godfather of surgery

Chapter 366 The Helplessness of the Dream Team
In the meeting room of the Sixth Hospital of Shanghai, intense case discussions are going on.

Hong Zhigang presided over the session, with orthopedics, neurosurgery, tumor surgery, and medical oncology as the mainstays, and other departments such as cardiovascular medicine and respiratory medicine also attended.

Dean Chen of Magic Six and Director Peng of the Medical Office both attended the meeting.

Among the many experts, there are several experts who came from the United States for consultation.

The case being discussed was Academician Feng Tiancheng. Professor Feng is a leading orthopedic doctor in China. Whether it is the Magic Sixth Hospital or Hong Zhigang himself, he will treat his disease at all costs.

Hong Zhigang invited Professor Johannessen from Mayo Clinic Neurosurgery, Professor Griffin from MD Anderson Cancer Center, and Professor Woodhead from Twin Cities Spine Center from the United States.

To treat Professor Feng's illness, this team is undoubtedly the dream team in today's world.

Professor Feng's upper spinal cord and medullary tumors have invaded the respiratory and circulatory centers, causing slow breathing and heartbeat.

At one time, due to respiratory depression and arrhythmia, blood oxygen saturation could not rise, and acid-base and electrolyte disorders, he was sent to the ICU for emergency treatment.

After rescue, after a period of ventilator-assisted breathing, he got better and was extubated and offline a week ago.

At present, under the condition of oxygen inhalation, the blood oxygen saturation is maintained above 95%, and the acid-base and electrolyte balance has been corrected, but the heart rate and breathing rate have been very slow and have not returned to normal. /Minute.

If the heart rate drops again, I am afraid that a pacemaker will be implanted, and if breathing is inhibited again, tracheal intubation and ventilator assistance will be required again.

"The tumor is rich in blood supply, originating from the upper cervical spinal cord. It grows aggressively through the base of the skull and into the medulla oblongata. The tumor has been mixed with the parenchymal tissue of the respiratory and circulatory center. The resection process will definitely damage the respiratory and circulatory center."

"This is equivalent to peeling off the yolk from an egg. The premise is not to damage the white. However, the yolk and white of this egg have been mixed together and interpenetrated. Who can completely peel off the yolk without damaging the white?"

"The breathing and heartbeat began to slow down, and within a few months, it gradually tended to stop. If it hits the bottom line of life or causes a foramen magnum hernia, the patient will die at any time—"

Professor Johannesson from Mayo Clinic Neurosurgery spoke in American English.

He expressed regret that he couldn't help. Mayo Clinic's neurosurgery ranks first in the United States, and Johannesson is the best neurosurgeon in the world.

Professor Griffin of the MD Anderson Cancer Center, bald, fat, with thin blond hair curling around his head, loosened his tie: "This kind of chordoma, before pathological examination, we call it For chordoma, the current success rate of surgery is less than [-]%. In other words, the success rate is close to zero. In very few successful cases, there is no obvious mixture of tumor and respiratory and circulatory center. In Professor Feng’s case, even with laser surgery There is no way to avoid injury without a knife, and no one can challenge this kind of surgery, which is currently off-limits to surgery."

Woodhead of the Twin Cities Spine Center is tall and thin, looking hale and hearty. He pointed to the anatomical model on the screen and explained:

"Exposure is also a problem. The occipital craniotomy in neurosurgery is connected with the posterior exposure of the cervical spine. Open the door at the occipital bone to expose the medulla oblongata, and open the door at the back of the upper cervical spine to expose the upper cervical spinal cord. Then, the upper cervical spinal cord and medulla oblongata are dissected, or they are not removed." , Removal is damage, gangsters and hostages are mixed together, making it impossible for us to shoot."

