Zhou Can has always respected Director Lou in his heart, even if Director Lou later fell to Dean Gao.

He knew that Director Lou was for the development of the emergency department, so he served the thief with his body. At this moment, looking at Director Lou, who was full of anger and desperately grabbed the first credit, Zhou Can felt a little puzzled.

He went to arrange for manpower and didn't mention it. With the assistance of Dean Gao, coupled with Zhou Can's excellent connections between various clinical departments, a super elite surgical team was quickly organized.

It's a pity that Qiao Yu went abroad for further study. Otherwise, it would have been better for her to be an instrument nurse in this operation.

She was also able to learn a lot of valuable surgical knowledge and gain experience. The preoperative examination and preoperative preparations arranged for Mr. Song are in full swing.

The formulation of the surgical plan, Zhou Can has already deduced it countless times. After all, Mr. Song's status is noble, and he can't go on any errands.

…… When Zhou Can entered the operating room to change clothes, he found an opportunity to be alone with Director Lou.

"Director Lou, I didn't report this matter to you in advance, please forgive me."

"Hmph, I see that your wings are stiff, and you have an idea for such a big thing. Give me a good operation, mess up, I can't spare you. Director Lou snorted angrily, not giving Zhou Can a chance to explain again.

This is the first time since Zhou Can entered the emergency department that Director Lou has been so unkind to him and has been so angry.

Zhou Can sighed slightly. This matter was hidden from Director Lou and Dr. Xu, in order to prevent them from having a chance to stop it.

Dr. Xu is on leave today, so he should not know about this matter yet. Zhou Can's idea is very simple, if there is a problem during the operation, he will bear it alone.

Dr. Xu is already miserable, but he can't be involved anymore. As for Director Lou jumping out to grab credit this time, his behavior is confusing.

Out of respect, Zhou Can didn't think about it. If all goes well, Dr. Xu will have a surprise when he comes to work tomorrow.

If something happens during the operation, it is estimated that Dr. Xu will not wait until tomorrow, and Dr. Xu will be frightened. In the best No. 1 100-level laminar flow operating room in Shenwai, Zhou Can and the ultra-luxurious elite surgical team officially began to operate on patients.

Director Liu of the Department of Intensive Care Medicine personally led the team and the team of Director Yu of the Department of Anesthesiology to escort the lives of patients.

In terms of nursing work, the Chief Surgical Nursing Commander is one of the most experienced itinerant teachers in the operating room.

Jiang Wei served as Zhou Can's instrument nurse and deputy commander-in-chief. Ma Xiaolan was not very lucky, the due date was coming soon, and she could only take maternity leave at home.

Missed this opportunity to gild. Of course, there is also a great risk, and if the operation fails, there is a risk that the gilding will not be successful and will turn into a sin.

Then again, the preoperative signature of the signature has already been signed by the side housekeeper. If there is really something, even if Mr. Song dies on the operating table, at most the few people in the lead will suffer.

Other people involved in the operation will be implicated at most, and there is no risk of being too great.

"Director Xu, can the operation begin?"

"All vital signs are stable, general anesthesia has been successfully implemented, let's open the skull!" Since the reform of the Department of Anesthesiology, Director Yu has rarely appeared in the operating room of the emergency department, and he has only been seen in the fourth-level major surgery of neurosurgery and cardiothoracic surgery.

Tuya's strongest anesthesiologist should be him. The qualifications are old enough, the experience is rich, and the professional level is also first-class.

Although there is no name of master and apprentice between him and Zhou Can, there is a master-apprentice relationship. Zhou Can followed him to learn a lot of valuable anesthesia knowledge and life-saving means in anesthesiology.

This life-saving means saving the patient's life. Accidents during surgery are common, and every second counts at this time, and life-saving means are extremely important.

Zhou Can personally took charge of the knife, and he must also be the master of the knife. The Song family does not value those flashy false names, but only values the true strength of the chief surgeon.

They did a very detailed investigation of Zhou Can, and felt that Zhou Can had this ability, so they were willing to let Zhou Can perform this operation on Mr. Song.

