When the Doctor Uses A Hack

Once a teratoma is diagnosed, one should strive for early surgical removal!

Even if it is located in the fourth ventricle, it's no exception.

However, no matter what, the risk, spectacle, and rarity of this surgery are all worth watching!

Before the surgery began, everyone was a bit nervous.

In fact, surgery should be performed without emotion, so the outcome is stable.

Everyone is looking forward to the start of the surgery!

To be honest.

Chen Cang himself felt that this surgery was like a king-level wild boss.

This is because the location is too special, and the tumor is entangled with the brainstem, cerebellum, blood vessels, and nerves.

Sure enough!

After the general anesthesia took effect, Chen Cang made a direct midline incision in the posterior fossa and opened the occipital foramen and the posterior arch of the atlas.

When the dura mater was cut open, the vermis swelling in the region of the fourth ventricle was immediately visible!

Upon seeing this, the observers in the room frowned slightly!

The difficulty is quite high!

Next, it's necessary to carefully locate and analyze this teratoma.

At this moment, the teratoma had actually undergone some deformation within the ventricle.

It protruded downwards and backwards into the cerebellomedullary cistern, embedded at the upper end of the spinal canal.

The surface of the entire teratoma was purplish-brown, with noticeable nodules, and its texture was slightly hard and firm.

Just then, a message surged into Chen Cang's mind!

[Teratoma: Level 97, King-level boss! Please be cautious! Please be cautious!]

Seeing the bright red alert, Chen Cang frowned immediately.

It seems the situation might be more difficult than he imagined!

[King-level teratoma, possessing six common blood arteries and branches, intimately connected with the brainstem, straddling the optic nerve region, handle with extreme care!]

Not only Chen Cang, but those around also tensed up upon this realization.

Because they could clearly see, the choroid plexus papilloma was purplish-red like a mulberry, with visible boundaries but extremely complex relationships, many arterial branches, straddling the optic nerve...

This is too complex, isn't it?

Chen Cang took a deep breath.

King-level!

He must win.

Not just for the reward, but also to save this girl.

He actually had one more question to ask the girl once she recovers: why not choose him over Ma Hanhan?

As the surgery began, the assistants around him were very nervous.

Chen Cang, on his end, also dismissed the idea of letting others take charge of parts of the procedure!

After all, this surgery couldn't afford any carelessness.

The first step was still to separate the brain tissue and the teratoma.

As Ma Hanhan carefully used a brain retractor to pull the vermis tissue to both sides, revealing the tumor body.

This was when the supplying arteries from the small branches of the posterior inferior cerebellar artery could also be seen, about three branches on each side.

These needed to be handled cleanly!

However, trying to bypass it, it was clear the space was inadequate.

It was necessary to enter the tumor from below the cerebellar tonsil and the lateral side of the fourth ventricle, significantly testing the operation and angle of both hands.

Chen Cang took a deep breath, finding it hard to maneuver his hands at this angle.

Old Ma came into the operating room as if he were a family member today, his heavy breathing echoing as if she were his daughter.

At this time, the surface blood vessels of the tumor should be coagulated and severed one by one.

This process seemed simple, but it had to be handled carefully, categorized for surgical management, and repaired afterward.

This step was done quickly by Chen Cang!

It took less than ten minutes to complete the whole process.

Then, he directly used a silk thread to suture through the teratoma, gently pulling the tumor backward and placing a cotton pad between the tumor and the floor of the fourth ventricle to reduce intraoperative interference with the brainstem.

Seeing this, the observers were amazed.

What a clever technique!

What precise operation!

What comprehensive thinking!

Chen Cang didn't stop, coagulating the deep bilateral supply arteries.

The tumor's top and lateral aspects were freed before finally severing it from the tumor base!

At this point, many whispered excitedly!

"Can it be removed now?"

"Yeah! Professor Chen is really steady!"

"He handled it so quickly!"

However, just as everyone was about to celebrate, they suddenly found out something shocking!

This teratoma seemed to be adhered to the ventricular tissues!

That revelation felt like a bad omen.

Indeed, the boundaries were clear!

But the adhesion is severe!

How to handle it?

The teratoma was too large, and its base was closely adhered to the floor of the fourth ventricle, making it hard to separate.

Generally, in such cases, a thin layer of tumor tissue remains to avoid damaging the brainstem and causing severe consequences.

But the patient isn't a typical tumor; it's a teratoma!

A key trait of teratomas is their tendency to recur.

If not cleaned thoroughly, they are highly likely to recur!

At this rate, soon, it would be another big trouble!

Thus, clearing residual tissues became particularly crucial!

After a moment, Chen Cang said, "Give me the microscope, adjust it to 8x!"

Indeed, now was the time to use differential microsurgical techniques.

Otherwise...

The brainstem could easily be affected.

Seeing this, everyone hesitated to speak further.

Wanting to remind Chen Cang to reconsider.

But Chen Cang had made up his mind; it must be done.

After wearing the 8x magnifier, Chen Cang felt quite adept under the microscope.

He held the dissector and non-traumatic forceps, carefully peeling away bit by bit.

Everyone watching was tense during this step.

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

The difference in the microscope was evident compared to usual.

And Chen Cang's hand control was at its pinnacle.

Cleansing bit by bit.

Not daring to relax at all!

Beads of sweat densely covered Chen Cang's forehead, neck, and face...

It was truly exhausting!

Chen Cang held his breath and focused.

Not daring to be careless!

This wasn't like a driving test, where you have two attempts, and worst-case, you can retest by paying more.

This only had one attempt.

Strive for it!

This was Level 97 king-level boss!

Chen Cang was curious about what reward he would receive!

Work hard!

Go for it!

Go for it!

The precise operation kept increasing the surgery's difficulty.

Chen Cang felt his undergarment was soaked.

Finally!

When Chen Cang's eyes began to feel uncomfortable after an hour.

The surgery succeeded!

Chen Cang cautiously freed it again from the top and lateral side of the tumor before finally severing it from the tumor's base!

At this point, someone whispered:

"It's open! It's open! It's truly freed!"

"Holy... this is too strong, it's insane he managed to clear it successfully!"

"Yes indeed, clearing it on the brainstem is like pulling teeth from a tiger's mouth, what audacity! So powerful!"

Everyone in the room exclaimed in amazement!

Incredibly powerful.

This surgery once again pushed Chen Cang's technical prowess in neurosurgery to a new level!

...

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