Tumors may look good, but after all, they are a "scourge" covered in a beautiful skin. They should be removed if they should be removed!
Zhou Qiao explained to Murphy while operating.
"Whether it is exploration or resection, it is important to minimize the traction on the brain tissue. Many patients experience temporary or permanent cranial nerve paralysis after surgery, which is usually related to repeated traction or attraction of the nerves during the operation!"
Murphy nodded, understanding.
She watched with concentration, her beautiful eyes lit up as Zhou Qiao operated with ease.
As mentioned earlier, the tumor in Zhang Mengjing’s skull surrounded her trigeminal nerve, facial nerve, auditory nerve and glossopharyngeal nerve, as well as the brain stem, oculomotor nerve, trochlear nerve, abducens nerve, vagus nerve, basilar artery and its branches cerebellum. Important structures such as the superior artery and posterior cerebral artery.
Literally, it is very clear and clear, but in the actual field of view, the nerves and blood vessels are not labeled, and they are all very small and almost the same size. Most people's eyes are confused, how can they easily tell which is which?
But Zhou Qiao can.
While he was operating, he taught Murphy, telling her which ones corresponded to which ones, and what the skills were for distinguishing them.
A virtual three-dimensional holographic image suddenly appeared in front of Murphy's eyes, which was condensed from her imagination. It was equivalent to the "contemplation method" in Xianxia, or 3D modeling in computer science, and Murphy's brain, like the computer, also almost.
People with ordinary qualifications may not be able to visualize advanced talismans or divine images for several years, but Murphy can achieve it overnight!
As Zhou Qiao explained, Murphy's three-dimensional visualization picture continued to improve, and annotation boxes appeared one by one, gradually becoming denser. Murphy was like a sponge, "greedily" supplementing his practical knowledge .
What I learned in school before, whether it was the theoretical knowledge from textbooks or the anatomy of specimens, how could it be as vivid, profound and impressive as a live person doing it?
This can be said to be a once-in-a-lifetime opportunity, and it will greatly improve Murphy!
Electrocoagulation of blood vessels on tumor surface...
Carefully separate the tumor borders along the tumor capsule…
Not only did Murphy benefit a lot, but even the doctors and experts at the University of California Medical Center in the monitoring room were also deeply touched. Many of them fell into deep thought and understood many things that they had never understood at ordinary times.
I didn’t understand it before, but when I saw Zhou Qiao demonstrate it again, I couldn’t help but feel like I suddenly understood it!
"It turns out the method is like this..."
"It's not written in the book, nor has the teacher taught it..."
"Can you still do this with sharp free petrosal veins? It's so exciting!"
The monitoring room gradually became quiet, and everyone watched attentively. Before, there were people coming in and out to go to the toilet, get coffee, etc., but now there are no more.
No peeing spots throughout the entire process!
Well, this is also a "stress" reaction. When you concentrate and are attracted by something you are interested in, adrenaline will be secreted rapidly, and many distracting thoughts and small actions will be forgotten.
In the operating room, Zhou Qiao has gently used the electric knife and CUSA to remove the main part of the tumor. The bone window opened can allow the tumor to pass through, as if it was "tailor-made".
The sample was taken out and placed on a stainless steel plate. Apart from the faint smell of blood, it actually looked pretty good.
However, the operation did not end there because the tumor cyst wall and capsule remained inside.
At the bottom of the tumor, where it connects to the brainstem, the capsule is thicker than other places and is closely adhered to the brainstem surface. There are also residual tumor cyst walls and capsule tissue on some nerves and important blood vessels. These things are The most difficult thing is to scrape it off cleanly without damaging the nerves, important blood vessels, or the brainstem!
Non-injury includes, try not to pull and attract repeatedly.
Things in the brain are very delicate, delicate, and fragile. If something goes wrong, there will be sequelae of this or that after surgery, big or small, more or less!
Zhou Qiao has a perfect skill, so he naturally requires everything to be perfect!
The most critical step of the operation was reached. Zhou Qiao began to separate the brainstem surface of the tumor along the tumor capsule...
Under normal circumstances, many doctors want to end at this time! For them, the previous step of removing the main body of the tumor is the key step!
Different levels have different understandings of key steps!
In the monitoring room, a senior doctor from the Department of Neurosurgery couldn't help but speak, complaining: "Why bother touching it at this time?"
