Chapter 609 S+ reward! So envious!

Can it be like this?

Normal neurosurgeons are very cautious before separating the lateral fissure. Before cutting, they need to carefully observe the shape and branches of the superficial veins of the lateral fissure, determine the anatomical plane of separation, and repeatedly deduce and plan before daring to start...

Even with such caution, doctors still often encounter situations where it is difficult to locate the anatomical level and have no idea where to start.

However, in Xu Qiu's hands, first this way, then that way, with two clicks, the superficial lateral fissure that is tightly attached to the deep part is separated just like this...

"So that's it!"

The director's eyes lit up.

At this time, he finally noticed the details of Xu Qiu's operation... While using the gem knife, Xu Qiu also used the needle of the syringe to pick up the lateral arachnoid membrane, injected physiological saline into the lateral fissure, and ensured the accuracy of the operation by expanding the lateral fissure.

"Bipolar temporal."

Xu Qiu's voice sounded again, and he had entered the brain fissure pool at this time.

The tweezers gently separated the tissue gap, and Xu Qiu's other hand was not idle. He took the brain cotton and gently pressed it on the edge of the posterior brain tissue, and then exerted a little force to reveal the connection of the lateral fissure with pressure.

Xu Qiu reached out his hand again, and before he could speak, the director of neurosurgery immediately handed him a scalpel.

Sharp separation...

Cut open the arachnoid membrane that adheres to the frontal lobe and temporal lobe...

With the sound of the tissue being cut open, the sylvian fissure was fully displayed in front of everyone. Under the shadowless lamp, the white bifurcation of the middle cerebral artery and the insular threshold seemed to be still steaming and full of vitality.

"This is life." Xu Qiu sighed in his heart.

If the rescue is given up, these blood vessels that are beating desperately will quickly shrink within a few hours, and a fresh life will pass away in a flash.

"Five minutes... Five minutes to enter the sylvian fissure!" When the director of neurosurgery saw the pulsating blood vessels, he could no longer restrain the shock in his heart and spoke involuntarily...The average speed of clinical doctors is about half an hour. Xu Qiu's operation is obviously more outrageous than the rumors!

"So this is the keyhole technique!" Other doctors also gained knowledge.

The bone window used by Xu Qiu for craniotomy is very small, with a diameter of only about two centimeters, which is considered minimally invasive among minimally invasive surgeries.

Generally speaking, the size of the window opened during surgery is directly related to the surgical field of view. A two-centimeter bone window almost means that the surgical area is pitch black, and the range of operation is too small, so the surgeon cannot see and cannot perform surgical treatment.

However, the bone window opened by Xu Qiu is very sophisticated, and he cleverly uses the door mirror effect, that is, the cat's eye effect, to achieve a very small incision, sufficient light and surgical field...

As for the limitations of operation, Xu Qiu used a surgical microscope with an electromagnetic lock switch, an operating table with adjustable body position, and a series of special microsurgical instruments such as fine tube scissors, micro forceps, and aneurysm clips with a 360-degree rotation function, etc., supplemented by a neuroendoscope, so that a narrow "keyhole" is enough to insert three surgical instruments at the same time...

The bone window is only two centimeters, but Xu Qiu handles it very calmly!

"If it were me, I might not be able to do it..." The director of neurosurgery simulated the current scene. If he was given such a keyhole bone window, it would be impossible for him to insert two suction devices, two strippers and an aneurysm clip at the same time like Xu Qiu, and use them smoothly.

This is the surgical skills.

Even if they were taught the key points of keyhole surgery, it would be difficult for them to reach Xu Qiu's level.

"However, a two-centimeter bone window is very difficult. We can start with a 2.5-centimeter or even 3-centimeter one. This technology will greatly increase the minimally invasiveness, safety and effectiveness of aneurysm clipping!" The director of neurosurgery's eyes lit up... Xu Qiu brought too many surprises to Greentown First Hospital.

...

Expose the aneurysm, then separate and clip...

Two hours later, the operation was finally over.

The director of neurosurgery still felt a little unsatisfied... It was too fast, and he hadn't reacted yet!

Other doctors were reluctant to wake up from their intoxication.

For doctors who study technology, watching Xu Qiu's surgery is like an intracranial climax. Every operation, every detail, every precise control of the knife, etc. are amazing.

"Done."

On the right side of the operating table, Xu Qiu also breathed a sigh of relief. His forehead and back were covered with sweat... The high concentration made his energy and physical strength consumption far exceed that of the past. The fatigue caused by the two-hour operation was even higher than that of the previous six or seven-hour operation.

Fortunately, Xu Qiu has improved the upper limit of energy and physical strength many times, otherwise, for this operation, both the patient and he would have to be pushed out.

"But the effect is also amazing!"

Thanks to the improvement of surgical skills and the auxiliary bonus of the special title of "Master of Brain Surgery", the patient's operation was surprisingly successful.

"Ding! Congratulations on completing a keyhole clipping of an intracranial aneurysm!"

"Surgery rating: S+!"

"You get a reward: proficiency +3%!"

"You get an additional reward: surgical damage -50%! Prognosis +20%! Postoperative complications -20%!"

As the system's voice ended, Xu Qiu was pleasantly surprised.

S+ rating!

He thought that S was the limit, but he didn't expect there was an S+ above it!

It seems that he still has a lot of room for improvement. If he can get a stable S rating, he can still continue to improve.

However, S+ is really difficult.

Master-level craniotomy, master-level microsurgery experience, master-level neuroendoscopic intracranial tumor resection... and so on, and finally, with the comprehensive increase brought by the key title of brain surgery master, Xu Qiu could barely get the S+ rating.

If other surgeries want to achieve this step, they must at least be upgraded to the perfect level.

"But the rewards of S+ rating are also very tempting!"

For S rating, the proficiency increase is generally around 1~1.5, and it is rare to reach 2, but S+ directly gives 3 proficiency points.

The additional rewards are even more generous.

Among them, the surgical injury is the most coveted... Surgery, even if the wound is small, is a serious injury to the body, especially major surgery and cranial surgery. Some surgeries even hurt the enemy a thousand and hurt yourself eight hundred.

The reason why the prognosis of this operation handled by Xu Qiu was extremely poor was that on the one hand, the patient's condition was very critical, and on the other hand, even if the operation was successful, the damage caused by the operation itself would further aggravate the condition, and the probability of postoperative bleeding, cerebral vasospasm and hydrocephalus would be very high.

Once the above sequelae occur, it is hard to say whether the patient can wake up again.

Although Xu Qiu replaced the cerebrospinal fluid twice before the operation and made all the preparations he could, it can only slightly reduce the probability of occurrence. There is not much difference between 80% and 70% after the reduction.

This is why Greentown First Hospital is reluctant to accept the patient... For the hospital, the best outcome of accepting a person is a deficit of nearly 100,000 yuan in medical insurance, and the worst outcome is a lawsuit for life. Who dares to operate?