novelnext Chapter 486 - 355: Reporting, Qin Feng’s Training (Part 2)
Chapter 486 - 355: Reporting, Qin Feng’s Training (Part 2)
If there’s a rupture in the cyst during this period, the situation could become even worse!
"Sigh~"
Qin Feng looked at the snake-like signs on the CT image and couldn’t help but sigh.
...
Early the next morning,
Qin Feng sat together with Director Xu from Hepatobiliary Surgery and Deputy Director Liu Guofeng from Cardiothoracic Surgery, among other directors.
They discussed the latest condition of the patient and came up with a surgical plan.
As he speculated the previous night, liver transplant is the method everyone agrees on and holds the greatest hope.
"Alright, since that’s the case, I’ll report it."
Qin Feng nodded, sorted out the materials, and sent them to the medical office.
Next comes the hospital review and filing, the rest doesn’t really concern them much.
After finishing these tasks, Qin Feng still decided to take a look at the critical care unit.
"Director Qin, what brings you here?"
Just as he reached the critical care building, Deputy Director Sun happened to return from outside. He asked with a smile.
"Director Sun, I’m here to check on the patient with the hepatic echinococcosis."
Qin Feng smiled and nodded.
"It’s a coincidence; I was planning to head over too, shall we go together?"
Sun Weihong’s eyes lit up and he promptly suggested.
"Alright."
The two of them straightened up and headed up the stairs towards the direction of the ward.
"Doctor, doctor, how’s my husband doing?"
Seeing Qin Feng and Sun Weihong, the patient’s wife, waiting outside the ward, quickly stood up and asked nervously.
The many years of exposure to the plateau’s sun and wind had left the woman’s skin somewhat dark and rough.
But even so, that pallor could still be seen, especially her chapped lips, and dark circles under her eyes suggesting she hasn’t rested well.
"Don’t be anxious. We are here to check on your husband, and then we’ll discuss the subsequent treatment and surgical situation with you."
Qin Feng reassured her, and upon hearing about the treatment and surgery, the woman’s eyes immediately brightened with a hopeful sheen.
"Okay, okay, thank you, doctor! Thank you, doctor!"
She released her hands, and Qin Feng walked into the isolation corridor, looking at the patient’s vital signs through the glass in the ward.
"Let’s go in and have a look, the situation isn’t good."
Sun Weihong glanced at the woman outside the door, then approached and whispered.
Upon hearing this, Qin Feng raised his eyebrows slightly and nodded.
The two changed into sealed sterile clothing, gestured for the nurse to open the ward door, entered the disinfection room for ultraviolet sterilization, and passed another door before actually entering the ward.
The entire critical care unit has undergone sterilization. If the patient is exposed to external bacteria causing an infection, severe complications could arise within a short time, potentially leading to death.
In terms of facilities, Peking Union Medical College Hospital’s critical care is absolutely advanced, with just this floor having five extracorporeal circulation devices meant for emergency lifesaving.
This is unimaginable in Jiangcheng, where the entire hospital combined might only have two or three such devices.
Including Da Vinci robots, among other most advanced medical equipment, all are readily available.
"What’s the matter, Director Sun?"
Qin Feng asked curiously.
"Take a look at this."
Sun Weihong led him to the lightbox, showing the CT from the viewer, where a cyst below the liver seemed to have changed shape, indicating a rupture.
"Cyst rupture?"
Qin Feng’s heart sank instantly.
"Yes."
Sun Weihong nodded, "This image was taken early this morning; last night, when the patient was sent in, he was not in good condition, we had to rescue him a second time to pull him back. But perhaps due to certain reasons, this cyst is now at risk of rupturing at any moment."
This is troublesome~
Upon hearing that, his expression became serious.
This is not good news; it’s even dangerous!
Once the cyst ruptures, the echinococcus will spread and invade faster, which is a challenge for both the patient and the doctors.
"Director Sun, try to keep the current state under control; I’ll get the final result from the hospital."
Qin Feng pondered briefly and said solemnly.
"Rest assured, we can extend life, but the patient’s tolerance for surgery is beyond human control."
Sun Weihong nodded.
"I know, thank you!"
After completing the check, Qin Feng left the ward.
"Doctor, how is my husband?"
The isolation door had barely opened when the woman came forward again, swallowed nervously, and asked.
