Chapter 470: Chapter 347: The Operation Begins, a Staggering Performance That Shocks Everyone
Time passed quickly,
On the third day, Qin Feng personally followed up on Xu Chenchen’s condition.
In the ward, Qin Feng looked at the little girl playing with a Barbie doll on the bed, who seemed no different from the healthy girls outside.
Even wearing a small-sized hospital gown, a slight curve could be seen on her chest, indicating the second sexual characteristic.
"Chenchen, what did you eat today?"
"Uncle Qin!"
Hearing the voice, the little girl happily called out, even putting aside the toy in her hand.
"Director Qin."
"Director Qin, you’re here."
The young couple beside her also stood up proactively and greeted him warmly.
"Hmm, there haven’t been any issues today, right?"
"No, no, everything’s good."
The woman shook her head and promptly said.
"Uncle Qin, when will I get better? I want to go out and play."
The little girl looked at him with a grievance, pouting her lips.
"Well, if Uncle does a check-up later, you can go downstairs and play a bit with Mom and Dad, how about it?"
Qin Feng stroked her head with a smile, doting on her.
"Yay!"
Upon hearing this, the little girl stood up on the bed excitedly, extremely happy.
"Alright then, Chenchen dear, be good now. The doctor needs to do a check-up, okay?"
"Okay!"
With that, Chenchen immediately lay down calmly.
Qin Feng conducted a simple physical examination and then diagnosed the veins by hand.
The current condition is stable, and there is no indication of increased intracranial pressure, which means everything is stable, and the physiological indicators examined over the past two days meet the surgical requirements.
"Alright, you can take her downstairs for a walk and play for a while, but avoid vigorous activities.
Tonight, we will start the pre-operative preparations, and we will operate on her early tomorrow morning."
"Okay, okay, thank you, Director Qin."
The couple slightly bowed, thanking him, and Qin Feng left the ward with Yang Feng.
"If there’s no intracranial pressure increase tonight, arrange an enema, and administer 0.1g phenobarbital orally for a good sleep."
"Understood, Director Qin."
Yang Feng nodded in response.
In a corner of the hospital corridor, the couple watched their daughter chatting and playing with other kids, faces full of worry and heartache.
"Honey, do you think Chenchen’s surgery will be successful? Isn’t this Director Qin a bit young for urgent care?"
"Dear, don’t worry. Do you remember my high-school classmate, Daqiang? He is now a doctor in Beijing, at the 302 Military Hospital."
The man comforted the woman,
"I especially called him to ask about this illness. He originally said that in Beijing, it’s better to visit the Friendship or the People’s Hospital Pediatrics; their doctors have better surgical skills for this condition.
But later, he asked who Director Qin was, and I told him Director Qin’s full name.
To my surprise, he said there’s no need to go anywhere else; if Director Qin Feng can handle it, there’s absolutely no problem.
Daqiang told me this Director Qin is famous in the industry for his surgical skills, and even some senior directors can’t believe it. He is considered top-notch.
I also specially searched for some information and news, look."
With that, he took out his phone and opened a saved webpage, showing an official biography of Qin Feng.
...
Early the next morning,
8-year-old Xu Chenchen dressed in the surgical gown, received phenobarbital and atropine muscle injections an hour before the operation.
In the office, Qin Feng glanced at the time.
There were 5 minutes left, and he got up to leave the office, with Yang Feng following behind him.
"Director Sun, Director Pan, you are here."
At the staircase entrance, he saw Sun Wenhong and Pan Hai walking over, each accompanied by a chief physician, and from pediatrics was Zhu Yijun, who had conducted the previous examination.
"Director Qin, good morning."
"Good morning, directors."
"The surgery is about to begin, let’s go."
Saying that, they walked towards the operation room.
Inside the operating room, everyone cleaned and disinfected, donned sterile clothing, and stepped in.
Everything was ready. This time, the decision was made to employ a craniotomy to remove the tumor.
To minimize the trauma to the child patient, Qin Feng opted for a minimally invasive method to enter the skull and excise the tumor instead of large-scale craniotomy.
This method reduces the trauma to the scalp and skull and is more direct than observing via craniotomy.
To ensure a more thorough removal of the tumor, the subtemporal approach was utilized this time.
"Start anesthesia."
Soon, anesthesia began.
Xu Chenchen quickly entered a state of general anesthesia, being positioned, and covered with a sterile drape.
"Time."
"November 8, 2023, 8:10 AM, patient Xu Chenchen, undergoing minimally invasive hypothalamic hamartoma resection surgery."
"Start surgery."
"Scalpel."
As Qin Feng’s voice sounded, he extended his hand.
Snap!
The instrument nurse slapped a regular surgical knife into his hand.
Qin Feng incised along the rear of the temple, cutting backward along the line and then downwards, opening the skin along the upper ear contours.
"Retractor, retract."
...
"Craniotome."
Then a small bone flap was opened, flipped forward, and the lower edge of the bone window was bitten lower to approach the level of the middle cranial fossa floor, facilitating exposure to the brain’s basal midline structures, reducing temporal lobe retraction injury.
"Scalpel."
A thumb-sized bone flap was opened, and Qin Feng again incised the dura mater and flipped it downwards, isolating a segment of the Labbé vein on the temporal lobe’s surface.
"Cotton pad."
...
minutes later, the minimally invasive bone window successfully opened.
Standing nearby, both Sun Wenhong and Pan Hai were somewhat startled by this speed, though they maintained calm expressions.
There was no technical difficulty in this preliminary stage; the real challenge was forthcoming.
"Suction."
Yang Feng lifted the right temporal lobe with tweezers, and Qin Feng began to suction out the cerebrospinal fluid while exposing the deeper area, slowly proceeding into the skull.
This allowed more cerebrospinal fluid to be aspirated, enabling good brain collapse.
Only good visibility can lay a solid foundation for the following resection.
minutes...
Quickly, Qin Feng stopped the suctioning.
The intracranial view had opened up significantly, revealing the cerebellar tentorial edge.
Going further inward, the oculomotor nerve and posterior communicating artery could be seen, and at the top of the clivus, the trochlear nerve entry into the cavernous sinus was also visible.
At this point, everyone noticed an irregular spherical tumor deep within the oculomotor nerve and posterior communicating artery, tightly connected at the peduncle and mamillary body.
Hamartoma!
Seeing this on the screen, everyone’s hearts leaped into their throats.
The lesion was finally found; the next step was up to Qin Feng!
At this moment, Director Pan Hai stood on the opposite position, ready to begin synchronized operation with Qin Feng.
"Dissector."
The lead surgeon Qin Feng remained as steady as a mountain, calmly requesting an instrument.
At this moment, what no one could see was the significant change in his eyes.
"Remove the microscope."
Instantly, Qin Feng’s words left everyone present dumbfounded, even Pan Hai across from him was left in a daze.
"Director Qin, what did you say?"
"I don’t need a microscope."
Qin Feng’s calm and firm voice instantly rendered the entire operating room as silent as water.
What kind of maneuver is this?
How can the surgery proceed without a microscope?
Is he going to excise the hypothalamic tumor with the naked eye?
This isn’t a joke!
....
