Chapter 60 Tumor Resection Surgery

At this time, Wu Junjie didn't know that because of his youth, the two nurses who had a very good relationship ended up turning against each other.

Wu Junjie changed his clothes, the patient was just sent to the operating room, Xu Yongbo saw Wu Junjie, walked in front of Wu Junjie, held Wu Junjie's hand tightly, and said to Wu Junjie with a solemn face: "Doctor Wu! My father pleases you! ”。

When Wu Junjie heard Xu Yongbo's words, he replied very rigorously: "Secretary Xu! I can't give you any promises right now, but I'll do my best. ”

Watching the patient being pushed into the operating room, Wu Junjie and Xu Yongbo, brothers and sisters, nodded and walked directly into the disinfection room.

Wu Junjie walked into the operating room, Dr. Chen had already helped the patient finish the disinfection work before the operation, Wu Junjie looked at the old man lying on the operating table, and said to the old man Xu with a smile: "Old man! I'm going to do an acupuncture for you now, and when you wake up, the operation will be over. ”

While speaking, Wu Junjie picked up the gold needle that had been sterilized in advance, and quickly inserted it into the patient's nerve acupuncture points, until the patient's eyes were slowly closed, Wu Junjie picked up the scalpel and cut it between the calloused vaults of the old man's brain.

The process only took a few minutes, and when Wu Junjie opened the patient's skin flap and saw the skull, he instructed Dr. Chen on the side: "Give me the electric drill!" ”

In front of all the doctors in the oncology department, Wu Junjie opened the patient's skull, and a bloody scene immediately appeared in the eyes of everyone, through the high-definition camera, everyone can clearly see the tumor connected to the patient's cranial nerves.

When everyone saw the tumor in the patient's skull, they instinctively shook their heads, as a doctor, they knew very well that with their medical skills, they could not do this kind of surgery, so at this moment they were glad that they had come to observe the operation today, but they were also full of anticipation for the next surgical process.

Seeing the distribution of tumors in the patient's brain, Wu Junjie's brows subconsciously wrinkled, although he had expected the situation to be very bad, but he didn't expect the situation to be so bad, the tumor in the patient's brain was almost connected to the cranial nerves, and during the operation, as long as there was a slight negligence, the patient might never wake up again.

Although the difficulty of the operation was far more difficult than Wu Junjie expected, Wu Junjie was not the kind of person who was afraid of difficulties, he put on a surgical magnifying glass, clamped it with a silver clip or silk thread to tie the blood supply artery, and then a scalpel carefully separated the lateral fissure, so that the middle cerebral artery was exposed.

After seeing the exposed middle cerebral artery, Wu Junjie instructed Dr. Chen on the side: "Give me the blood vessels!" ”

Although cranial surgery will be done in domestic hospitals, but this kind of cranial nerve tumor resection surgery, no one will do it in China at present, and today's operation can definitely be called the first cranial nerve tumor resection in China, although this operation is not Dr. Chen's main surgery, but he can participate in this operation as an assistant, which undoubtedly makes him very excited.

Dr. Chen carefully watched every step of Wu Junjie's operation, afraid that he would miss the most critical place in the blink of an eye, and at this time, when he heard Wu Junjie's words, he hurriedly picked up the vascular clip from the plate and handed it to Wu Junjie, and asked Wu Junjie: "Director Wu!" Why use a vascular clip? ”

The reason why Wu Junjie asked those subordinates to observe this operation was to share the experience of cranial nerve tumor surgery with these subordinates, so when he heard Dr. Chen's inquiry, he explained very patiently: "The reason for using a vascular clip is to use a vascular clip to temporarily control blood circulation for 6~8 minutes, and then take advantage of this time to quickly separate the branch that supplies the tumor, and finally cut it off with a silver clip, and then release the small vessel clip, in short, the main blood supply artery should be ligated as much as possible, and the closer to the tumor, the better." ”

When Wu Junjie explained these processes, his hands did not stop, when he completed this step, he could immediately clearly see the tumor shrinking and the blood vessel shrinkage, and at this time he went on to introduce: "When this step is completed, you can clearly see the tumor shrinking and the blood vessel shrinkage, if there is no contraction, it should be considered that there is still a major blood supply artery in the depth, and attention should be paid to exposing and treating it when separating." ”

"When separating the tumor from the cranial nerve, it should be close to the periphery of the tumor, electrocoagulation and incision of the cortex 3~4mm, like this deep tumor should be carefully separated and suction under direct vision with a lamped brain pressure plate or cold light source, and the suction device should be carefully separated and suction under direct vision, but it must not be blindly digged, so as not to cause turbulent bleeding, encounter larger blood vessels, commonly used aneurysm needle with line for double ligation and cut off, can also be double-sided silver clip after electrocoagulation and cut off in the middle, but the silver clip must be longer than the diameter of the blood vessel, if there is no large silver clip, the brain aneurysm clip can be used, Then gradually separate and flip the malformation, find the deep main blood supply vessel, and cut it off after firm ligation, and then remove the cerebral arteriovenous malformation. ”

Although this process Wu Junjie only took one minute to complete, but the whole process can not be completed in one minute, when Wu Junjie finished introducing the process, his attention was highly concentrated, and he carefully used the tools in his hand, for fear that a small negligence would make the patient never wake up.

At this time, the observation room was quiet, and even a needle could be heard when it was thrown on the ground, and more than 50 doctors held their breath and watched Wu Junjie's every movement carefully through the TV on the wall of the observation room.

Time passed minute by minute, a nurse standing next to Wu Junjie no longer remembered how many times she wiped the sweat for Wu Junjie, she looked at Wu Junjie with a focused face, and her heart was full of emotion: "No wonder those unruly doctors in the oncology department will surrender to Director Wu so quickly, his medical skills are simply too powerful, looking at the way he helps patients operate, it is simply too charming, but it is a pity that I have long thought that I would become someone else's wife, otherwise I must pursue him." ”

At more than four o'clock in the evening, Wu Junjie finally helped the tumor that was compressed on the patient's cranial nerve to be successfully removed, and after the tumor was removed, Wu Junjie introduced again: "Although the tumor has been successfully removed, the tail sweeping work can not be a trace of sloppiness, the active bleeding point is stopped by bipolar electrocoagulation or silver clip, and then put in a ball of wet brain cotton with a thread, suck it with a suction device, so that the brain cotton is attached to the tumor cavity wall, and after a few minutes, carefully and slowly lift the brain cotton, The bleeding area is patiently and meticulously stopped by bipolar electrocoagulation, and the bleeding will stop after repeated treatment, and the normal saline is filled with the tumor cavity before closing the skull, and whether there is bleeding is observed again; If so, management is continued until the normal saline placed in the tumor cavity remains clear and does not bleed despite withdrawal of antihypertensive drugs for recompression or compression of the jugular vein. ”;