When a doctor opened a plug-in

Once teratoma is diagnosed, early surgical removal should be sought!

Even if he is in the fourth ventricle, it is no exception.

But in any case, the risks, appreciability, and rarity of this operation are worth watching!

Everyone is a little nervous before the operation has started.

In fact, the operation should be performed without emotion, so that it can be stable.

Everyone is looking forward to the start of the operation!

And to be honest.

This operation, Chen Cang felt that this should be a king-level wild monster.

Because this location is too special, and the tumor is entangled with the brain stem, cerebellum, blood vessels, and nerves.

as predicted!

After the general anesthesia took effect, Chen Cang made a straight incision in the midline of the posterior fossa to open the foramen magnum and posterior arch of the atlas.

After the dura mater was cut, the bulge in the fourth ventricle area was immediately seen!

After seeing this scene, everyone watching the operation frowned slightly!

The difficulty is a bit high!

Next, we need to carefully search and analyze this teratoma.

The teratoma at this time actually has some deformation in the ventricle.

From the foramen down and backwards to the cerebellar medulla oblongata, embedded in the upper end of the spinal canal.

The surface of the entire teratoma is purple-brown, with obvious nodules, and the texture is slightly hard and tough.

At this time, a burst of news came into Chen Cang's mind!

[Teratoma: lv97, king-level boss!Please be careful!Please be careful!

Seeing the bright red prompt, Chen Cang frowned suddenly.

It seems that the situation is more difficult than I thought!

The king-class teratoma, which has 6 common blood arteries and branches, is closely connected to the brain stem, and crosses the optic nerve area. Please handle it carefully!

Not only Chen Cang, but everyone around him suddenly became a little nervous after seeing this scene.

Because it can be clearly seen that the choroid plexus tumor is purple-red like a mulberry. Although the surrounding tissues are clearly demarcated, the relationship with the surrounding neighbors is very complicated. There are many blood supply artery branches and the optic nerve rides across...

This is too complicated, right?

Chen Cang took a deep breath.

King class!

Must win.

Not only to reward, but also to save this girl.

In fact, he still has one question he wants to ask after the girl gets better: Why is he inferior to this Ma Han.

At the beginning of the operation, several assistants around were very nervous.

And Chen Cang also dispelled the idea of ​​letting everyone complete a part of it!

After all, this operation may not be careless.

The first step is to free the brain tissue and teratoma.

When driving, carefully use the brain pressure plate to pull the vermis tissue to both sides, revealing the main body of the tumor.

At this time, the blood supply arteries can also be seen from small branches of the posterior inferior cerebellar artery, about 3 on each side.

These need to be cleaned up!

However, if you want to go around, it is obvious that this space will not work.

It is necessary to enter the tumor from below the cerebellar tonsils and from the side of the fourth ventricle. In this way, the operation and angle of the hands are greatly tested.

Chen Cang took a deep breath, it was difficult to manipulate the angle of his hands.

Lao Ma entered the operating room today as a family member, and his voice seemed to be the same as his daughter.

At this time, the blood vessels on the tumor surface should be electrocoagulated one by one.

This process seems simple, but it must be handled well, divided into categories, and repaired after the operation.

In this step, Chen Cang did it very fast!

It took less than 10 minutes to complete the process.

Later, he directly sutured the teratoma with silk thread, gently pulled the tumor back, and placed a cotton patch between the tumor and the floor of the fourth ventricle to reduce the harassment of the brain stem during the operation.

In this scene, everyone watching is bright.

What a clever technique!

What a precise operation!

Good thoughtful idea!

Chen Cang did not stop, and the blood supply arteries on both sides were cut off again by electrocoagulation.

The top side of the tumor is free, and finally it is disconnected from the base of the tumor!

At this time, everyone whispered in excitement!

"You can remove it!"

"Yes! Professor Chen is really stable!"

"It's so fast!"

However, before everyone had time to be happy, they were suddenly surprised to discover something!

This teratoma seems to have adhesion to the tissues in the ventricle!

This news is like bad news.

Indeed, the boundaries are clear!

However, the adhesion is serious!

How to deal with it?

The teratoma is too large, and the basal part adheres closely to the fourth ventricle floor and is difficult to separate.

Under normal circumstances, thin-layer tumor tissue remains at this time to prevent damage to the brain stem and cause serious consequences.

However, the patient is not a normal tumor, this is a teratoma!

A very important feature of teratoma is that it recurs easily.

Once it is not cleaned, it is easy to relapse again!

At this rate, soon after, it was another big problem!

Therefore, it is particularly important to remove residual tissue!

After a while, Chen Cang said, "Give me the microscope and adjust it to eight times!"

Indeed, at this time, differential microsurgery must be used.

otherwise……

The brain stem is easily affected.

After seeing this scene, everyone hesitated to speak.

I want to remind Chen Cang to talk about it later.

However, Chen Cang has made up his mind and must be cleaned up.

After wearing the 8x mirror, Chen Cang felt very good under the mirror.

Holding the stripper and non-invasive forceps in both hands, he carefully peeled it off little by little.

At this step, everyone watching was nervous.

No one in the operating room dared to vent loudly, let alone speak.

The difference between the microscope and the usual is reflected.

And Chen Cang's hands control ability to the extreme.

A little bit of cleanup.

Don't dare to relax!

Dense beads of sweat spread on Chen Cang's forehead, neck, face...

It's really hard!

Chen Cang held his breath and focused.

Dare not careless!

This is not a driver’s license test. There are two opportunities, and the big deal is to spend money to take the test again.

But this is only once.

Fight for it!

This is a 97-level king-level boss!

Chen Cang wanted to know what he would reward himself!

Work hard!

Come on!

Ollie give it!

Accurate operation makes the difficulty of surgery continuously increase.

Chen Cang felt that his underwear was soaked.

at last!

An hour later, Chen Cang's eyes were a little uncomfortable.

The operation was successful!

Chen Cang cautiously moved away from the top side and front of the tumor, and finally disconnected from the base of the tumor!

At this time, I don’t know who said in a low voice:

"Go! Go! Really free!"

"Grass the grass... this is too strong, this damn thing can also be cleaned up successfully!"

"Yeah, clean up on the brainstem, what's the difference between this and the teeth extraction, courage! It's too strong!"

Everyone in the whole room exclaimed!

Too strong.

This operation has once again refreshed Chen Cang's skills in the field of neurosurgery!

...

ps: Cough cough, seven more deliveries, ask for monthly pass.

I found that when I didn't update enough, I didn't dare to read the comments, so I didn't have the confidence!

Ahem...

Ask for a monthly pass...