"That's right." Another doctor agreed, "This kind of cholesteatoma is an epidermoid tumor and grows extremely slowly. According to our experience, even if a little tumor wall remains, the time to recurrence after surgery is very long. There is absolutely no need to take this risk.”
Some doctors disagreed: "You mean, just let it remain inside, and at worst, do it again in a few years? This way you can earn more money for the surgery, right?"
"How can you say that?" The doctor became angry and shouted loudly, "I am also thinking about the patient's health. The treatment is well-intentioned, but the risk is too great. A little residue can greatly reduce the sequelae and complications. The function of adjacent and adhering cranial nerves is preserved and not damaged. If you are a patient, do you want to have another surgery with a low risk factor in a few years, or do you want to live with facial paralysis, deafness, inability to eat, or even blindness? Among them?"
More and more doctors joined the debate, and the two groups of doctors almost threw things at each other and started to quarrel.
In the end, Dr. Alonna McLoughlin couldn't stand it anymore. She drank coffee and said calmly: "Which method to choose depends on the level of the surgeon."
As soon as these words came out, the whole place fell into silence.
It means that if you have a high level of self-esteem, of course you can try it, like Dr. Zhou did! If you're not good at it, you'd better be more conservative! It’s just that the patient is in a worse situation. A few years later, the disease relapses again, and it is inevitable to experience pain again!
Of course, if you are not good enough and insist on peeling it off, it will be even worse!
You need to know how to operate it specifically!
The doctor who had been clamoring to be conservative before was now so embarrassed that he remained silent!
And those who clamored to be perfect were speechless! Because they think to themselves, the level is still not up to the standard. If the level was high enough, how could such controversial issues arise?
Like Dr. Zhou in the operating room, he just did the operation without thinking!
Dr. Crawford laughed: "Alona, you are still too outspoken, which dampens their enthusiasm, haha!"
Alona smiled and said nothing, thinking that these brats usually have their eyes set on the top, but now they have seen a master who is better than them, right? Are you dumbfounded?
As for Dr. Zhou in the operating room, she didn't know whether he would leave any sequelae for the patient, but judging from his technique and the handling of details, he was impeccable!
In fact, Dr. Alona thought to herself that even if she came in person, she might not be as good as Dr. Zhou in many aspects!
Dr. Alona couldn't help but secretly wonder, what kind of freak is this? ! How did you grow up? Are China’s medical skills so advanced?
An unstoppable thought suddenly came to her mind. If I mentioned this surgery, Dr. Zhou Qiao was ranked number one in the world. I wonder if anyone would be dissatisfied?
But I stopped laughing immediately. We still have to see the effect, the postoperative effect!
"Dr. Alona, why are you laughing?" Dr. Crawford couldn't help but ask.
Dr. Alona couldn't help but express her thoughts.
Dr. Crawford pondered for a long time, and then said quietly: "Although I am not an expert in neurosurgery, in terms of tumor surgery alone, Dr. Zhou Qiao's operations are indeed at the ceiling level!"
Alona's eyes lit up and she shouted: "David, do you also agree?"
"Haha," Dr. Crawford said with a slight smile, "Actually, I noticed Dr. Zhou Qiao more than two months ago."
"Oh? Really?" Alona was interested.
Dr. Crawford said: "About two months ago, I received a patient with pancreatic cancer. The condition was naturally very serious. I found many experts and conducted multidisciplinary consultations, and then guess what? "
"Ah~" Alona thought about it and said, "I heard someone talk about this before. I only knew that he was a young doctor. I thought he graduated from a prestigious school and might be behind the scenes. I didn't expect it. Is this Dr. Zhou?"
"Yes, yes." Dr. Crawford sighed softly, "I also suspected that he was cheating before, for example, he consulted his professors in China to formulate a treatment plan, but today I saw this operation, Suddenly I felt that he might not be shaking people!"
"Indeed. I have never seen such a medical genius in my decades of medical career. Such talents should come to our School of Medicine at the University of California, San Francisco!"
"How about I suggest to the dean and give him a visiting professor first?"
"Agree!" The two looked at each other and smiled.
The surrounding doctors looked at each other in shock. Did they get a visiting professor?
Although the matter has not been finalized yet, given the status of Dr. Crawford and Dr. Alonna, the dean will probably agree. The dean promised that the school's senior officials would basically have no objections.
…
In the operating room, Zhou Qiao didn't think too much at all and didn't know the good news. He was focused on doing the surgery and teaching Murphy seriously.
(End of chapter)
