After the hematoma is removed, the bone at the base of the skull is roughened, as is the bone on the surface of the posterior column of the pivotal vertebrae, so that the implanted bone can heal with them.

This time, it was Song Zimo and Xu Zhiliang's turn to deal with the atlas vertebra bone block, they trimmed the bone block, and filled the artificial atlas with titanium mesh structure with bone pieces and broken bones.

Yang Ping flushed the surgical area under the microscope, completed hemostasis again, implanted the internal fixator between the posterior skull base and the posterior column of the pivotal vertebrae, pressurized up and down, implanted screws, and the bone pieces and bone fragments in the titanium mesh structure firmly supported the skull base and the vertebral body, as the auxiliary load-bearing column in the two connecting columns of the skull base and the pivotal vertebrae, the construction has been completed, and it and the bone column on the front side will become the support of the head in the future, and the head with nowhere to place it is finally placed firmly on the spine.

"Call it a day!"

Yang Ping retracted his vision of staring at the screen, and Song Zimo and Xu Zhiliang stepped forward and began to complete the finishing work: closing the surgical incision.

"Actually, it's nothing, but the scope of laparoscopic surgery has been expanded, and the anterior transoral surgery is also done microscopically. Theoretically, all surgeries can be done under the microscope. ”

Yang Ping looked at everyone who was surprised, and immediately explained a few words.

Before the operation, Yang Ping forgot to tell everyone that he planned to do it under the microscope, not to mention that he wanted to combine two lenses to complete the operation.

"Sorry I forgot to tell you before the operation." Yang Ping apologized to everyone.

But it was useless to apologize, everyone still stared at Yang Ping with expectant and puzzled eyes, and even Song Zimo and Xu Zhiliang did not plan to close the incision immediately.

"What are you looking at me for? Any questions? Yang Ping sat down to rest.

"Professor, you've got to give me some explanation, right? You just used two screens to complete an unfamiliar skull base cervical spine surgery in a split microscopic field of view! Song Zimo had to say it clearly.

No wonder these guys looked at themselves blankly, Yang Ping suddenly realized that for himself, it may be a very ordinary operation, just using two laparoscopes casually, but for others, it may be a technological innovation, a superb new operation.

may be too devoted, there was no explanation throughout the whole process, the professor was a little rough, Yang Ping sorted out his thoughts and said:

"Anterior transoral surgery of the cervical spine at the base of the skull, if it is completed with endoscopic assistance, the operation will be much easier, and under the endoscopic field of vision, the operation space is larger and the safety factor is higher." Yang Ping is very particular about the wording, use the endoscope when the endoscope should be used, and use the endoscope when the endoscope should be used, and never mix.

There is still a difference between endoscopy and laparoscopy, and those that enter through the natural channel of the human body are called endoscopes, such as gastroscopy, colonoscopy, ureteroscopy, cystoscope in urology, all of which are endoscopes.

Take the gastroscope as an example, it enters the human body through the mouth, then through the pharynx, esophagus, and finally into the stomach, which is a natural passage from the entrance to the entire passage.

For example, laparoscopes need to make one or several small holes in the stomach to enter the lens and instruments, and arthroscopes are the same, which need to poke holes to enter.

"Most of the cervical spine surgeries on the skull base can be solved only by the anterior transoral approach, so you can train the transoral endoscopic surgery in the future, so that the anterior transoral endoscopic assisted surgery of the anterior cervical spine at the skull base becomes a routine operation."

