The patient happily signed the preoperative agreement.

Mainly because patients and relatives know Zhao Yuan's origin and know his level.

Although Zhao Yuan is very young, the medical circle is like this, but when you have real talent and real learning, your name will not only be known by peers, but also recognized by patients.

Zhao Yuan is no longer a novice back then, and he has a place in the medical circle in China, whether it is neurosurgery or thoracic and cardiac surgery.

Fan Hong heard that Zhao Yuan was going to have surgery, so he simply made an excuse to ask for leave.

Xiao Hua arranged for Zhao Yuan to have a chief physician in the Department of Neurosurgery.

The level and reputation of this chief physician are a little worse than Fan Hong, but he is still quite familiar with neurosurgery, and there is no big problem in being a helper.

Zhao Yuan didn't care too much about this, after all, the biggest advantage of chopstick surgery was to reduce his dependence on Ichisuke.

Fan Hong found a teahouse.

Although he left the hospital, his mind was still on the operation.

If Zhao Yuan's operation fails, it means that Xiao Hua's decision is wrong, and Xiao Hua will naturally be responsible for his family, and his game with Xiao Hua can be regarded as having the upper hand.

If Zhao Yuan succeeds, Fan Hong will be embarrassed.

The level is not as good as Xiao Hua's junior brother, what qualifications do you have?

When I saw Xiao Hua in the future, I had to keep my head down.

Fan Hong knows the patient's situation very well, and it is not a big problem to solve the tumor, the key is to remove the tumor, which does not affect vision and other nerves, and the difficulty is not ordinary.

Fan Hong arranged for an assistant to watch the operation and inform himself in time if there was any situation.

Although as a doctor, he does not want his patients to be in danger;

But he didn't want Zhao Yuan to solve the problem smoothly at the moment, and his heart was very complicated.

Zhao Yuan found a room and adjusted his mentality.

Then I went to the operating room.

The patient was lying on the operating table, looking a little nervous.

Zhao Yuan walked over and said in a soft voice, "How does the third operation feel?" ”

The corners of the patient's mouth showed bitterness, "I have had two painful experiences, of course I am very uneasy. ”

Zhao Yuan said seriously, "You are very courageous. You know that the biggest enemy is yourself, whether it is for entrepreneurship or life, you know that you should not waste time and should not consume your life. Believing that your desire, dedication, love, and never admitting defeat will help you overcome anything. ”

The patient was surprised and laughed at himself, "Thank you for pouring me a bowl of chicken soup." ”

Zhao Yuan smiled, "Don't like to drink chicken soup?" Then think about your company, and the companies that are about to go public! ”

The patient took a deep breath, "I will not bow to fate. ”

The patient is an extremely rational person, and it is not easy to stimulate his desire to survive than expected.

However, Zhao Yuan felt that the patient should be able to persevere.

Because of his strong mental strength, this is why he has the confidence to perform this difficult operation.

No surgeon would want to do a second operation, let alone a third operation.

The patient with a strong heart was quickly turned into a numb.

Zhao Yuan took a deep breath and followed his own pace.

Establish a pathway to the lesion.

The logic of most minimally invasive surgeries is consistent.

Using auxiliary equipment, enter the inside of the human body, use the navigation and visual system, see the lesion inside, and then use minimally invasive instruments to remove the lesion inside.

However, this surgery is very difficult.

The main lesion is too complex.

When located in the brainstem, the cavernous abnormal blood vessel mass composed of many parenchyma blood vessels is like a time bomb on the heart center of human breathing and heartbeat, which can repeatedly rupture blood vessels and induce bleeding in the brain stem.

Although the probability of the first bleeding is only about 1%, once there is bleeding, the probability of the next bleeding reaches 30% to 60%, and the bleeding interval will become shorter and shorter.

With each bleeding episode, symptoms tend to progressively worsen, and the likelihood of recovery from neurological symptoms is extremely low and the risk is increasing.

The mortality rate is almost 100% when the amount of brainstem hemorrhage reaches 10ml!

The brainstem has long been regarded as a "forbidden area for surgery", and even if the development of microneurosurgery, intraoperative assistive technology and the discovery of the brainstem safety zone are still very few, and the chief physician of the provincial tertiary hospital does not dare to pack the ticket.

To put it figuratively, the doctor with poor skills didn't know which place to move, and let the patient hold his breath and suffocate to death.

I don't know which piece to move, which causes the patient to suddenly have a fever and the whole person is carbonized;

I don't know which part is moved, and the patient's heart beats faster;

Because breathing, heart rate, and body temperature are almost all related.

The patient's problem appears in the midbrain tissue of the brainstem, which is about 15~20mm in length.

This is the reflex center of vision and hearing.

With Fan Hong's ability, the success rate of surgery is only 60%, so he prefers conservative treatment.

At the end of the day, access is key.

Ichisuke stood in his position, observing Zhao Yuan's choice of approach, and a huge wave surged in his heart.

Because Zhao Yuan's thinking is too clear.

Zhao Yuan chose not one approach, but three approaches.

It includes the precerebral region, lateral sulcus of the midbrain, and interthalamus region.

All three locations have safety zones for midbrain surgical access.

In the case of the anterior midbrain, for example, the lesion can be excised through a local area of the brain foot.

It is bounded by the trigeminal nerve medial and the corticospinal tract on the lateral, which avoids injury to the corticospinal tract and the red nucleus.

As for the interthalamic area, the area between the superior and inferior colliculus can be selected as an entry point for surgery due to the distribution of few bundles of nerve fibers.

What is a master?

That's the cheats with a dungeon strategy in your head.

When you are still struggling with how to avoid neurological function and worry that surgery will make the patient's prognosis very poor, the master already has a clear idea in mind.

In addition, whether it can be removed cleanly can also show the gap between masters and ordinary people.

As the minutes passed, as more and more things were contained in the tissue bags, the tension of the operation gradually slowed down.

Fan Hong, who was sitting in the teahouse and drinking tea, listened to the messages that his eyeliner kept sending, and his mood slowly became depressed.

What gamma knife, what optic nerve is damaged?

In Zhao Yuan's surgical plan, there are no such bells and whistles.

The method he adopts is simple and easy to understand, but the actual level of proficiency is extremely difficult.

Fan Hong realized that he seemed to have made a serious mistake.

He underestimated Zhao Yuan.

originally thought that Zhao Yuan was Xiao Hua's junior brother and should be more proficient in thoracic and cardiac surgery.

In fact, Zhao Yuan's attainments in neurosurgery are definitely at the level of Changjiang scholars.

Fan Hong took a deep breath, shook his head and smiled bitterly, in this game with Xiao Hua, he lost completely!

The world of medical circles seems to be lofty, but in fact it is like a primeval forest.

The strong is king.

Once you've proven what you're capable of, everyone will become good friends with you.

Zhao Yuan finished the operation and walked out of the operating room.

Xiao Hua has been waiting outside.

Xiao Yuan, who had never been smiling, grabbed Zhao Yuan's arm with a smile.

"Senior brother, it's hard work!

Let's go, I'll take you to supper!

Look at the city that never sleeps! ”