Chapter 1522 The King-Level Boss Reappears! (Seventh More Confident...)

Teratoma once diagnosed, should strive for early surgical removal!

Even if he is in the fourth ventricle, it is no exception.

But no matter what, the risk, viewability, and rarity of this operation are all worth watching!

The operation has not yet started, and everyone is a little nervous.

In fact, surgery should be done without emotion, so that it will be stable.

Everyone is looking forward to the start of the surgery!

And tell the truth.

This operation, Chen Cang himself felt, this should be a king-level monster.

Because this location is too special, and the tumor is entangled with the brainstem, cerebellum, blood vessels, and nerves.

as predicted!

After the general anesthesia took effect, Chen Cang made a straight incision in the midline of the posterior cranial fossa to open the foramen magnum and the posterior arch of the atlas.

When the dura was incised, the vermis in the fourth ventricle was immediately seen bulging!

After seeing this scene, everyone watching the surgery frowned slightly!

Difficulty is a bit high!

Next, this teratoma needs to be carefully searched for and analyzed.

The teratoma at this time actually had some deformation in the ventricle.

It protrudes downward and backward from the middle foramen to the cerebellomedullary cisterna, and is embedded in the upper end of the spinal canal.

The surface of the entire teratoma was purple-brown, with obvious nodularity, and the texture was slightly hard and tough.

At this time, a burst of news entered Chen Cang's mind!

[Teratoma: lv97, king-level boss! Please be careful! Please be careful! 】

Seeing the bright red prompt, Chen Cang frowned.

It seems that the situation is even more difficult than I imagined!

[The king-level teratoma has 6 common blood arteries and branches, and is closely connected with the brainstem, and has a straddle with the optic nerve area, please handle it with care! 】

Not only Chen Cang, but everyone around them became a little nervous after seeing this scene.

Because it can be clearly seen, the choroid plexus tumor is purple-red like a mulberry. Although the surrounding tissues are clearly demarcated, the relationship with the surrounding neighbors is very complicated.

Is this too complicated?

Chen Cang took a deep breath.

King class!

Must win.

Not only for the reward, but also to save the girl.

In fact, he still has a question that he wants to ask himself after the girl is healed: where is he not as good as this Ma Hanhan.

The operation began, and several assistants around were nervous.

And Chen Cang also dispelled the idea of ​​letting everyone take the lead to complete a part of it!

After all, this operation may not be careless.

The first step is to free the brain tissue and teratoma.

When driving, the vermis tissue was retracted to both sides with the brain pressure plate carefully, revealing the main body of the tumor.

At this time, the blood supply arteries can also be seen from the small branches of the posterior inferior cerebellar artery, about 3 branches on each side.

These need to be cleaned up!

However, if you want to go around, it is obvious that this space is not enough.

It is also necessary to enter the tumor from below the cerebellar tonsils and from the side of the fourth ventricle, so the operation and angle of the hands are greatly tested.

Chen Cang took a deep breath, it was difficult to operate his hands at this angle.

Lao Ma entered the operating room as a family member today, and his whirring voice seemed to be the same as his daughter.

At this time, the blood vessels on the tumor surface should be cut off by electrocoagulation one by one.

This process seems simple, but it must be handled well, classified, and repaired after surgical treatment.

In this step, Chen Cang did it very fast!

It took less than 10 minutes and it was all done.

Subsequently, he directly sutured the teratoma with silk thread, gently pulled the tumor back, and placed a cotton piece between the tumor and the fourth ventricle floor to reduce the disturbance to the brainstem during the operation.

This scene, everyone watching is bright.

What a neat trick!

Very precise operation!

What a well thought out idea!

Chen Cang didn't stop, and the blood supply arteries on both sides were cut off by coagulation again.

The top side of the tumor is dissociated anteriorly and is finally broken off by the base of the tumor!

At this time, everyone whispered excitedly!

"It can be removed!"

"Yes! Professor Chen is really stable!"

"It was handled so quickly!"

However, before everyone had time to be happy, they suddenly discovered something!

This teratoma seems to have adhered to the tissue in the ventricle!

This news is like bad news.

Indeed, the boundaries are clear!

However, the adhesion is serious!

How to deal with it?

The teratoma is really too large, and the base and the fourth ventricle are tightly adhered and difficult to separate.

Under normal circumstances, thin layers of tumor tissue remain at this time to prevent damage to the brain stem and cause serious consequences.

However, the patient is not an ordinary tumor, this is a teratoma!

A very important feature of teratoma is easy recurrence.

Once it is not cleaned up, it is very easy to relapse!

At this rate, not long after, it will be another big trouble!

Therefore, it is particularly important to remove residual tissue!

After a while, Chen Cang said, "Give me the microscope and adjust it to eight times!"

Indeed, at this time, differential microsurgery must be used.

otherwise……

The brain stem is easily affected.

After seeing this scene, everyone hesitated.

I want to remind Chen Cang to talk about it later.

However, Chen Cang has made up his mind and must be cleaned up.

After wearing the eightfold mirror, Chen Cang felt very good under the mirror.

He held the peeler and non-invasive forceps in both hands and carefully peeled it off bit by bit.

At this step, everyone watching is nervous.

No one in the operating room dared to breathe out loud, let alone speak.

The difference between the microscope and the usual is reflected.

And Chen Cang's hands control ability to the extreme.

A little clean up.

Don't dare to slack off!

Dense beads of sweat covered Chen Cang's forehead, neck, and face...

It was really hard work!

Chen Cang held his breath.

Don't be careless!

This is not a driver's license test, there are two chances, and it's a big deal to spend money to test again.

But, this is only once.

Fight for it!

This is a level 97 king-level boss!

Chen Cang wanted to know what he would reward him for!

effort!

come on!

Awesome!

The precise operation makes the operation more difficult.

Chen Cang felt that his underwear was soaking wet.

finally!

An hour later, Chen Cang's eyes were a little uncomfortable.

The operation was a success!

Chen Cang carefully dissociated from the front of the top side of the tumor, and finally disconnected from the base of the tumor!

At this time, I don't know who said in a low voice:

"Open! Open! Really free!"

"Grip the grass... this is too strong, this motherfucker can also clean up successfully!"

"Yeah, cleaning up the brain stem, what's the point of pulling teeth out of a tiger's mouth, daring! It's too strong!"

Everyone in the room exclaimed!

Too strong.

This operation has once again refreshed Chen Cang's technology in the field of neurosurgery!

...

ps: Keke, the seventh shift will be delivered, please ask for a monthly ticket.

I found that when I didn't update enough, I didn't dare to read the comments, I had no confidence!

cough cough...

Ask for a monthly pass...