One set of foraminoscope, one set of arthroscopy, and two sets of laparoscopic equipment are properly connected and ready for surgery.

This is neither arthroscopic surgery nor intervertebral foraminoscopy surgery, but cervical spine surgery at the base of the skull, but Yang Ping brought two sets of laparoscopic equipment.

Not only did August not understand, but even Song Zimo and Xu Zhiliang didn't understand, because the preoperative discussion only mentioned that the anterior transoral route needed endoscopic assistance, after all, there are natural cavities in the oral cavity and pharynx, and there is a certain space for operation, which is suitable for endoscopic or laparoscopic operation.

In the posterior surgery, there is no mention of using a laparoscope, there is no natural cavity in the posterior way, there is not even a potential cavity, how to insert the lens, how to operate under the scope.

Yang Ping didn't notice everyone's doubts, and just started the operation on his own.

After the completion of the sitting position, the upper part of the operation, whether it is the surgical field or the operation space, is very bad, especially the anterior route has fixed the skull base and cervical vertebrae, resulting in the posterior way can not be pulled apart by bowing the head to pull the gap between the lamina, these shortcomings are more magnified, but Yang Ping has his own way.

He combines arthroscopy and intervertebral foraminoscopy, two laparoscopic systems, as a tool to obtain vision, he wants to have a laparoscopic operation in open surgery, abandon the inertia of direct visual vision, use the thinking of laparoscopic surgery, and rely on skillful hand-eye separation to complete the posterior surgery.

Yang Ping personally focused and dialogued the arthroscopy and intervertebral foraminoscope, and then the operation began, with a scalpel cutting vertically through the back of the neck and the headrest.

This is a completely open surgical routine!

August wondered, he couldn't help but be a little disappointed, he also thought that Yang Ping would use minimally invasive surgery to solve the back road, he could think about it, at this moment, minimally invasive is obviously impractical, how can it be minimally invasive.

Under laparoscopic minimally invasive, how to implant such a large internal fixation device? How is bone grafting? How to hit the screws? These operations can only be done in the incision space, not to mention that all the instruments are also conventional.

No matter how powerful a doctor is, he is a human being, not a god, and any operation must be completed within the scope of manpower.

The skin, subcutaneous tissue, fascia, and muscles are cut layer by layer until the skull base and the lamina of the cervical vertebrae, and then the skin and soft tissues on both sides are pushed apart by the lamina under the skull.

"Arrange the screen symmetrically on the left and right, arthroscope on the right side, intervertebral foraminoscope on the left, and prepare the retractor." Yang Ping commanded.

Originally, the two hook gods would be in place in time without Yang Ping opening his mouth, and the sudden appearance of the laparoscopic equipment also made the hook gods a little stunned, and they turned their brains to think, what was going on.

Xiao Su, the instrument nurse, immediately pointed to the position of the hook assistant with the hemostat in his hand, and the two hook gods woke up from their stunned and immediately rushed to the front line.

August is still thinking about this question, since it is an open surgery, what is the use of arthroscopy and intervertebral foraminoscopy?

Decoration? Do I need to furnish the surgery? Or is it some kind of ritual that is taught?

If it was free time, August would definitely break the casserole and ask to the end, but now that it was the operation, he couldn't ask, so he could only continue to observe the operation.

At this time, two hook gods came on the field, they were separated from the left and right, one holding a hook, and steadily pulled open the incision, revealing the operation area.

This is not an ordinary hook man, but a world-class hook god.

Their forthcoming ambitious monograph, Surgical Retractor, will be an epoch-making monograph, filling a gap in the category and, most importantly, will feature a wide variety of retractors, most of which are the world's firsts.

The two hook gods were calm and relaxed, breathing evenly, and the two hooks did not tremble at all, which is not something that ordinary people can do, in order to achieve this effect, the two gods have made great efforts.

Not only do they exercise their arm strength every day, but they also exercise their breathing, so that their breathing matches their movements.

