In the live video of the operation, the shape of the patient''s brain appeared.


    Arachnoid thickening, brain atrophy and polycystic changes can be seen with the naked eye.


    The patient''s brain atrophy is very serious, and there is a large gap between the intracranial brain and the skull on the operation side. Huang Tianci estimates that if the patient has intracerebral hemorrhage, there will be no autonomic symptoms within 100ml.


    100ml is a conservative estimate, and there will be no problem with 200-300ml.


    Although the brain shrinks as a whole, the temporal lobe is abnormally "developed". Huang Tianci wondered why. He whispered, "old director, have you seen this?"


    Lao Zhai frowned intently at the live broadcast and shook his head slightly. "Normally, the temporal lobe should not be so developed, but should shrink like other tissues. Did Wu Mian delay the operation just because he found that there was a problem with the temporal lobe?"


    "It shouldn''t be. The preoperative image data hasn''t been sent, but I feel that Wu Mian and Chu Zhixi should have seen the film many times before the operation and know it well." Huang Tianci said, "especially when the neuronavigation equipment sets the surgical approach, it must have been tempered."


    Director Zhai nodded and continued to concentrate on the operation.


    During the live broadcast, Chu Zhixi made a ventriculocentesis to release cerebrospinal fluid to further collapse the affected side of the brain in order to facilitate the operation.


    Expose the lateral fissure, tear the arachnoid, carefully pull the frontotemporal lobe and examine it near the saddle.


    The two tiny neurosurgical microsurgery forceps are a little free, and the middle cerebral artery is gradually and clearly exposed.


    In this step, Chu Zhixi, the operator, and Wu Mian, the assistant, were very cautious, and the speed was not fast. Every small branch was exposed as much as possible to reduce side damage.


    The live broadcast on the screen is not like doing an operation, but the live picture of making local anatomical specimens. The micromanipulation of Chu Zhixi and Wu Mian is very subtle, and each action is difficult to distinguish on the big screen.


    Fortunately, the side of jianxie hospital was well prepared. At the moment of microscopic operation, two visual fields were opened on the right side of the screen, one is Wu Mian''s microscopic visual field and the other is Chu Zhixi''s microscopic visual field.


    The scope of the operation is only a millimetre. The process of dissociation is nothing special. No matter who does it, it is the same dissociation. But Chu Zhixi and Wu Mian had a tacit understanding of cooperation, and there was no interference or influence between them.


    The internal carotid artery, middle cerebral artery, anterior cerebral artery and their bifurcations appear in the operation field bit by bit.


    Until the middle cerebral artery separated from the distal end of the lenticular artery, it was double clamped with a silver clip and cut off; The doctors in the conference room breathed a sigh after the anterior cerebral artery separated from the distal part of the anterior communicating artery and cut off the artery with a silver clip.


    It''s good if there is no massive bleeding. If you are not careful and make a slight mistake here, a small branch blood vessel will be broken and bleed, and the whole operation field will turn red and can''t see anything.


    Bleeding has always been a major problem in neurosurgery.


    Unlike chest surgery and general surgery, as long as we don''t catch up with the extreme situation, how much blood will not affect the operation field. After all, there is no problem that the chest can hold 3000ml of blood, and the volume of the abdominal cavity is larger.


    The aspirator is inserted and the blood is sucked out. In this case, the chief surgeon considers not the surgical field, but the problem of hemorrhagic shock.


    However, the scope of neurosurgery is intracranial. One side of the patient''s brain atrophy can only "hold" 2-300ml more blood.


    The operation was so fine that Huang Tianci sincerely sighed in his heart. He looked at the time and used 42 ′ 22 ″ to free the middle cerebral artery and anterior cerebral artery.


    The operation was also very general. Although it was meticulous, it was too slow... Thinking, Huang Tianci suddenly fell into a trance.


    He realized that he had forgotten something.


    From the beginning of dissociation until the distal artery was clamped with a silver clip, there was no bleeding!


    The operation area is so clean that it doesn''t even have blood. It doesn''t look like a neurosurgery at all!


    Huang Tianci was familiar with neurosurgery, but he didn''t know which blood vessel was broken. The exposed blood dyed all the fields red, and nothing could be seen in the field of microscopy.


    Alas, how important it is to have a good assistant. Huang Tianci sighed in his heart.


    If I had an assistant of Wu Mian''s level, the operation would certainly be able to achieve this fine degree!


    Sure!!


    Sure... Maybe.


    The operation continued, slowly and firmly.


    After 22 '', the cerebral cortex surface entered the drainage vein near the sagittal sinus, that is, the superior cerebral vein was separated, and then bipolar electrocoagulation was cut off.


    Next, it''s time to lift the back of the temporal lobe and free the Labb é vein and the drainage vein on the occipital lobe. Huang Tianci thought in his heart.


    Chu Zhixi and Wu Mian''s operations are step-by-step, like textbooks.


    There is no grandstanding operation. From the beginning to now, all operations are simple and plain, which makes people calm. It''s not like watching hemispherectomy, which is more difficult than the sky.


    Each step seems to give the viewer a hint that the operation will be successful.


    Huang Tianci knows that success is inevitable as long as the operator does not consume too much energy because of the operation time and process, and has been operating at the current stable level.


    But that''s the problem.


    Can anyone focus for 12 hours, or even 15 hours? impossible.


    Maybe there will be mistakes in the next step. Huang Tianci stared at the video and kept comparing the operation process of Chu Zhixi and Wu Mian with his own experience.


    A hand wearing white sterile gloves opened the back of the patient''s temporal lobe, but at this time, the live signal began to flash.


    Like the old TV in the 1980s, the signal is not good, so we need to debug the signal receiver. The art field on the screen began to distort, and there was a faint sound from the stereo.


    What''s the matter? Even if there is a problem with network signal transmission, it is stuck and delayed, not like now.


    Huang Tianci looked at the picture suspiciously.


    Fortunately, the distortion time of the screen field is not long. After about 20 ", the screen signal returns to normal.


    Huang Tianci didn''t care. After all, it''s remote transmission. No matter which link goes wrong, it will lead to abnormal conditions. I''m just a doctor, not a network engineer. I don''t want to understand it.


    But the hand in the operating room seemed to notice something. Instead of fixing the patient''s temporal lobe with a fixator, he slowly changed direction again.


    The signal transmission has a problem again, and the noise is disturbing.


    Can temporal lobe movement affect network signals? Huang Tianci was puzzled.


    However, when the signal turned better, the posterior temporal lobe of the patient had been fixed, and Chu Zhixi and Wu Mian began to free the Labb é vein and its drainage vein on the occipital lobe.


    The scene just now seems to be just an illusion given by Huang Tianci. It doesn''t exist at all.