Chapter 131: Lobectomy

The first operation was performed by Chen Wenwei. The operating room was located in a class I special clean operating room on the tenth floor of the Department of Neurosurgery.
Class I is the highest level of air cleanliness in the operating room, with the least dust particles and the lowest bacterial concentration. It is suitable for operations such as brain and organ transplantation.
At this time, Chen Wenwei in a sick suit was lying on the operating bed in a supine position, and was asleep because of general anesthesia. Compared with the early morning hours, the patient's young face shrank a little bit, and the cheeks on both sides were more recessed.
Anesthesiologists and nurses were waiting, not long after the clean corridor door was opened, a group of medical staff wearing sterile clothes came in.
Gu Jun walked among them, and looked at the brightly lit, fully instrumented surgical environment.
It's just ... Although it is not a rough stone road, the things to be carried out are more brutal.
"The patient's signs are stable." Guo Jun, an anesthetist sitting next to the anesthesia machine, said to them, "Anesthetics can still suppress the patient's central nervous system."
Gu Jun looked at the electroencephalogram of the anesthesia monitoring system screen. The signal line showed that Chen Wenwei was in a state of deep hypnosis. The graph looked just like the ordinary person. However, will there be any stress response in the body during the operation? None of them have any experience here.
The standard operation method of leukoencephalectomy is derived from the backward conditions, and the accuracy cannot be guaranteed, which is also the reason for its criticism.
But now there are some more mature methods and more advanced imaging equipment, such as using MRI to accurately locate the target, which greatly improves the accuracy of the operation.
Resection of this site will still be used in cases of contusion, tumor lesions, etc.
Just because the patients with nightmare disease are still in mild stage, their immunity and function are already much worse than before. The surgical plan should consider postoperative recovery. Therefore, the plan is to combine new technologies with old methods, which can effectively destroy the white matter of the brain lobe, and it is less invasive.
But the chief swordsman Kou Xian, Yizhu Song Yilong and others all waited in strict order.
Although each of these middle-aged men is the best neurosurgery expert of the Dongzhou Medical Department, even the four helpers are no exception. It is common to do all kinds of craniotomy, but there is no experience in this brutal way. There is no room for error.
"Let's do it as a normal operation." Si Kouxian encouraged everyone and encouraged himself.
Everyone settles to the side of the operating table-neurosurgery has different positions, the surgeon stands above the patient's head, the anesthesia machine is located on the left, and the power system and instrument table are located on the right. Gu Jun stood behind the device nurse and looked around.
At the same time, through the shadowless camera above the operating table and multiple surveillance cameras around, the situation here is being broadcast in real time on the large screen of a conference room on this floor, as well as the research center of the mental psychology building and the headquarters Over there.
Countless researchers are watching silently, including Professor Qin and Tang Zhifeng.
Soon, each screen was the image of the start of the operation. Chen Wenwei's head was fixed by a three-nail head holder and rotated 90 degrees to the opposite side of the surgical approach. His hair had already been shaved. The hood avoided the surgery department.
The blood was flowing, and the blood was stopped again. They made a scalp incision first, then made a subcutaneous dissection ...
Gu Jun has been staring at the distance. He has read some materials before coming. He has also participated in the pre-operative meeting just now, knowing what this is doing.
A small hole should be drilled on both sides of the patient's head, and each side will be operated in three different positions.
Right now, the main knife of the Si Kou used a unipolar electric knife to cut the temporal fascia, temporal muscle, and periosteal layer, and then the corresponding small piece of muscle skin flap was separated under the periosteal, fixed with a pull hook, and the skull inside was exposed.
"Craniotomy." The surgeon said, and the instrument nurse gave it.
Si Kouxian took a MidasRex craniotomy drill with a small drill bit in his hand and leaned over to aim at the skull of the patient's surgical department, that is, just above the ear canal to prepare a hole. This drilling position has been accurately calculated Too.
The whispering electric drill sounded, and at the same time broke the quietness in many places such as the operating room and command center, and the nervous undercurrent was surging.
