According to Zhao Yuan's surgical plan, the tumor at the junction of the carotid artery area and the craniocervical neck should be removed first!

The extracranial tumor is then removed, and then the intracranial tumor is removed.

When Zhao Yuan first began to remove the tumor, there were signs of bleeding.

Shan Zhenyu frowned slightly, thinking in his heart, it is not good to be a teacher!

This is surgery.

Although you have done a lot of preparation work and thought about how to deal with everything, when it comes to the actual operation, you will always find that you are not fully prepared.

Ichisuke felt his heart rise to his throat.

However, he found that Zhao Yuan did not show any abnormal results, and while stopping the bleeding, he peeled off the tumor.

Zhao Yuan knew that during the peeling of this part of the tumor, it would definitely bleed.

Because the adhesions between the tumor and the blood vessels are too tight.

"How much does it bleed?"

“200ml！”

Everyone was shocked to hear this data.

They are all masters of neurosurgery, and although they are not up to the level of the head of the department, they still understand the basic common sense.

The most fatal risk of resection of the external cervical segment tumor is bleeding.

The child is very young, and the total amount of blood in the whole body is only 1,000 milliliters, and now the bleeding has reached one-fifth!

Zhao Yuan was still very calm, and stretched out his hand to the instrument nurse, "Electric knife!" ”

With the addition of electrosurgical equipment, the amount of bleeding began to decrease significantly, but the risk was not resolved.

Zhao Yuan is not unaware that traditional scalpels are more likely to cause bleeding than electric knives.

But this is a risk that surgical regimens must address.

The key areas of the tumor in the external neck segment must be removed with a traditional scalpel, which will be more complete.

Surgery for the tumor must remove all the diseased tissue and the potentially risky part of the disease as much as possible.

In the case of lung tumor surgery, lymphatic dissection is usually done to the neck.

Some intracranial tumors are not so thorough.

However, the removal of tumors in the outer part of the neck must follow the principle that it is better to kill a thousand by mistake than to let one go.

Ichisuke is the chief physician of the neurosurgery department who has just been promoted.

used to give Shan Zhenyu a hand.

It feels strange to give a young man a hand these days.

Zhao Yuan's operation is faster and more accurate than Shan Zhenyu.

The first assistant suddenly had a feeling when he was still in the position of the second assistant, and Director Shan at that time also had this temperament.

Looking back at the time, it was ten years ago.

As a member of Shan Zhenyu's team, he actually clearly felt that Shan Zhenyu's level was declining.

In particular, the gap between the before, middle and late stages of surgery is very large.

Despite this, Shan Zhenyu's level is also much higher than others.

Now Yizhu has seen Shan Zhenyu's strength at his peak from the young Zhao Yuan, and he has a lot of emotion in his heart.

No wonder Shan Zhenyu handed over the main knife to Zhao Yuan.

"There are multiple tumors that are tightly attached to the carotid arteries." Yisuke suddenly discovered the problem and hurriedly reported it to Zhao Yuan.

Zhao Yuan knew that this was the biggest difficulty in the first link, and if the tumor was forcibly removed at this time, it would lead to the rupture of the carotid artery and massive bleeding, and the patient's life would be terminated.

"Tweezers!"

Zhao Yuan slapped the electric knife to the instrument nurse, and used tweezers to peel off the tumor adherent from the carotid artery little by little.

"Bleeding 500ml!"

Nisuke reminded softly beside him.

Zhao Yuan bowed slightly, "Got it!" ”

The amount of bleeding reaches about one-third of the patient's body.

There is no turning back when you open the bow, and you must grit your teeth and advance at this moment!

The operation time passed by minute by minute.

After two hours, Zhao Yuan finally stripped the tumor from the carotid artery.

Everyone knows that this is just the removal of the tumor outside the skull.

It is much more difficult to remove the tumor in the skull than this part of the tumor.

……

When Tang Jin finished three surgeries in one go, it was already three o'clock in the afternoon of the next day.

He decided to take a break and complete the remaining two surgeries.

He came to the office and clicked on a website.

At this moment, the digital demonstration operating room where he was supposed to be is broadcasting an operation live.

Don Kim was a little surprised.

In the column of chief surgeons, in addition to Shan Zhenyu, there is also a name called Zhao Yuan.

Who is Zhao Yuan?

Could it be that Tianhua is a supernatural expert seconded from other hospitals?

Donkin found that the operation was in the middle stage.

Is the patient still alive?

According to his deduction, in the early operation, the patient will most likely have to be rescued due to excessive blood loss, and the operation will be over.

His first reaction was that this kid was so lucky.

However, after observing the operation for a few minutes, he immediately realized that it was not luck.

The child's ability to persist until now is completely related to the operation of the surgeon.

After three years of growth, the tumor in the intracranial part has become integrated with many important nerves, so cutting out an extra part can damage the fragile nerve, resulting in disability.

If the excision is not thorough enough and there is a remnant, it will lead to recurrence.

In front of the screen, Zhao Yuan carefully and meticulously peeled off the cocoon, dealing with the tumor, accurately avoiding the nerves, but he was able to remove the tumor cleanly.

The operation is simply too detailed.

Don Kim may be able to do this, but it will definitely take a lot of time, however, the operation has only reached four hours until now.

The assistant arranged by Lin Zhiyuan for Tang Jin came to knock on the door and reminded him softly, "The fourth operation will start in an hour." ”

Don Kim glanced at his assistant impatiently, "Postpone the remaining two surgeries until tomorrow!" ”

"Huh?" The assistant was very surprised, wasn't Tang Jin in a hurry to finish the operation and hurry up to flash people?

Tang Jin explained, "The patients who operated on those two surgeries had some physical signs that needed to be adjusted. It would be safer for them to postpone the surgery until tomorrow. ”

The assistant was a little dissatisfied with Donkin's backsliding, but he still suppressed his displeasure and turned to explain to the patient.

Don Kim was fascinated by the operation in front of him.

He didn't want to miss any of the details of the operation.

Of course, the explanation he gave is also reasonable.

The two patients were supposed to have surgery tomorrow as planned.

Zhao Yuan had already begun to peel off the tumor near the brainstem.

A sneer appeared in Tang Jin's eyes.

Sure enough, as I judged, the tumor adhesions in the brain stem are completely beyond the comprehension of ordinary people, let alone excision, even a little pulling may lead to brain stem damage.

Once the brainstem is damaged, there is a high probability that the patient will not wake up.

Zhao Yuan stared at the microscope stubbornly, even if his eyes were sore, he couldn't take it lightly.

At this time, there is no quick way to peel off the tumor little by little around the brainstem.

Before I knew it, another four hours had passed, and half of the tumor in the brain stem remained.

Shan Zhenyu sighed secretly, if he were himself, he would not be able to carry it until now.

And Zhao Yuan not only always insisted, but also maintained a high degree of stability.

Minutes and seconds passed.

Live streaming site, the number of viewers is increasing.

Don Kim only took a short break and continued to see the operation.

When the operation came to the tenth hour, Don King decided to go to the observation room and watch the scene.

After all, there is still a difference between live streaming on the website and watching it live.

Lin Zhiyuan heard that Tang Jin had postponed the two surgeries to the next day, which was very strange.

Then he learned that Tang Jin made this decision in order to watch Zhao Yuan's operation, and the whole person was instantly autistic!

Did Lao Tzu invite you over to see someone else have surgery?

What the hell are you doing!