Chapter 1188

"See the main artery of the base! Prepare the projection for correction! "

In less than three minutes, Chen Qun issued another order. However, today's projection without the support of CT data, the accuracy is poor. After all, the space is too narrow for thoracic and cranial surgery at the same time, and there is no space for CT scan of conventional interventional surgery.

This time, the data are all provided by endoscopy and several small monitoring instruments. Anyway, the patient's body structure simulation demonstration map has already been completed. Now add the data. The first round of data was completed an hour ago, and there will be no big change.

For Chen Qun, the top of the basilar artery is located in the deepest part of the human brain. Because of the rupture of the patient's artery, he had to search for the main trunk of the basilar artery in the sea of blood. Now Chen Qun has found the main artery of the base under the microscope hanging down from the top, which shows that he has made a good start.

If someone else gives him an hour, he may not be able to find the base artery in the brain. He has not even penetrated the instrument into the brain. He has destroyed the nerve tissue and directly died.

As a family member, ye Hanlin did not have the usual gentleness and composure at this time. He closed his mouth two times and was ready to say something. He was afraid of causing unnecessary trouble to Xiao Chen and delayed the operation.

Yang Koizumi naturally knows Lao Ye's mind. He picks up the microphone and turns it on. He asks about the situation in the operating room.

"Did you find the left and right superior cerebellar arteries?"

"It's confirmed. We're looking for the left and right posterior cerebral arteries. OK, target confirmation. Qi Hong, pay attention to the direction of my catheter. The left SCA left superior cerebellar artery has been marked with fluorescence to see if it is shown in the projection? The right SCA is also marked for confirmation. Pay attention to the pressure of cerebral compression plate! "

In Chen Qun's hands, a surgical forceps and a catheter seem to have become spiritual things. Carefully, in the deepest part of the brain, the brain tissue is peeled away from the blood vessels by blunt separation, revealing a clear vision.

The camera in the front of the instrument presents everything on the side of the large screen in the operating room, so that everyone can see clearly. On the other side, it shows Gu Ning's heart surgery.

Chen Qun's movements are not only gentle and delicate, but also peel off the gray and white matter of the brain as delicate as tofu like an egg. Moreover, the speed is very fast. People have to think of a fact in their mind, that is, how many brain operations have Chen Qun completed? It seems that there are no more than 100 in total. No matter the technology or the details, they all show a feeling of lifting a heavy weight like a light one.

It's something ordinary people can't do, let alone complete.

"I have also finished pruning the blood vessels in the central part, and I am preparing to remove the blood vessels in the peripheral part. Eh... "

Gu Ning who interposed beside just said half a sentence. As soon as Mei's scissors cut the outer membrane of the happy bag, they stopped all the actions in their hands.

"What's the matter?"

Yang Xiaoquan, who is most familiar with the students' behavior, asked directly and loudly in the stands.

"The distal part of the arch also has canceration. If the anastomosis is performed at this place, the cancerous tissue will spread sooner or later, and it is more likely to rupture after the operation."

Gu Ning answered the teacher's question with some regret.

”But with treatment, aortic arch replacement can't be completed during circulation arrest. After all, you will never have time to reconstruct the three branches of the artery

Yang Xiaoquan made a direct analysis from a strategic perspective.

"Or add trunk stenting? It can solve the problem. "

Ye Hanlin gave another answer in a hurry.

"In this way, it will be easier to reconstruct the aortic arch through the left thoracotomy even if there is cancer at the end of the aortic arch."

"Suture, or need to do extra suture, and the previous choice, too late."

Yang Xiaoquan once again denied Lao Ye's proposal.

The following Gu Ning directly stopped the quarrel between the two old people and said directly.

"Dean ye, you don't have to worry. We have worked out a plan to deal with this situation in advance. I carried out stent implantation under the naked eye. Originally, I thought it would not be used. It seems that younger martial sisters really want to do more. This time, they are really prepared and immediately add stent type blood vessels under direct vision. Plan 4, Xiao Chen, you have to cooperate a little bit and give me one more minute. "

"I understand! I have confirmed the oculomotor nerve here, and several blood vessels are completely confirmed. "

As the atmosphere in the operating room became more and more dignified, ye Hanlin took the initiative to turn off the microphone on the observation table, so as to avoid their old ideas from interfering with the operation of these young people."The aortic arch anastomosis is completed, and the preparation work for entering the artificial blood vessel is completed."

"The left posterior cerebral artery, the right posterior cerebral artery, peel off and find the top of the basilar artery!"

Chen Qun and Gu Ning's words calmed Ye Hanlin, who was a little flustered. In the case of his wife's acute rupture, he arrived at the top of the basilar artery in ten minutes. It was still endoscopic surgery. This technique is just amazing. What's more, Xiao Chen's stripping technique is brilliant to the peak, All the stripping is to keep the layer of meninges between the tissues, which is thinner than the egg membrane, free from any damage. It seems very easy, but it is difficult to do it.

Jiang Ming saw the condition of the top of basilar artery on the big screen, and immediately jumped up and said excitedly.

"It's true that the arteriosclerosis at the entrance of the aneurysm is serious. We will perform the flow control operation directly according to the No. 1 plan!"

This diagnosis is a serious scheme that Chen Qun assumed when they discussed it last time. Now it appears as scheduled, and it has not posed any threat to Chen Qun.

The following Qi Hong has seen the situation and directly implemented small changes according to the prepared plan.

"Ready to adjust the position of the operating table, tilt 30 degrees to the left. First, the vascular tissue was taken

"Prepare the best vascular tissue and begin to cut the artery in the chest gallery. Yangling, you only have five minutes

Chen Qun just issued an order, and Yang Xiaoquan immediately asked.

"Why not reserve the radial artery? If you cut off the artery in the chest corridor, the operation on the aortic arch will be impossible

"Teacher, don't worry, we have an additional No. 2 plan to ensure that I can complete the aortic arch operation!"

"It's impossible. Even if it's Xiao Chen, it's a bit of a rush. You can't do it!"

Yang Xiaoquan directly denied the apprentice's claim.

"If I do not need to anastomose the three aortas on the aortic arch, but use the island enbloc anastomosis to reconstruct it, I can shorten the time of anastomosing the three aortas, and only need to anastomose a T-shaped covered vessel."

Yang Xiaoquan immediately closed his mouth two times and shut up directly. But he knows that the reason why Chen Qun wants to use a better thoracic artery anastomosis is to ensure that patients get a better quality of life. In general, the radial artery at the wrist is used for cerebral vascular bypass surgery. However, there is a difference in the diameter between the slender cerebral artery and the radial artery. Even if the operation is successful, it may cause rupture at the back.

In contrast, the internal thoracic artery is smaller in diameter, softer and easier to anastomose with cerebral vessels. Heart surgery and brain surgery at the same time, it is because the patient is in the state of thoracotomy, in order to intercept the best tissue and blood vessels inside the chest!

The boy made use of everything possible and available.