Recently, a 76-year-old female patient accompanied by her family went to Peking University Shougang Hospital to find Gao Feng, the director of Department of Neurosurgery. Half a month ago, the old madam began to have headaches and have difficulties with the right side of her limbs with unclear speech. After a CT examination, massive space was found to occupy her left frontal lobe, and meningioma was considered. After reading the CT report, Gao Feng said to the patient’s family: “You can’t hesitate any more. You must be hospitalized immediately. The tumor and edema have affected the motor area. If it continues, you will be comatose and even critically ill.”

After the patient was admitted to the hospital, the relevant departments of Shougang Hospital worked together to complete a series of preoperative examinations as soon as possible. The results of head-enhanced nuclear magnetic resonance showed that there was a giant meningioma near the left front sagittal sinus, and the left lateral ventricle was compressed and the midline was displaced. Among them, the posterior part of the tumor oppressed the central anterior gyrus, and the lateral part oppressed the Broca’s area, which was the main cause of the patient’s motor aphasia and difficulties with the right limb. The tumor was closely related to many important blood vessels such as the sagittal sinus, anterior cerebral artery and central anterior vein. However, the tumor was obviously enhanced, the blood supply was very rich, and the operation risk was huge.

In the face of long operation time, large exposure range, and the risk of cerebral edema, hemorrhage and blood pressure drop after craniotomy. The day before operation, the neurosurgery team conducted a comprehensive consultation with the Anesthesiology Department and the operating room. The Anesthesiology Department conducted a detailed assessment of the patient’s past medical history and physical condition, and the operating room arranged an experienced team of nurses to fully cooperate during the operation.

Preoperative preparation was sufficient, risk assessment was in place, and the entire operation was carried out in an orderly manner. Gao Feng, the director of neurosurgery, with the full cooperation of anesthesiologists and surgical nurses, accurately separated the tumor under the microscope, cut off the tumor blood supply, and effectively protected the functional area. After 9 hours, Gao Feng successfully completed this difficult operation with rich clinical experience and superb surgical skills.

Half an hour later, the patient was awake featuring active limbs, stable spontaneous breathing, normal blood oxygenation, removed tracheal intubation, observed no abnormalities, and the patient returned to the ward after assessment of no risk. The completion of operation was the first difficulty, and the second difficulty was postoperative management. Gao Feng and the head nurse went to make the rounds of the patient’s ward every day on the day off. The doctor in charge stayed with the patient for 72 hours through the most critical three days after operation. After the patient’s CT review, no bleeding was found in the operating cavity, the tumor was completely resected, and the patient recovered well.