Surgery Godfather
Chapter 848 - 755: The Ruthless Approach _2

Chapter 848: Chapter 755: The Ruthless Approach _2

"How do we remove it? Craniotomy? From where? Through the top of the skull? From one side of the temporal region? Or the forehead? Endoscopic surgery through the nose? All impossible, no matter what, we can’t bypass this armor," Song Zimo had just said, "The consequences of compression are so severe that we can’t bear the consequences of cutting into it. This is not just the brain; the dislocated brainstem is also here, composed of neural nuclei. Who can distinguish which is the brainstem and which is the brain? There’s no way. Trial resection? Or like defusing a bomb, closing our eyes, praying while snipping a wire, which might explode or might not?"

Dr. Heller raised his hand, interrupting John Ansen’s speech, "The conclusion would be the former — explosion, not the latter, that everything would be fine. According to the fMRI results, this area is highly active, probably a mix of brainstem and brain tissue. They should be in their own places, unrelated, but improper development within the hemisphere space has caused them to be disordered."

"The supraorbital keyhole technique! If we drill through the skull at the eyebrow, we would only have to pass through very little brain tissue."

A top neurosurgeon said loudly because he had been contemplating this problem for a long time and was waiting for today to say this.

John Ansen nodded, "Good, the supraorbital keyhole technique. Sadly, the dense, active neural nuclei in the brain tissue you’d be drilling through, as mentioned by Dr. Heller, are likely the brainstem. We absolutely cannot take that risk. Blindness is the great enemy of surgery."

"How could the brainstem possibly be here? It’s not possible." The surgeon refused to believe it.

Dr. Heller replied seriously, "On what basis do you say it’s not possible?"

Of course, this surgeon had no basis, he was just deducing from the normal anatomy of the brain that the brainstem couldn’t be located here.

"I don’t want to believe it either, but according to our analysis, it’s very likely that the brainstem is present here because all of the neural nuclei in the hemisphere structure are abnormal, you can’t use normal reasoning to deduce the abnormal."

The surgeon who proposed this hypothesis fell silent; indeed, his suggestion was a gamble.

"Don’t limit ourselves to surgical operations, I think stereotactic radiosurgery might be an option."

An older neurosurgeon, probably in his fifties or sixties with white hair, suggested.

At the Mayo Clinic, neurosurgeons are versatile, they must master a variety of skills; open brain surgery is just a basic skill, besides that, there are endoscopic treatments, interventional treatments, stereotactic treatments, etc.

"That’s a good idea, stereotactic radiosurgery."

"I think the Edge knife is the best method, and the only choice."

The white-haired doctor added.

The Edge knife represents the most advanced stereotactic radiosurgery system in the world, officially called the EDGE Radiosurgery Suite, developed by the American company Varian, and is considered to be the most effective non-invasive tumor removal technology to date.

John Ansen spoke slowly, "I also think the Edge knife might be the only choice, I don’t know if anyone else has a better method."

In fact, John Ansen had thought for a long time and felt that conventional surgery was not feasible, leaving the Edge knife as the only option.

The room fell silent for a long time as everyone shook their heads one after another.

All possible approaches for cranial surgery had already been considered; this was the only way.

----

Comprehensive Surgery Department Director’s office.

The hemisphere’s fMRI brain imaging was displayed on the electronic screen; the Americans’ research capabilities are strong indeed, having discerned the locations of the various nuclei so quickly and clearly marked them.

Next to Yang Ping was a drawing board on which he had sketched the hemisphere’s anatomy on a sheet of white paper.

Then, Yang Ping leaned back in his chair to rest with his eyes closed.

Sometimes, before challenging surgeries, Yang Ping would also rest in the changing room with his eyes closed; a habit that Song Zimo, Xu Zhiliang, Robert, August, and Takahashi also learned.

When faced with high-risk major surgeries, they would likewise lean back in the chairs of the changing room and mentally rehearse the surgery steps for one last time before the operation, checking for any blind spots or loopholes in their thinking.

They found this habit beneficial and all adopted it, almost becoming a signature move for these individuals.

Of course, when Yang Ping closed his eyes to rest, he was not previsualizing surgical steps in his mind, but rather reading books in the system space, simulating surgeries, or conducting experiments.

According to Yang Ping’s lifestyle, the system space was most stable and conducive to learning early in the morning, before dressing for surgery, and before sleeping at night, allowing him the longest duration of stay.

At this moment, Yang Ping was contemplating the surgery in the system space. Using his artistic skills and memory, he replicated the patient’s fMRI brain image and covered it with drawings and diagrams, sketching dozens of lines with arrows, each representing a potential surgical approach.

If we don’t cut out the eyeball and try to enter through the inner and outer canthus or the sides, it won’t work.

Using the keyhole technique from above the eyebrow is also not feasible.

All approaches surrounding the orbit have one problem in common: they can’t directly enter the gap, so they would still harm this "shield," with very high risk, potentially leading to death or severe disability.

Dozens of arrows, one by one, get crossed out, leaving only one.

This approach enters directly through the left orbit.

To enter through the left orbit, for ease of operation, it is necessary to sever the blood vessels to the eyeball and other connections, keeping only the optic nerve connected to the eyeball. Then, the eyeball is moved aside, and the layers of the orbit are cut open to reach the only gap in the "protective shield" of the tumor. Entering through here, one can completely resect the tumor.