Chapter 1538 Born Chen Cang Must Be Useful! (Sixth More)
However, there are still many people who don't know why Chen Cang suddenly chose to sit for surgery!
Although they have heard of this kind of surgery, they chose it because of the opening of the surgery!
This kind of pineal surgery chooses sitting surgery, how to think and how to be confused!
In the domestic live broadcast room, a person exclaimed:
"Oh I got it!"
Everyone around thought that this person understood, and quickly asked: "Why choose?"
"Boss, ask for confusion!"
The man said mysteriously: "Think about it carefully, I will tell you later!"
"Cut, pretend!"
At this moment, a man couldn't help but send out two words: "Gravity!"
Suddenly, everyone fell silent.
At this time, Chen Cang explained to the film: "In the sitting position, the surgeon and the patient's body are in a parallel state, which provides sufficient operating space for the surgeon, which is beneficial for both hands to operate and reach deep structures.
Therefore, after I carefully looked at the patient's film just now, I suddenly felt that this sitting position is actually an "excellent position" for the removal of lesions in the fourth ventricle, brainstem (pons), and pineal region! "
As soon as these words came out, everyone suddenly realized.
Sometimes, this comfortable surgical position really makes a big difference.
After all, the operating space of the chief surgeon is not large.
but……
Is that all there is to it?
Chen Cang continued: "Of course, the most important thing is that the venous pressure in the surgical field is reduced and the bleeding is reduced in the patient in the sitting position.
And due to the effect of gravity, bleeding and leakage of cerebrospinal fluid can be naturally drained to keep the surgical field clean.
The vertical position reduces venous pressure as well as intracranial pressure, greatly reducing swelling of the cerebellum, while also reducing traction and damage to the cerebellum. "
"In this way, when we operate, we can not only reduce the possibility of some unnecessary complications, but also better expose the pineal region, which has certain benefits!"
After hearing Chen Cang's explanation, everyone suddenly felt a sense of empowerment.
Even Bertie was frowning. He didn't expect that there would be so many advantages in sitting surgery!
Maybe after going back, I should really study and study various details related to surgery!
There is so much knowledge in one surgical position.
To be honest, Bertie was a little ashamed!
Not only Bertie, but everyone watching the surgery in the live broadcast room immediately started recording after hearing Chen Cang's words!
Because they were surprised to find that Chen Cang's idea was really too special!
This is simply a genius!
Uncompromising genius.
"Where is Mayo's modified surgery? Professor Chen changed the surgical position directly from the beginning. It is very likely that this will be a new pineal tumor removal surgery. Copy the video!"
"Yes, before the operation started, Professor Chen directly improved the operation method. I am looking forward to the operation more and more!"
...
Bertie was a little shocked.
real!
He didn't expect Chen Cang to change the technique from the very beginning.
If so...
And Louise watched the live broadcast with an uneasy expression, her eyes suddenly widened.
Somewhat at a loss!
This...this...this Chen Cang is acting as a demon again!
Is it uncomfortable to lie down on your stomach? Don't sit for surgery!
In fact, although those professional top neurosurgeons have not seen the follow-up surgery, they already understand one thing: the sitting position has an incomparable advantage over the supine position surgery!
Surgery begins!
Chen Cang still chose to improve the Poppen approach.
Skilled craniotomy on the right side.
After the six burr holes were opened, the bone flap was taken out, and the bone at the lower edge of the bone window was removed with a rongeur to expose the upper edge of the transverse sinus.
And this time, Google's high-tech products are used!
With the support of Google's microscopic imaging technology, Chen Cang held the probe carefully and moved forward.
The pineal region is a complex anatomical region, its shape gradually changes from an inverted triangle to a trapezoid and a triangle from anterior to posterior. The important structures and blood vessels in this region include: the pineal gland, the posterior part of the third ventricle, the thalamus nucleus, Internal cerebral vein, great cerebral vein, third ventricle choroid plexus, straight sinus, etc.
Therefore, if traditional surgical instruments are used at this time, it is likely to face a very difficult surgical separation method.
At this time, Google Microscopy technology is to magnify various structures on the computer screen through various technologies.
Be aware that the pineal region has a dense network of veins.
It is difficult to separate a single vein during surgery.
Moreover, the anatomy of venous structures in the pineal region is highly variable, and intraoperative venous injury and morbidity are closely related.
Injury to the veins close to the deep brain and dorsal midbrain can increase the probability of surgical complications. Therefore, when choosing the appropriate surgical approach for tumor resection in this area, the impact of deep veins on tumor resection should be carefully considered. The integrity of the vein is preserved to avoid serious complications from vein injury.
Beside him, Bod looked at Chen Cang operating the microscopic imaging dissector. To be honest, he was also apprehensive, for fear that something might go wrong with Chen Cang!
However, with every step of Chen Cang's operation, Bodie was surprised to find that Chen Cang's ability to control this instrument was even better than himself!
Moreover, he watched the process of Chen Cang's continuous penetration of the probe through the complex venous plexus on the computer screen.
Bertie has an illusion!
You can do it with ease!
Familiar with the road!
Very skilled!
Yes, that's what Bertie had in mind.
But... how is this possible?
Obviously Chen Cang only came into contact with this instrument yesterday, how can he have such a skilled control today?
It's unbelievable!
Moreover, the feedback after the magnification is in the computer stereo imaging, and the restored picture is difficult for ordinary people to master.
And Chen Cang... doesn't seem to be uncomfortable at all.
Even, there is a feeling like a duck in water.
This really made Bertie have to be careful.
This is too great!
At this time, everyone in the live broadcast room went crazy.
"My God, this instrument is amazing!"
"Yes, with such microscopic stereo imaging results, the surgical safety factor and controllability will definitely be greatly increased!"
"It's amazing. Look, why do I feel that this instrument was designed for Professor Chen? Really... so smooth!"
After the operation of Louise Chen Cang at this time, she was stunned!
She couldn't help but ask the engineer beside her: "Mr. Connor, this... Is that how our instruments are used?"
Connor is a technical consultant. He stared blankly at the big screen and covered his mouth!
"Sorry... I'm sorry, I really didn't expect our products to be used like this, and you see, Miss Louise, this operation makes the picture more three-dimensional!"
"Where did you get Professor Chen from, he... is a genius!"
"Miss, can you invite Professor Chen to Google? He must be able to do the job of product evaluation!"
Louise was dumbfounded...
She has some doubts about life!
Is this the person who read it for four hours yesterday and understood?
...
...
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