After anesthesia, Jing Yunsong lay naked on the ridge prone frame.

The G-arm X-ray machine is on standby, but it is only used when the pedicle nail is inserted.

Director Hu took Song Yun and Kong Weiquan to start the disinfection sheet, Qiu Ruo was already in place, the instrument table had been unfolded, and she began to arrange the instruments with her dexterous hands.

Traveling nurses check fluids on the infusion stands, and the head nurse sits in the corner, ready to provide necessary support.

The other two doctors stood against the G-arm machine, so that they could stay as the G-arm machine operator and help push the G-arm machine, which was also an honor to participate in the operation.

The aseptically packaged ready-to-use artificial spinal prosthesis is placed on a single instrument cart and ready to be used out of the pack.

Yang Ping wore goggles, put on a surgical gown and gloves in a relatively empty corner, and then stood aside and waited for Director Hu to complete the disinfection sheet.

After everything was ready, Yang Ping came to the stage and stood in the position of the main knife.

After a serious preoperative check, Qiu Ruo handed over the scalpel.

Yang Ping took the scalpel and drew a vertical line on Jing Yunsong's lower back, and cut through the skin under the skin at one time, and the fat particles immediately burst out with the cracking of the skin.

Most of the entire operation was done with a laser knife, which was only used to cut the skin, and Yang Ping returned the scalpel to the instrument nurse.

Qiu Ruo was stunned for a moment, and then took the scalpel with a curved plate, and then there were toothed tweezers on the ground.

The opening action was a bit hasty, and Qiu Ruo didn't expect Yang Ping to cut the skin with a knife at all.

How can there be such an incision, generally along the incision line slowly cut, and then deepened little by little, through many incisions, and finally the skin can be incised, forming the entire surgical incision.

The scalpel had just been handed over, and within three seconds, the skin cutting was completed, where could Qiu Ruo react.

However, Qiu Ruo learned this lesson and no longer dared to be careless, this young professor was indeed very fast, and if he was not careful, he might lose his rhythm.

The laser knife was also very fast in Yang Ping's hand, first stopping the bleeding once, and then cutting the back fascia, exposing the muscles in the lower back.

Now there are fewer instruments used, and the equipment switching is not very frequent, so Qiu Ruo can easily cope with it.

Yang Ping started from the middle line, with a toothed forceps and a laser knife, and began to separate the muscles against the spinous process, peeling off the muscles on both sides from the spinous process and the vertebral plate, and then pushing them away to both sides, fast and steady, and there was almost no blood in the surgical area.

Peeling off the soft tissues on the lamina from the back route so cleanly and without bleeding is really amazing in this kind of surgery.

In fact, the vertebral plate is also a complex structure with unevenness, and when the laser knife was separated just now, there was basically no pause, and it was very skillful.

It was as if muscles, tendons, and ligaments were all glued to the surface of the bone, and Yang Ping was only meticulously lifting them now.

The vertebral plate, spinous process, transverse process, upper and lower articular processes, these complex convex structures are not obstacles at all in Yang Ping's place, and when the muscles are separated from the spinous process and the vertebral plate, they still have a complete periosteum, and the anatomical level is very clear.

"The preoperative imaging showed that only the lamina of lumbar 2 was intact, and there was no tumor invasion, so I opened my mouth from the lamina!"

Yang Ping continued the operation while explaining to the assistant, and the explanation in advance could allow the assistant to understand the intention of the main surgeon.

The energy of the laser knife is upgraded and switched to a mode that can cut bones.

As the focused laser cuts bit by bit, the normal lamina is removed from behind as a square piece of bone is removed and then removed.

The annular vertebrae are opened from the back side, and if the whole tumor is completely separated along the border, the vertebrae can be removed along with the tumor.

The posterior side of L2 was so easily separated, followed by the posterior side of L3, in this vertebrae, Yang Ping wanted to show the separation of the tumor at the pedicle and the intervertebral foramen.

---

The start was a bit unacceptable to Cheney.

He is one of the world's leading spinal oncologists and can certainly see what the level of demonstration surgery is.

First of all, this separation method is very novel, boldly taking advantage of the advantages of the laser knife, and is already one step ahead of Cheney in concept.

Secondly, the surgeon is very familiar with the anatomy of the crest column and the tumor, and he knows where the natural boundary of the tumor is, so he always follows the boundary of the tumor, in the normal tissue near the border.

In addition, the surgical operation level of the main surgeon is indeed very high, such as the separation of soft tissues from the spinous process and the vertebral plate, with a complete periosteum throughout the whole process, after separation, the vertebral plate in the surgical area is simply bare, without any soft tissue attachment.

