Chapter 244 I have studied this operation
"I guess it's difficult. You don't know Dean Sun's temper, but the operation should be almost over and now it's successful." Dr. Xiao explained.
"Okay, wait a moment." Liu Weixiang nodded helplessly.
After more than ten minutes, the operation was finally over and it was very successful!
When Ruan Bin and Sun Wushou walked out of the operating room, dozens of doctors outside the operating room who watched the live broadcast of the operation stood up and applauded.
Just as Sun Wushou was about to ask Ruan Bin to say a few more words of encouragement to the doctors, Liu Weixiang came over with a stack of inspection materials.
"A 5-year-old boy from my department came to the hospital for medical treatment due to fever and nosebleed. After imaging examination, I found that "the saddle area occupied the place, the pituitary stalk and the visual cross were compressed, and was diagnosed with craniopharyngioma! Because the growth position of the craniopharyngioma is deep, the total resection rate of traditional surgery is low. Do you always see what should you do?" Liu Weixiang said to Sun Wushou.
"Aged 6, craniopharyngioma?" When Sun Wushou heard this key message, his tone instantly rose by three points!
Craniopharyngioma is the most common intracranial tumor in children. Although it is a benign tumor, the usual craniotomy surgery method has the disadvantages of great trauma, long surgery time, and many postoperative complications. At the same time, due to the deep growth position of the craniopharyngioma and the low total surgical resection rate, it has the characteristics of high recurrence and low tumor-free long-term survival. Therefore, it has become the only benign tumor that has been crowned with malignant results, and is a benign neurological tumor that frusts neurosurgeons.
This tumor has two peak periods, with the peak of children between 5 and 15 years old and the peak of adult between 40 years old. Its main clinical manifestations are headache, vomiting, etc. due to symptoms of increased intracranial pressure, accompanied by visual field disorders, as well as endocrine dysfunction such as slow growth, diabetes insult, centripetal obesity, and secondary dysplasia.
"Yes." Liu Weixiang nodded.
Sun Wushou quickly checked these examination materials, and after reading them, his face became solemn: "It is indeed as you said, the growth position of the craniopharyngioma is deep! Traditional craniotomy surgery may not necessarily remove the tumor at this position."
"Are you not sure about it?" Liu Weixiang was stunned. He came to Dean Sun because he was not very sure about this craniotomy surgery to remove the tumor.
But now he was not sure when he heard Sun Wushou say that, and he was stunned.
So what should I do with this patient?
"I'm not sure that this child's tumor grew too deep and the operation was not easy to do!" Sun Wushou shook his head and said.
"Then, what should I do? The child's tumor has obviously compressed the visual cross, and it must be treated as soon as possible, otherwise the vision will be affected, and even as the tumor grows bigger and bigger, it will be blind directly!" Liu Weixiang worried.
He is also an old man with children. His son is three years old. He can't imagine how big a five-year-old child will be if he becomes blind!
If surgery is done, there are risks. If you don’t clean it, the tumor will recur. If you don’t do it, the child will face blindness at any time.
"This craniopharyngioma is a major headache for our pediatricians! It is also a case of headaches for most pediatricians around the world!" Sun Wushou shook his head helplessly. For example, the famous neurosurgery founder Harvey Cushing once made the conclusion: "Unless there is a technology that can destroy the tumor in situ and make it static, the mortality rate of craniopharyngioma will be maintained at a higher level."
This is the case with this craniopharyngioma now. A non-serious craniopharyngioma can be used to clean the tumor. However, if a small number of craniopharyngiomas grow deeper, even if the craniopharyngiomas are opened, they cannot be removed. As this originator said, they cannot be destroyed directly in situ!
At this time, Ruan Bin was standing beside him before he left, and he had to wait for Sun Wushou to pay him hard work.
Dozens of other doctors did not leave, after all, Sun Wushou had not really announced his departure.
However, when they heard about this craniopharyngioma, they became curious.
A group of people stayed together with doctors of the same professionalism and talked about more topics.
"Today, there are doctors from several pediatric specialized hospitals in Magic City, as well as doctors from major hospitals in Magic City. I'll share this case with you. Let's focus on your ideas and let everyone see if there are any good suggestions!" Sun Wushou said. In fact, he said this matter was not to let everyone come up with any surgical methods, but to tell them that the craniopharyngioma currently lacks a safe and effective surgical method. I hope they can study it after they go back. Maybe someone can promote the development of craniopharyngioma?
Soon, everyone got to know the condition and frowned.
"Traditional craniotomy surgery is not ideal. I think it can only be done by neuroendoscopic tumor removal through nasal cavity!" suggested the deputy director of the Magic City Children's Medical Center.
As soon as this sentence came out, everyone's eyes lit up.
"Although neuroendoscopic transnasal-swollenoptic surgery has been reported to remove this type of tumor in recent years. However, due to the difficulty of this approach, the small nostrils of children and poor development of sphenoid sinus, it is clinically used by adults. There have been no such surgery on children in China, and only scattered cases have been reported abroad. It seems that only Sheba Medical Center, Cleveland Clinic and other hospitals have had surgical records!" Sun Wushou shook his head and said.
"Sheba Medical Center, Cleveland Clinic? These are all one of the top ten famous hospitals in the world." Yang Wei sighed.
“Even Mayo Clinic does not have relevant surgical records at the moment?”
"Haha, do you think Mayo Clinic is invincible? The pediatric level of Sheba Medical Center is definitely better than Mayo Clinic!"
“…”
After hearing this, Ruan Bin understood. The new type of neuroendoscopic transnasal-butterfly surgery is only more mature for adults. For children, because the nostrils and poor development of sphenoid sinuses, the operation is difficult, and few hospitals abroad have surgical records. No hospital in China has conducted this new type of neuroendoscopic transnasal-butterfly surgery for children! That is, zero surgical records and zero surgical experience!
"Actually, I'm going to say that in the past year, our domestic pediatric medical alliance has been conducting new types of transnasal and butterfly surgery under neuroendoscopic. We have always wanted to find a way to perform surgery on children, but the progress has not been very large." Sun Wushou sighed. He and a few old friends began to study this operation a year and a half ago, but the progress has not been great.
"However, we cannot do not study without the first in China. Since several hospitals abroad have succeeded, our domestic pediatricians should work harder! We can perform neuroendoscopic nasal-butterfly surgery on children as soon as possible!"
"I started studying transnasal-butterfly surgery under neuroendoscopic neuroendoscopic surgery half a year ago, but it is still in the theoretical stage."
"So too. I watched a foreign surgery video a year ago, but it was too difficult and it seemed that it was not mature enough. I forced myself to follow the foreign surgery method, and I was afraid that the risk was too high, so I almost left it to fate!"
"My hospital also conducted research three months ago and simulated experiments, but the failure rate was 90%..." Suddenly, seven or eight doctors spoke one after another.
After hearing this, Sun Wushou felt a little relieved. Only when everyone works together can we make greater breakthroughs, turn theory into practice, and finally achieve success!
We can create mature techniques that can perform surgery quickly, so that domestic patients can enjoy safe and effective surgical guarantees!
"I have also studied this operation!" Suddenly, Ruan Bin spoke.
Chapter completed!