"Hey, Director Xiao, where is the genius of Chen's anastomosis? Lead me to see him..." Academician Chen just finished speaking. However, he found that the expressions of Director Lin, Wang Ping and others around him suddenly became very strange, and at the same time they looked in the direction Xu Qiu left. Academician Chen's eyes widened, his heart pounded, and his breathing became a little faster. He asked tentatively: "Director Xiao, is that genius named Xu Qiu?" Director Xiao: "Hey, has Professor Gao told you? Yes, his name is Xu Qiu, and he is a doctor in the emergency department. Although it sounds outrageous, it is absolutely true. You must believe it... " "I believe it." "I'm telling you, Xu Qiu's skills are like a ghost... ah? Do you believe it?" Director Xiao was stunned for a moment, why is it so fast, I haven't started to play yet. Academician Chen hung up the phone tremblingly and picked up the tea cup. Pat-ta-ta-ta-ta-ta-ta-ta The tea cup kept shaking, and the warm tea spilled all over the table.
What, what did I hear? An emergency physician... The surgical level of bone reconstruction is close to that of Lin Xie. Chen's anastomosis is second only to his, and the pancreatic debridement is perfect... Can we still perform the extremely difficult neuroendoscopic resection of skull base tumors? "Am I Alzheimer's?" Chen Yushi wiped the sweat from his face and said in disbelief. Wang Ping sat down and hesitated: "Actually..." Academician Chen slowly turned his head, and a few rays of light shone in his old eyes: "Actually, he is just a genius packaged by your hospital?" Wang Ping shook his head: "Actually, he can also perform laparoscopy, cardiac repair, artificial blood vessel replacement, superconducting intervention to remove high-risk foreign bodies, and skin flap transplantation..." "???" Lin Xie took a sip of tea, suppressed his shock, and said silently: "Mr. Chen, you said before that you would not compete with me for Xu Qiu..." "As I get older, I always talk nonsense. Alas, I have Alzheimer's disease... Where is Xu Qiu? Take me to see him." Wang Ping and Director Lin looked at each other. Director Lin said: "He is going to have an operation tonight and has to prepare for surgery in the afternoon. He may not have time to meet with you and Professor Lin." Academician Chen didn’t think there was anything wrong with waiting for a junior, and said: "It's okay, let's wait! Just in time, let's take a look at his surgical skills!" Lin Xie also nodded, with a hint of unconfidence suddenly in his tone: "Yes, let's learn more about it...Who can do this kind of brain surgery that everyone is afraid of..." Wang Ping looked at the two people silently.
The corner of his mouth twitched and he almost laughed. In these two people, he saw his former self. At first I thought I could be Xu Qiu’s teacher. Can lead Xu Qiu to the pinnacle of medical skills and academics. Later, I slowly realized that I was not qualified... I am afraid that Academician Chen, who has been a leader and teacher all his life, and Lin Xie, the leader in bone reconstruction, will soon embark on the path of doubting themselves! … Xu Shun spent the afternoon and half of the night preparing for the operation. Complete various preoperative examinations: Such as blood routine, blood coagulation, virus screening, etc. In addition, there are also physical preparations such as shaving the head and preparing the skin. At seven o'clock in the evening, the emergency operation began quickly. … Operation time: 19:09 Preoperative diagnosis: sphenoidal crest meningioma Surgery name: Neuroendoscopic resection of skull base tumors Operating staff: The chief surgeon is Xu Qiu. First Assistant: Director Lin Second aid, third aid, others: omitted Anesthesia method: general anesthesia with tracheal intubation. … Before the operation begins, Unexpectedly, Xu Qiu first performed a lumbar cistern catheter placement, which led to about 25 ml of cerebrospinal fluid. Laymen such as Wang Ping and Academician Chen did not understand the meaning of this move. But Director Lin's eyes widened, and he was completely convinced that Xu Qiu really had two brushes! Medical science is as separate as a mountain, and it is normal for others to not understand it. But for Director Lin, an expert in brain surgery, Xu Qiu can tell the depth with the first cut!
Lumbar cistern catheter placement is a detail not recorded in textbooks. Even in the literature, few people mention it. Unless one has performed hundreds or thousands of intracranial surgeries, it is impossible to have such experience! Director Lin said with approval in his tone: "Make a drainage tube to drain the hemorrhagic cerebrospinal fluid during the operation. Moreover, blood and vasoactive substances in the subarachnoid space can be rapidly drained. This will reduce or eliminate the stimulation of the cerebral blood vessels and meninges by blood and vasoactive substances, and facilitate the collapse of the brain tissue, facilitate surgical operations, open up the surgical field, and reduce the traction or damage to the brain tissue..." Academician Chen and Lin Xie looked at each other. Are there really all-around geniuses? ! … "The operation begins." Xu Qiu's knife fell with the sound. At this moment, the pupils of the people around him shrank at the same time. They felt that Xu Qiu's temperament and eyes had changed, as if he had become a surgical master, and they were interns worshiping from the side. Xu Qiu ignored the glances around her. He was immersed in his surgical world. Cut through the layers of the scalp… Mastoid spreader opens to expose the temporal bone... After drilling one hole, use a milling cutter to cut out the bone flap about 3cm×3cm... Smooth the squamous part of the temporal bone to the bottom of the middle cranial fossa... During the minimally invasive craniotomy, a small accident occurred. The mastoid air cells are open! This can cause fluid to accumulate in the air cells, leading to infections such as mastoiditis. Everyone's expressions changed and they were worried. Xu Qiu calmly sealed the wound with bone wax. His expression was calm, as if he had expected everything. … After the minimally invasive approach was successfully opened. Xu Qiu used bone biting forceps and grinding drills to grind the sphenoid ridge flat, and then exposed the anterior clinoid process downward. Then,
Xu Qiu took over the bipolar electrocoagulator and followed the middle meningeal artery. While electrocoagulating and cutting off the middle artery, he searched for the spinous foramen at the skull base. "The middle meningeal artery is really like a traitor, leading the way for the queen, and was killed by the queen." In the operating room, Lin Xie suddenly made a joke. Xu Qiu stopped his hand, tilted his head, and looked at Lin Xie. Who are you scolding, the queen? The eyes of the people around him also gathered on Lin Xie at the same time. The latter laughed dryly twice: "I just saw that the atmosphere in the operating room was too boring, so I told a joke, hahaha, ha, ha..." No one laughed with him, Lin Xie quickly closed his mouth, as if nothing had happened, and looked back at the operating area. … After dealing with the traitor's middle artery, the blood supply of the external carotid artery to the tumor was basically cut off. Then, Xu Qiu's movements became faster and faster. He cut the dura mater in a semi-arc shape with the sphenoid ridge as the center. He also cut the sylvian arachnoid membrane to expose the sylvian cistern and release the cerebrospinal fluid. Then, he accurately locked the carotid cistern, chiasm cistern, terminal plate cistern or interpeduncular cistern squeezed by the tumor, and exposed and opened them in turn. "Automatic retractor." Xu Qiu's voice revealed calmness. The bottom surface of the frontal lobe and the temporal pole were lifted in two directions by the automatic retractor. Everyone looked into the surgical field. The next moment, everyone's face changed and their palms began to sweat crazily!
