When doctors have a simulated operating room
Chapter 33
The doctor said that the patient was not allowed to leave.
"What is this kid talking about..."
"Left...left hemisphere resection plus extracorporeal aneurysm clipping?!"
"Resection of the brain? The risk of resection of the brain at the age of 73 is too great!"
After a long while, the directors' discussions rang out in the conference room.
However, many directors glared at Zhang Yi while talking.
Do you have the right to speak?
All the people present are big shots!
I have crossed more bridges than you have walked, and I have eaten more salt than you have eaten!
Is it your turn as a little doctor from Tianhe City to express your opinion?
Xu Chang, who was sitting in the middle, was thinking about something with his eyes half closed.
He felt that what the young man said made sense.
Thinking carefully, the risk of brain parenchyma resection is indeed high.
And it also tests the doctor's skills more.
But this is better than failing again and again in virtual surgery.
Xu Chang looked up and looked at the young face standing opposite him.
The determination and confidence on his face really looked like his younger self.
"Your name is Zhang Yi?"
Zhang Yi nodded: "Yes."
"The plan you mentioned is not impossible."
After Xu Chang said this, the director of neurosurgery at the provincial hospital objected:
"Professor Xu, I think he is too young, and his opinions are not referenceable."
"Yes, even if Director Yang invited him to help, I have never seen such a young neurosurgeon."
Xu Chang understood everyone's concerns.
After all, this is a neurosurgery operation, not an ordinary appendectomy.
But how can we deny a good surgical plan just because the doctor is too young?
"I don't think that being young is a reason to reject this surgical plan."
"Rejecting a surgical plan can be because it has shortcomings, is imperfect, or is not good for the patient."
"But it can never be because the person who proposed this plan is too young."
"On the contrary, I think this young man is very courageous, and I think his suggestions are very feasible."
"All the plans you discussed before suggested retaining the atrophied left brain. But as this young man said, after retaining the left brain, the surgical field is not only not clear enough, but also the subsequent epilepsy problem is not solved."
"The patient is relatively old, and if the epilepsy worsens, he may not live for a year."
After hearing what Xu Chang said, the directors around him were silent.
You are the boss, so listen to you.
But when the family members heard this, they became scared.
Xu Chang looked at the family members and gave them two choices.
"First, listen to this young man and perform a left hemispherectomy plus extracorporeal aneurysm clipping. Although the risk is high, the recovery will be very good after success."
"Second, choose interventional treatment. This surgical plan has a small wound and a high success rate. But the recovery is poor, epilepsy still exists, and there is no guarantee that one day he will be hospitalized again because of epilepsy."
The family members were in a dilemma...
After discussing for an hour.
The family members still agreed to Zhang Yi's surgical plan.
In order to ensure a higher success rate of the operation, Xu Chang decided to do a 3D virtual operation in advance.
Everyone moved to the imaging department's operating room.
This was the first time Zhang Yi had seen 3D virtual operation.
But this thing is definitely not as good as the system's simulated operating room.
Xu Chang looked at Zhang Yi standing not far away and said to him:
"You are the one who proposed this plan. Come to my side and help me later."
Everyone present was surprised!
Even Zhang Yi didn't expect it!
Is Professor Xu asking him to be an assistant? !
Several directors were eagerly waiting for this hard-won opportunity!
Regardless of experience or education.
Which attending physician or chief physician present is not better than Zhang Yi?
Unexpectedly, Professor Xu would give this opportunity to an unknown kid? !
This made those big directors angry!
"Okay, thank you Professor Xu!"
Zhang Yi hurriedly thanked him.
Then, under the envious and jealous eyes of the directors of the provincial hospitals, he walked to the side of Xu Chang.
3D virtual surgery actually relies on hundreds or even thousands of flat pictures overlapping, which will form a three-dimensional stereogram on the computer.
The way of virtual surgery is to use the induction knife to operate at the corresponding position.
The three-dimensional stereogram displayed in the calculation will also change according to the induction knife cutting.
"The first virtual surgery, left hemisphere resection plus extracorporeal aneurysm clipping, start."
Following Xu Chang's order.
The doctors in the virtual operating room immediately became serious.
...
Several family members outside the operating room were anxiously waiting.
Although it was not yet time for the formal operation.
But if this virtual operation failed again, the success rate on the formal operating table would become even lower!
So at this moment, the family members were all praying silently in their hearts.
The virtual operation must be successful!
Only in this way can my father have a chance to survive!
At the age of 73, half of his leg has already stepped into the coffin.
But as children, how could they bear to let their father leave like this.
As long as they can save their father, even if the young doctor is the surgeon!
An hour later, the virtual operation ended.
The whole operating room cheered.
"It actually succeeded!"
"Yes, it actually succeeded in one go!"
"It seems that this surgical plan is really feasible!"
For a while, several directors began to gradually change their views on Zhang Yi.
After the family members were informed of the news, they were so excited that they almost cried with joy.
Afterwards, the hospital arranged a formal operation for He Jianguo.
Naturally, a group of bigwigs gathered in the operating room.
Many interns, trainees, and attending doctors from the provincial hospital were there.
I heard that this operation was performed by Professor Xu from Shanghai.
They all ran to the operating room to watch.
They couldn't enter the operating room, but they could watch the real-time monitoring outside.
It's rare for such a bigwig to come to Yunnan Province, so we must seize the opportunity.
"Hey? Who is the young man in the middle? He's quite handsome."
"That's right, with so many directors in there, who is that young doctor?"
"Maybe it's Professor Xu's own apprentice?"
In the monitoring room, doctors from the provincial hospital started to discuss.
And the young doctor they were talking about was naturally Zhang Yi.
Zhang Yi originally had no chance to come to an operating room of this level.
However, before entering the operating room, Xu Chang gave him another chance.
I don't know why.
Xu Chang felt that this young doctor was very smart and had strong analytical skills.
He might not be worse than himself in the future.
"Time: 10:43 am."
"Patient's T36.8℃, P68 times/min, R23 times/min, BP132/84mmhg, intracranial pressure 131mmh2o."
Preoperative skin preparation and disinfection have been completed.
Take the side-lying position and expose the left side of the skull.
Zhang Yi became Xu Chang's second assistant.
But even so, there were still many directors in the operating room who didn't even get the second assistant position and cast resentful eyes at him...
Little bastard!
This opportunity is really too cheap for you!
Peel off the scalp and then open the skull.
Pay attention to the intracranial pressure at any time while opening the skull.
Intracranial pressure is a very important vital indicator during neurosurgery.
It cannot be too high or too low, and must be kept within the normal range.
Xu Chang is worthy of being an expert from the Magic City.
The way and speed of craniotomy were beyond the reach of everyone on the scene (except Zhang Yi).
Under the pia mater, the atrophied left brain substance appeared in front of everyone.
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