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

At this time, some small-time experts even thought that Professor Sakata might have already figured out the answer to this difficult question and was deliberately asking Chen Yang.

Even if Chen Yang has not been involved in this field, what about the neurosurgeons from China?

Someone has to give an answer. If there is no answer, doesn’t it mean that China is powerless to solve this problem?

Countless eyes, like searchlights, instantly focused on Chen Yang, their eyes filled with extreme shock, deep doubt, strong expectation, and a hint of well-hidden anticipation, waiting to watch the show.

Qu Haoran's heart suddenly rose to his throat, and his back was instantly soaked with cold sweat.

In neurosurgery, especially this extremely difficult skull base surgery, even the slightest mistake can lead to a huge error. Any tiny error can lead to catastrophic consequences.

No matter how talented Chen Yang is, his main focus and development direction are not in neurosurgery. Even if Chen Yang dabbles in some neurosurgery, he can definitely not be compared with Sakata Masakazu, right?

Yamamoto Ichiro glanced at Chen Yang and spoke first, "Doctor Chen has never been involved in neurosurgery before. He has high attainments in both hepatic surgery and cardiothoracic surgery, but he is not omnipotent. Professor Sakata's question is a bit difficult, isn't it?"

"Professor Yamamoto, I'm just asking. If Dr. Chen doesn't have any involvement in neurosurgery, then forget it."

Sakata Shoichi's voice sounded a little tired.

In fact, Sakata Masakazu was not really trying to make things difficult for him. He was just a little troubled at the moment.

Communication in the area of ​​curing illnesses and saving lives is different from fighting in a competition, and one cannot be completely willful or show off one's abilities.

If you can do it, then do your best. If you can't do it and try to show off, it will cause the operation to fail. Not only will the patient lose his life, but the doctor will also lose his reputation.

Of course, surgery cannot guarantee 100% failure, but the situation will be different depending on the cause of the failure, whether it is man-made or unavoidable.

For Masakazu Sakata, if there was a better way at this moment, he would naturally be willing to accept it, just like Ryosuke Ishii before.

Faced with this sudden "invitation" full of traps and uncertainties, Chen Yang still maintained his calm expression as if facing a crisis.

Chen Yang's face was calm, his eyes fixed on the huge operating screen. His deep eyes were as sharp as a scalpel, as if they could penetrate layers of tissue and see directly the most essential anatomical relationships and pathological changes underneath.

There was silence for a few seconds, but these few short seconds felt like centuries to everyone present.

Just when everyone thought he might decline, or at least take longer to think, Chen Yang spoke, his voice clear and steady, with a soothing power:

"Professor Sakata, you're too kind. Since you asked, I'll take the liberty of sharing my humble opinion. If anything is inappropriate, please correct me."

Chen Yang's speech was not fast, but every word was weighty and struck everyone's heart.

"Fuck, he actually understands?"

"Chen Yang is actually proficient in the realm of the gods?"

"Mr. Chen?" Yamamoto Ichiro was stunned.

You know, this question from Masaichi Sakata is already a very difficult one, and Chen Yang can only answer it based on this question. Even if he can't give a better suggestion, it can show Chen Yang's level.

At the very least, this question represents a personal level that is not just about knowing something, but about being proficient in it.

Zhong Dongyang and He Yonghua couldn't help but look at Chen Yang. Does Director Chen really know how to do it?

Qu Haoran was even more unbelievable, Chen Yang?

If neurosurgery is included, Chen Yang knows so much more.

"The root cause of the current dilemma lies in the tumor's tenacious nature, rich blood supply, and dense adhesions. Forcibly separating the tumor at the current level is like rowing against the current, achieving half the result with twice the effort, and is extremely risky. I suggest trying to change the 'tactical level' and 'attack sequence' of the separation."

Chen Yang spoke slowly, and his voice was clearly transmitted into the operating room through the intercom.

"Change the level and order?" Sakata Masakazu was also stunned for a moment and asked, his tone showing obvious interest in exploration rather than questioning.

"Yes." Chen Yang picked up the pointing light pen and virtually pointed to a tiny area on the screen where the tumor was attached to the sphenoid ridge.

"Currently, separation mainly focuses on the interface between the tumor, nerves, and blood vessels, which is the area with the greatest resistance and the highest risk. Is it possible to try a different approach and start with the tumor's base—its attachment to the sphenoid ridge—using an ultrasonic osteotome or fine drill to pre-treat the tumor base by devascularizing it?"

"Blood supply cut off?" Someone in the observation room couldn't help but gasp.

This is indeed an extremely bold idea. Operating directly on the tumor base in the central area of ​​the skull base, where the space is small and the structure is complex, is also very risky. Once the adjacent important structures are damaged, the consequences will be unimaginable.

Chen Yang seemed to understand everyone's concerns and continued to explain calmly, "Yes, precisely strike at its roots. After blocking its main blood supply, the tension inside the tumor will decrease, and its texture may become relatively soft, making it easier to separate later."

"Also, when separating the main body of the tumor, I don't think it's necessary to completely remove it all at once."

Chen Yang spoke slowly, "We can try a 'fragmented resection, breaking the whole into pieces' strategy. We can first focus on treating the portion of the tumor that is relatively loosely adhered to important blood vessels, effectively reducing the total tumor volume. This will create a wider, clearer field of view and operating space for the final treatment of the core portion that is most closely adhered to the optic nerve and internal carotid artery."

"also,"

Chen Yang added the most crucial point, which is also the core of the protective function: "When separating the part of the tumor that is most closely adhered to the optic nerve, the power of the bipolar coagulation can be appropriately reduced, and continuous flushing with cold saline can be used to minimize irreversible damage to the optic nerve caused by heat conduction."

"At the same time, special attention should be paid to identifying and carefully protecting the tiny optic nerve nourishing vessels that may run on the tumor capsule. Their preservation is crucial for postoperative visual recovery..."

The analysis is comprehensive, well-organized, strategically clear and highly practical.

Not only did it propose a new surgical idea, such as cutting off the blood supply to the base and performing piecemeal resection, but it also pointed out the key details that determine the success or failure of the specific operation, such as low-power electrocoagulation and protection of the nourishing blood vessels.

This insight has far exceeded the scope of a "bystander" or "layman". It is the tactical thinking and detail control ability that only an experienced and thoughtful top neurosurgeon can possess!

The entire observation room was so quiet that one could hear a pin drop, and everyone was stunned by Chen Yang.

Not only does Chen Yang know how to do it, but his level is also so high.

Is this really a person?

Qu Haoran opened his mouth slightly and looked at Chen Yang with disbelief on his face.