The video continues to play.

Tao Le's hands were light and swift, and he soon exposed the neck of the extra-large aneurysm, as well as the aneurysm-carrying artery.

The picture is framed here, leaving time for the experts to think.

Director Le of the Third Hospital of Beijing City thought about it for a while, and then said:

"It's too big, and a simple clamp can't do it. If the aneurysm is in the anterior cerebral artery, is it possible to block its proximal end and perform in situ bypass grafting of intracranial blood vessels? ”

This is a seemingly appropriate plan, and the experts present are all in deep thought, but soon, Hao Jun shook his head:

"You forgot about vascular variations in the anterior cerebral arteries of your child." "The two A1s merge into one A2, and the aneurysm-carrying artery is the common A2," he reminds. ”

As soon as this sentence came out, many people reacted immediately.

But isn't it, the two blood vessels of the other people have merged into one, what else do you need to build a bridge, go in and out by yourself?

"Indeed, because of this vascular variation, if simple clipping fails, the opportunity for intracranial vascular bypass grafting is lost." Director Le sighed himself: "This path won't work." ”

Director Fang of Haishi First Hospital also spoke: "In fact, recently, our hospital has tried to use a blood flow diversion device to treat a huge aneurysm at this location, and it has also achieved good results. ”

"Oh? I've heard of aneurysms in the anterior A2 segment of the brain without craniotomy by remodeling local blood flow by intervening a dense mesh stent, also known as a blood flow diverter. ”

Director Liang of the Third Hospital of Ning City said with a little envy: "I didn't expect you to start trying." ”

His eyes were always fixed on the big screen, and Tony, who had not spoken, also spoke: "The emergence of blood flow diversion devices has indeed changed the concept of aneurysm treatment. ”

"This kind of surgery, we've been doing it for a while. After the placement of dense mesh stents, the overall number of cases of complete occlusion of aneurysms in 1 year reached more than 85%, and the success rate was quite high. ”

"It's just a pity that this technique is not suitable for this child." He shrugged regretfully.

"Why?" Director Liang immediately asked.

"It's simple." Director Fang explained: "The child is too young, and the blood vessels are still developing, so it is not suitable for insertion into the dense net - this is only one aspect of the problem. ”

"More critically, the aneurysm was too big. A significant mass effect has been formed, compressing the brain tissue of the right frontal lobe. ”

"You know, the intervention of the blood flow guide device only changes the direction of blood flow, causing the occlusion of the tumor itself, so that it does not rupture and bleed - but it will always be there."

"So I'm curious." He turned to Hou Bo: "What is the surgical plan you made before?" ”

As the director of the department, although Hou Bo did not participate in the preoperative discussion, he personally reviewed the notice of such a major operation, so he still has an impression in his mind.

"It's an aneurysm isolation." He admitted: "It depends on the situation to decide whether to perform anterior cerebral artery lateral anastomosis." ”

"Aneurysm isolation?" Hao Jun said: "First isolation, and then use the method of suction to shrink the tumor and reduce the compression? ”

"Yes." Hou Bo replied.

"With all due respect, this method may not be as good as it should be." "In the past, we had a huge aneurysm that wasn't as big as that, and there were a lot of blood clots in it," Tony said.

And blood clots can't be extracted.

Hou Bo also figured it out: "Suction is of little significance for reducing the volume of the aneurysm, and it cannot solve the problem of mass compression." ”

When Gu Jiale heard this, he immediately interjected: "So next, it should be done step by step according to the established plan, right?"

The implication of his words is obvious, that is, there is nothing to pay attention to.

Indeed, since the imperfect ending has been known in advance, the previous amazing expectations have slowly faded.

The video continues to play, and most people are no longer as focused on it as they used to.

"Mr. Tony." Hao Jun turned his head sideways and said, "If this operation were designed by you, what method would you choose?" ”

"Personally, I prefer to have it excised." Tony said, still keeping his eyes on the big screen and not looking away: "But it still needs to go through the overall design, modeling, and consideration of various situations before making a plan." ”

"Excision?" Hao Jun thought about it for a while and felt that it was indeed feasible: "If it is removed, the problem of occupancy will be perfectly solved." The only thing that needs to be considered is whether the vascular compensation function is good after amputation of the aneurysm artery. ”

This time, Tony didn't respond to his words.

He jumped straight up from his seat and exclaimed, "Well done!" ”

This admiration drew everyone's attention to the big screen.

It turned out that at some point, the huge aneurysm had left the child's skull and was lying in the tray.

The exclamation sounded instantly:

"Phew!"

"Is this—cut directly?"

"I didn't go according to the plan! Is it okay to make your own claims? ”

"Oh my God! How could it be so fast! ”

Many people are dizzy. Not only because Tao Le changed the surgical plan, but also because the progress was really fast.

From the time the video continues to play until now, it has been less than three minutes, how can such a large tumor have been cut off?

Replay, it must be replayed, it still has to be played frame by frame, as it was just now—this is the cry of the masses!

When it was replayed again, the difference that everyone had fired was made up.

At this time, they realized that Tao Le's work was not provincial, but the speed was different times faster than everyone here.

Clip the aneurysm neck to confirm that it does not cause narrowing of the aneurysm-carrier artery and that there is no residue of the aneurysm.

PUNCTURE THE Aneurysm WITH A 1ML EMPTY NEEDLE, AND THERE IS NO OBVIOUS NON-COAGULATED BLOOD OUTFLOW FROM THE RETRACTION - THIS CONFIRMS TONNY'S JUDGMENT JUST NOW, AND MOST OF THE LARGE TUMORS ARE BLOOD CLOTS, THAT IS, BLOOD CLOTS.

These blood clots are likely to enter the aneurysm-carrying artery along with the blood flow, causing the artery to occlude, which is dangerously abnormal.

In the eyes of everyone in the conference room, it was precisely because of this temptation that Tao Le temporarily changed the surgical method.

Without the slightest hesitation, she accurately identified the main blood vessels supplying the tumor and blocked them one by one at a lightning speed.

Next, the entire aneurysm body and the combined malformed blood vessels are cut off from the neck of the aneurysm.

The whole set of movements is stable and accurate, like flowing water, clean and neat.

So there was the scene that everyone had seen earlier.

The video doesn't stop, it continues to play downward. The surprise happened again.

(End of chapter)