At this time, the door of the operating room opened automatically, and a figure walked in. Despite wearing a mask and a hood, Zhou Can could still recognize Dr. Xu at a glance.

His heart trembled slightly, he didn't expect this to be known by the teacher. Dr. Koh's arrival didn't attract much attention from others.

Because there are quite a lot of medical staff in the operating room. And they are basically the top elites in various fields, and they all have high horizons.

What everyone cares about now is their own work, and they will do their best to cooperate with Zhou Can to make this operation a success.

As for the rest, no one cares. After Dr. Xu came in, he just stood behind Zhou Can and swept the formation, and did not speak.

But Zhou Can could feel that the teacher's eyes were particularly soft. Every action of craniotomy, Zhou Can is meticulous and careful.

Because Mr. Song is very fragile now, the fire of life is already extremely dark, and any rude action may bring about a catastrophe.

Even Director Xu, who is extremely experienced, watched Zhou Can cut the scalp layer and subcutaneous tissue for the patient, then drilled a hole in the skull, and then used a chainsaw to cut the skull flap along the hole...... Every step of the way made him tremble.

It's not just him, it's all about the same. When I saw Mr. Song's heart rate drop suddenly, even everyone's breath was chosen.

"Director Xu, do you want to strengthen your heart?"

"First of all, Zhou Can's technique is already very good, and it should not affect the patient's vital signs to fluctuate too much. It is likely to be related to the fact that the skull flap has just been cut, and it will be stable after a while. Director Yu sat calmly in the back to protect the patient's life.

His eyes are extremely sharp, sometimes staring at the dial and screen of the monitoring equipment, and sometimes watching the progress of the patient's surgery.

Zhou Can dissected step by step, and finally could see the brainstem area. Even after so many years, you can still see the traces of surgery left after the tumor was removed.

Ordinary people can't see it, but Zhou Can, who has rich experience in brain surgery, can see those defective parts at a glance.

"Teacher, is this the nerve that was severed back then?" Zhou Can asked, pointing to the trigeminal nerve that extended close to the brainstem.

"Yes, it's the pontine that has been cut here. At that time, the tumor was large and had infiltrated the brainstem area, and if the surgery was not done thoroughly, it would have recurred. At that time, there were only two options, either take the risk with all your might, or close the cranial cavity, stitch it up, and tell the family that the operation was too difficult to operate. Dr. Koh didn't say any more.

He chose the former. Take the plunge. As a result, the second half of his life was ruined, and he had no good future, and fell directly into the abyss.

It is not easy to be a surgeon, and it is even more difficult to become a benevolent surgeon.

If Dr. Xu had to choose again, he would probably choose the latter. The cranial cavity was closed again, and it was declared inoperable.

This kind of thing happens from time to time in the hospital, although it is a bit embarrassing, but it is better than having an accident.

"After cutting it and sewing it back on?"

"I've done repairs, but the results are not ideal." Dr. Koh admits it frankly.

"In this case, the part that was repaired back then must be incised, debrided, and then re-anastomized." Zhou Can said after careful inspection.

Nerve anastomosis is extremely difficult. And nerve cells are the only non-renewable cells. It doesn't repair and heal on its own like any other body tissue.

When the nerve is anastomized, there are tens of thousands of divine guide wires inside, and each one must be seated in the right number to ensure that the effect of the nerve anastomosis is the best.

Some guidewires are mismatched and missed, that is, the wrong nerve is often said to be scolded. The consequences can be imagined.

"Director Xu, Director Liu, I'm ready to use my brain, and the patient's vital signs may disappear at that time. How long can you give me? Zhou Can took a deep breath, but his eyes were always firm.

"Three minutes is the safest, and the shorter the better." Director Yu said directly. The brain stem is known as the forbidden area of life, let alone cutting it, even in the peripheral area, few doctors dare to move it.

At present, there are only a few compounds in China that dare to claim that the brain stem is no longer a forbidden area for life. Tuya also barely has the strength to do so.

But to be honest, Wu Baihe would never gamble with his future and tomorrow, as long as the risk was too high, he would give up.

