The last spoonful of tumor tissue was scraped out, and the tumor wall, which had lost its support, became extremely thin and collapsed.
Tao Le quickly closed the tumor cavity and began the most difficult part: separating the tumor capsule.
Because a large number of nerves were involved, no matter how good her eyesight was, she did not enlarge the microscope, but directly adjusted the microscope to six times the size.
Zheng Changchun's heart, which had experienced ups and downs, became suspended again.
There is no way, the entire capsule outside the tumor is entangled with the arachnoid membrane, and the latter must be kept intact during removal.
The facial nerve and cochlear nerve are located in the interlayer between the tumor capsule and the surface arachnoid membrane. Not only are they difficult to find, but they are also easily broken due to excessive force when the arachnoid membrane is separated.
Zheng Changchun glanced at Tao Le. Her brows were soothed and her face was peaceful. She was not at all anxious or nervous, she was still calm and peaceful.
This kind of reaction is either a sign of the boldness of a skilled person, or a sign of a newborn calf not afraid of tigers.
Combined with Tao Le's performance in the first half of the operation, Zheng Changchun is more willing to believe that she is the former.
However, judging from the previous surgeries, she has already surpassed him by a lot.
So it can be inferred from this that most people in the future will not be bad. What problems can you think of that others can't think of?
No matter how well he constructed his mind, Zheng Changchun still found it difficult to control his anxiety.
This is a kind of worry about gain and loss.
If she hadn't performed so well at the beginning, then he wouldn't have such strong hope at the moment.
The stronger his hope, the more serious his anxiety about failure.
Success or failure, progress or failure, all depend on the performance in the second half of the game.
The first thing Tao Le separated was the lower part of the tumor wall. After the 9th to 11th cranial nerves were isolated, a parent artery branch was found nearby, which was directly severed after being clamped with bipolar electrocoagulation.
The next step is to find the facial nerve. This should be an extremely difficult thing to do. It is often squeezed and deformed by the tumor into a band shape, and may also be wrapped in the tumor, so it takes a lot of time to find and peel it off every time.
However, Tao Le's performance was not like this at all.
In her hands, the auditory nerve was bluntly discovered like a person in a fluorescent suit in the dark.
Without wasting a minute, she used a micro electric drill to grind away the rear edge of the internal auditory canal, revealing the tumor remnants extending toward the mouth of the internal auditory canal, as well as the facial and auditory nerve bundles. She peeled the three outwards and then used the brain to remove them. The cotton sheet protects the facial and auditory nerve bundles.
Seeing this, Kamura Yuken's eyes straightened. He no longer cared about his own little thoughts, and was not in the mood to figure out Walker's views. Instead, he fell into a mysterious world and couldn't extricate himself.
A question kept roaring in his mind, as harsh as thunder: "How on earth did she do it?"
Surgical surgeries, unlike other internal surgeries, can use intraoperative imaging to observe the progress and adjust the direction in real time.
Exposing the entire operation to CT images has not been done before. Unfortunately, many doctors have suffered from tumors or other diseases due to long-term radiation exposure.
Today, this approach has been phased out for the sake of mutual health for both patients and doctors.
So what on earth enabled Dr. Tao to find the facial and auditory nerve bundles without any hesitation or hindrance?
Tao Le's actions continued, separating the upper pole of the tumor, cutting the circumferential cistern, and ligating and cutting off the petrosal vein.
The holographic image in the golden finger was quietly suspended in her left field of vision, and countless previous practices in space made her understand every detail of this operation.
The tumor passed through the tentorial foramen and slightly protruded beyond the tentorium.
Tao Le's movements were very light and gentle. The small dissector and bipolar electrocoagulation seemed to have grown on her hands, completely separating the trigeminal ganglion, brainstem, posterior cerebral artery, anterior superior cerebellar artery and abducens nerve that are closely related to the tumor wall. .
Seeing this step, there is almost no suspense about this operation.
Even the upper and lower poles involving the nerves and brainstem have been peeled off so perfectly, what else could be wrong with the middle capsule?
Sure enough, the subsequent separation of the medial tumor wall was successfully completed in an instant, without causing any pressure on the brainstem.
At this point, the entire tumor wall was completely peeled off, and Tao Le easily lifted it out and placed it on the metal tray.
After injecting normal saline into the tumor cavity, Tao Le sutured the dura mater and scalp incision, and then pulled out the filiform needle used to stop the bleeding.
The operation is over. Tao Le breathed a sigh of relief and saw the heart-warming reminder from Gold Finger:
"Complete an acoustic neuroma resection in 35 minutes and 54 seconds, improving health by 32 points. Evaluation: Excellent.
Awarded with a guided practice opportunity for specialized brain tumor resection. Are you using it now? whether"
Tao Le decisively chose "No."
Now she has accumulated several rewards, but due to various reasons, well, mainly due to the instinctive shrinking from someone's poisonous tongue, and the shadow of long-term practice in the dark, so she has no plans to implement them one by one for the time being.
Since it's your own thing, let's just leave it alone. There will always be a time when we can use it, right?
Tao Le thought like this, as if he saw someone's gloomy eyes projected from the space, and shuddered involuntarily.
This chill made her wake up from the previous state of receiving rewards, and she later realized that something was wrong with the people around her.
The operation was obviously over, but everyone stood there, dumbfounded.
"Director Zheng?" Tao Le asked the people around him without knowing why.
Zheng Changchun's eyes were fixed on the extremely precise and beautiful suture line, which was like an embroidery work of art.
"Tao Le, ah no, Teacher Tao." He still didn't want to pull out his eyes, and even his voice was a little erratic: "How did you practice sewing with your hands? I have sewed many egg membranes, but you have to do it Even if you are as fast as you and can sew the threads so evenly and finely, there is still a long way to go.”
"The suturing I did was pretty quick?" Tao Le was a little surprised.
Isn't it because she was forced to sew with her hands? Thinking of those dark years that she couldn't bear to look back on, Tao Le's face twitched involuntarily.
"The dura mater was perfected, the bone flap was reset, and the outer skin was sutured with cosmetic stitches. It took a total of one minute and twenty seconds." A voice sounded faintly, but it was Zhuo Shengli who had not made a sound since entering the operating room. deputy director.
Tao Le raised his head and met the eyes of two foreign experts.
Walker, the expert from country A, smiled broadly and stared at him with scorching eyes. Another J country expert, Yuken Kamura, had a complicated expression and didn't know what he was thinking.
Suddenly, Tao Le threw the modest words on his lips to the back of his mind.
"Practice makes perfect." She said: "There is nothing impossible in this world, it just depends on whether you work hard enough."
She said these words with no regrets at all.
Although there is a golden finger, every minute and every second during practice, every stitch and every thread, every setback and re-standing are all real things that happened to her.
