Chapter 1521

Once teratoma is diagnosed, we should strive for early surgical resection!

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

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

The operation hasn't started yet. Everyone is a little nervous.

In fact, surgery should be done without emotion, so that it can be stable.

Everyone is looking forward to the beginning of the operation!

And to be honest.

Chen Cang felt this operation. It should be a king level wild monster.

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

indeed!

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

When the dura mater was cut open, the vermis in the fourth ventricle region were suddenly seen swollen!

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

It's a little difficult!

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

At this time, the teratoma actually had some deformation in the ventricle.

It protrudes downward and backward from the middle hole to the cerebellomedullary cistern and is embedded in the upper end of the spinal canal.

The surface of the whole teratoma is purplish brown, with obvious nodular shape and slightly hard and tough texture.

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

[teratoma: lv97, king boss! Please be careful! Please be careful!]

Looking at the bright red hint, Chen Cang immediately frowned.

It seems that the situation is more difficult than you think!

[King level teratoma, with 6 common blood arteries and branches, is closely connected with the brain stem and straddles the optic nerve area. Please handle it carefully!]

Not only Chen Cang, but also the people around him were nervous when they saw this scene.

Because it can be clearly seen that choroid plexus * * like tumors are purplish red like mulberry. Although there is an obvious boundary between the surrounding tissues, the relationship with the surrounding neighbors is very complex. Many blood supply artery branches ride across the optic nerve

Is this too complicated?

Chen Cang took a deep breath.

King!

You must win.

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

In fact, he has another question. When the girl is ready, he wants to ask himself: where is he inferior to Ma Hanhan.

When the operation began, several assistants around were very nervous.

Chen Cang also gave up the idea of letting everyone master the knife to complete part!

After all, this operation may not be careless.

The first step is to free brain tissue and teratoma.

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

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

These need to be cleaned!

But if you want to go around, it's obvious that this space can't be used.

It must also enter the tumor from below the cerebellar tonsil and the side of the fourth ventricle. In this way, it is a great test for the operation and angle of both hands.

Chen Cang took a deep breath. It was difficult to operate at this angle of his hands.

Today, old ma entered the operating room as a family member. His wheezing voice seemed to be the same as his daughter.

At this time, the blood vessels on the tumor surface should be cut off by electrocoagulation one by one.

This process seems simple, but it must be handled well, classified, and repaired after surgical treatment.

Chen Cang did this step very quickly!

It took less than 10 minutes to complete all the processing.

Then, he directly sutured the teratoma with silk thread, gently pulled the tumor back, and placed a cotton piece between the tumor and the bottom of the fourth ventricle to reduce the disturbance to the brain stem during the operation.

This scene was a bright sight for all who saw it.

What a clever trick!

What an accurate operation!

What a thoughtful idea!

Chen Cang didn't stop. The deep blood supply arteries on both sides were cut off again by electrocoagulation.

The top side of the tumor is free in front, and finally disconnected by the base of the tumor!

At this time, everyone whispered excitedly!

"You can remove it!"

"Yes! Professor Chen is really stable!"

"It's handled so fast!"

However, before they could be happy, they were surprised to find one thing!

This teratoma seems to have adhered to the tissue in the ventricle!

The news was like bad news.

Indeed, the boundary is clear!

However, adhesion is serious!

How to deal with it?

Teratoma is too large, and the base is closely adhered to the bottom of the fourth ventricle, which is difficult to separate.

Generally, a thin layer of tumor tissue remains at this time to prevent brain stem injury and serious consequences.

However, the patient is not an ordinary tumor, this is a teratoma!

A very important feature of teratoma is that it is easy to relapse.

Once the cleaning is not clean, it is very easy to relapse again!

At this speed, soon, it will be another big trouble!

Therefore, it is particularly important to remove residual tissue!

A moment later, 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 wanted to stop talking.

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

However, Chen Cang has decided to pay attention and must be cleaned up.

When the octave glasses were worn, Chen Cang felt very good under the glasses.

He held ion stripping and non-invasive tweezers in both hands and carefully stripped them bit by bit.

At this step, I saw the tension of the people.

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

The difference between microscope and usual is reflected.

Chen Cang's hands are accurate to the extreme.

A little cleaning.

Dare not relax!

Dense beads of sweat covered Chen Cang's forehead, neck and face

It's really hard!

Chen Cang held his breath.

Don't be careless!

This is not a driver's license test. I have two chances. I can spend money to take the test again.

But this is only once.

Fight for it!

This is the king boss of level 97!

Chen Cang wants to know what he will be rewarded!

strive!

come on.

awesome

Accurate operation makes the operation more and more difficult.

Chen Cang felt his underwear was soaked.

Finally!

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

The operation was successful!

Chen Cang carefully dissociated 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 whispered:

"Open! Open! Really free!"

"Hold the grass... It's too strong. It can be cleaned up successfully!"

"Yes, clean up the brain stem. What does it have to do with pulling out teeth? Courage! It's too strong!"

Everyone in the whole room screamed!

It's too powerful.

This operation once again refreshed Chen Cang's technology in the field of Neurosurgery!

……

PS: cough, send it at 7:00. Ask for a monthly ticket.

I found that when I didn't update enough, I didn't dare to read the comments. I had no confidence!

Cough

Ask for a monthly ticket