Unless the family is willing to sign the waiver, and Tuya's legal counsel comes forward to sign the document. Of the ten brainstem surgeries, two successful cases are already very good.

Zhou Can's current incision is still a little short of reaching level 7, and debridement, anastomosis, suture, knotting, and pathological diagnosis are all level 7.

It can only be said that he has the ability to give it a try, but he is not completely sure. His steady knife technique and quick knife technique have always been stuck in the second realm, and he has not been able to break through to the third realm, which has also caused his incision technique to be stuck in the sixth layer.

Debridement is closely related to incision. In particular, Mr. Song's brainstem repair site wants to be incised and then debrided, which is difficult to imagine.

"Three minutes is definitely not enough, I am not sure at all." Zhou Can shook his head. Incision, debridement, and then rapid anastomosis, let alone three minutes, even if it can be done in thirty minutes, it is the top level of the extraterrestrial realm.

"And how long will it take you?" Director Liu of the Department of Critical Care Medicine asked.

"According to conservative estimates, it will take at least ten minutes or so." If Zhou Can's fast knife method and stable knife method can be broken through, this time may be shortened a lot.

Because the quality of the incision is directly related to the difficulty of debridement in the future. It is also about the difficulty and effectiveness of the sutures.

After listening to this, Director Liu turned his head to look at Director Xu.

"Lao Xu, should we try the cooling method? Other than that, I'm afraid there's no better way to extend the time to ten minutes. ”

"That's a good idea." Director Yu's eyes lit up slightly, and he nodded in agreement. In a low temperature and normal temperature environment, the consumption of the human body is two different concepts.

Now the technology is more mature to freeze and seal life, and in the science fiction chapter, someone was unfortunately frozen in the snow-capped mountain collapse.

Then n years later, through the thawing technique, the man came back to life. The temperature in the operating room is generally controlled at about 25 degrees.

Because the patient is doing the surgery naked, this temperature is the most patient-friendly. In winter, the temperature of the operating room is generally adjusted to more than 20 degrees, and 223 degrees is the most suitable.

It is suitable to keep the temperature below 26 degrees Celsius in summer. Human wisdom is endless. For conventional surgery, the temperature of the operating room is controlled within this range, but in case of special surgery, the temperature can be lowered to cooperate with the smooth implementation of the operation.

The most common is to lower the temperature to around 15 degrees. At this time, the blood circulation and metabolic speed of the human body will be slowed down accordingly, which is extremely beneficial to the control of bleeding and the prolongation of the operation.

"By lowering the room temperature, we can triple the time, and it should be safer in less than nine minutes. Do you think you are sure? ”

"Okay! But I'm going to go out and put on a jacket first. Zhou Can heard that the time could be extended by three times, reaching 9 minutes, and he knew that this was already the limit.

Lowering the temperature in the operating room can extend the patient's maximum tolerance time, but it is extremely unfriendly to the surgeon.

In a cold environment, the surgeon's movements become slow and clumsy. This can significantly lengthen the operation time.

For example, Zhou Can could have had three stitches in a second, which is the fastest speed. At low temperatures, you may not be able to get a stitch in a second.

In this way, the patient's tolerable time for surgery has increased, but the total duration of surgery has also increased several times.

The only way is for the surgeon to put on a protective jacket. …… Ten minutes later, the main surgical staff had changed into thermal underwear.

Zhou Can even put on a padded jacket. It must be explained that when you go out to change clothes on the spot, the sterile gown on your body must be changed into a new one.

Including head covers, gloves, etc., should be replaced with new ones. It's a wasteful act. However, in order to ensure the smooth implementation of the operation, let alone several sets of sterile isolation gowns, even if the consumption is large, it is worth it.

The family is absolutely happy to pay for it. As long as it is a reasonable family member, it will not be counted. The temperature in the operating room has begun to be lowered, and Director Liu and Director Yu are like great enemies.

As the temperature drops, the patient's vital signs are severely affected. Frogs can hibernate, and bears can hibernate too, but humans don't have the ability to do so.

