Once a teratoma is diagnosed, early surgical resection should be achieved!

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

But no matter what, this surgery is risky, viewable, and rare cases are worth watching!

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

In fact, the surgery should not be done with emotion, so that it can be stable.

Everyone is looking forward to the beginning of the operation!

And to be honest.

Chen Cang himself felt this surgery, and this should be a king-level wild monster.

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

Sure enough!

After the general anesthesia came into effect, Chen Cang directly incited directly in the midline of the posterior cranial fossa to open the foramen magnum and the posterior arch of the atlas.

After the dura mater was incised, the vermis in the fourth ventricle area were immediately seen!

After seeing this scene, everyone who watched the operation frowned slightly!

It's a bit difficult!

Next, we need to carefully search and analyze this teratoma.

At this time, the teratoma actually had some deformations in the brain ventricle.

From the mesoporum, it proceeds backward toward the cerebellar medulla sect, and is embedded in the upper end of the spinal canal.

The entire teratoma surface is purple-brown, with obvious nodules and slightly hard and tough texture.

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

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

Looking at the bright red prompt, Chen Cang immediately frowned.

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

[King-grade teratoma, with 6 common arteries and branches, closely connected to the brainstem, and has a cycling span to the optic nerve area. Please be careful and careful to deal with it!]

Not only Chen Cang, but everyone around him suddenly became nervous after seeing this scene.

Because it can be clearly seen that the choroidal plexus is purple-red like a mulberry-shaped body. Although the surrounding tissues have obvious boundaries, their relationship with the surrounding neighbors is very complex. Many blood-supplying arteries and optic nerves have crosses...

Is this too complicated?

Chen Cang took a deep breath.

King level!

You must win.

Not only for rewards, but also for saving this girl.

He actually had another question to wait for the girl to get out of here and ask himself: I am not as good as this Ma Hanhan.

At the beginning of the operation, several assistants around were nervous.

Chen Cang also gave up the idea of ​​letting everyone take the lead in completing part of the sword!

After all, this surgery may not be careless.

The first step is to free brain tissue and teratoma.

When driving, carefully use a brain pressure plate to pull the vermis tissue to both sides to reveal the tumor main body.

At this time, you can also see that the blood-supply artery comes from a small branch of the inferior posterior cerebellar artery, about 3 branches on each side.

All of these need to be handled cleanly!

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

The tumor must also be entered from below the cerebellar tonsils and on the side of the fourth ventricle, which will greatly test the operation and angle of both hands.

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

Lao Ma's relationship today is the identity of his family member entering the operating room, and his whimpering sound seemed to be the same as his daughter.

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

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

Chen Cang did this step very quickly!

It took less than 10 minutes to complete the process.

Then, he directly used silk thread to suture the teratoma, gently pulled the tumor backward, and placed it between the tumor and the bottom of the fourth ventricle to reduce the harassment of the brain stem during the operation.

This scene made everyone lit up.

What a clever technique!

What a precise operation!

What a thoughtful idea!

Chen Cang did not stop, and the blood-supplying arteries deep on both sides were electrocoagulated again.

The top side of the tumor floats in the front and finally breaks from the base of the tumor!

At this time, everyone whispered in excitement!

"It can be removed!"

"Yes! Professor Chen is really stable!"

"It's actually handled so quickly!"

However, before everyone could have time to be happy, they suddenly discovered something in surprise!

This teratoma seems to have an adhesion to the tissues in the brain ventricle!

This news is like a 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 is closely adhered to the base of the fourth ventricle and is difficult to separate.

Generally speaking, thin-layer tumor tissue remains at this time to prevent damage to the brainstem and cause serious consequences.

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

A very important feature of teratoma is that it is prone to recurrence.

Once cleaned up, it is very easy to recur!

At this speed, soon after, it will be another big trouble!

Therefore, it is particularly important to remove residual tissue!

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

Indeed, at this time, a different microsurgery must be used.

otherwise……

The brainstem is easily affected.

After seeing this scene, everyone wanted to speak but stopped.

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

However, Chen Cang had made up his mind and had to clean it up.

After wearing the eight-fold lens, Chen Cang felt very good under the lens.

He held the stripping ions and non-invasive tweezers in both hands, carefully stripping them bit by bit.

This step made everyone nervous.

No one dared to vent loudly in the operating room, let alone speak.

The difference between microscope and usual is reflected.

Chen Cang's ability to control both hands is extremely accurate.

Clean up a little bit.

Don't dare to relax at all!

The dense beads of sweat were covered with dense beads of Chen Cang's forehead, neck, and face...

It's really hard!

Chen Cang held his breath and concentrated.
To be continued...