godfather of surgery

Chapter 386 Crossing the Line of Death

The deepest root of the tumor has not been completely dug out, and the last adhesion with the nerve nucleus has not been separated.

The ballet on the tip of the knife continued, and the scalpel, which had experienced three death threats, continued to move forward without flinching.

The final adhesion has crossed the shallow layer of the nuclei and is deeper than the previous one. The previous time was stripping, but this time it was dug out.

Yang Ping knew in his heart that the previous three dangers were not the most thrilling, and the next cardiac arrest was completely different from the previous one.

Once cardiac arrest occurs, immediate rescue cannot be performed. If the operation is to be successful, he must complete the final separation of the danger zone on the basis of Professor Feng's cardiac arrest.

That is to say, after a sudden cardiac arrest, he cannot be rescued until he successfully completes the operation.

If his operation is not successfully completed, there will be no chance of rescue. If his operation takes too long, even if the operation is completed, the best time for rescue will be lost.

The brain's resistance to ischemia is only 4-6 minutes, and there is still time for everyone to rescue.

After calculating, Yang Ping only had 60 seconds left for his heart arrest surgery.

These 60 seconds will be under tremendous pressure, and the operation will be completed accurately and within the time limit in the most dangerous area.

This kind of test, if it is not for the strong mental quality trained by countless devils, there is no way to do it, it is almost hopeless.

Johannesson has been tortured to death. If he is a layman, it's okay, it doesn't hurt or itches. Look at the excitement. As the world's top neurosurgery expert, he knows almost every step.

Every time Yang Ping operates, the laser knife is like operating on the apex of Johannesson's heart, and he can almost feel the strong expansion and contraction of his heart.

The soaring adrenaline in the body means that the body is at the peak of excitement. After the peak, there will be bursts of cold sweat and continuous muscle soreness.

"Saved!"

Director Han told Professor Zhang that the 80-year-old man's clothes were all wet: "I know—"

But waiting for this moment, I don’t know how many monstrous waves have been turned in my heart. Even if there is an 80.00% probability, when it comes to this operation, it is a choice between zero and [-]%.

The human body is mysterious and complex, and no one can guarantee that it can overcome danger every time.

"How's it going?" Dean Chen couldn't stay in the locker room, so he came out to do some activities.

"Three ghost gates have passed, and I almost couldn't pass just now." Professor Zhang said.

Dean Chen leaned close to the small window on the operating door and looked inside. The operation was going on inside.

After the extreme tension, there is uncontrollable relaxation.

In the entire observation room, all the doctors gathered, most of them were orthopedic and neurosurgeons, and they all felt like they had survived a catastrophe.

But that laser knife did not relax at all, it was still separating, and the separation would go into the deepest part, and the deepest one would now be dug out.

The most dangerous step is coming, whether the operation can be successful or not depends on this step.

Even for the third time, up to 21 heart compressions and electrical defibrillation, it was a brush with death.

This time is different, Yang Ping will directly perform the operation when the heart stops beating, that is, he will directly undergo death time travel, walking side by side with the god of death.

"It's unbelievable. There is no fluorescence imaging, no navigation aid, and the tumor boundary can be positioned so precisely." Johannesson said in admiration.

Johannesson felt that the chief surgeon behind the screen was no longer the young doctor, but his mentor.

His wisdom, his courage, his tenacity, his extreme rational brilliance in the face of illness.

He is not in a hurry, is not bored, is not threatened by death, and is always methodical and meticulous in following the scientific plan.

Any accident, he can come up with a solution.

It's a pity that this operation is only allowed to be disclosed internally. If it can be broadcast live in front of doctors all over the world, Johannesson will definitely let all colleagues put down any work in their hands and concentrate on observing the operation.

What is the limit of human precision, the limit of stability, the limit of rationality—
What this operation embodies is not only the unparalleled surgical operation, but also the thorough research on the anatomy, pathology, and pathophysiology of the disease before the operation.

"Heartbeat is going to stop suddenly again, everyone, remember, don't panic. Except for medical rescue, any other rescue measures must wait until I complete the operation." Yang Ping reminded everyone for the last time.

Because the vibration caused by the rescue will affect the operation, and the nerve nucleus will be damaged due to operation errors, which will not be rescued anyway.

Yang Ping didn't plan to rest any longer, taking advantage of his current state of being very good, he took the most difficult step with all his might.

While separating and stopping the bleeding, the laser knife continued to penetrate.

In the small deep part of the medulla, the laser knife gets deeper and deeper, and the roots extend in all directions, winding and twisting between the nerve nuclei.