Patients in a critically ill state are even less able to tolerate the harm of hypothermia. Every winter, many elderly people, as well as seriously ill patients who are bedridden, will have a particularly hard time.

Low temperature, in itself, represents the withering of life.

"Hurry up!" Director Yu waited until the patient's physical signs were stable, and then said to Zhou Can.

"Good!" Zhou Can held the scalpel, his eyes became firm and focused, and everyone in the entire surgical team was cooperating with him.

The Song family is also looking forward to the success of the operation, and whether Dr. Xu can turn over and take off the shackles on his body depends on this operation.

That invisible pressure turned into a burden and pressed on him. After taking a few deep breaths, he took the knife and slashed down.

No hesitation, no timidity. Some are just a responsibility, a benevolence. As his knife cuts down, the clear knife sensation is transmitted back to his fingers and palms, and back to his brain.

Zhou Can was in this extremely high-pressure state, and he only had patients in his eyes. It was as if he could see the beating life.

The alarm of the "Dididi ......" monitoring instrument sounded loudly. The medical staff were already busy, and the grim reaper hovered over the operating room.

Zhou Can's mind was naturally comprehending the knife technique. Because he had to do it all right in one fell swoop.

"The ultimate of fast knives is to be fast to lightning, ignoring all the difficulties, cutting through the chaos with a quick knife, and achieving it overnight. The true meaning of the knife stabilization method is to win in stability, and strive to be stable, durable, and unbalanced...... The precise knife rule is only the pursuit of precision, without any deviation, the force is just right, the position of the knife is just right, the knife is just right, just to cut off the lesion, or the corresponding tissue is just cut open...... "His mind constantly emerged the three true meanings of fast knife method, stable knife method, and fine knife method.

The fine knife technique was learned from Wu Baihe in the operating room of the Shenwai. The three are intertwined, all melted into the scalpel in his hand.

It is the pontine part of the brainstem that is cut. This place was once cut by Dr. Xu, which is a mistake. The later restoration was not ideal, and now it had to be cut open and restored again.

Zhou Can knew very well that Mr. Song's life was already hanging on this knife. When he cut it, the effect was not as good as it should be, and it was far from the perfection he expected.

"Oops!" Zhou Can's mind went blank in an instant. At this moment, he already felt that the catastrophe was coming, or rather, it had come.

The Song family, who is as majestic as a king, their own career, and the expectations of so many medical staff...... They turned into whips and whipped Zhou Can fiercely.

The more dangerous a situation is, the more you need to be calm. Zhou Can remembered Director Hu Kan's advice. I saw that his hand holding the knife slowly became much more relaxed, and he no longer held the scalpel rigidly.

Instead, it became a 'toy', and the scalpel was no longer a lifesaver for him to hold onto. It's a sublimation of the state of mind.

In the past, he was a sword man, but now, he seems to have touched a trace of the true essence, a man who controls the sword. The scalpel was held in his hand so casually, not rotten, let alone broken, but he gave the scalpel life and soul.

Let it come to life, let it jump in the fingertips and palms, and obey Zhou Can's command as you like.

Refer to where to hit. At this moment, his whole person seemed to be in a daze, and he didn't care about everything in the outside world.

Only surgery that has long been integrated into his life. It was true that the desired effect was not achieved when the incision was made, but in the following debridement, he obviously had the strength to remedy.

Dr. Xu, who was standing behind him, and Wu Baihe, who was opposite, saw that Zhou Can's scalpel was swinging rapidly and debridement.

Their eyes widened in disbelief. What kind of sword technique is this demon making? How is it a bit like the four, the stable knife method is not like the stable knife method, the fast knife method is not like the fast knife method, and the precise knife method is not like it, but it seems to have kneaded the strengths of the three families, and the three contradictions are perfectly kneaded together.

The incision after the debridement, Dr. Xu still can't see anything famous. Wu Baihe showed extremely envious and even a little jealous eyes.

This level of nerve incision is the perfect incision he has been striving for, but he has never achieved it after pursuing it all his life.

Zhou Can has reached it at this moment.