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

"Change your thinking."

Chen Yang's voice continued to sound steadily, like lighting a bright lamp in the maze.

"The tumor originates from the dura mater in the petroclival region. Its base is the root. For the time being, we should abandon the fight against the brainstem and focus our efforts on performing 'extracapsular dissection' along the gap between the tumor capsule and the dura mater to cut off its foundation first!"

Extracapsular separation? !

Qu Haoran's heart was shaken, and a shudder like an electric current ran through his spine.

This was an extremely bold, even risky, strategy! It meant temporarily forgoing the difficult main tumor mass in favor of deeper access to the skull base bone and vital venous sinuses. The risks were equally enormous, like walking on the edge of a knife. But if successful, the tumor's attachments could be fundamentally disrupted, severing its lifeline and rendering it rootless, making it easier to remove.

This is a move to win in danger and survive from death!

Qu Haoran felt his throat dry and subconsciously glanced at Chen Yang.

Chen Yang nodded slightly to Qu Haoran.

"Believe in me, and believe in yourself." Chen Yang encouraged with a smile.

In an instant, all the confusion and pressure seemed to have found an outlet.

A hint of determination flashed in Qu Haoran's eyes, and all distracting thoughts were completely thrown away, leaving only absolute trust in Chen Yang's judgment and extreme concentration on the operation itself.

"Okay!" Qu Haoran responded.

The strategy was adjusted instantly. Qu Haoran no longer focused on the tough adhesion area, but carefully operated along the edge of the tumor, in the narrow gap between the capsule and the dura mater.

Electrocoagulation precisely cauterizes and cuts off the blood vessels supplying the dura mater one by one.

This process was equally difficult, like peeling dewdrops from a spider web; there couldn't be the slightest mistake. But once the direction was clear, my heart settled and my hands became steadier.

Time flowed in silence. The experts in the observation room quickly noticed Qu Haoran's change of strategy. They were stunned at first, then looked thoughtful.

Sakata Masakazu leaned forward slightly, his eyes flashing as he stared at the screen.

A miracle quietly occurred through persistence. As the blood supply to the tumor base was gradually cut off, the overall tension of the stubborn tumor began to decrease significantly, and the previously tough adhesion area seemed to show signs of loosening!

"It's now."

Chen Yang's guidance was like the most accurate GPS, ringing out at the right moment: "Resect the tumor piecemeal, starting with the upper part that is relatively loosely adhered to the optic nerve. Use the CUSA to aspirate and reduce the tumor size."

Qu Haoran was greatly encouraged and immediately did as he was told.

The CUSA head acts precisely on the tumor tissue, emulsifying and removing it. The tumor volume shrinks at a speed visible to the naked eye, and the originally filled surgical field gradually becomes spacious.

"Be careful to protect the oculomotor nerve. It has been pushed to the upper and side by the tumor."

"Careful, small perforator of the basilar artery, lower the coagulation power."

"This part is closely related to the facial and auditory nerve. Use blunt dissection..."

Chen Yang's guidance is precise and timely. He always gives the most critical reminders at key points, as if he has a vision that can see through everything. He can clearly "see" every tiny structure in the surgical field, the pulsation of every blood vessel, the direction of every nerve, and predict every potential risk.

Qu Haoran became more and more adept at his work, and more and more confident.

Under Chen Yang's almost "X-ray" navigation, he felt like he had transformed into a superb bomb disposal expert. Holding precision instruments, he calmly and accurately avoided one fatal "minefield" after another, dividing the tumor into pieces and removing it safely.

A feeling of being connected with Chen Yang's mind and having a tacit understanding with him arose spontaneously, immersing him in an unprecedented exhilaration.

Time flies when you are focused.

When the last piece of tumor tissue, as thin as a cicada's wing and clinging to the brainstem, was completely separated and removed, revealing the intact, pulsating brainstem tissue underneath and the basilar artery trunk winding beside it—

The entire operating room and outside were plunged into a dead silence!

You can hear the needle drop!

Everyone held their breath, staring at the clean, perfect surgical field on the screen in disbelief.

Success...

The petroclival meningioma was completely removed!

All important neurovascular structures are preserved intact!

"Snapped…"

A soft, trembling applause rang out, like a stone dropped into a calm lake.

Immediately afterwards, "Pa... Pa... Pa..." the applause was like a flood that had been accumulating for too long and finally broke through the dam, erupting in an instant and flooding the entire viewing room with overwhelming force!

Masakazu Sakata suddenly stood up and clapped his hands vigorously and generously. His face was full of amazement and admiration. His eyes were fixed on the young Chinese surgeon in the operating room and the always calm figure in the command position.

For Shoichi Sakata, what he witnessed today was not just a successful operation, but also the beginning of a new era.

Qu Haoran slowly took off his gloves. The long period of intense mental concentration and the huge physical exertion caused his legs to tremble uncontrollably and he could hardly stand.

A huge, indescribable flood of ecstasy and relief washed over him.

Qu Haoran turned around and looked at Chen Yang, and Chen Yang also looked at Qu Haoran with a smile.

"Director Chen, we succeeded." Qu Haoran's voice was trembling.

At this moment, Qu Haoran's eyes were hot. Although he had undergone a long operation, it seemed that all his fatigue and tension had disappeared.

Today, he not only completed a world-class operation of great difficulty and conquered this once unreachable forbidden zone of life, but also truly won the recognition of Chen Yang. With this amazing scalpel, he stepped into the core circle of Kyoto International Medical Center, which symbolizes the pinnacle of neurosurgery!

With Chen Yang's guidance, Qu Haoran will definitely have greater room for growth in Kyoto International Medical Center.

As they walked out of the operating room, Sakata Masakazu and a large group of experts from Country R, ​​including Zhong Dongyang and He Yonghua, came to greet them.

"Chen Yangjun."

Sakata Masakazu's face was filled with excitement. "Congratulations! You have completed a new challenge. I never thought that China would have such excellent neurosurgeons like Chen Yangjun and Qu Sang."

Before today, Masaichi Sakata would never admit that his level was not as good as that of Chinese doctors in the same field, but at this moment, Masaichi Sakata had to admit it.

"We would also like to thank Professor Sakata and Tokyo Medical University Hospital for providing the patient and surgical equipment."

Chen Yang said politely: "This operation is also our first attempt. Let's encourage each other in the future."

"Thank you for your hard work, Chen Yangjun."

Masakazu Sakata kept a very humble attitude.

Today's operation was completed in their hospital. Although the surgeon was Qu Haoran and the commander was Chen Yang, they were overshadowed by the Chinese this time. However, the surgical images are extremely valuable to R country experts such as Sakata Masaichi.