In the operating room are old fritters that are used to craniotomy. The most unaccustomed is Gu Jun. His hands and feet are always more chilly than the limbs.
He just looked at the high-speed drill bit, which could not be seen clearly, and bit through the patient's hard skull ...
Next, Song Yilong used a spatula to remove the bone debris under the drill hole, and Si Kouxian took over a "white matter cutter", which was like a large screwdriver. The rod handle was connected to a long rod that extended into the brain. Thin probe, open on the side, and no tip.
However, there is a wire loop hidden at the opening of the end. As long as the handle is pulled, the wire will pop up and turn around under the pulling action to cut the nerve fiber.
At this time, Si Kouxian extended the cutter probe from the drill hole into the patient's brain, reached a preset position, and stopped.
Song Yilong probed with the probe of the surgical navigation system. The computer screen next to it combined with the MRI image data obtained before the operation and displayed the brain situation in 3D images, allowing Si Kouxian to adjust the position of the cutter probe accurately.
"This is the operation that won the Nobel Prize."
Si Kou Xian murmured, and as soon as he pulled the handle of the cutter, there seemed to be a click. The invisible wire loop popped up and destroyed a part of the patient's forehead ...
Complete one place on this side, and there are two places.
The air in the operating room seemed to be condensed, and Gu Jun looked expressionless. What kind of brain damage this would cause could not be clearly predicted.
But he knows that if the treatment of nightmare disease does not make progress, this will only be the beginning, and there will be many operations.
Double-sided buckle back damage surgery, hemisphere resection ...
In short, the medical department will cut the patient's brain here and there, and see what happens.
This seems to violate humanitarianism, but the patients have no choice, nor do their doctors.
In the face of the plague that could not find a cure, they returned to the and foolish old times in an instant.
Si Kouxian had not adjusted the cutter. Suddenly, at this time, a sudden beep sounded through the operating room, and a situation they worried about appeared. Anesthetist Guo Jun said anxiously: "The patient's heart rate is too fast! The electroencephalogram has also deviated, this ..." The data on the screens of the monitoring instruments have been messed up.
No matter what the crowd is doing, a hoarse and weeping sound sounded from the patient's head.
"Ah." The equipment nurse exclaimed first, and there were tour nurses and a group of doctors, all of whom changed their faces dramatically.
Chen Wenwei, who had a hole in the head of the operating table and a cutter, was suddenly opened his eyes and made a sound, and his eyes were only muddy and cloudy ...
"Command center, the patient ... the patient woke up." Si Kouxian was also stunned by the first reaction to this scene ~ EbookFREE.me ~ Although there have been patients' pre-plans of stress reactions-that is also under anesthesia The function of it has changed.
For a long time, there are very few patients who suddenly wake up during various operations, can feel pain, can hear the voice of medical staff, but they can not move and speak. Because the anesthetic has failed, there is also a muscle relaxant, and the patient cannot control his muscles.
Chen Wenwei at this time was able to open his eyes and speak.
"Wen Wei?" The expression on Si Kou Xian Guo's face stabilized, and he immediately asked, "Wen Wei, can you hear me?"
But Gu Jun looked over there, a sudden and strong sense of danger emerged in his heart ...
"Ph ..." Chen Wenwei's body didn't move, and his head didn't twist, but his complexion became pale and pale, and bloodshot eyes filled with bleeding water. The hoarse and strange voice continued to say from his mouth, "nglui ... … Nafh ... Cthulhu ... "
Gu Jun suddenly glared, and I could hear that sentence!
"Ph \ 'ngluimglw \' nafhCthulhuR \ 'lyehwgah \' naglfhtagn"
Almost at the same time, he felt that there was a huge mental shock wave like a tsunami rushing violently, and burst out of Chen Wenwei.
"Ah !!" The nearest Si Kouxian and Song Yilong suddenly screamed, holding their heads instinctively with both hands, and most of their faces covered by masks instantly turned pale, and their bodies were shaky.
Immediately afterwards, the second assistant, third assistant, fourth assistant, anesthetist and a group of nurses, all the medical staff in the operating room except Gu Jun, were overwhelmed by violent pain!