The tumor is not like a potato in the dirt, it is suddenly something completely different from the surroundings, and the natural boundaries are clear.

The tumor is aggressive to the surrounding tissues, and it is very ambiguous with the surrounding tissues, and the so-called borders and pseudomembranes are difficult to find.

But the main surgeon was easy to find, indicating that he had studied a large number of such tumors and was already very familiar with its boundaries.

Finally, bleeding is rare throughout the procedure.

Cheney stared at the operation on the giant screen, his whole body in a state of high tension, not for other reasons, but some kind of oppressive force covering himself and making it impossible for him to breathe.

---

Vascular clamp!

Vascular clamp with line!

Stitches!

Wire cutter!

There are toothed tweezers!

As the surgery continues, more and more types of instruments are needed, and the frequency of surgical instrument switching increases.

Yang Ping was completely engaged in the operation, not caring whether others could keep up with the speed.

The hand was stretched out for a long time, but I didn't see the instrument handed over.

Yang Ping turned around, the timid eyes of the instrument nurse looked at him, and put the long-overdue instrument in his hand.

Because Xiao Su is an instrument nurse, Yang Ping is particularly good to instrument nurses.

Some professors throw knives outside and lose their temper with assistants and nurses at every turn, which Yang Ping never does.

Yang Ping immediately realized that he was too fast, the nurse didn't keep up with the rhythm at all, and it was allowed to slow down a little more, and it would not affect the operation, so let's slow down.

Yang Ping found that Director Hu and Song Yun were also struggling to follow the rhythm.

Slow down!

Yang Ping took the instrument handed by Qiu Ruo, and then consciously slowed down.

Qiu Ruo didn't keep up with the speed at all just now, usually he was very fast in both reaction and action, and he had never been able to keep up with the speed.

It's just that Professor Yang's speed is indeed too fast, beyond Qiu Ruo's cognition, Qiu Ruo has never seen such a fast operation.

And this is a spinae tumor, shouldn't it be done with care?

Some professors still do one step and look at one step, but Professor Yang is at high speed throughout the whole process.

After Qiu Ruo completely lost his rhythm just now, he was afraid of being scolded, but Yang Ping's eyes were not blame, but comfort, and then he slowed down completely to accommodate himself, Qiu Ruo felt warm in his heart, he didn't expect Professor Yang to have such a good temper.

Even if he deliberately slowed down, Yang Ping's speed was still fast.

Nurse Xin was beside him, seeing all the scenes just now, the young professor's operation speed was indeed ridiculously fast, Qiu Ruo couldn't keep up with the speed at all, if he hadn't given face just now, he would really have to temporarily arrange an instrument nurse to come to the stage, so I'm afraid it would be a little unbearable.

Fortunately, this young man gave face, and he could slow down and take care of the speed of the nurse on the table.

Nurse Xin was very grateful, if he really added a temporary nurse, although it was okay, but this would mean that he had made a mistake, and the doctor reminded him that Professor Yang himself had mentioned this matter and was vetoed by himself.

Professor Liang was blamed for this, and it was inevitable that he would be criticized.

Qiu Ruo felt that she was not doing her job well, so she looked at the head nurse, but the head nurse didn't say anything, and she felt a lot better.

---

As the surgery progressed, Professor Cheney's attention became more focused.

How is it possible that this kind of surgery is more mature than my own method in terms of concept and operation?

They had asked to learn my new technology, but now they can surpass me so easily.

Chinese-style total vertebrotomy completely surpasses its own total vertebrotomy method and truly achieves excision according to the boundary!

Cheney had a vague sense that the surgeon was now only opening the vertebrae from the back to separate the tumor, and then the three vertebrae along with the tumor would be taken out at one time in the anterior way, rather than being divided into three parts like he did.

Looking at it, Cheney was almost certain that the purpose of the main operation was to remove the tumor and three vertebrae from the anterior road at once.

The posterior loop is opened, the anterior route is taken for the tumor, and then the posterior route is fixed.

This complex tumor is removed in three steps, clearly, and completely.

It's hard to do, right?

No, it's not very difficult, it's basically impossible to do.

"Professor Hu! Is this intended to open the loop posteriorly, separate the posterior, and then separate the anterior route, and the anterior route will remove the entire tumor and three vertebrae at once? Cheney couldn't help but ask Professor Hu beside him.

Professor Hu nodded: "Concentrate on it, and ask if there is any problem after the operation." ”