"Raise the upper body by 30 °, and rotate the head to the opposite side of the operation!"
"Copy that!"
Hearing Wu Hui''s words, Anzi didn''t hesitate and completely did what a surgical assistant should do!
Although he didn''t understand why he did it, he did it seriously!
The anesthesiologist on one side asked curiously, "why is this?"
Wu Hui just needs to communicate with the anesthesiologist to do intraoperative wake-up detection, so he explained: "meet the needs of patients to complete tasks when they are awake during operation."
"Awake during operation?!"
After hearing this new term, everyone was stunned!
ANZ suddenly reacted!
Hurriedly asked, "Professor Wu, is this professor Chen Cang''s intraoperative arousal technology?"
Wu Hui did not deny it, but nodded boldly: "yes! This is the teacher''s intraoperative awakening technology."
Hearing Wu Hui''s positive reply, Anzi was immediately excited!
Other people who participated in the operation assistant also cheered up one by one and looked at it seriously.
Chen Cang sat in the office and looked at the scene with great interest. He looked forward to it and was very pleased.
Watching students grow up gradually, for teachers, this joy is very special!
And the venue of the annual meeting of the world neurosurgery Federation!
Everyone is paying attention to this operation. After hearing the "intraoperative wake-up" technology, everyone is no stranger!
Because a few days ago, Professor Chen Cang just proposed and used the "intraoperative wake-up technology" during the head exchange operation!
However, in the past half a month, we still haven''t figured out what this "intraoperative wake-up technology" is? What''s the use and how to use it!
Now, they see this technology again!
Full of surprises!
At this time, finally, Anzi didn''t suppress his inner curiosity and couldn''t help asking, "Professor Wu, why do you use intraoperative arousal technology?"
Wu Hui said: "remove the tumor to the greatest extent and protect the brain tissue to the greatest extent!"
This sentence successfully confused ANZ!
Because
There is a great contradiction between the maximum resection of tumor and the protection of brain functional area!
Blindly emphasizing that total tumor resection will seriously affect patients'' postoperative neurological function and quality of life, and significantly offset the benefits of prolonging survival.
How to balance the degree of tumor resection and the protection of brain nerve function is a great challenge for neurosurgeons.
This is the key significance of intraoperative arousal technology and the localization of neuroelectrophysiological functional area!
This operation is bound to become an important means of brain functional area surgery in neurosurgery.
Chen Cang didn''t think of it!
I got a technology by chance, but it was carried forward by my students!
As we all know, glioma is the most common primary intracranial malignant tumor. A large number of evidence-based medical evidence shows that its prognosis is closely related to the degree of lesion resection.
After Wu Hui finished, everyone fell into thinking!
Wu Hui has no more time to think. He needs to complete the localization of neuroelectrophysiology as soon as possible, and then start intracranial tumor resection!
"Anesthesiologist, stop the injection of propofol!"
The anesthesiologist nodded at the sound!
"Link electrophysiological detector!"
Other surgical assistants quickly began to do it.
This time, Anzi kept quiet and watched Wu Hui operate seriously.
Just after the patient woke up a little, Wu Hui''s eyes brightened and quickly pulled out the laryngeal mask for the patient!
Quickly use the neuroelectrophysiological monitor to locate the functional area!
Place cortical electrodes on the exposed central surface cortex, and then stare at the large screen to locate the central sulcus through the change of wave crest.
tell the truth!
This is also the first time that Wu Hui avoided the motor area in front of the central sulcus to remove the focus under the microscope!
It''s impossible to say you''re not nervous!
At this time, the boundary between the tumor and brain tissue is not clear. Although the location is not deep, it is impossible to achieve total resection as seen by the naked eye.
Wu Hui exposed and separated the white matter edema zone around the tumor with a brain pressure plate, and then picked up the aspirator!
Because of the erosion and infiltration of the tumor, the whole brain tissue is actually very fragile.
If you use a knife, it is easy to damage. If you use a suction device, it can be controlled relatively.
At this time, Wu Hui carefully drew an area with suture!
"Give me the attractor!"
ANZ nodded quickly and handed it over.
At this time, Wu Hui began to suck out the broken tissue!
meanwhile!
The left hand controls the electrocoagulation and cuts off the tumor blood vessels encountered.
The whole process is careful for fear of damaging blood vessels. Do not use the knife as much as possible. If you accidentally let the tumor cells enter the circulation, there will be many troublesome things!
The next whole process is to remove the tumor.
The location of the tumor is relatively deep. Although there are few tumors in the surface area, there are many in the white matter of the brain!
This requires the surgeon to remove the surface, and then remove a piece of nonfunctional cortex, separate the white matter and gradually go deep into the tumor!
This is a patient job!
But Wu Hui is also a patient person. He will never worry.
See the tumor and remove it in blocks!
For those located deep in the motor area or other important functional areas, and the function of this area still exists, it is necessary to observe the patient''s language and limb movement during resection.
At this time, Zhou Huan is half asleep and half awake, and all his nerve reflexes are in!
And that''s why!
During the operation, Wu Hui kept consulting questions, observing the reflection results, and then dealing with the tumor area!
Wu Hui and Chen Cang are two completely different styles!
Chen canglei is swift and vigorous!
Wu Hui is walking slowly, not in a hurry, very calm!
Very much like his character!
Twenty years of precipitation, in exchange for his accumulated wealth, let him deal with it calmly!
Time goes by!
Every surgical assistant was observing carefully without saying a word.
At this time, the people who watched the operation in the venue were also focused for fear of missing any detail!
They have some feelings!
I''m not as lucky as those in the AATS Association.
At least those people have seen Professor Chen Cang''s operation, popularize knowledge and give lectures!
And what about them?
Meeting this stupid president... I really can''t say!
you ''re right!
Now, everyone has attributed Chen Cang''s failure to participate in this competition and this meeting to Dane''s "credit"!
They thought that if it weren''t for Dane, Professor Chen Cang would come in person. What kind of wonderful surgery can you see at that time?
We are sorry to think of this!
At the same time, I have more complaints about Dane!