"And it is not difficult for the posterior open surgery to be completed under the microscope, but I use two sets of laparoscopic equipment combinations to complete the operation today, and the requirements for the cooperation of the hand, eye and brain are indeed a bit high, you will do this kind of surgery in the future, if you encounter various reasons that cause the field of vision to be poor and the operation space is insufficient, you can try to complete the operation under the scope, of course, don't learn me to use two split screens, you should use a wide-angle camera, placed in a suitable position, a camera and a device can complete the operation, If you don't use a wide-angle lens, you can also use two lenses, and then use a computer to integrate the images of the surgical area and display them on a single screen, which requires further design of the device. ”

"In fact, there is a precedent for open surgery to be completed under the microscope, such as finger amputation and reimplantation in microsurgery, using a traditional microscope, staring at the eyepiece with both eyes, which is very easy to make the eyes tired, and the microscope with a high-definition camera can transmit the surgical field of view to the screen, the surgeon does not need to stare at the field of view of the microscope, directly look at the screen, and use hand-eye separation technology to operate, and the whole operation becomes very easy."

"Of course, to do this, you need to be trained in hand-eye separation operations, and you need to be skilled in hand-eye separation operation techniques."

"Professor, can you train us so that we can also perform endoscopic surgery as much as you did just now, and even, all surgeries, as long as needed, can be done endoscopically." August became excited.

He can imagine that if he masters this technique, one day in the future, at the European Spine Surgery Congress, this kind of microscopic operation will be demonstrated, and when others are still racking their brains for the reveal, Auguste will complete both the anterior passage and the posterior conventional approach under the microscope, then what will be the reaction of that Englishman Milton, he will definitely drop his jaw in shock.

Damn old guy, he's going to dislocate the temporomandibular joint, I bet, August was triumphant.

Song Zimo and Xu Zhiliang were closing the incisions, and Yang Ping began to take off his surgical gown.

"If you're interested, tomorrow I can train you to do open surgery under the microscope. In fact, like today's surgery, if there is a suitable surgical robot, with the help of the surgical robot, the operation is easier, unfortunately, the existing surgical robots are unable to complete this kind of surgery, da Vinci's several robotic arms are very flexible, and have the potential to complete such operations, but there is a lack of terminal instruments for orthopedic surgery, of course, at its current level, it is impossible to dock all orthopedic terminals, so it can only stay in the chest, abdominal cavity, urology and obstetrics and gynecology, and Dimensity robot, although it can do orthopedic surgery, However, the flexibility of the robotic arm is far from enough, and it can only complete simple orthopedic surgery or some steps in the operation, such as nail placement, and it does not even have the ability to operate the whole operation, but can only be an auxiliary. ”

Yang Ping conceived in his mind how to have a surgical robot, the robotic arm is very flexible, and the robotic arm of different thicknesses can be replaced to adapt to various scenarios, and it can also be connected to various power orthopedic terminals.

Ruixing Medical is also working on surgical robots, but it will take time to make some breakthroughs.

If there were such robots, today's patients would be able to operate easily regardless of their position, and doctors would not be so passive.

In the future, the field of surgery will inevitably be the world of surgical robots, which overcomes all the shortcomings of surgeons and broadens the operation space and operation vision.

Song Zimo and Xu Zhiliang completed the closure of the surgical incision, and Zhang Lin and Xiao Wu, the two hook gods, could finally rest, presumably their arms were extremely sore.

From the beginning of the hook placement to the withdrawal of the hook, the two gods did not move in the whole process, and they were completely worthy of the title of the hook god.

"When will your two books be published? The manuscript has been changed many times, right? Yang Ping asked Zhang Lin and Xiao Wu.

Zhang Lin couldn't help sighing: "After all, it is a world-class work, and with a rigorous academic attitude, we decided to revise it several times and strive for excellence." ”

Xiao Wu was also full of seriousness: "There are some things that still need to be considered in the monograph of the global blank level, for example, whether we have passed it off or introduced it in detail on the training method of the retractor technique, and we have not yet reached a consensus." ”

"If you go into detail, you will inevitably reveal some top-secret training methods, and if you mention it in one stroke, you will have a conscience for learning." Zhang Lin was full of sorrow.

"It's hard!" Xiao Wu is in a dilemma.

With such a solemn tone, the two of them don't look like pretending to be forced at all, they really attach great importance to this monograph, this is their hard work, this is their ideal.