Zhou Sheng operated the electric knife and opened Jing Xinghai's pericardium.
A beating heart immediately appeared in the surgical field of vision.
This is a young heart.
If there wasn't a bulging mass in the apex area and left ventricular surface, this heart would definitely carry Jing Xinghai's dream and keep beating.
But now, this tumor makes Jing Xinghai's heart beat a little hard.
It is like a traveler carrying a heavy load, and may fall down at any time.
Now that Zhou is born, we need to lighten this burden for him.
However, it is not an easy task to achieve this.
Because of the help of the system, Zhou Sheng knew the location of the tumor very well.
Wang Xiaoming and Zhao Feihu do not have such favorable conditions.
Only then did they discover that the tumor was larger than what they saw on the film.
And judging from its location, the tumor had definitely invaded a large area of the endocardium.
Wang Xiaoming frowned and thought, this surgery is difficult to perform! No wonder Director Tian and Director Cao did not dare to take over it.
At this time, Zhao Feihu changed his angle. He thought, if he were the surgeon at this moment, what would he do if he faced this situation?
Zhao Feihu thought that he should be more conservative and only perform a partial resection of the tumor. Only the part of the tumor that was exposed outside the heart was removed.
This operation is the safest and simplest.
But he wasn't the one doing the surgery today.
He cannot decide on the surgical plan.
He wanted to see how Zhou Yisheng chose.
Zhou Sheng was also pondering this issue.
Is it a complete resection or a simple partial resection?
Partial resection is very simple and can be done now with almost no risks.
But for this kind of tumor that can grow.
Only cutting off the outer part is equivalent to cutting it in vain.
You don't have to think about the future results. It may be half a year, or 1 year, or 2 years. In the end, the tumor will grow bigger and bigger.
At that time, we will have to face the problem of re-operation.
Thoracotomy is not a minimally invasive surgery, and the harm to the patient can be imagined.
Even young people like Jing Xinghai cannot withstand repeated thoracotomy operations.
Zhou Sheng also did not want to see that in the future, Jing Xinghai would not be able to stand by the operating table and perform operations on others, but would lie on the operating table again and again.
The decision was made on Monday.
He wants to completely remove the tumor.
Zhou Sheng quickly gave the doctor's order, "Everyone, get ready and prepare to establish extracorporeal circulation."
When Zhao Feihu heard this, he immediately understood Zhou Shengsheng's choice.
If it is partially removed, there is no need to establish extracorporeal circulation or stop the heart.
If your heart stops beating, then you must take action seriously.
Somewhat interesting.
It’s true that newborn calves are not afraid of tigers!
My name is Zhao Feihu, but I don’t dare to be so aggressive. I didn’t expect you to be so courageous. If you are someone outside my heart, I really appreciate you a little bit.
Wang Xiaoming hesitated for a moment.
He had always supported Zhou Sheng, but now he felt that Zhou Sheng's decision was a bit hasty.
Originally, Ichisuke would not express his opinion during the operation.
First, it is to maintain the absolute authority of the surgeon in the operating room.
Secondly, if you tell the surgeon, it's okay if the surgeon accepts it, but if he doesn't, it would be quite embarrassing.
But at this moment, Wang Xiaoming couldn't help but said: "Dr. Zhou, please think about it again."
Zhou Sheng asked: "What's wrong?"
Wang Xiaoming said: "Do you want to completely remove the tumor?"
Zhou Sheng said: "Yeah."
Wang Xiaoming said: "But if you do this, it will probably hurt the left ventricle, and the risk is very high."
Zhou Sheng said: "I know this. I have already observed it. Judging from the CT images and the current situation, if we want to completely remove the tumor, I estimate that not only the left ventricle will be injured, but also the left ventricle may be injured."
To the aorta."
Both Zhao Feihu and Wang Xiaoming could only see that the area affected by the tumor was in the left ventricle.
But just looking at it from the outside, it's difficult to tell whether it will damage the aorta.
This can only be known if the tumor is cut open.
Zhao Feihu thought to himself, how did this guy know?
Wang Xiaoming didn't care about these details.
He was more concerned about Jing Xinghai's safety, after all, he was also Jing Xinghai's attending doctor.
So he added: "According to what you said, the risk would be greater if it were completely removed. The patient is so young, I think it is better to only remove the outer part of the tumor this time and leave the tumor that has invaded the ventricle until we see the situation later."
.Maybe after cutting off the outer part, it won’t grow.”
Zhou Sheng was amused in his heart.
This is deceiving oneself and others, deceiving others.
Zhou Sheng said: "Dr. Wang, this tumor has been growing rapidly in recent times. According to your experience, what is the probability that it will stop growing if we remove the outer part."
Wang Xiaoming hesitated and said: "10%, if it grows, we can do another surgery."
Wang Xiaoming said this in a good direction.
According to Zhou Sheng's experience, 99% of such crazy-growing tumors will continue to grow if they are not completely removed.
A heart that has been stabbed by then may not be as tolerant as it is now.
So this kind of muddling along may cost Jing Xinghai his life.
Mild illnesses can be treated slowly, but serious illnesses must not be delayed.
There were different opinions in the operating room.
Zhou Sheng could only exercise his power as chief surgeon.
So Zhou Sheng decisively gave the doctor's order again, "Prepare to establish extracorporeal circulation immediately."
The circulating nurses, equipment nurses, etc. in this operating room are all outsiders.
The first and second assistants are also outsiders.
But Wang Xiaoming’s words didn’t work.
With Zhou Sheng's doctor's advice, no one dared to stop him.
This is the power of the surgeon.
However, this power comes with corresponding responsibilities.
On Monday, I gave the doctor's order to establish extracorporeal circulation.
If something happens next, only Zhou Yisheng will be the one to handle it.
But in order for Jing Xinghai to be able to take the medical examination normally in the future, become a doctor and fulfill his dream.
I also worked hard all my life on Monday.
Of course it was a fight.
Monday is not blind.
The system gave Jing Xinghai’s treatment plan which was surgery.
Speaking of heart surgery, Zhou Yisheng is very confident now.
With the thousands of heart surgeries he has performed in the expert level dungeon, and with the help of the auxiliary system, there is probably no one in the entire dynasty who can perform heart surgeries better than him.
It's a bit modest to say this. Zhou Yisheng feels that even in the world, he is probably at the top level.
This is just like looking for Yang Simiao for acupuncture is definitely the most correct choice, and for heart surgery, looking for yourself is definitely the best choice.
Just give your doctor's advice.
Everyone is busy.
The busiest ones are the equipment nurses.
The extracorporeal circulation equipment was pushed to the operating table.
On Monday, Jing Xinghai began to establish extracorporeal circulation.