"Follow me."
Upon hearing this, the woman followed Qin Feng into a small meeting room.
"Please sit, I’ll explain your husband’s condition in detail."
About half an hour later,
Qin Feng walked out of the critical care unit, his brow furrowed.
During the conversation earlier, he detailed everything to the woman, but she visibly understood that the hope was slim, yet she still hoped to fight for life.
This is good for the doctor, as the family trusting the hospital is crucial for the patient to have hope.
However, when it came to discussing money, the woman’s family were just regular Inner Mongolian herders.
"Our family is just typical herders; we have over three thousand head of cattle and over ten thousand sheep. If the money’s not enough, I’ll go home and sell them right away."
...
Upon hearing this, Qin Feng understood why the woman would do anything for her husband.
A single cow could be worth around twenty thousand, so over three thousand cows mean fifty to sixty million!
And with so many sheep, money is not a problem!
Though the old saying goes, "wealth isn’t counted that includes fur-bearing," currently they’re unmistakably a wealthy breeding family.
Since that’s the case, he also decided to try to treat the man and see if there’s an opportunity for surgery.
If they wait for a liver source, once the cyst ruptures, there might not be enough time.
Given that, it’s worth considering whether surgery could be performed?
Qin Feng had grasped the patient’s condition comprehensively; surgery would be extremely challenging and would require multidisciplinary cooperation.
The entire operation would involve at least five to six aspects, including autologous surgery, extracorporeal liver resection, inferior vena cava reconstruction, residual liver transplant surgery, and renal vein vascular reconstruction.
Among these, relatively simple procedures include heart section cyst detachment, renal section cut, and pulmonary section resection; it’s a matter of precision.
Extracorporeal liver resection and inferior vena cava reconstruction are extremely difficult.
The most challenging part is portal vein reconstruction and autologous liver transplant; even a small mistake could result in death on the operating table.
Even for Qin Feng, there was no complete assurance...
Quickly,
The hospital delivered the result, approving the hospital review and filing.
It means all subsequent treatments for this patient will be fully covered by the hospital, without involving the doctor’s personal responsibilities or department.
Receiving this news, Qin Feng sighed in relief.
If this is the case, then he’s willing to give it a try, and there’s only one way to access this opportunity.
Simulation operating room!
Autologous liver transplant is every hepatobiliary doctor’s ultimate goal in clinical practice, hailed as the peak of hepatobiliary surgery.
The combination of complex liver resection techniques, organ hypothermic perfusion techniques, venous shunting techniques, and liver transplantation technique underlies extracorporeal liver resection combined with autologous liver transplantation surgery.
Autologous liver transplantation requires excising the lesion while the liver is isolated, along with repairing and reconstructing relevant blood vessels and bile ducts, the no-liver phase is long, adding uncertainties to anesthesia and surgical procedures.
The greatest advantage of this surgery is that once successful, there won’t be any rejection risk.
Nationwide, hepatobiliary surgery experts capable of completing autologous liver transplantation are scarce, nowadays they are major figures.
Peking Union Medical College Hospital’s Hepatobiliary Surgery isn’t the strongest nationwide, so unfortunately, there’s no major figure here yet.
...
"System, initiate simulation operating room."
In the villa, after returning home from work and taking care of Liu Yan’Er, Qin Feng locked himself in the study room and said in a low voice.
Swoosh~
As soon as he finished speaking, the scenery before his eyes changed instantly, numerous virtual shadows appeared in his vision.
Soon, the original study room transformed into a complete operating room.
He knew it was all an illusion, yet each use felt so realistic.
"System, replicate patient Charier."
Then, Qin Feng continued.
The next second, the familiar figure appeared on the operating table, almost as if it were a real person.
It was precisely the hepatic echinococcus patient currently in the intensive care unit!
The system directly materialized the patient into the simulation operating room, even changing into surgical attire, intubated, with a monitor in the distance.
At that moment, Qin Feng raised his hand and glanced at himself, dressed in sterile clothing, mask, and cap, ready for surgery, with all surgical instruments arranged by the operating table.
"Whew~"
Qin Feng exhaled deeply, his gaze gradually steadfast, stepping to the main surgeon’s position.
Regardless of the odds, he still wanted to give it a try!
"System, begin surgery, scalpel!"