid that they will have to be protected after a little separation. ”

Tian Lu still couldn't help but say a word or two.

"Oh!"

Luo You reacted immediately, nodded again and again, and sat in the position of Tian Lu. But after sitting down, he couldn't help but raise his head again and glanced at Tian Lu.

"Oda, if I don't come today, are you sure to come for this operation?"

After hesitating for a moment, Luo You suddenly asked in a deep voice.

Tian Lu was a little surprised by Luo You's sudden question, but after only a moment of stunned, Tian Lu nodded without hesitation and said: "Yes, I have done this kind of surgery many times, and it has always been completely removed, there is no residual tumor body, and the nerve function is also well protected, and the success rate of the operation has always been 100%!"

Tian Lu's voice was very low and soft, but Luo You could hear it clearly and clearly.

Intellectually, he felt that Tian Lu was lying. At his current age, most neurosurgeons probably have never performed a similar operation! But instinctively, he felt that what Tian Lu said was very likely to be the truth! Under this extremely contradictory psychology, Luo You bit his lip fiercely, concentrated, and his eyes went up to the microscope.