Chapter 559: One man's strength! The whole hospital is shocked!

Those words were like lighting a powder keg.

The craniotomy technique that Fu Yi is most proud of, or the only one he can master, is the most advanced one in the country.

Can Xu Qiu single-handedly eclipse everyone else, including the chief director?

"ridiculous!"

The chief director slammed the table angrily, and was about to leave angrily, but his neck stiffened the next moment. He stared closely at the new content on the screen, and his teeth chattered uncontrollably.

"Stereotaxic Combined Radiation Occipital Median Infratentorial Craniotomy"

"this……"

The director suddenly felt that his brain was a bit out of use.

This surgery is a difficult problem that he has been trying to overcome in recent years.

Surgery is extremely versatile and can be used for puncture biopsy before chemoradiotherapy for malignant tumors, expectant therapy for various benign tumors, related approaches to the posterior fossa, and most importantly - stereotactic radiotherapy.

It can be said that if this craniotomy can be successful, then the most troublesome chemotherapy for many brain malignant tumors will be perfectly solved.

With the smallest wound and lowest risk, we get the best treatment effect.

In addition, this surgery can also completely remove midline and paramidline lesions and quickly resolve obstructive hydrocephalus.

And the coverage is very wide.

Even exophytic tumors in the cerebellar hemisphere, the fourth cerebellum, the pineal region and the dorsal side of the brainstem can be perfectly solved by stereotaxic combined with radial occipital midline infratentorial craniotomy!

The only two drawbacks are those who cannot tolerate surgery and the inability to perform surgery on lesions outside the posterior fossa.

Among them, "the patient cannot tolerate the surgery" is not a shortcoming, it is the patient's problem.

"How can it be!"

The director exclaimed subconsciously.

Their department has been studying this technology for three or four years, but has made little progress.

However, Fuyi attaches great importance to "Stereotaxic Combined Radiation Occipital Median Infratentorial Craniotomy" and believes that once successfully pioneered, the scope of craniotomy can be expanded laterally, further increasing Fuyi's monopoly on craniotomy...

But now, the technology they have been looking for for a long time is actually put in the first place by Xu Qiu?

Director Liu's eyes were also full of disbelief. He forced a smile and said: "It's impossible, it's just a bluffing title..."

Not far away, Tang Yunshu quietly breathed a sigh of relief.

The situation was finally brought under control.

If the director had just left like this, it would be hard for her to end the situation.

On the one hand, Fuyi's status in the field of craniotomy is too high and too important for her to offend.

However, Xu Qiu was also a national treasure-level talent named by Shen Hua who must be protected, so he could not be treated badly.

If the two parties really had a conflict, Tang Yunshu would be very uncomfortable being caught in the middle.

"It turned out to be stereotaxic combined with radiation, mid-occipital and subtentorial craniotomy... Xu Qiu can do this?" After Tang Yun breathed a sigh of relief, he was also shocked.

At this time, Mo Wan and Tong Yan nodded at the same time.

This is the correct reaction when facing Dr. Xu.

Give you a little genius shock that only clinical doctors have experienced!

…

On the field, Xu Qiu swept across the field and took in everyone's reactions.

All this was as he expected.

Xu Qiu also guessed that everyone in Fuyi was angry and angry.

It's just that he didn't expect that as the head of the department of one of the four major hospitals, he would be so out of control that he would leave on the spot...

It now seems that he put stereotaxic combined with radial occipito-median infratentorial craniotomy in the first lecture, which was a very wise choice.

"Xu Qiu, why are you still dazed? Let's start quickly." Director Liu, who had a long face, urged.

Xu Qiu came to her senses and pressed the next page again.

At the same time, lectures began.

At this moment, the master's experience and skills in craniotomy were all integrated, almost turning into Xu Qiu's instinct. He seemed to have been immersed in craniotomy for more than decades, and talked about the technique that he was already familiar with.

“This surgery has three key steps: positioning, bone window extent, and watertight dura mater suturing.”

"Let's talk about body position first. Except for severely obese patients, I recommend the prone position as a routine. This position is the most comfortable for the surgeon to operate, and at the same time, it can also ensure the largest surgical field. In addition..."

"Before positioning, you need to fix the three-wing nails on the head first. The front nail is placed on the temporal part, and the rest are fixed according to the conventional method. However, two points must be done: First, the squamous part of the temporal bone cannot be used as a fixation point. ;At the same time, the single rod of the head frame system must be rotated above the root of the nose, and there is a little..."

"After that, there's the osteotomy."

"This step is much more complicated. To put it simply: the scope of the bone window needs to be based on the purpose of the surgery. For example, tumor surgery must be based on the location of the tumor."

The director and others woke up from their state of concentration.

The body position, the fixation of the three-wing pegs on the head and the head frame system made their eyes shine.

These details were things they had not considered before.

However, with Xu Qiu's in-depth explanation, they gradually understood and realized that these subtle surgical treatments would make a huge difference in the final surgical effect.

However, when the scope of the bone window was mentioned, a sarcastic smile appeared on their faces.

The two most annoying words in Chinese food are "moderate amount".

The same is true for clinical surgery. What does "depending on the location of the tumor" mean?

If it was just like this, and they had achieved this, why would they use Xu Qiu to teach?

What troubles them is that they cannot determine the scope of the bone window.

However, Xu Qiu's next words shocked their hearts!

"In order to solve this problem, I found a new way. This is why I call it "stereotactic combined with radial occipital midline infratentorial craniotomy." With the help of stereotaxic, this technique can open a suitable bone window at the minimum cost. !”

The director's pupils contracted violently.

Is there a way to crack it? !

Xu Qiudao: "Under stereotaxy, starting from the cerebellar hemisphere, we can avoid the venous sinuses that are almost helpless in conventional surgery. Then we drill into the dura mater, change the drill, and continue to remove the bone to form a flap until we remove the atlantoconus. Back bow..."

"Then, suspend the dura mater and make a Y-shaped incision... This step can easily cause dural venous lake bleeding. It is very difficult to stop bleeding and should be avoided as much as possible. But if bleeding occurs, there are two key points. First, venous For bleeding, it is forbidden to use electrocoagulation to stop bleeding, and only shorthand gauze pads can be used to compress and stop bleeding. Secondly, if it is arterial bleeding, the bleeding artery, bleeding point, etc. must be determined as soon as possible, lower the bipolar power, and use gentle electrocoagulation. , remember to stop bleeding excessively!”

"If it is a primary lesion in the cerebellar hemisphere, the surgical method is slightly different. The surgeon needs to incise the cerebellar cortex transversely along the texture, separate the cerebellar hemispheres on both sides, and reach the fourth ventricle through the transmedullary velum approach until the lesion is completely exposed , the operation method at this time is slightly different from conventional surgery..."