Let’s not talk about how to check the coronary artery. There must be a purpose for any special examination. A good doctor is like a student doing an exam, who is very good at grasping the key points of the problem.
Xie Wanying could tell that the teacher opposite her was very capable.
Pan Shihua flipped through his notes, sorted out Xie's thoughts and said, "Yingying wants to determine the damaged part of the heart."
"Does she want to determine the damaged part of the heart in order to perform a coronary stent procedure on the patient?"
"No, she was thinking of performing thoracoscopic cardiac surgery on the patient. Since the field of view of thoracoscopic surgery is more limited than that of open chest surgery, it is difficult to perform a complete thoracoscopic surgery without stopping the heart if the surgical site cannot be determined before the operation."
After Pan Shihua finished reading Xie Wanying's words, he and Xie felt a little nervous.
Dozens of pairs of doctors' eyes were looking at him and classmate Xie behind him.
"Did I hear what he said wrongly?" Shin Youhuan scratched his chin, trying hard to hold back the curve of his lips. He was shocked and wanted to laugh. He could imagine the inner expressions of the surgeons in his hospital.
The junior sister said that she would not ask the big boss for help, because the difficulty of the operation proposed was surprisingly high.
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Complete thoracoscopic heart surgery is already a difficult challenge in the field of surgery, not to mention a complete thoracoscopic surgery without stopping the heart. I don't know how many such surgeries are performed in the surgery department of their hospital in a year, but it is definitely not many. Because the conditions for this surgery are harsh, as Xie Wanying mentioned just now, the threshold is high.
Unless it is a common type of surgery that the surgeon is very familiar with, and the patient's heart lesions are clearly located, the surgical approach is clear, the surgical steps are clear, and the patient's other physical examinations are very good, Xiao Shugang's condition does not meet the conditions for such surgery at this stage.
The heart is beating non-stop, which means that the surgeon has very little time to perform the operation. Just thinking about it, you can tell which is more difficult, suturing on a beating heart or suturing on a still heart.
It was inevitable that the surgeons on the scene were shocked by Xie's words.
Du Yeqing's finger touched the pen tip, which knocked twice on the table. One can imagine what was going on in his mind. He probably thought that what the medical student proposed was like a toad wanting to eat swan meat.
"What do you think?" Yu Xuexian first asked the opinions of the specialist doctors in his own hospital, but the surgeon from Guozhi across the street didn't say anything.
Fu Xinheng's expression was relatively calm, because he had asked Pan to help her urgently sound out the specialist as soon as they got in the car, which made him feel that she would come up with such an idea.
On the way, he thought about her idea a little bit, and he would look at the patient's medical records after he came. Obviously, Guozhi's concerns were right. Her idea was too optimistic. To be honest, it was a hurdle to determine the location of Xiao Shugang's heart surgery. Otherwise, why didn't Du Yeqing rush to express his ideas on how to assist the internal medicine department in performing this operation after he came? Maybe he didn't even have an idea for the operation.
How to perform surgery on a patient when the situation is unclear.
The family members are very positive and radical. Their desire to cure the patient is understandable, but doctors should not let the family members confuse their thinking. What should be done should be done. Surgery that cannot be performed should not be performed.
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