"Hong, I suggest that we give up the operation, maintain the status quo, let nature take its course, and the patient is old, after a rescue, the current state cannot withstand the blow of surgery, not to mention that the success rate of this operation is negligible, so the operation is meaningless. can hasten death--"

Professor Johannesson spread his hands, expressing that everyone has tried their best and there is nothing they can do.

Dean Chen looked at Hong Zhigang. Hong Zhigang rummaged through the medical records in his hands, feeling very unwilling. Is there really no other way?

He knew that people who were almost 80 years old didn't need to fight for this operation that had no chance of winning, but he didn't want to watch the teacher leave like this, so he had to do something.

These world's top bosses are helpless, which means that they really can only watch the teacher leave. It is foreseeable that if the tumor is not removed, or persist for two or three months, or misfortune will happen tomorrow.

At this moment, Hong Zhigang's heart was on fire, and he was in great pain. The teacher was so kind to him, but he couldn't do anything about it.

Although my mentor is almost 80 years old, judging from other physiological indicators, if it weren't for the tumor, it would not be a problem to live for a few more years.

"Hong, when you sent me the patient's information, I used virtual reality technology to perform surgical simulations, but none of them were successful, and all of them failed due to respiratory and heartbeat stop in the middle." Professor Johannesson spoke again.

The virtual reality he mentioned is currently the most advanced technology in the world, which can virtualize the anatomy and physiology of organs.

Then, using virtual haptic technology, surgeons can operate on virtual organs, cut a certain part, it will bleed, and hurt a certain important part, it simulates physiological disturbances, which is closer to real surgery.

This is Professor Johannesson's magic weapon. When faced with ultra-high-risk operations, he will use this system to simulate.

However, no matter how realistic it is, this technology cannot simulate a truly complex human body. It can only do simple simulations of physiology and anatomy. If the simulated surgery cannot be successful, it will not be successful on the human body.

"Professor Hong?" Wen Rentao next to him saw Hong Zhigang's strange behavior.

A tear slowly oozed from the corner of Hong Zhigang's eye, and he quickly took out a tissue to wipe it off: "It's okay, let's think of a way, there can be no way."

How many difficult operations, in his hands, saved the day and succeeded in the end.

The atmosphere in the whole venue was dull. Today's meeting is mainly to listen to the opinions of American experts. The experts of this hospital have discussed it many times.

"It is recommended to use radiation for palliative treatment, which may prolong the survival period. If necessary, I can help arrange and recommend the EDGE non-invasive surgery system. I can help contact the Cancer Center of Henry Ford Hospital in the United States." Professor Griffin broke the dullness.

EDGE non-invasive surgical system, the world's most advanced tumor radiotherapy equipment.

"Thank you, everyone. Your opinions are very valuable. Let's think about it again." Hong Zhigang stood up and bowed to everyone.

Several colleagues flew across the Pacific to come to consult and help, but the condition was too serious. Doctors are human beings, not gods.

The consultation meeting was adjourned, and several American professors were led to visit the hospital.

"Call from the ICU, Mr. Feng wants to see you." Wen Rentao whispered to Hong Zhigang.

"Well, I'll go over for a while, you stay with everyone, have the results of the 16-bed MRI come out?" Hong Zhigang asked.

"Come out." Wen Rentao knew all about the patients in the department.

Hong Zhigang handed over the task of accompanying the American professor to Wen Rentao. He was very satisfied with the student's technical ability and communication skills.

Hong Zhigang rushed to the ICU. Although the teacher was conscious, his heartbeat and breathing rate were still relatively slow. This was due to the interference of the tumor on the respiratory and circulatory center. I didn’t know where this lifeline was. Once the lifeline was crossed, the teacher would leave.

Hong Zhigang put on an isolation gown, a hat and a mask, and put on shoe covers, and entered the ICU.

Seeing Hong Zhigang rushing over, Professor Feng stretched out his hand, and said in a sober voice, "Zhigang!"