Intertwined with the life center, Yang Ping is going to dig out the last one.

Finally, the operation interfered with the vital center, and the electrocardiogram on the screen turned into frightening ventricular fibrillation again.

Once the ventricular fibrillation becomes total cardiac arrest, the chance of rescue will be very slim.

For ventricular fibrillation, the sooner the electric defibrillation is better, but at this time the sterile sheet cannot be lifted at all, let alone the electric defibrillation. Even the anesthetist is careful in injecting epinephrine, for fear of interfering with Yang Ping's operation.

Everyone stared at the ventricular fibrillation on the screen, their hearts clenched and twisted together.

The operating room was unusually quiet. Director Ma looked at the ventricular fibrillation and was worried, for fear that it would suddenly become a straight line and progress to complete cardiac arrest.

The others kept urging in their hearts: hurry up, hurry up, hurry up.

Dr. Wu's two hands are grasping the handle of the defibrillator's electrode plate, ready to defibrillate at any time, and the hand of the itinerant nurse has grasped the tail of the sterile drape, ready to lift the sterile drape.

But Yang Ping is still undergoing surgery, and there is no intention of ending it.

Once the golden opportunity for defibrillation passed, there would be no more chances, but I didn't dare to rush, so I could only act in a hurry, with a burning heart.

The time on the wall panel, the number of the second hand, keeps increasing, and the time is lost bit by bit.

Yang is as stable as Mount Tai, with the coordination of instruments in both hands, cutting, separation, and hemostasis, getting faster and faster, and the dance of the knife tip has to complete the most difficult scene.

"what happened?"

In the observation room, everyone couldn't understand what was going on.

Ventricular fibrillation, still operating?No rescue? Once the best time is lost, no one can rescue it.

Johannesson murmured, "Complete the operation as quickly as possible while the heart is in beating, and have to be rescued after the operation. This is a face-to-face bet against death."

Perhaps, only Johannesson can understand the difficulty, risk and recklessness of this last fight.

It takes a lot of confidence and courage to do such an operation.

There is no way, under the current medical conditions, this is an impact on the limit.

Johannesson's adrenaline was exhausted, and he could no longer support his full concentration, but he still gathered strength, barely stood up, saluted the chief surgeon behind the screen, and then sat back like mud.

The last straw of life is floating on the water, and it may sink at any time.

The laser knife was not affected at all, and separated the bottom of the tumor at the fastest speed. Finally, like digging a sweet potato, the deepest and last root of the medulla was successfully dug out.

"Defibrillation!"

A loud and clear command.

Everyone is like an arrow that has been charged for a long time, and everyone is in position, when the electrode plate of the defibrillator is pressed against Feng Lao's back.

Once, twice, three times, four times, five times, six times——
Electric defibrillation and cardiac compression were performed alternately. This time, only six rounds were used, and electrical cardioversion was successful.

Cardioversion!

Sure enough, he won a gamble with the god of death, the ultimate bet with no way out.

Successfully complete a death crossing.

It was like going through a long darkness, exhausted, and finally saw the light of hope. The tumor in the brainstem area was completely removed, and the remaining upper cervical spinal cord appeared to be very simple.

When the last tumor root system was separated, the tumor was thrown into a metal basin like a tree root with a trace of blood.

Under the microscope, the clean surgical field was observed for a full 5 minutes, and there was no bleeding point before Yang Ping began to rinse.

"He succeeded?" Griffin was exhausted and his voice was hoarse.

Woodhead's eyes were blank, and he asked in a daze, "Successful?"

And Johannesson was too excited to speak, did not hear Griffin's words at all, stared at the screen with dull eyes, and said to himself: "Successful, successful, successful——"

The entire observation room cheered, shaking hands and embracing each other.

In the operating room, the work did not stop, flushing, hemostasis again, the cervical spine and skull base were fixed, drainage was placed, sutured in layers, and the head and neck incision was covered.

Remove the frame and turn the position to the supine position.

After three hours, three long hours, the door of the operating room opened.

Professor Zhang, Han Jiangong, Hong Zhigang, and Dean Chen, the doctors who were looking this way from a distance, all gathered here.

"Vital signs are stable, ready to go back to ICU!"

Yang Ping stood at the door and said.

Director Han hugged him in his arms, his eyes were blurred, and he didn't know what to say.

　Three chapters, more than 1 words, this surgery has just been written, so it is only published today.This operation is too complicated. It is very difficult to write brilliantly in the form of literature and grasp the rhythm and atmosphere. I hope everyone enjoys watching it.

　　
　
(End of this chapter)