Chapter 1653: Chapter 1657: Chinese… Kung Fu!? (Third Update)
Hearing Chen Cang’s words, everyone nearby shook their heads!
Professor Chen usually has a very good temper!
But during surgery, he is a very strict person.
He is someone who demands extreme precision in surgery.
Sure enough, the group of British experts behind him blushed immediately upon hearing Chen Cang’s words!
They wanted to argue but knew this wasn’t the right time.
Seeing this, Queen Eli outside in the office frowned slightly.
These experts were very rude, disturbing the surgery in the operating room!
A nearby expert from the Royal College of Medicine explained: “Queen, Chen Cang opted for local anaesthesia, which may intensify pain during the surgery and potentially affect the procedure…”
Wu Tongpu couldn’t take it anymore and said, “You can, you up! No can no bb.”
This bit of Chinese English… surprisingly, the expert understood the gist.
His face flushed red, and he stopped talking.
“Queen, Professor Chen Cang is very meticulous and serious about surgery, you can rest assured,” Wu Tongpu explained.
Queen Eli nodded as well.
However, what seemed a minor issue implied that there was a disagreement about anaesthesia from the beginning.
Nonetheless, Chen Cang was still the lead surgeon, which didn’t affect this aspect.
Now, William’s nipple area wound hasn’t healed, yet he needs surgery in the posterior cranial fossa.
(By the way, the mastoid area is located behind the ear, on that bony bump, which can be felt. Don’t ask again why cranial surgery seems like it’s on the chest… it isn’t!)
The surgery opted for local anaesthesia, which means Chen Cang needs to observe the patient’s facial pain during the procedure to see if additional cuts are necessary.
Chen Cang already reminded William, but still reiterated: “During surgery, we might induce trigeminal pain, but for a very short time, no need to worry.”
William nodded: “I’m prepared.”
Then, Chen Cang picked up the scalpel to begin the midline incision in the posterior cranial fossa along the marked points.
When opening the occipital bone window, he deliberately chose to slightly tilt towards the affected side, biting open the occipital foramen magnum and the posterior arch of the atlas, exposing the dura mater.
At this point, Chen Cang showed excitement!
Because, if this surgery is a blatant display of skill, then that’s no exaggeration.
From the moment the bone window is opened, the operation is full of details!
Chen Cang held the scalpel, gently cutting the dura mater.
This time, the cerebellum and medulla came into view.
“Hand me the aspirator!”
Wu Hui had naturally become the instrument hand, expertly handing Chen Cang the needed tools.
Chen Cang wouldn’t trust this surgery to anyone else, after all… having shown off in front of the Queen, if the surgery failed, wouldn’t he become… a fool!
Having the skill is called showing off.
Without the skill…
Once the scalpel pierced the arachnoid membrane, cerebrospinal fluid rapidly flowed out, and the pressure in the entire head instantly reduced!
Chen Cang enjoyed lifting the cerebellar tonsil, then washed some cerebrospinal fluid for later use.
At this moment, Chen Cang took over the surgical lens and began to cautiously weave through the cerebellum, passing through the infratentorial block of the fourth ventricle… step by step towards the medulla!
Seeing this scene, everyone suddenly held their breath.
Because there are many nerves in the lateral sulcus of the medulla!
They look like a dense network, with nerve roots like the accessory and vagus nerves emerging from there!
Thus, in the effective space, the microscope must remain stable.
If accidentally damaging a nerve, it could lead to a busy surgery.
Under the microscope, performing nerve suturing behind the fourth ventricle?
Alright, it seems a joke!
And seeing this image, the people began to worry…
In such intracranial conditions, how can a scalpel be used?
In simple terms!
Through the microscope, it’s clear: the operable space for the scalpel is no more than 5mm!
What does this mean?
For a span of about thirty minutes, Chen Cang’s handling of the knife must not fluctuate more than 2 millimeters!
And how far is two millimeters?
Perhaps it’s less than half the length of the hairs on the back of your hand!
Since the scalpel is actually a lever, if the handle slightly moves, the tip’s range of motion is significant!
Seeing the complex medulla region, everyone watching the surgery was stunned by the view.
Even Queen Eli and her husband outside watching the surgery involuntarily became tense!
They could clearly see Chen Cang’s knife slowly yet firmly entering!
This process is very slow.
Watching it, everyone felt nervous and anxious.
In simple terms, this was a surgery calculated in millimeters.
But the error margin was within millimeters!
You can stretch out your hand and feel it, even without holding anything, see if you can keep still without exceeding a millimeter of movement.
Imagine what this means!
The knife slowly penetrated, without a leverage point, as each point couldn’t withstand the sharp surgical knife’s assault.
The scalpel couldn’t be used like a dagger, much less for fighting, as its body was soft, but the blade was exceptionally sharp.
Finally!
At about 8-10 mm from the midline on the flat surface of the medulla, everyone finally saw a rod-shaped and wedge-shaped lateral protruding gray nodule!
This was the trigeminal ridge, and here was the location of the trigeminal spinal tract nucleus and its bundle.
The surgical incision was right here!
Chen Cang didn’t dare to breathe erratically, the knife steadily entered between the vagus and accessory nerve roots and further below the first cervical nerve root, stopping approximately 4mm below the flat surface.
Here was free of blood vessels, an exceptionally rare avascular area, relatively safe.
Therefore, Chen Cang chose this as the operative region!
When the experts behind him saw this scene, their eyes suddenly lit up!
Seemingly discovering the core secret of this surgery.
But!
What they didn’t realize was, this surgery, up until now, had merely just begun!
Technique?
In the face of absolute difficulty, it can only be said to be a slight convenience.
When everyone felt delighted having discovered a technique, Chen Cang’s next moves made them start doubting reality!
Because! Chen Cang’s wrist was incredibly nimble, the knife handle seemingly immobile, yet the tip appeared as sharp as a cold glint!
Instantly exerting force, neither too light nor too heavy, neither too deep nor too shallow, but swift as a shadow!
Quickly marking two cuts on the medulla!
Instantly, a 3mm deep and 4mm wide incision appeared before everyone!
Seeing this scene, everyone was dumbfounded!
This… was way too fast!
And… way too accurate!
They even saw only two residual images on the screen!
How was this done?
How could he possibly?
Is this the “Cun Mang” from Chinese Kung Fu?