"Teacher, I'm here. I just finished my consultation. Professor Johannessen from Mayo Clinic's Department of Neurosurgery, Griffin from Anderson Cancer Center, and Woodhead from Twin Cities Spine Center discussed the surgical plan together. With rich experience, the success rate of the operation is very high." Hong Zhigang helped the teacher arrange the oxygen catheter and held the teacher's hand.

Professor Feng smiled slightly: "Zhigang, you have a heart. As doctors, we must seek truth from facts. According to current reports, the success rate of surgery for my case is less than [-]%. There is no precedent for medullary and bulbar tumors in our hospital. You don’t have to hesitate to arrange surgery for me, and you will be the chief surgeon. If it fails, you can conduct anatomical research on me after surgery to thoroughly understand the pathological characteristics and surgical methods of this tumor. How many years can I live without this disease?"

"Teacher, rest well. The EDGE non-invasive surgery system in the Cancer Center of Henry Ford Hospital in the United States is more suitable for your situation. I am in touch." Hong Zhigang comforted the teacher.

"EDGE is radiation therapy in the final analysis, and the accuracy is only 0.2 mm. It cannot guarantee that the respiratory and circulatory centers will not be damaged. If the laser knife is used for surgery, the chances of winning are greater. The current laser knife has an accuracy of 0.1 mm or even lower. There is a glimmer of hope." Professor Feng is currently in a clear head.

"Did the 16-bed MRI come out?" Professor Feng suddenly remembered the purpose of calling Hong Zhigang here.

"Out!"

"Show me."

Professor Feng coughed a few times, trying to get up, Hong Zhigang held him down immediately: "Teacher, don't move, I'll show you."

Hong Zhigang waved his hand through the glass door, and a doctor from the ICU came in immediately. Hong Zhigang said, "Please bring a tablet here."

The doctor sent a tablet computer, Hong Zhigang entered the hospital system, called up the patient's MRI image, and then slightly raised the teacher's bed.

"I'm not used to seeing this," Professor Feng complained. He is used to reading film on a reading light, but now he lives in the ICU ward, so he can only make do with it.

"This is likely to be a solid hemangioblastoma. Be careful when removing it. These blood vessels are very thick. The blood vessels are ligated while removing them. This is a dangerous area for the blood supply of the thoracic cord. Pay attention to protecting the blood supply of the thoracic cord, especially this one. The blood vessels must be very careful not to damage them, once they are damaged, the spinal cord will be ischemic and paralyzed after surgery, so remember! The surgery is scheduled?" Professor Feng urged.

"The line is ready, Ren Tao will be the chief surgeon." Hong Zhigang helped the teacher massage his legs and do ankle pump exercises. Lying in bed for a long time may easily cause blood clots in the veins of the lower extremities.

"Ren Tao is a good kid, but after all, he is young and lacks experience. You have to be his assistant on stage. This kind of operation is easy to fall into a trap. You must not be careless." Professor Feng carefully explained to Hong Zhigang.

"He's stable. This tumor requires a microscope. He's more stable than me under the microscope now, but don't worry, I'll be on stage." Hong Zhigang said with a smile.

Professor Feng put down the tablet and rested on a half-lying position, which can reduce the load on the heart.

"When you are well, I will take you to our countryside to rest for a month. Now it's time to fish in the small river." Hong Zhigang chatted with the teacher while watching the monitoring screen.

"Oh, I'm afraid I won't be able to go, you go and get busy, I'll sleep for a while."

Professor Feng narrowed his eyes.

　Recently, I have been writing slowly, because the more complicated the case is, the more complicated the case is, and the plot must be laid out slowly, interlocking with each other, and the transition is natural, paving the way for and accumulating the next few climaxes.The case description should be simple and easy to understand, maintain a very high professional level, and everyone can understand it without appearing boring.Recently, many friends who have given rewards have opened a single chapter to thank them when they have time, and there is also a reward from the lord to add updates, and they will be updated after writing these chapters.

　　
　
(End of this chapter)