To become a hook god, this is not enough, they study the anatomy intensively, and every time the hook is inserted, they must be familiar with the local anatomy of the position of the hook, and they must also understand the characteristics of these tissues. They need to learn about vision and find the best way to pull the hook to reveal their vision.

Therefore, the monographs of the two great gods have poured their hearts and souls, and the monographs have extremely high depth and breadth-—— retractor anatomy, retractor vision, and retractor position -

Two retractors reveal the surgical area, Yang Ping placed the arthroscopy and the intervertebral foraminoscope into the surgical area, one up and down, the intervertebral foraminoscope is on the top, the arthroscope is below, and the two screens immediately present the image of the surgical area, the left side is up, and the right side is down.

Yang Ping put two lenses, and the two hook gods held a lens with no one in their other hand, so that their hands were not free, holding the hook in one hand and the lens in the other.

Looking at this posture, these two endoscopes are going to come in handy?

August pulled his head to full speed, what was this going to do? Obviously it is an open surgery, and two lenses are placed inside, as if it is a minimally invasive surgery, and the incision has been opened, and it is obviously an open incision, why are there two lenses inside?

Could it be that the camera is just a decoration? Or some kind of ritual?

August turned his head to look at Robert, hoping that the guy would give an explanation, but the guy was now looking at Auguste, his eyes full of doubt.

Forget it, how can a sports medicine doctor know more about the spine than himself, August gave up asking Robert for advice, he was going to ask, but Yang Ping was so engrossed at this time that even Song Zimo didn't dare to ask, August had no choice but to give up and continue to observe.

Anyway, at least the professor is awake now, all actions are rational, and if you look at it again, there will always be an answer.

The next operation made everyone's eyes wide.

Conventional open surgery, because it is difficult to reveal and operate, so with the assistance of laparoscopy, Yang Ping does not need to look at the surgical area at all, but looks at the image on the screen, and uses hand-eye separation technology to complete this supraskull base cervical spine surgery.

it!

Robert couldn't find the right words, so he could only use this non-standard and rough word to describe his mood at this time.

it!

The word-poor Auguste could only follow Robert.

It's a must, you can also do this surgery, you can also use a laparoscope like this, this laparoscopic technique of hand-eye separation is simply the pinnacle.

With the help of the laparoscope, the difficulty of the surgical field of view and the operation space is easily solved, and any corner, as long as the lens can see the place, you can get a clear field of vision, which is many times better than the human naked eye.

Yang usually looks at the screen on the left and sometimes at the screen on the right, because the left side shows the upper part of the operating area, while the right side shows the lower part of the operating area, and the combination of the two parts is a complete operating area.

Guided by the instant image of this split, Yang Ping began to skillfully manipulate the microscopic operation of hand-eye separation.

Removing the posterior arch of the atlas vertebra and the posterior part of the lateral blocks on both sides, removing the hematoma in the spinal canal, cutting the capsule of the spinal cord, removing the blood accumulation under the capsule, and allowing the spinal cord to obtain adequate decompression, all the steps of the originally open surgery were completed under the microscope today.

Song Zimo and Xu Zhiliang, who were assistants, were naturally left aside and became close-up observers on the stage, because they couldn't achieve such skillful hand-eye separation, and they couldn't rely on the screen to complete the entire operation, so the operation could only become Yang Ping's personal show. At this time, the two retractor gods concentrated, they didn't need to look at the operation, they relied on two ordinary retractors to maintain the entire surgical field like a sculpture, and the two lenses were the same, the silk pattern did not move.

The further back he looked, Auguste found that the surgery in this way was much more delicate than the surgery under the naked eye, because the surgical site was magnified by the camera many times, and the entire surgical field of view was under the scope, there was no blind spot in the field of vision, and there was no need to adjust the retractor or adjust the position or the field of vision in a corner.

August made another difficulty, Yang Ping did not complete the operation under one screen, but completed the hand-eye separation operation under the field of vision of two pieces split into two halves, in addition to the superb hand-eye separation technology, it is also necessary to mentally integrate the two screens into one.

The difficulty of hand-eye-brain coordination in this is indescribable.