21st Century Necromancer

For Takashi Rokkou, this surgery was an indescribable experience.

At that moment, he clearly knew that Chen Yu was using electric shocks to stimulate his brain and was about to cut out the tumor in his brain with a scalpel, but under the effect of the anesthetic, he felt nothing at all.

Not only that, Jounouchi Hiromi kept asking him various questions, making him repeat his name, date of birth, and age, so Chen Yu could confirm the scope of the tumor removal.

This experience was truly unique, one that most people probably would never have in their lifetime—having surgery inside one's own brain, while the most beautiful girl from your high school keeps asking you things she already knows, like what your name is and how old you are.

However, after reciting this information, Takashi Rokkou suddenly asked Jounouchi Hiromi, "Jounouchi, you once asked me what cannot be bought with money. I always thought everything could be bought, but when I realized there truly were things money couldn't buy, I was already close to dying."

"Don't worry, you won't die. And even if you were to die, it would be many years from now, of old age, not on the operating table. Both my husband and I won't let you die," Jounouchi Hiromi said as she monitored data on various instruments, comforting Takashi Rokkou's emotions.

In an awake surgery, controlling the patient's emotions is very important, in case they suddenly become agitated or try to struggle, as that could affect the surgery.

Of course, with Jounouchi Hiromi's precise control, the anesthesia continued to work as it should on Takashi Rokkou's body. Except for his consciousness and the sensation in his right hand, he couldn't move an inch.

"We won't let you just die like this. Although we can't remove the entire tumor to ensure you can still speak normally in the future, saving your life isn't a problem," Chen Yu chimed in and said to Ayajichi Shoubu, "Inject saline."

By that time, he had already used the scalpel to cut open Takashi Rokkou's brain tissue and begun the process of peeling away the tumor.

"Yes!" As Ayajichi Shoubu responded, she also used the syringe filled with saline in her hand to irrigate the exposed surface of Takashi Rokkou's brain.

This served the dual purpose of cooling the surface of the brain and washing away blood and assisting with hemostasis.

However, at that moment, Takashi Rokkou suddenly said to Jounouchi Hiromi, "I've thought of something money can't buy. What do you think of... rig... right..."

Takashi Rokkou was apparently trying to say something, but he suddenly became unable to speak. Furthermore, the life monitoring device beside him started to alarm and his right hand began to convulse.

"Heart rate 140, right side of the body starting to spasm!" Jounouchi Hiromi quickly reported the patient's condition to Chen Yu, and called out to a nurse nearby, "Prepare two bottles of Phenytoin Sodium."

However, Chen Yu was not panicked at all—as this was within his expectations. He simply instructed Ayajichi Shoubu, "Begin cooling the cerebral cortex, bring me the iced saline."

"Yes, iced saline." Ayajichi Shoubu responded to Chen Yu's command and handed over a syringe that had already been prepared, filled with iced saline, to him.

Covering Takashi Rokkou's brain surface with a gauze, Chen Yu sprinkled the iced saline from the syringe onto the gauze, thus lowering the temperature of the cerebral cortex.

With Chen Yu's actions, Takashi Rokkou's heartbeat returned to normal, and the spasms in the right side of his body stopped.

Hearing no more alarms from the life monitoring device, Chen Yu said to Jounouchi Hiromi, "Continue with the Propofol, the surgery goes on."

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"Understood," Jounouchi Hiromi replied, then returned to the instrument and started operating it.

Chen Yu also pulled back the gauze that was covering Takashi Rokkou's brain surface, ready to continue the surgery.

Meanwhile, Ayajichi Shoubu suddenly asked, "Professor, how do you deal with a tumor that cannot be completely removed?"

As Takashi Rokkou conversed with Jounouchi Hiromi, Chen Yu had also been continuously confirming the extent of tissue that could be removed during the surgery, but as Rokkou's language functions became affected, Chen Yu realized the maximum amount of brain tissue he was able to remove.

Ayajichi Shoubu, who had been standing by Chen Yu's side watching his operations, could naturally judge that Chen Yu would not be able to completely remove the entire tumor.

"Implant Carmustine on the tumor resection surface, and carry out radiation therapy and chemotherapy postoperatively at the same time, to achieve the purpose of a radical cure," Chen Yu explained to Ayajichi Shoubu and at the same time instructed a nurse beside him, "Prepare the Carmustine implant."

Carmustine is a chemotherapy drug commonly used intravenously to treat malignant gliomas. During the surgical removal of brain tumors, this drug in wafer form can be implanted into the cavity created by the surgery.

At the implantation site, the wafer slowly dissolves, directly releasing high concentrations of Carmustine into the tumor site.

Carmustine acts on the DNA and RNA of cells, playing a significant role in inhibiting cell division; hence, it is often used to treat various types of cancer.

This drug has relatively small molecules that can pass through the blood-brain barrier and is very effective in treating brain tumors. Moreover, it can effectively inhibit the growth of malignant tumors and is used in the treatment of various malignant cancers, a widely used anti-cancer drug.

The nurse brought the drug, and Chen Yu carefully placed the coin-sized wafers into the cavity created after the tumor had been removed.

After filling the cavity with wafers, Chen Yu carefully began to suture.

He restored and sutured the dura mater, then fixed the removed bone flap back into its original position using cranial bone locks.

Although the bone flap had been completely cut away and adult bones cannot grow with the soft tissue, once the bone flap was fixed, the soft tissue would still fill in the gaps, forming scar healing, and eventually, with the passage of time, returning to the normal strength of the bone.

He took off the scalp clips around the lifted scalp, returned the scalp to its original place, and Chen Yu suddenly said to Ayajichi Shoubu by his side, "You do the final suturing."

Having said that, Chen Yu stepped aside to make room.

"Yes, Professor," Ayajichi Shoubu wasn't surprised. It's quite normal for the principal surgeon to handle the main part of the surgery and for the assistants to handle other parts. As for suturing, sometimes they even simply let interns practice their skills.

After Ayajichi Shoubu finished suturing the wound, Chen Yu nodded in satisfaction, announced the end of the surgery, and left the operating table.

Seeing Chen Yu leave the operating table, Jounouchi Hiromi smiled at him and said, "Good work."

"Good work," Chen Yu responded with the same phrase, smiled, and left the operating room.

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