Chapter 386 Crossing the Line of Death
The deepest root of the tumor has not been completely dug out, and the final adhesions with the nerve nuclei have not yet been separated.
The ballet on the tip of the knife continues. The scalpel, which has experienced three death threats, continues to move forward without flinching.
The final adhesion has passed through the superficial layer of the nucleus and is deeper than the previous one. The last time it was peeled off, this time it was dug out.
Yang Ping knew in his heart that the first three dangers were not the most thrilling. The next cardiac arrest was completely different from the previous ones.
Once cardiac arrest occurs, rescue cannot be performed immediately. If the operation is to be successful, he must complete the final danger zone separation based on Professor Feng's cardiac arrest.
In other words, after cardiac arrest, rescue can only be carried out after he successfully completes the operation.
If his operation is not completed successfully, there will be no chance for rescue. If his operation takes too long, even if the operation is completed, the best opportunity for rescue will be lost.
The brain can withstand ischemia for only 4-6 minutes, leaving time for rescue.
Yang Ping calculated that he only had sixty seconds left for cardiac arrest surgery.
During these sixty seconds, the patient will be under tremendous pressure to complete the operation accurately within a limited time in the most dangerous area.
This kind of test, if it weren't for the strong mental quality cultivated by countless devil training, there would be no way to do it, and it would be almost hopeless.
Johannessen has been tortured to death. It would be fine if he were a layman. It wouldn't hurt or itch, just watch the fun. As the world's top neurosurgery expert, almost every step would be clear.
Every time Yang Ping operated, the laser knife seemed to be operating on the apex of Johannesson's heart. He could almost feel the strong expansion and contraction of his heart.
The surge of adrenaline in the body puts the body at the peak of excitement. After the peak, there will be bursts of cold sweat and continuous muscle soreness.
"Rescued!"
Director Han told Professor Zhang that the eighty-year-old man’s clothes were all wet: “I know——”
But when I waited until this moment, I didn't know how many waves were going through my mind. Even if there was an 80% probability, when it came to this surgery, it was a choice between zero and 100%.
The human body is a complex and mysterious thing, and no one can guarantee that it will be able to overcome danger every time.
"How's it going?" Dean Chen couldn't stay in the locker room and came out to do some activities.
"I've been through the gate of hell three times, and I almost couldn't get through it just now," Professor Zhang said.
Director Chen approached the small window on the operating door and looked inside. An operation was taking place inside.
Extreme tension is followed by uncontrollable relaxation.
The entire observation room was filled with doctors, mostly orthopedic and neurosurgeons, all of whom felt like they were surviving a disaster.
But the laser knife has not relaxed at all, and is still separating. The separation will go into the deepest part, and the deepest root will now be dug out.
The most dangerous step is about to come. Whether the operation can be successful or not depends on this step.
Even the third time, twenty-one heart compressions and defibrillation, it was a brush with death.
This time it was different. Yang Ping had to perform surgery directly when his heart stopped, that is to say, he directly traveled through death and walked side by side with the God of Death.
"It's incredible. Without fluorescence imaging or navigation assistance, the boundary of the tumor can be positioned so accurately." Johannessen expressed admiration.
Johannessen feels that the chief surgeon behind the screen is no longer the young doctor, but his mentor.
His wisdom, his courage, his perseverance, and his extremely rational brilliance in the face of illness.
He is not anxious, not impatient, and is not threatened by death. He is always methodical and meticulously follows scientific plans.
He can come up with a plan to deal with any accident.
Unfortunately, this operation is only allowed to be publicized internally. If it can be broadcast live in front of doctors all over the world, Johannessen will definitely ask all colleagues to put down whatever work they are doing and concentrate on observing the operation.
What are the limits of human precision, stability, and rationality——
What this surgery embodies is not only the unparalleled surgical operation, but also the thorough preoperative research on disease anatomy, pathology, and pathophysiology.
"The heartbeat is about to stop again. Remember, don't panic. In addition to 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 caused by the rescue will affect the operation, and the operation error causes nerve core damage, it will not be possible to rescue the patient no matter what.
Yang Ping didn't plan to rest anymore. He took advantage of the fact that his current condition was very good and worked hard to conquer the most difficult step.
While separating and stopping the bleeding, the laser knife continued to penetrate deeper.
Deep in the tiny medulla oblongata, the laser knife goes deeper and deeper, and tree roots extend in all directions, winding between nerve nuclei.
Intertwined with the center of life, Yang Ping is ready to dig out the last one.
