Chapter 367: Difficult Surgery

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Zhang Chengjian has been waiting for this day for a long time, and he is naturally very excited to finally have such an opportunity. Pen & Fun & Pavilion www.biquge.info

He looked up at the camera and thought to himself that the MD from Johns Hopkins University should be on observation at this point. Isn't it just a top student from a prestigious American school? Don't you have to be a man with your tail between your legs when you get here? Compared with yourself, what is there to be proud of?

In fact, Zhang Chengjian is also troubled by inferiority complex. He didn't want to go to a prestigious school abroad all the time, and then be able to stay in the United States, get a green card, and be a winner in life from then on. So he was extremely jealous of Qin Chuan, a guy who could get everything in his dreams at his fingertips. In addition, Qin Chuan didn't seem to care at all about all of what he admired. I could have done an internship at the best hospital in the world, but I had to come back to China. I could have stayed in the United States to become a doctor, but I still want to return to China to become a doctor. Zhang Chengjian believes that Qin Chuan is not morally noble, but a real offense.

"Focus on everything else and don't worry about anything else. You only have the patient in your eyes now. Zhou Zengfu thought that Zhang Chengjian was a little nervous in front of the camera, and hurriedly reminded.

Zhang Chengjian was shocked in his heart, if Zhou Zengfu saw the little Jiujiu in his heart, there would be no such opportunity in the future. He quickly took a deep breath and calmed down.

Zhang Chengjian opened all the instruments and equipment, and the field of vision of the neuroendoscope had already appeared in the display screen.

At this time, Zhang Chengjian was also completely engrossed in the patient. He double-checked all the equipment and glanced back at the patient's physical indicators. Under the action of anesthesia, the physiological activity of the patient has been significantly inhibited.

Zhang Chengjian has participated in many similar surgeries, so he is very familiar with the indicators and signs of surgery, and he already knows that the patient is in a normal state after just a slight glance.

In the observation room. Lin Jianxing sat beside Qin Chuan. Lin Jianxing has now lived in the doctor's dormitory in Qinchuan. He is much closer to the nature of Qinchuan.

"Dr. Qin, don't look at Dr. Zhang, who is usually quite arrogant, and his kung fu is indeed very good. This kind of surgery, the average doctor in our department does not dare to do it at all. He can now be the main sword. Compared to his fellow doctors, he is already far ahead. I heard that he is now taking the U exam. After getting my Ph.D. diploma, I'm going to the U.S. Recently, I seem to have been in contact with hospitals in the United States. However, Professor Zhou meant to keep him in Xiehe. He is Professor Zhou's protégé, and Professor Zhou wants him to take over his class. Originally, if Professor Zhou agreed, it would be very simple to recommend a hospital in the United States to him. But now things are getting complicated. Lin Jianxing is familiar with these gossips.

"Let's see the surgery. This surgery is really difficult. Qin Chuan whispered. Because Lin Jianxing's voice was slightly louder, there were already people around who looked over.

For this operation, Qin Chuan had already carefully read the medical records. Liang Xueying, a patient from Jingnan Province, is 31 years old Chinese New Year's Eve with congenital skull base development malformation, axial odontodontoid kyphosis and cerebellar tonsillar herniation. The condition is extremely complex. A few years ago, Kai went to a local hospital for numbness in his left hand and feet, fatigue, unsteady standing, hoarseness and other reasons, and imaging tests found that he was in condition. Due to the obvious compression of the brainstem medulla oblongata, Liang Xueying's head and neck may lead to respiratory and cardiac arrest, and her life is threatened at any time.

Liang Xueying went to the Provincial and Ministerial Hospital in Jingnan Province for treatment, but was told that surgery was impossible. As Liang Xueying's condition became more and more serious, her family had no choice but to come to Yanjing with the attitude of giving it a try.

After the Neurosurgery Department received Liang Xueying, a patient. It is also highly valued. Because such cases are very rare. Hu Chengzhong handed over the patient to Zhou Zengfu, a highly respected surgeon.

Professor Zhou Zengfu led the team to carefully formulate a treatment plan, and combined with the two subspecialties of spine, spinal cord and neuroendoscopy, to perform separate operations on the anterior and posterior lesions. Before. Professor Zhou Zengfu has personally successfully ground out the compressed bone of the patient's brainstem defense under the microscope. Today, Zhang Chengjian and the otolaryngologist have to accurately locate the lesion of the odontoid process of the pivotal vertebrae through the nasopharyngeal approach with the help of neuronavigation, and relieve the pressure in the front.

"Slow down, don't rush. The hand must be steady. Zhou Zengfu reminded Zhang Chengjian from time to time. This is the first time Zhang Chengjian has performed such a difficult operation. If something happens, it will be a serious blow to his self-confidence. Zhou Zengfu didn't want Zhang Chengjian to operate on such a complicated operation so quickly, but he was also worried that his overprotection would backfire. So I simply put a little pressure on Zhang Chengjian.

The visual field seen through the endoscope is still very different from the normal visual field of the person, and the tissue structure is seen. The anatomy diagram is also different from the usual one, and it takes a certain amount of experience to determine the position of the endoscope. This is also a very important reason why it is important to have an otolaryngology specialist come and cooperate.

"Go a little further over there. Yes, that's the location. Otolaryngologist Lu Sicong pointed to the monitor.

"No, I can't. There are large blood vessels here, and if they are accidentally damaged, it will be dangerous. Zhang Chengjian shook his head.

"But if you don't deviate a little from this side now, you will deviate from the lesion position in a minute." Lu Sicong reminded.

Zhang Chengjian stopped when he heard this, and his brows furrowed.

Zhou Zengfu didn't speak on the side, he wanted to see what way his proud protégé would come up with.

Zhang Chengjian originally thought that he could get help from Zhou Zengfu, but he didn't expect the expected help to come. It's not easy for him to ask, it doesn't matter if he asks, I'm afraid that Zhou Zengfu's impression of him will plummet.

Zhang Chengjian manually adjusted some microscopes, and the eyepieces became clearer. At this time, Zhang Chengjian began to finely control the direction of movement of the endoscope. and a large blood vessel next to the past. As long as Zhang Chengjian's hand shakes slightly, it may cause an accident.

Zhang Chengjian's good basic skills were reflected at this time, and the neuroendoscope accurately reached the specified position, and then began to remove the diseased structure.

The operation lasted several hours, although it was not a particularly strenuous operation for the surgeon. You must know that some surgeries take more than ten hours at every turn.

When the operation was completed, the doctors and medical students who were observing the room applauded involuntarily. Qin Chuan also stood up and applauded to congratulate him.

In the operating room, all the doctors also began to congratulate Zhang Chengjian.

"Dr. Zhang, you are really amazing, you have completed another difficult operation! You're leaving the rest of the Doctors far behind now. Lu Sicong said.

Zhou Zengfu also did not hesitate to praise Zhang Chengjian: "Chengjian, in today's operation, you are very calm. Let's go back and sum it up. (To be continued......)

Chapter 367: Difficult Surgery:

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