Chapter 116 Surgery (1)
Ye Nantian’s adoptive father is you?
Zhang Kun looked down at the operating table, and the patient who had been fixed on the operating table.
It was an old man in his forties and fifties, with dark hair, but the fine whiteness at the roots still betrayed the fact that they were dyed black.
The frowns on the brows are very shallow, but the corners of the eyes are very deep, and some old-fashioned spots are shallowly hidden on the high nose.
This is Ye Nantian's adoptive father who never forgets his death? For his sake, his soul remains trapped in the world after his death.
I just heard that Dean Li once called him "Secretary Ye". Could it be that he was an official?
Zhang Kun observed silently for a while, and then finally stood on the operating table.
At this moment, Zhang Kun's face suddenly became serious: "The operation is ready to begin, go to the discharge, disinfect it!"
"Yes!" The surgical nurse next to him immediately took action, removed all the black and white hair, and disinfected it.
Zhang Kun turned his head and looked at the two people beside him: "Director Tang, Director Xie, let's start!"
Tang Guohua and Xie Zhitian nodded, and then occupied their appropriate positions respectively, mainly Zhang Kun, surrounding the operating table in the middle.
"General anesthesia, a small amount, local anesthesia on the head, take 0.5 (percent sign) of procaine for subcutaneous injection."
"Take a treatment towel."
“Middle-lane.”
"Text."
"Tighting tongs."
...
After the patient's head was laid, Zhang Kun closed his eyes and took a deep breath. When he opened his eyes again, he was completely immersed in the state of Wubo in the ancient well.
Zhang Kun looked at Tang Guohua and Xie Zhitian: "Let's start the skull!"
Tang Guohua and Xie Zhitian nodded.
Zhang Kun took the scalpel handed over by the nurse, and Xie Zhitian used the scalp to tighten the patient's scalp as an auxiliary. Then Zhang Kun used the scalp to cut the scalp layer by layer along the tangent opening.
Tang Guohua next to him used bipolar electrocoagulation to stop bleeding, stopping the blood spreading in the wound at the moment of cutting the scalp, and immediately put on a scalp clip.
Although it was the first time that the three of them cooperated, their movements were unparalleled.
Often, it was just as Zhang Kun cut his scalp and the blood began to spread. Tang Guohua would immediately place the bipolar electrocoagulation in the wound, and the blood would stop almost immediately, and then quickly put it on the scalp clip.
"Periosteum stripper!"
"Dry blood mat."
After the scalp was completely incised, Zhang Kun did not stop at all, and immediately separated the loose tissue layer of the hooded aponeurosis in a blunt manner, and flipped the flap base as quickly as possible.
At this point, the craniotomy was completed and it was very smooth.
The nurse next to him quickly helped the three doctors wipe away the sweat from their foreheads.
However, at this time, Zhang Kun and the other two did not relax at all. The craniotomy was just the beginning, and what was really important was the back.
All subsequent steps must not be wrong. As long as one step is wrong, it will be the result of the failure of the operation and the patient's death.
The nurses immediately became busy. After everything was ready, Zhang Kun started to look for the tumor location with the help of a microscope.
Ye Nantian had told Zhang Kun before that the approximate location of the tumor was close to the back of the neck.
Soon, Zhang Kun found the place, but Zhang Kun took a sudden breath. Tang Guohua and Xie Zhitian next to him also looked ugly after seeing the tumor on the patient's head through the imager equipped with the microscope.
Under a microscope, the glioma can be visually wrapped in the cerebral cortex, purple-red and fish-like.
Tang Guohua's eyes trembled: "Malignant astrocytoma!"
Malignant astrocytoma is also a glioma, but it is not common.
Because even among gliomas, malignant astrocytoma is the most serious.
Moreover, malignant astrocytoma is the most difficult among all brain tumor surgeries, but on the contrary, it is the least successful.
If Tang Guohua thought that he would have a 50% chance of success in this operation before, then now, it is basically only 30% or even less than 30%.
When Tang Guohua and Xie Zhitian were surprised by malignant astrocytoma, Zhang Kun sighed that the current situation had worsened compared to when Ye Nantian first told him.
Not only is it malignant astrocytoma, but the tumor has begun to invade the adjacent cerebral lobes, and some of them cross the midline and invade the contralateral cerebral hemisphere.
Having a certain boundary with the surrounding brain tissue and infiltrating and growing towards the cortex, a "satellite phenomenon" surrounding neurons has been formed.
To put it simply, gliomas have occupied more territory, and their "power" is stronger, and it is even more difficult to remove.
Seeing this, Zhang Kun couldn't help scratching his head secretly. The current difficulty of the operation is much greater than what Ye Nantian said before.
Moreover, the corresponding surgical method is probably completely different from what Ye Nantian told him at the beginning.
If Ye Nantian taught him the previous method, the operation would almost fail 100%.
Zhang Kun hesitated. Now, even he didn't know how to start, because what they saw through the microscope was just the manifestation of glioma.
However, the specific degree of invasion of glioma in the brain lobe, cerebral hemisphere, and cortical layer cannot be displayed at all.
Without the image display, Zhang Kun could not determine the depth of the operation, so the operation was impossible at all.
Why, Zhang Kun had never encountered such a situation in Ye Nantian's memory.
What is the reason for the interference that ct and mri cannot image?
Even if I have encountered some patients with abnormal physical constitutions in the past, at most, I am not clear about the MRI, but I will appear somewhat blurred.
However, at this time, the CT machine and MRI images were completely dark, without any layered pictures.
Under such circumstances, Zhang Kun was unable to even take the knife, and he had no idea where to start.
For a moment, the operating room was completely silent. Zhang Kun stood there with a scalpel, staring blankly at the tumor in the skull.
Tang Guohua and Xie Zhitian next to them were also silent, and they had no choice.
The nurses in the operating room all calmed down and did not dare to make any sound.
At this moment, a voice suddenly sounded in Zhang Kun's ears.
"It's very troublesome, right? I never thought that the tumor would worsen to this level in just three months."
"When I found out, I wanted to inform you, but my dad was already sick."
Ye Nantian suddenly flew down and floated in front of Zhang Kun. He looked at the opened brain, sighed, and then turned to look at Zhang Kun.
"Can I let me go again? Although the situation is very troublesome now, if I just give up like this, I will be really unwilling to accept it!"
Chapter completed!