Finally, the operation interfered with the vital center, and the electrocardiogram on the screen turned into frightening ventricular fibrillation waves.
Once the ventricular fibrillation wave turns into cardiac arrest, the chance of rescue will be very slim.
For ventricular fibrillation waves, the earlier the electric defibrillation is performed, the better. However, at this time, the sterile drape cannot be lifted at all, let alone electric defibrillation. Even the anesthesiologist is cautious in injecting epinephrine intravenously for fear of interfering with Yang Ping's operation. Everyone stared at the ventricular fibrillation wave on the screen, their hearts clenching tightly and twisting together.
The operating room was unusually quiet. Director Ma watched the ventricular fibrillation wave with fear, fearing that it would suddenly turn into a straight line and progress to a complete cardiac arrest.
Others kept urging: Hurry up, hurry up, hurry up.
Dr. Wu's two hands were grasped on the handle of the defibrillator electrode plate, ready for defibrillation at any time. The circulating nurse's hand had already grasped the tail of the sterile drape, ready to lift up the sterile drape.
But Yang Ping is still undergoing surgery and has no intention of ending it.
Once the golden opportunity for defibrillation has passed, there is no chance again, but I dare not rush it, so I can only be anxious and my heart is on fire.
The time on the wall panel and the numbers on the second hand are constantly increasing, and time is disappearing bit by bit.
Yang Pingping was like a mountain, and the instruments in his hands cooperated to cut, separate, and stop bleeding faster and faster. The dance of the knife tip was to complete the most difficult scene.
"What's going on?"
In the observation room, everyone couldn't understand what was going on.
Ventricular fibrillation occurs and you are still undergoing surgery? No rescue? Once the best opportunity is lost, no one can rescue it.
Johannesson murmured: "Completing the operation as quickly as possible while the heart is in cardiac arrest, and then rescuing him after the operation. This is a face-to-face bet with death."
Perhaps, only Johannessen can understand the difficulty, risk and no hesitation of this last fight.
It takes a lot of confidence and courage to do such an operation.
There is no way, under the current medical conditions, this is an impact on the limit.
Johannesson's adrenaline was exhausted and could no longer support his full concentration, but he still gathered strength, reluctantly stood up, saluted the surgeon behind the screen, and then sat back down like mud.
The last straw of life is floating on the water and may sink at any time.
The laser knife was not affected at all and separated the bottom of the tumor as quickly as possible. Finally, it was like digging a sweet potato, successfully digging out the deepest and last root of the medulla oblongata.
"Defibrillation!"
A loud and clear command.
Everyone was in position like an arrow that had been charging for a long time. When the electrode plate of the defibrillator pressed against Mr. Feng's back.
Once, twice, three times, four times, five times, six times-——
Electrical defibrillation and cardiac compression were performed alternately. This time, only six rounds were used to achieve successful electrical cardioversion.
Cardioversion!
Sure enough, he won a huge bet with the God of Death, the ultimate bet with no way out.
Successfully complete a death crossing.
It was like walking through a long darkness, everyone was exhausted, and finally saw the light of hope. The tumor in the brain stem area was completely removed, and the remaining upper cervical spinal cord seemed very simple.
When the last tumor root system was separated, the tumor was like a handful of tree roots, with a trace of blood, thrown into a metal basin.
Under the microscope, the clean surgical field was observed for five minutes. There was no bleeding point before Yang Ping started rinsing.
"He succeeded?" Griffin was exhausted and his voice was hoarse.
Woodhead's eyes were blank and he asked blankly: "Succeeded?"
And Johannesson 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 muttered to himself: "Successful, successful, successful——"
The entire observation room burst into joy, shaking hands and hugging each other.
In the operating room, the work continued, flushing, hemostasis again, cervical skull base fixation, drainage, layered sutures, and head and neck incision coverage.
Remove the fixed frame and turn the body to the supine position.
After three hours, three long hours, the door to the operating room opened.
Professor Zhang, Han Jiangong, Hong Zhigang, and Dean Chen, all the doctors who were looking this way from a distance, all gathered.
"Vital signs are stable, ready to go back to ICU!"
Yang Ping said standing at the door.
Director Han hugged him in his arms, his eyes were blurred and he no longer knew what to say.
Three chapters and more than 10,000 words have just been written about this operation, so I am posting it today. This operation is too complex. It is very difficult to write it brilliantly in a literary form and grasp the rhythm and atmosphere. I hope you all enjoy watching it.
(End of chapter)