The 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 to the nerve nucleus has not been separated.

The ballet on the tip of the knife continued, and the scalpel, which had been threatened with death three times, continued to move forward without flinching.

The last adhesion has crossed the shallow layer of the nucleus, deeper than the previous one, which was peeling off, this time digging out.

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

Once cardiac arrest occurs, he cannot be rescued immediately. 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 cardiac arrest, the rescue can only be carried out after he successfully completes the operation.

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

The brain ischemia-resistant time is only 4-6 minutes, and there is still time for rescue.

Yang Ping calculated that he had only 60 seconds left for the cardiac arrest operation.

These 60 seconds will be under enormous pressure, in the most dangerous area, within a limited time, to accurately complete the operation.

This kind of test, if it weren't for the strong mental qualities cultivated by countless devils, would be impossible, almost desperate.

Johanneson has been tortured to the death, if it is a layman, it is fine, it does not hurt or itching, look at the excitement, as the world's top neurosurgery expert, every step is almost clear.

Every time Yang Ping operated, the laser knife seemed to operate on the apex of Johanneson's heart, and he could almost feel the strong expansion and contraction of his heart.

The soaring adrenaline in the body is the peak of the body's excitement. After the peak, there are cold sweats and continuous muscle soreness.

Saved!

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

But when it comes to this moment, I don't know how many monstrous waves have been turned in my heart, even if there is an 80% probability, but for this operation, it is a choice between zero and one hundred percent.

The mystery of the human body is complex, and no one can guarantee that it will be able to cross the danger every time.

How's it going? Dean Chen couldn't stay in the locker room and came out for activities.

Three times through the gate of hell, I almost couldn't get through it. Professor Zhang said.

Dean Chen approached the small window on the operating door and looked inside, there was an operation going on inside.

After extreme tension, there is uncontrollable relaxation.

The entire observation room was full of doctors, mostly orthopaedic and neurosurgeons, all of whom had the feeling of the rest of their lives.

However, the laser knife did not relax, and it was still separating. The separation would go to the deepest point, 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 the third, twenty-one cardiac compressions and defibrillation, was a brush with death.

This time is different, Yang Ping directly needs to have an operation when his heart stops beating, that is, he will go through death directly and walk side by side with the god of death.

It's incredible. Without fluorescence imaging, without navigation assistance, the boundary of the tumor can be positioned so accurately. Johanneson admired the mood.

Johanneson felt that the chief knife behind the screen was no longer the young doctor, but his own mentor.

His wisdom, his courage, his perseverance, his extreme rational brilliance in the face of disease.

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

Any accident, he can come up with a plan to deal with it.

It is 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, Johanneson will definitely let all his colleagues put down any work in their hands and concentrate on watching the operation.

What is the limit of human precision, the limit of stability, the limit of rationality——

The cohesion of this operation is not only the unparalleled operation of the operation, but also the thorough research on the anatomy, pathology and pathophysiology of the disease before the operation.

The heartbeat is about to stop again. Remember, don't panic. Except for drug rescue, any other rescue measures must wait for me to complete the operation before they can be implemented. Yang Ping reminded everyone for the last time.

Because the vibration brought by the rescue will affect the operation, and the operation error will cause nerve nucleus damage, which will not be rescued no matter what.

Yang Ping didn't plan to rest any longer. Taking advantage of the current state of being very good, he took the most difficult step in one go.

While separating and hemostasis, the laser knife continued to penetrate.

Deep in the tiny 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 ready to dig out the last one.

Finally, the surgery interfered with the center of life, and the electrocardiogram on the screen turned into a frightening ventricular fibrillation wave.

Once the ventricular fibrillation becomes wholeheartedly stopped, the chance of rescue will be very slim.

For ventricular fibrillation, the earlier the defibrillation is, the better, but at this time, the sterile sheet cannot be opened, and defibrillation cannot be performed at all. Even the anesthesiologist is careful to push epinephrine, for fear of interfering with Yang Ping's operation.

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

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

Others kept urging in their hearts: hurry up, hurry up, hurry up.

Dr. Wu's two hands were on the handle of the defibrillator electrode pads, ready to defibrillate at any time. The nurse's hand had already grasped the tail of the sterile sheet, ready to lift the sterile sheet.

However, Yang Ping is still in the operation and has no intention of ending.

Once the golden defibrillation time has passed, there is no chance, but I dare not rush, so I can only be anxious and my heart is on fire.

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

Yang is as steady as Mount Tai, the instruments in both hands cooperate to cut, separate, and stop the bleeding, getting faster and faster. The dance of the tip of the knife is the most difficult scene.

what happened?

In the observation room, everyone could not understand what was going on.

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

Johanneson murmured: Complete the operation as quickly as possible during the cardiac arrest period, and be rescued after the operation. This is a face-to-face gamble with death.

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

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

No way, under the current medical conditions, this is a shock to the limit.

Johanneson's adrenaline was exhausted and he couldn't support his full concentration any longer, but he gathered his strength, barely stood up, saluted the chief knife behind the screen, and sat back in mud.

The last straw of life floats on the water and may sink at any moment.

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

Defibrillation!

A loud and clear command.

Everyone took their place like arrows that had been charged for a long time, when the electrode pads of the defibrillator pressed against Feng Lao's back.

Once, twice, three times, four times, five times, six times—

Defibrillation was performed alternately with cardiac compressions, and this time, it only took six rounds to achieve successful electrical cardioversion.

Cardioversion!

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

Successfully complete a death pass.

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

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

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

He made it? Griffin was exhausted, his voice hoarse.

Woodhead stared blankly and asked, Success?

And Johanneson was so excited that he couldn't speak. He didn't hear Griffin's words at all. He stared at the screen with dull eyes, and said to himself: Success, success, success—

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

In the operating room, the work is not stopped, flushing, hemostasis again, cervical skull base fixation, placement and drainage, layered suture, and head and neck incision coverage.

Remove the fixation frame and change the body position to the supine position.

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

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

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

Yang Ping stood at the door and said.

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

Three chapters, more than 10,000 words, I just finished writing this operation, so I just posted it today. This operation is too complicated. It is very difficult to write well in the form of literature and to grasp the rhythm and atmosphere. I hope everyone will enjoy it.

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