Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Professor Masakazu Sakata, a leading figure in neurosurgery, carefully arranged the "central skull base meningioma resection" on the morning of the third day.

This is undoubtedly the strongest trump card that Party R has played in the field of neurosurgery during this exchange, and it carries the high hopes of saving face and demonstrating strength.

The central area of ​​the skull base is hailed by the medical community as the "last forbidden zone" for neurosurgery. Its anatomical structure is as complex as a maze, densely packed with vital nerves and blood vessels such as the optic nerve, oculomotor nerve, internal carotid artery, cavernous sinus, as well as the brainstem, the center of life.

Surgery in this area is like walking a tightrope over an abyss. Any slight mistake may lead to severe neurological deficits such as blindness and facial paralysis, or even directly endanger the patient's life.

Country R has always been far ahead in the field of neurosurgery and is well-known internationally. It is no exaggeration to say that it is the best in Asia.

Shoichi Sakata, who is nearly 60 years old, enjoys a supreme status in the field of neurosurgery in Country R. He is honored as a "living legend" and is known for his delicate techniques, boldness and carefulness.

The fact that Masakazu Sakata personally took action this time represents the unquestionable authority of Party R in this field, and also subtly reveals a determination to reverse the "decline" of the previous two days.

"Chen Yang has previously overshadowed me in the fields of hepatobiliary surgery and cardiothoracic surgery. This time, I must make a comeback in the field of neurosurgery."

Several experts from Country R were discussing privately: "It would be truly shameful if we were suppressed by China again this time."

"China's Chen Yang is indeed a monster."

A small-time expert subconsciously glanced at Chen Yang and whispered, "He is only in his early thirties, but he has such high attainments in cardiothoracic surgery, hepatobiliary surgery, and traditional Chinese medicine."

"However, Chen Yang has not shown much in neurosurgery. Although the head of the neurosurgery team who came this time is also a very famous young expert in China, he is definitely not comparable to Professor Sakata."

Chen Yang began to emerge last year and in just six months, he became world-renowned. He has achieved high attainments in traditional Chinese medicine, hepatobiliary surgery, and cardiothoracic surgery.

However, up to now, no one has heard of or seen Chen Yang dabbling in neurosurgery.

I don’t know why, but as long as Chen Yang is involved, my life seems a little insecure.

The atmosphere in the surgery observation room was more solemn and tense than the previous two days.

Almost all the neurosurgery elites from all over Country R gathered here. On the one hand, they wanted to witness Master Sakata's superb skills with their own eyes, and on the other hand, they also wanted to see whether Dr. Chen Yang from China, who was so brilliant in the field of cardiothoracic and hepatobiliary, could continue to create miracles when facing neurosurgery, a recognized technological peak.

To be honest, although Chen Yang has not yet dabbled in the field of neurosurgery, he has given some people an illusion.

It seems that even if Chen Yang dabbles in the realm of the gods, it is a very normal thing.

Chen Yang, Wen Haodong, Zhong Dongyang and others were looking at the operating room with calm expressions.

Qu Haoran and his team members were extremely alert, and their palms were slightly sweating due to nervousness.

For Qu Haoran, this is a once-in-a-lifetime learning opportunity. Sakata Masakazu has a very high status in the field of neurosurgery. Although Qu Haoran is not a R countryman, he has to admit Sakata Masakazu's level.

If Qu Haoran's status in the field of neurosurgery in China is comparable to that of Mo Xinzhi, then Sakata Shoichi's status in the field of neurosurgery in Asia is comparable to that of Wen Xiuping and Chu Yiyun. They are both experts, but not in the same league.

The operation began. Under the operating light, Sakata Masakazu sat at the surgeon's table, his assistants working in perfect harmony, like precise instruments.

The surgical approach chosen was the classic "subtemporal petrous approach", which required grinding off part of the petrous part of the temporal bone to open up a narrow channel leading to the central area of ​​the skull base.

Sakata Masakazu's technique is indeed well-deserved, experienced and steady. The drill in his hand is as stable as a robotic arm, gnawing at the bones with precision. Amidst the flying bone chips, a deep and dangerous passage is opened up bit by bit.

Low, respectful exclamations could be heard from time to time in the observation room.

Qu Haoran watched intently, secretly admiring him in his heart.

Masakazu Sakata's familiarity with the skull base anatomy and the stability of his operation have indeed reached the level of perfection, and his demonstration can be called a textbook level.

However, as the operation progressed deeper, the tumor was gradually exposed and the real problem arose.

This meningioma was tougher than the preoperative images showed, with an extremely rich blood supply, like a monster with bared fangs and claws. It was also more tightly adhered to the surrounding optic nerve and internal carotid artery than one could imagine, making separation extremely difficult.

Every slight traction or electrocoagulation to stop bleeding may cause a violent reaction in the surrounding important structures, and the tiny fluctuations on the monitor are of concern to everyone.

Fine beads of sweat gradually oozed from Sakata Masakazu's forehead, and the nurse kept wiping them away. His movements became more cautious and slower, and the progress of the operation was noticeably slowed.

The atmosphere in the observation room also dropped to freezing point. The air seemed to be frozen, and it was so oppressive that it made people breathless.

"The adhesions are too tight, and the optic nerve is being squeezed and compressed severely. If this continues, even if the tumor is removed, my vision may be lost."

"Look, the internal carotid artery seems to be partially wrapped by the tumor. If it ruptures during separation..."

"It's too difficult. If we continue like this, the possibility of completely removing the tumor is very small, and the risk of optic nerve damage or even internal carotid artery rupture is extremely high."

The experts exchanged opinions in low voices, all with serious expressions and furrowed brows. They all saw that the operation had fallen into an unprecedented dilemma.

At this moment, a scene that no one expected happened.

Professor Masakazu Sakata suddenly paused what he was doing and turned his head slightly, revealing a pair of deep and complex eyes on his face which was mostly covered by the mask.

He pointed toward the observation room and spoke clearly through the communication system in English with a thick R accent, "Dr. Chen Yang, I've long heard of your profound knowledge, wide range of interests, and unique insights. This tumor is in a difficult location and has severe adhesions, so the operation is at a standstill."

"I wonder if you have any advice on how to safely and effectively separate and remove this tumor while maximally protecting neurovascular function?"

The words were like thunder, exploding throughout the venue!

Everyone was stunned and could hardly believe their ears!

Shoichi Sakata, the leading figure in neurosurgery in Country R and a living legend, actually took the initiative to seek help from a young doctor from China who was famous for Traditional Chinese Medicine and hepatobiliary cardiothoracic surgery at the critical moment of the operation in the field he was best at?

This is simply unbelievable!

Is this a sincere request for advice?

Or is it a disguised form of testing and making things difficult for you at a higher level?

Was he trying to trick Chen Yang and make him look bad? Or was it that even Sakata Shoichi himself was feeling immense, insurmountable pressure and was hoping to break the deadlock with the help of this "outsider's" ingenuity?

You know, Chen Yang had never been involved in the field of neuroscience before, so Sakata Masaichi's inquiry at this time seemed more intentional.